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All Journal International Journal of Public Health Science (IJPHS) Jurnal Keperawatan Jurnal Keperawatan Indonesia BULETIN PENELITIAN SISTEM KESEHATAN e-Journal Pustaka Kesehatan Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) Corak : Jurnal Seni Kriya Jurnal Kesehatan Masyarakat (IKESMA) Jurnal NERS WARTA Jurnal Berita Ilmu Keperawatan UNEJ e-Proceeding Jurnal Psikologi Teori dan Terapan Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) Indonesian Journal for Health Sciences (IJHS) International Journal of Nursing and Health Services (IJNHS) Jurnal Perawat Indonesia Jurnal Ilmu dan Teknologi Kesehatan Jurnal Kesehatan Jurnal Ilmiah Keperawatan The Indonesian Journal of Health Science BIMIKI (Berkala Ilmiah Mahasiswa Ilmu Keperawatan Indonesia) Jurnal Ilmiah Kesehatan Rustida Jurnal Pengabdian Masyarakat Multidisiplin Babali Nursing Research Jurnal Promotif Preventif Jurnal Kesehatan Tambusai Intan Husada : Jurnal Ilmiah Keperawatan Nursing and Health Sciences Journal (NHSJ) Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Journal Nursing Care Jurusan Keperawatan Politeknik Kesehatan Gorontalo Journal of Nursing Science Update DUNIA KEPERAWATAN: JURNAL KEPERAWATAN DAN KESEHATAN Dedikasi Saintek Jurnal Pengabdian Masyarakat Health and Technology Journal (HTECHJ) Jurnal Keperawatan Merdeka Warta LPM JOURNAL OF Qualitative Health Research & Case Studies Reports Jurnal Berita Ilmu Keperawatan Jurnal Kesehatan dr. Soebandi Jurnal Kesehatan Journal of Community Empowerment for Multidisciplinary (JCEMTY) DEDIKASI SAINTEK Jurnal Pengabdian Masyarakat NurseLine Journal
Retno Purwandari
Fakultas Keperawatan, Universitas Jember, Indonesia
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Shift kerja dan burnout perawat di unit pediatric: Studi kasus analitis Andiny, Aliya Nuri; Asmaningrum, Nurfika; Purwandari, Retno; Suparman, Maman; Listyaningrum, Desy; Wibowo, Suhendra Agung
JOURNAL OF Qualitative Health Research & Case Studies Reports Vol 6 No 4 (2026): April Edition 2026
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/quilt.v6i4.2464

