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Journal : Buletin Kedokteran dan Kesehatan Prima

The association between workload and occupational stress levels among nurses at the Medan Tuntungan Community Health Center Ilahi, M Rizky; Dameria, Dameria; Wau, Herbert
Buletin Kedokteran & Kesehatan Prima Vol. 4 No. 2 (2025): September
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v4i2.7558

Abstract

Nurses, as frontline healthcare providers, are highly susceptible to occupational stress stemming from excessive workloads.1 In Indonesia, suboptimal nurse-to-population ratios exacerbate this, leading to high stress levels (65% moderate/severe) and increased turnover (15–20%). Preliminary observations at the Medan Tuntungan Community Health Center (Puskesmas) indicated rising patient visits without corresponding staff increases, resulting in high perceived workloads and stress symptoms. This study aimed to analyze the relationship between workload and the incidence of occupational stress among nurses at the Medan Tuntungan Community Health Center. A quantitative, cross-sectional design was employed in August 2025. A total sampling (census) technique was used, including all 30 nurses at the facility. Data were collected via a structured online questionnaire assessing workload (physical, mental, administrative) and job stress (physical, emotional, behavioral symptoms), categorized on an ordinal scale (Good, Moderate, Poor). Data analysis utilized univariate statistics and bivariate testing with the Chi-Square test or Fisher's Exact Test. Univariate analysis revealed that 90.0% of nurses perceived their workload as moderate (50.0%) or poor (40.0%). Regarding stress, 43.3% experienced moderate levels, and 30.0% experienced poor (high) levels. The bivariate analysis established a highly significant association between workload and work stress (p < 0.001). A clear positive correlation was observed: 75.0% of nurses with a poor workload reported poor (high) stress, while 100.0% of those with a good workload reported good (low) stress. No significant associations were found for work shift (p = 0.091) or length of service (p = 0.069).Conclusion: Workload is a significant determinant of occupational stress among nurses at the Medan Tuntungan Puskesmas. As workload perception worsens, stress levels increase. These findings underscore the urgent need for institutional interventions focused on effective workload management and staffing optimization to mitigate nurse stress and enhance well-being.
Effectiveness of leaflet and video interventions in promoting disease prevention behaviors among online motorcycle taxi drivers in Medan City Surbakti, Tiara Lorensia Br; Azzahra, Avivani; Dameria; Wau, Herbert
Buletin Kedokteran & Kesehatan Prima Vol. 4 No. 2 (2025): September
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v4i2.7566

Abstract

Online motorcycle taxi drivers represent informal sector workers who are at high risk of experiencing various health problems, such as musculoskeletal disorders, respiratory issues, and occupational stress, due to exposure to pollution, non-ergonomic working postures, long working hours, and unsafe road conditions. This study aims to identify the characteristics of online motorcycle taxi drivers in relation to the improvement of disease prevention behaviors. The research employed a quantitative approach with a non-randomized pretest–posttest control group design. The study population consisted of all online motorcycle taxi drivers operating in the Universitas Prima Indonesia area, with a total sample of 60 participants. They were divided into two groups: 30 respondents who received health education through leaflet media (intervention group) and 30 respondents who received education through video media (control group), selected using a non-probability sampling technique. Among respondents in the leaflet group, the majority were aged 19–44 years (93.3%), had a high school education (76.7%), had worked for less than five years (63.3%), worked more than eight hours per day (73.3%), and used automatic motorcycles (53.3%). Similarly, in the video group, most respondents were aged 19–44 years (90%), had completed high school (63.3%), had worked for less than five years (76.7%), worked more than eight hours per day (73.3%), and used automatic motorcycles (63.3%). Online motorcycle taxi drivers are part of the informal workforce with high health risks, highlighting the need for preventive efforts through educational interventions. The study findings indicate that the majority of respondents in both the leaflet and video groups were young adults with high school education, short work tenure, long working hours, and predominantly used automatic motorcycles. These characteristics can serve as a basis for designing more targeted health interventions to enhance disease prevention behaviors.