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The mediating role of sleep quality in the relationship between workload and employees’ job stress: A systematic review Mona, Liwingston Filemon; Luthfa, Iskim; Abdurrouf, Muh; Rochmawati, Dwi Heppy
Lentera Perawat Vol. 7 No. 2 (2026): April - June
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v7i2.727

Abstract

Background: Workload is a major occupational factor that contributes to employees’ job stress and may also impair sleep quality. Increasing evidence suggests that sleep quality is not merely an outcome of work strain, but may function as an important mechanism through which workload influences psychological well-being. However, the mediating role of sleep quality in the relationship between workload and employees’ job stress has not been systematically synthesized across occupational settings. Objective: This systematic review aimed to examine the mediating role of sleep quality in the relationship between workload and employees’ job stress and to synthesize current evidence on how sleep quality explains or modifies this association across employee populations. Methods: This study employed a systematic review design. Literature searches were conducted in Scopus, PubMed, ScienceDirect, ProQuest, and ClinicalKey for Nursing for articles published between 2015 and 2025. Studies were included if they involved employees or workers, examined workload or work-related stress, assessed sleep quality, and reported job stress-related outcomes. Study selection, data extraction, and quality appraisal were conducted systematically, and the findings were synthesized narratively because of heterogeneity in study designs, measures, and analytical approaches. Results: The search identified 2,264 records, and 12 studies were included in the final synthesis. The included studies consistently showed that higher workload or work-related stress was associated with poorer sleep quality across diverse occupational groups. Sleep quality emerged as a recurrent mediating factor linking occupational burden with adverse outcomes, including burnout, depressive symptoms, daytime dysfunction, and reduced well-being. Additional psychological mechanisms, such as rumination, anxiety, and depression, frequently strengthened this pathway, whereas physical activity, resilience, and social support appeared to buffer the negative effects. Conclusion: Sleep quality plays a significant mediating role in the relationship between workload and employees’ job stress. Interventions to reduce job stress should therefore address not only workload management, but also sleep health and related psychological factors in the workplace.  
Family support and the perception of chronic pain in patients with cancer Setyati, Dian; Setyowati, Wahyu Endang; Rochmawati, Dwi Heppy
JOURNAL OF Mental Health Concerns Vol. 5 No. 1 (2026): April Edition 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Unit Penelitian dan Pengabdian Kep Akademi Keperawatan Baitul Hikmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mhc.v5i1.2552

Abstract

Background: Chronic pain is a common symptom among cancer patients and significantly affects quality of life across physical, psychological, and social domains. Pain perception is influenced not only by biological factors such as disease progression and treatment, but also by psychosocial factors, particularly family support. Family support plays an important role in enhancing coping mechanisms, reducing stress, and shaping patients’ responses to pain. However, empirical evidence on the relationship between family support and chronic pain perception among cancer patients in Indonesia remains limited. Purpose: To examine the relationship between family support and chronic pain perception among cancer patients. Method: A quantitative non-experimental study with a cross-sectional design was conducted involving 30 hospitalized cancer patients selected through total sampling. Family support was assessed using the family subscale of the Multidimensional Scale of Perceived Social Support (MSPSS), while chronic pain perception was measured using the Brief Pain Inventory (BPI) Short Form. Results: Data analysis using Somers’ d test revealed a strong and statistically significant negative association between family support and chronic pain perception (r = −0.800; p<0.05). Conclusion: These findings underscore the importance of integrating family support into family-centered approaches for cancer pain management. Keywords: Cancer Patients; Chronic Pain Perception; Family-Centered Care; Family Support; Nursing.
Co-Authors ., Ellisa Abdurrouf, Muh Abdurrouf, Muh. Abdurrouf, Muhammad Abdussamad, Nawangsari Wahyuningtyas Achir Yani S. Hamid Achmad Noerkhaerin Putra Adhitya Indra Maulana Agatha Alfadiazti Agus Budi Raharjo Ahmad Ikhlasul Amal Ahya Sari Dian Nitami Alghozali, Rasyid Ardan Armelia Tri Pangestika Aslam, Putri Latifa Astry Ratna Afriyanti Bakhtiar, Erwin benita irma widyastini Betie Febriana Budi Anna Keliat Cita Setya Utami Citra Permani Putri Dea Yuhanda W, Dea Desy Nur Laili, Desy Dewi, Perwita Rameka Dhani Luthfi Hakim Dwi Nurul Badiah Dyah Wiji Puspita Sari, Dyah Wiji Puspita Erna Melastuti, Erna Ersa Putri Andini Fajrin Ziad Syahputra Fandi Muhbar Febriana, Betty Haq, Baihaqi Izzul Hendrawan, Gagah Satria Hetty Catur Ellyawati, Hetty Catur Himatul Millaini Assyifa Honan, Honan Ice Yulia Wardani Ika Chandra Putri Imas Triayani Indah Puji Lestari Indah Puji Lestari, Indah Puji Lestari Indah Tri Ayu Irgi Ahmad Fahrezi Iskim Luthfa Isni Rahim Paramaasri Istiadah, Ika Lilis Janitra, Fitria Endah Laela Elisia, Laela Laili Sukmawati Laily Nafisah Leni Alfiyah Lia Khainun Nisa’ Lidya Fitrianingrum Lindawati Lindawati Lolla Loviana Subakir Masrokan Mochamad Abdoel Gofoer Mona, Liwingston Filemon Muhbar, Fandi Mutiara Salsa Nabila Nawangsari Wahyuningtyas Abdussamad Nofiansyah - Noviana, Aini Niswatun Novy Helena Chatarina Daulima Nur Hidayah, Nur Hidayah Nurul Azzahrah Pangestika, Armelia Tri Pratama, Raditiya Beni Purnomo - Putri, Mayshella Reghita Putri, Sinta Asaliyah Annisa Roseka Yuliyanti Roseka Yuliyanti, Roseka S. Eko Purnomo, S. Eko Santos, Andre Soares Dos Senti Sene Septiani, Amalia Setyati, Dian Setyowati, Wahyu Endang Sholekhah, Sholekhah SITI FATIMAH Siti Nur Rochmayanti Srie, Fatriyani Yuli Susanto, Wigyo Suyanto Suyanto Syahrani, Nabilah Targunawan -, Targunawan Titik Suerni Tyas, Lutvi Mahendra Ning Ulumuddin, Muhammad Ikmal Umi Aghni Umi Nuraini, Umi Nuraini Wahyu Endang Setyowati Waluyo Sejati Wibawa, Yan Adi