Abstract

Background: Burnout is a critical occupational issue among nurses, affecting their well-being and the quality of patient care. It is characterized by emotional exhaustion, depersonalization, and reduced personal accomplishment. Nurses working rotating or night shifts are particularly vulnerable due to high workload and limited recovery time. Purpose: To examine burnout levels among nurses. Method: A descriptive quantitative design was used, involving nurses on morning, afternoon, and night shifts. Data were collected using the Maslach Burnout Inventory-Human Services Survey (MBI-HSS) and analyzed to determine overall burnout and its dimensions across shifts. Results: 53.3% of respondents experienced burnout, while 46.7% did not. Most nurses across all shifts exhibited moderate levels of burnout. Emotional exhaustion was the most dominant dimension, followed by depersonalization, which was higher among nurses on rotational shifts or in understaffed units. Personal accomplishment remained high for morning and afternoon shifts, but moderated for night shifts, indicating a negative effect of shift instability on perceived professional competence. Conclusion: Burnout is prevalent among nurses with varying impacts across its dimensions. Interventions that target emotional exhaustion, increase personal accomplishment, and reduce depersonalization, particularly for night and rotating shift nurses, are crucial for supporting nurse well-being and maintaining quality of care.   Keywords: Burnout Levels; Nurse; Work Shift.   Pendahuluan: Burnout merupakan masalah pekerjaan yang kritis di kalangan perawat, yang memengaruhi kesejahteraan mereka dan kualitas perawatan pasien. Burnout ditandai dengan kelelahan emosional, depersonalisasi, dan penurunan pencapaian pribadi. Perawat yang bekerja dengan sistem rotasi atau shift malam sangat rentan karena beban kerja yang tinggi dan waktu pemulihan yang terbatas. Tujuan: Untuk meneliti tingkat burnout di kalangan perawat. Metode: Desain kuantitatif deskriptif digunakan, yang melibatkan perawat pada shift pagi, siang, dan malam. Data dikumpulkan menggunakan Maslach Burnout Inventory-Human Services Survey (MBI-HSS) dan dianalisis untuk menentukan burnout secara keseluruhan dan dimensinya di seluruh shift. Hasil: Sebanyak 53.3% responden mengalami burnout, sedangkan 46.7% tidak. Sebagian besar perawat di semua shift menunjukkan burnout tingkat sedang. Kelelahan emosional merupakan dimensi yang paling dominan, diikuti oleh depersonalisasi yang lebih tinggi di antara perawat dengan sistem rotasi atau di unit yang kekurangan staf. Pencapaian pribadi tetap tinggi untuk shift pagi dan siang, tetapi moderat untuk shift malam, menunjukkan efek negatif dari ketidakstabilan shift terhadap kompetensi profesional yang dirasakan. Simpulan: Burnout lazim terjadi di kalangan perawat dengan dampak yang bervariasi pada dimensinya. Intervensi yang menargetkan kelelahan emosional, meningkatkan pencapaian pribadi, dan mengurangi depersonalisasi, terutama untuk perawat shift malam dan shift bergilir, sangat penting untuk mendukung kesejahteraan perawat dan menjaga kualitas perawatan.   Kata Kunci: Burnout; Perawat; Shift Kerja.
Exploring the levels of work fatigue among rice farmers: A Cross-sectional study in an agricultural area Nurfika Asmaningrum; Angelina Paramitha Astuti Dos Santos; Dodi Wijaya; Retno Purwandari; Kholid Rosyidi Muhammad Nur
Nursing and Health Sciences Journal (NHSJ) Vol. 5 No. 1 (2025): March 2025
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v5i1.493

Abstract

The agriculture sector plays an important role in a country's economy, and one of the important sectors is food crops such as rice. Agricultural activities can put farm workers at risk of work-related accidents, and one of the factors that influences this is work fatigue. Work fatigue is the body's defense mechanism to reduce more severe damage when someone does excessive activity. This research analyzed work fatigue among farmers in Antirogo village, Sumbersari District, Jember Regency. This research was quantitative descriptive research using a sampling method on 290 respondents. This research was conducted using univariate analysis with frequency distribution. This research collected data using the Swedish Occupational Fatigue Inventory (SOFI) questionnaire. Data collection results showed that the highest result of assessment indicators in the medium category for lack of energy was 68.3%. Exertion of physical exertion was 62.4%, and physical discomfort was 46.6%; the lowest results were found in a mild category: motivation at 89.7% and sleepiness at 60%. The overall results of work fatigue among rice farmers in Antirogo Village are in the medium category of 60%. The bivariate analysis showed a meaningful relationship between the characteristics of the respondents, gender, and working period to the occurrence of work fatigue among rice farmers in Antirogo Village. This research showed that rice farmers experience fatigue influenced by the work environment and having good motivation can reduce fatigue.
Analisis Pelaksanaan Discharge Plannning Terhadap Tingkat pengetahuan Pasien Typhoid Fever di Rumah Sakit: Sudi Kasus Risma Dian Ayu; Nurfika Asmaningrum; Retno Purwandari; Ika Mardiyah Bratajaya
Health and Technology Journal (HTechJ) Vol. 3 No. 6 (2025): December 2025
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v3i6.324

