Nisa Arifani
Departemen Emergensi Medisin, Fakultas Kedokteran, Universitas Brawijaya

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The impact of bed occupancy rate and patient dependency on nurse fatigue in intensive care units Eka Haryanti; Mugi Hartoyo; Shobirun Shobirun; Fika Indah Prasetya; Yetti Syafridawita; Priyo Sasmito; Nisa Arifani
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 3 (2025): Volume 8 Number 3
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i3.953

Abstract

Background: Intensive Care Unit (ICU) nurses are frequently exposed to high workloads resulting from elevated Bed Occupancy Rates (BOR) and the intensive care needs of patients with total dependency. These conditions increase the risk of physical and mental fatigue, which may compromise the quality of nursing care and patient safety. Purpose: To examine the association between BOR and patient dependency level with nurse fatigue in the ICU. Method: A quantitative approach, specially focusing on analytical survey and cross-sectional method. The study took place from April 2024 in Kanjeng Raden Mas Tumenggung Wongsonegoro Regional Hospital, Semarang. The independent variable was bed occupancy rate and patient dependency; dependent variable is nurse fatigue. Using total sampling, 81 respondents were selected with a split group of 29 ICU nurses to collect patients’ dependency level test, who met specific inclusion and exclusion criteria. The analysis proceeded with a univariate test to determine the frequency distribution of respondent’s characteristics, followed by bivariate analysis using Kendall Tau correlation. Results: Statistical analysis confirmed a significant correlation between BOR and nurse fatigue (p = 0.043), as well as between patient dependency and nurse fatigue (p = 0.048). Conclusion: The BOR and patient dependency rate were both key factors influencing fatigue among ICU nurses. These findings underscore the critical need for workload regulation informed by operational indicators to protect nurses' well-being and to uphold the quality of care in intensive settings.
Basic life support knowledge among nurses at public health center in rural Banten Province, Indonesia Priyo Sasmito; Mikawati Mikawati; Fika Indah Prasetya; Yetti Syafridawita; Nunuk Sri Purwanti; Yuyun Tafwidhah; Mochamad Budi Santoso; Nisa Arifani
Malahayati International Journal of Nursing and Health Science Vol 6, No 6 (2023)
Publisher : Program Studi Ilmu Keperawata Fakultas Kedokteran Universitas Malahayati Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v6i6.13096

Abstract

Background: Public Health Center (PHC) is one of the primary healthcare facilities that has an important role in the chain of survival of out-of-hospital cardiac arrest (OHCA) patients, especially in rural areas. Nurses are an important component of health workers in PHC. Basic Life Support (BLS) knowledgeis the basic component of building a qualified resuscitation.Purpose: To analyze the relationship between demographic characteristics of PHC’s nurses in a rural area and their knowledge about BLS.Method: An observational analytical study with a cross-sectional approach involved 32 PHC nurses with total sampling techniques. The data was analyzed with the Spearman Rho and Fisher Exact test.Results: 32 nurses were involved. Most respondents are male (18/56.25%), have a Diploma educational background (23/71.88%), and non-government employees (24/75%). The average age of respondents was 34.75 years, and the average worked for 9.25 years. The level of knowledge of BLS was mostly more than 56% (25/78.1%). The knowledge average was 74.06+ 8.93 with a median of 75 anda score range of 50-85. Gender, educational background, BLS certificate upgrades, and employment status were not related to the level of knowledge of BLS. Age and length of work variables have a significant correlation with knowledge. Calculated rs was -0.043 with a p-value of 0.008 (α 0.05) for age and rs value of -0.353 with a p-value of 0.024 (α 0.05) for length of work.Conclusion: Gender, educational background, BLS certificate upgrades, and employment status were not related to the level of knowledge of BLS.There is a sufficient and significant relationship between the age and length of workwith knowledge of BLS with the opposite direction of the relationship.The older and longer a nurseworks, the lowerthe nurse’s knowledge of BLS.  Routine BLS training sessions or emergency drills in PHC both online and offline can be some solution in partnership with emergency organizations and nearby referral hospitals.