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Occupational stress and work fatigue among vessel crews Dwi Kurniawan; Hendra Djamalus
Malahayati International Journal of Nursing and Health Science Vol. 9 No. 5 (2026): Volume 9 Number 5
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v9i5.3724

Abstract

Background: Fatigue contributes to approximately 20% of occupational incidents and is identified as an underlying factor in 25% of fatal and serious accidents. This condition is often exacerbated by high job demands, which can induce emotional strain in the form of occupational stress. Globally, occupational stress affects an estimated 264 million workers. Purpose: To analyze the relationship between occupational stress and work fatigue among small-vessel crew members at PT X. Method: This quantitative study used a cross-sectional design involving 54 small-vessel crew members. Data were collected using the Multidimensional Fatigue Inventory (MFI-20) and Depression Anxiety Stress Scale (DASS-21) questionnaires. The data were analyzed using the chi-square test. Results: A significant relationship was found between occupational stress and work fatigue among small-vessel crew members, with a significance value of 0.013 (p < 0.05) and an odds ratio (OR) of 5.714. Among small-vessel crew members experiencing occupational stress, 23 individuals (95.8%) also experienced work fatigue. Conclusion: The findings indicate that occupational stress is significantly associated with work fatigue and represents an important risk factor for fatigue development among small-vessel crew members. Small-vessel crew members experiencing occupational stress had 5.714 times higher odds of experiencing occupational fatigue compared with those without occupational stress.
Towards Health-Promoting Occupational Health and Safety in Aluminium Smelter Feasibility Planning: A Macroergonomic Case Study Ahmadan Ulul Azmi; Hendra Djamalus
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 8 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i8.11501

Abstract

Introduction: Aluminium smelter feasibility studies must address not only technical and economic viability but also the early design of a safe socio-technical work system. This study evaluated how occupational safety, process safety, human factors, contractor interfaces, and operational readiness were integrated into one aluminium smelter feasibility study Methods: An evaluative qualitative case study combined a structured document review, literature- and standards-based benchmarks, and semi-structured interviews with four purposively selected experts. Each analytical indicator was classified as present, partially operationalized, or absent. The judgment was derived from explicit evidence requirements, document content, interview convergence or contradiction, and relevance to feasibility-stage decisions. NVivo supported data organization and auditability but coding frequency was not used as evidence of thematic importance. Results: The document contained conventional feasibility components and generic safety provisions. However, most macroergonomic dimensions were only partially operationalized. Competence planning, occupational hygiene, organizational arrangements, and process safety were mentioned but lacked defined requirements, deliverables, responsibilities, or verification criteria. Human-machine interface evaluation, contractor interface governance, major-accident analysis, and operational-readiness gates were absent or insufficiently specified. Expert evidence converged on six priority gaps: competency assurance, HMI and control-room risk, HAZOP/PHA and major-accident scenarios, contractor interfaces, occupational hygiene baselines, and operational readiness. Conclusion: This single-case study does not establish a general model for all aluminium smelter projects. Its contribution is a case-based evaluative framework that makes macroergonomic judgments traceable through explicit indicators and evidence thresholds. The framework can support identification of feasibility-stage gaps that may otherwise be transferred to engineering, commissioning, and operations, but its predictive value requires testing in additional projects and longitudinal settings.