Abstract

Discharge planning is essential for providing special education or training to patients and their families when a patient is admitted to the hospital and prepares for discharge. It is a crucial part of nursing care that requires collaboration across multiple disciplines. The goal of discharge planning is to facilitate communication between nurses and patients, enabling the provision of procedures for managing and preventing diseases at home. Typhoid fever, an endemic infectious disease, necessitates continued care and treatment. The ability of nurses to effectively implement discharge planning significantly enhances families' understanding and capacity to care for patients with typhoid fever. This study analyzes the implementation of discharge planning for patients with typhoid fever at Treatment Room D of Kaliwates General Hospital in Jember. This case report examines the discharge planning process for these patients. To assess changes in understanding disease prevention, the study measured patients' knowledge before and after implementing discharge planning using a questionnaire on understanding typhoid disease. The results indicate that implementing discharge planning effectively improves patients' understanding of disease prevention related to typhoid fever. Before discharge planning was instituted, patients scored an average of 50% on the pretest regarding their knowledge. After the discharge planning was carried out, the posttest score increased to 90%. This demonstrates that providing discharge planning to families and patients significantly enhances their knowledge about typhoid fever.
Adolescents Plan to be Reproductive Healthy and Risk-Free of HIV Infection through Health Education based on Agricultural Perspective: Remaja Berencana Sehat Reproduksi dan Bebas Risiko Tertular HIV melalui Penyuluhan Berwawasan Agrikultura Dicky Endrian Kurniawan; Afandi Alfid Tri; Purwandari Retno; Ardiana Anisah; Khamid M. Nur; Kholid Rosyidi Muhammad Nur; Enggal Hadi Kurniyawan
Journal of Community Empowerment for Multidisciplinary (JCEMTY) Vol. 2 No. 2 (2024): November 2024
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/jcemty.v2i2.68

Abstract

HIV incidence attacks not only the adult population but also cases that occur in adolescents. The incidence of HIV in adolescents is related to the behavior of adolescents in maintaining their reproductive health. Therefore, efforts must be made to increase youth awareness of reproductive health and prevent HIV transmission. Health education, outreach, and discussions will be held on Thursday, 30 March 2023, at a high school in Jember at 08.00 WIB - finished. The target audience for this activity was students from a high school. Service activities by providing health education so that youth can take an active role and participate in solving HIV AIDS prevention problems. Health education is an effort to increase the knowledge and awareness of individuals by providing information with counseling and discussion methods. This activity showed that most youths demonstrated that they could understand how to maintain reproductive health and HIV AIDS prevention from an agricultural perspective. As feedback, adolescents stated that they were willing to support reproductive health and prevent the transmission of HIV AIDS. As a suggestion, it is hoped that youth can increase their role and participate actively in maintaining adolescent reproductive health and tackling HIV AIDS. In addition, the community is expected to actively implement government recommendations in maintaining health, especially in preserving reproductive health and preventing the transmission of HIV AIDS.
Nurses' Roles in the Implementation of the Fourth Patient Safety Goals: Literature Review Fairuza Fajar Yumna; Alfid Tri Afandi; Kholid Rosyidi Muhammad Nur; Retno Purwandari; Yulia Kurniawati
Health and Technology Journal (HTechJ) Vol. 3 No. 4 (2025): August 2025
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v3i4.397

Abstract

Patient safety is a critical component of healthcare quality. Surgical procedures pose significant risks, with frequent incidents such as wrong-site surgeries and retained surgical instruments. To mitigate these risks, the Fourth Patient Safety Goals emphasize the correct site, correct procedure, and correct surgical patient. Nurses, who are involved in every stage of surgical care, play a vital role in ensuring of the correct site, procedure, and surgical patient. The objective of this research is to analyze and identify the role of nurses in implementing the Fourth Patient Safety Goal, specifically in ensuring the correct site, procedure, and patient in surgical settings. This study employed a literature review method using databases including Google Scholar, PubMed, and Science Direct. A total of 11 articles published between 2024 and 2025 were selected using inclusion and exclusion criteria based on the PICO(S) approach. Article quality was assessed using JBI Appraisal Tools. The findings show that nurses contribute significantly to all three phases of the Surgical Safety Checklist (sign in, time out, sign out). Their roles include verifying surgical information, ensuring team communication, providing emotional support for patients, coordinating interdisciplinary collaboration, and integrating technology-based tools. Barriers identified include lack of training, incomplete documentation, and limited compliance with protocols. Nurses play a central role in ensuring the correct site, procedure, and surgical patient. Strengthening their competence, fostering interprofessional collaboration, and applying technological innovations are essential strategies to enhance patient safety in surgical settings.
PENGUATAN KADER PENDAMPING SOSIAL DALAM MENURUNKAN KEJADIAN LOSS TO FOLLOW-UP TERAPI ANTIRETROVIRAL PADA ORANG DENGAN HIV AIDS Dicky Endrian Kurniawan; Retno Purwandari; Baiq Lily Handayani
Jurnal Pengabdian Masyarakat Multidisiplin Vol 6 No 2 (2023): Februari
Publisher : LPPM Universitas Abdurrab

