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All Journal Jurnal Rekayasa Sistem Industri SPEKTRUM INDUSTRI Jurnal Sistem dan Manajemen Industri PERFORMA : Media Ilmiah Teknik Industri Journal of Islamic Architecture Multidiciplinary Output Research for Actual and International Issue (Morfai Journal) Prosiding Konferensi Nasional PKM-CSR Jurnal Industri dan Teknologi Samawa (JITSA) Prosiding Seminar Nasional Hasil-hasil Penelitian dan Pengabdian Pada Masyarakat
Rahmaniyah Dwi Astuti
Universitas Sebelas Maret
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STRESS LEVEL AND MENTAL WORKLOA ANALYSIS OF HOSPITAL NURSES WITH SMARTWATCH PHYSIOLOGICAL VALIDATION Khusni Nur Ikhsan Khotami; Bambang Suhardi; Rahmaniyah Dwi Astuti
Multidiciplinary Output Research For Actual and International Issue (MORFAI) Vol. 6 No. 6 (2026): Multidiciplinary Output Research For Actual and International Issue
Publisher : RADJA PUBLIKA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.22661620

Abstract

Nurses working in critical care units face substantial mental workload and occupational stress, yet most prior studies rely on a single subjective or objective measurement approach. This study examined the mental workload and occupational stress of Intensive Care Unit (ICU) and Emergency Department (IGD) nurses at RSUI Cawas Klaten, Indonesia, and validated subjective instruments against physiological indicators. Using a quantitative descriptive correlational design, data were collected from all 27 ICU and IGD nurses (total sampling) using the NASA Task Load Index (NASA-TLX), the Expanded Nursing Stress Scale (ENSS), and an Apple Watch SE Generation 2 smartwatch recording Heart Rate (HR) and Heart Rate Variability (HRV) across three phases: rest, work, and questionnaire completion. Results showed a High mental workload (mean Weighted Workload = 54.67) dominated by the Effort dimension, and an overall Low Stress level (mean ENSS = 1.95) that approached the Moderate Stress threshold, led by treatment uncertainty and patient/family related stressors. Pearson correlation revealed a significant positive relationship between ENSS and HRV during work (r = 0.630, p < 0.001) and between NASA-TLX and HR during work (r = 0.468, p = 0.014), whereas post work measurements showed no significant association. These findings confirm that HR and HRV recorded during active work, rather than after work, are valid physiological indicators for cross validating subjective workload and stress instruments among critical care nurses.
Co-Authors Adindha Karunia Ciptaning Pragowoaji Afiq Ramadhan Ari Diana Susanti Asariella Findya Octa Pertiwi Bambang Suhardi Bambang Suhardi Frisca Pomalia Gisya Amanda Yudhistira Haryono Setiadi Helda Yuana Arientantri Prastari Prastari Irwan Iftadi Khusni Nur Ikhsan Khotami Qurtubi Qurtubi Retno Wulan Damayanti Rini Anggrainingsih Rona Sutra Dewangga Dyah Utami Setiadi, Haryono Sukmaji Indro cahyono Syafiya Maharani