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Comparison Of Factors That Influence The Stress Level Of Nurses In The ICU And ER At RSUD Toto Kabila Alvin Akbar Thaib; Sabirin B. Syukur; Hartati Inaku
International Journal of Health Engineering and Technology Vol. 4 No. 6 (2026): IJHET MARCH 2026
Publisher : CV. AFDIFAL MAJU BERKAH

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55227/ijhet.v4i6.620

Abstract

Work stress among nurses is a critical issue that may reduce the quality of nursing care, particulary in high-intensity units such as the Intensive Care Unit (ICU) and Emergency Departement (ED). This Study aimed to compare nurses work stress levels in the ICU and ED and to analyze the influencing factors, including workload, social support and length of employment. This study employed a descriptive analytic design with a cross-sectional approach. The sample consisted of 48 nurses, including 20 ICU nurses and 28 ED nurses, selected using total sampling. Data were collacted using structured questionnaires and analyzed using Spearman Rank Correlation and Mann-Whitney U tests with a significance level of p<0.05. The results showed significant differences in work stress levels (p=0.003) and workload (p=0.004) between ICU and ED nurses. Workload had a strong positive correlation with work stress in ICU nurses (r=0.642; p=0.001) and ED nurses (r=0.711; p=0.000). Social support showed a significant negative correlation with work stress among ICU nurses (r= -0.402; p=0.045)., but not among ED nurses. Length of employment was not significantly associated with work stress in both units. Workload is the dominant factor affecting nurses work stress, particularly in the Emergency Department. Optimizing workload management and strengthening social support are essential to reduce nurses work stress.
Digital Efficiency of the Khanza Application for Nursing Care Documentation at Prof. Dr. Aloei Saboe Hospital Ardiyansyah Dumako; Hartati Inaku; Sabirin B. Syukur
International Journal of Health, Economics, and Social Sciences (IJHESS) Vol. 8 No. 2: April 2026 - In Progress
Publisher : Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/ijhess.v8i2.10683

Abstract

Background: Nursing care documentation is an important part of health care that must be carried out completely, accurately, and on time. The implementation of digital documentation through the Khanza Hospital Management Information System (SIMRS) application is expected to be able to improve the work efficiency of nurses and support the completeness of nursing care documentation. However, the difference in perception of the efficiency of using the Khanza application by nurses has the potential to affect the completeness of the documentation produced. Objective: To determine the influence of the digital efficiency of the Khanza application on the completeness of nursing care documentation at Prof. Dr. Aloei Saboe Hospital, Gorontalo City. Methods: This study used an analytical descriptive design with a cross sectional approach. The research sample amounted to 37 nurses who were selected using purposive sampling techniques in Building III of Prof. Dr. Aloei Saboe Hospital. Data was collected using the Khanza application efficiency questionnaire and a nursing care documentation observation sheet. Data analysis was carried out using the Chi-Square test. Results: The results showed that the majority of nurses rated the efficiency of the Khanza application to be in the efficient category. All nurses with a perception of efficiency and are quite efficient have efficient nursing care documentation, while in the category of sufficiently efficient there is still inefficient documentation. The Chi-Square test showed a value of p = 0.000 (p < 0.05). Conclusion: The efficiency of the Khanza application has a significant effect on the completeness of nursing care documentation. Optimizing the use of the Khanza application through continuous training and supervision is needed to improve the quality of nursing documentation in hospitals.