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36341/jpm.v6i2.2993

Abstract

Antiretroviral (ARV) therapy has become the standard of minimal care for people living with HIV. The length of treatment has an impact on the adherence toward ARV consumption. Non-adherence to ARV treatment will result in loss to follow-up and can worsen the condition. Social cadres are active in assisting the government in preventing loss to follow-up. The obstacles they face are the lack of optimal monitoring of ARV consumption and knowledge about ARV. This community service activity aimed to strengthening and optimizing the role of PLWHA social cadres. This activity consists of three stages: (1) focus group discussions with PLWHA mentoring cadres on challenges and problem-solving strategies, (2) drafting guidelines for monitoring ARV consumption for PLWHA that social cadres can use, and (3) training for PLWHA mentoring cadres on mastery of ARV concepts and loss to follow-up prevention management. The activity results show that there is a solution to the problems faced by social cadres in the form of a strategy for monitoring ARV consumption and increasing knowledge of PLWHA about ARV therapy and efforts to reduce the incidence of loss to follow-up. It is hoped that this activity will continue to evaluate the success of this problem-solving strategy and that social cadres can play an active role in reducing the incidence of loss to follow-up.
RELATIONSHIP BETWEEN NURSING TEAMWORK AND MISSED NURSING CARE IN INTENSIVE CARE UNITS Onny Ega Isfadillah; Retno Purwandari; Kholid Rosyidi Muhammad Nur; Nurfika Asmaningrum; Yulia Kurniawati
Indonesian Journal of Health Science Vol 10 No 1 (2026): March
Publisher : Universitas Muhammadiyah Ponorogo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24269/ijhs.v10i1.12222

Abstract

Nurses play a vital role in providing nursing care, especially in intensive care units. Low levels of nursing teamwork can contribute to the occurrence of missed nursing care, which refers to nursing actions that are delayed or not performed. Given that patients in intensive care units require comprehensive and continuous care, optimal nursing teamwork is essential to ensure the quality of patient care. This research aimed to determine the relationship between the level of nursing teamwork and the incidence of missed nursing care in patient care in the intensive care units of dr. Soebandi General Hospital, Jember. Method: This research was non-experimental quantitative study with a correlational design and a cross-sectional approach. The study sample consisted of 72 active nurses who worked in the intensive care units of RSD dr. Soebandi Jember. Data analysis was conducted using the Spearman Rank correlation test. Results: The results of the analysis showed a moderate level of teamwork and low missed nursing care with a significant negative correlation between the level of nursing teamwork and the incidence of missed nursing care, with a p value <0.05 (0.000 <0.05) and a correlation coefficient of -0.404. Conclusion: The bivariate analysis showed that there was a significant relationship between teamwork and missed nursing care. Hospitals need to support nurse training programs, particularly in enhancing teamwork skills.
NURSING WORK ARRANGEMENT IN HEALTH CARE SETTINGS DURING THE PAN DEMIC OF COVID-19: NURSE MANAGERS’ PERSPECTIVES Nurfika Asmaningrum; Kholid Rosyidi M.N; Retno Purwandari; Anisah Ardiana
NurseLine Journal Vol. 5 No. 2 (2020): November 2020
Publisher : Program Studi Ilmu Keperawatan Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/nlj.v5i2.60150

Abstract

Nurses are health service provider playing pivotal role and serving at the forefront of tackling COVID-19. As such, their health and safety are pivotal. Therefore, a policy is needed in arranging their work system in response to COVID-19 pandemic. The workarrangement denotes an effort to prevent human-to-human infection transmission of COVID-19. However, the nursing work system adjustment model is not yet known. The aim of the study is to explore a model for adjusting the work system of nurses in health care facilities during the COVID-19 pandemic, from the perspective of nurse managers. This study applied descriptive qualitative method. It involved 9 (nine) managers who were recruited from 2 (two) public hospitals which became the national designated for handling COVID-19. These subjects were chosen using purposive sampling technique. Data collection employed semi-structured interviews through virtually telephone and con ference. Resultant data were analyzed using content analysis. The study has unraveled five main categories related to the arrangement of the nursing work system during the pandemic, including the management of nurse personnel, adjustment of nursing work rules, adjustment of nursing work patterns, adjustment of nursing work procedures, and flexibility of nursing work. Through the work system regulation, hospital managers have implemented the principle of maintaining health, safety and security of nurses while working in health care facilities. The adjustment of nursing work system aims to reduce the nega tive impact of the health crisis and reduce anxiety for nurses. This is mainly because the level of anxiety associated with COVID-19 may pose adverse effects on nurses' wellbeing
Co-Authors Afandi Alfid Tri Afandi, Alfid Ahmat Robbi Tricahyono Alfid Tri Afandi Alvinda Apriliatul Jannah Amanda Putri Anugerah Andiny, Aliya Nuri Angel, Birgita Angelina Paramitha Astuti Dos Santos Anisah Ardiana Anisah Ardiana Anisah Ardiana Anisah, Ardiana Ardiana Anisah Argiyanti, Ardelia Arifatunnahriyah, Octavia Azizah, Nuha Aliyah Nur Bagus Pria Utama Baiq Lily Handayani Dani Setiawan Dani Setiawan Desy Listyaningrum, Desy Dewa Ayu Dwi Chandra Yadnya Sari Dian Indah Lestari Dicky Endrian Kurniawan Diyah Ayuningrum Amini Dodi Wijaya Dodi Wijaya Dwifarin, Septa Dyah Ayu Riski Imani Effy Afifah Emi Wuri Wuryaningsih Enggal Hadi Kurniyawan Erna Dwi Putri Cahyani Fairuza Fajar Yumna Fajar Kharisma Fajar Nur Aufar Hani Febriyanti Hanny Rasni Ika Mardiyah Bratajaya Ilhami, Ridlo Cahya Indah, Agnes Rosalia Intan Ayu Nur Aini Intan Ayu Nur Aini Isbandono Hariyanto Khamid M. Nur Khansa Salsabila Wahyu Widyan Utami Kholid Rosyidi M.N Kholid Rosyidi Muhammad Nur Krisna Yetti Malawat Lantin Sulistyorini Ledya Anggriani Hariyanto Leseni, Ni Ketut M. Nur Khamid M. Nur, Khamid Maman Suparman Mariatul Rochmawati Nuris Wahyuni Moh Taufiqurrahman Mohamad As'ad Efendy Muhammad Nur Khamid Muhammad Nur, Kholid Rosyidi Mulia Hakam Mulyana, Nonica Nafi', Ahmad Nafisatus Shofiyyah Ni Ketut Leseni Ningrum, Teysya Dwi Nugraha Yuwana Nuhita Siti Rohmin Nur Widayati Nurfika Asmaningrum Nurfika Asmaningrum Nurfika Asmaningrum Nurfika Asmaningrum Nurud Diniyah Nurul Izzah Regita Cahyani Onny Ega Isfadillah Pragita, Reza Riyady Puthro, Gede Darmawan Rakasiwi, Sabella Ratna Sari Hardiani Reza Riyady Pragita Reza Riyady Pragita Ridlo Cahya Ilhami Riska Umi Yatun Risma Dian Ayu Rodiyatul Fitriyah Rr Tutik Sri Hariyati Sasi, Nugroho Pamungkas Setyoningsih, Dies Rut sihqina ramadhani Siti Kusnul Kotimah Siti Suhartini Sofyan Nurdiansyah Suhendra Agung Wibowo Tantut Susanto Umi Latifah Utama, Bagus Pria Utami, Khansa Salsabila Wahyu Widyan Wahyuni, Mariatul Rochmawati Nuris Wahyuni, Mariatul Rochmawati Nuris Wantiyah Wantiyah Yeni Pusparini Yulia Kurniawati Yunita Selly Santoso Yuwana, Nugraha Za'im, Putra Pramadita Fachruz