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All Journal Jurnal NERS Journal of Public Health for Tropical and Coastal Region Jurnal Berita Ilmu Keperawatan Proceeding Mulawarman International Conference on Tropical Public Health
Fahruddin, Akhir
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Health Professions Nursing Public Health

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Determination of Fit to Work Status for Thyroid Cancer Survivor: A Case Study in Occupational Health Setting Hardy, Syaifoel; Tukayo, Isak Jurun Hans; Fahruddin, Akhir; Afzal, Ridha
Journal of Public Health for Tropical and Coastal Region Vol 5, No 1 (2022): Journal of Public Health for Tropical and Coastal Region
Publisher : Faculty of Public Health, Universitas Diponegoro, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jphtcr.v5i1.13722

Abstract

Introduction: A thyroid cancer worker after undergoing ablation procedure requires specific recommendation when return to work. This study aims to determine a framework of the fitness to work (FTW) status from the occupational health nursing viewpoint. The implication is to help answer the question whether the worker is fit to work as a cancer survivor.Methods: This study used a Case Study method with descriptive design. The sample was a therapist associate whose scope of work was office-based. The method applied the Test Blueprint of case management assessment by the American Board of Occupational Health Nursing (ABOHN) standard combined with the Glasgow Coma Scale (GCS) after the ablation procedure as the instrument. We analyzed the case with The Fit to Work (FTW) Model of Hybrid Model.Results: FTW  assessment showed vital signs within normal limits. Immunological examination found abnormalities. The left and right thyroid lobes were not visualized and there was no mass in the surgical bed. The client was advised for specialist follow up after 6 months. After the ablation procedure, the employee had a verbal communication disorder. The Glasgow Coma Scale (GCS) recorded point 5 hoarseness with decreased tone quantity was about 90%. Based on the medical report and his specialist’s advice, 6 months after ablation the employee’s medical condition showed improvement.Conclusion: With the At-Will Model of Hybrid as the framework to determine the fitness status, we recommended to declare him fit with restrictions and advised for regular fitness status update.
Occupational stress levels among indonesian nurses and midwives in Saudi Arabian healthcare settings: a comparative cross-sectional study Fahruddin, Akhir; Slametiningsih, Slametiningsih; Setyorini, Dwi; Gusrina, Sylvia
Jurnal Ners Vol. 20 No. 3 (2025): VOLUME 20 ISSUE 3 (AUGUST 2025)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v20i3.63471

Abstract

Introduction: This study aimed to assess the occupational stress levels among Indonesian nurses and midwives working in Saudi Arabian healthcare settings. Methods: This cross-sectional comparative study assessed occupational stress among Indonesian nurses and midwives working in Saudi Arabia using the Expanded Nursing Stress Scale (ENSS). A total of 166 respondents (85 nurses and 81 midwives) completed the survey from a professional WhatsApp group. A convenience sampling was attempted, and only those who voluntarily responded to the questionnaire were included. The primary dependent variable was occupational stress, while the independent variables included profession (nurse and midwife), age, sex, education level, workplace setting, marital status, and years of experience. The analytical tests used were Mann-Whitney and Kruskal-Wallis. Results: Occupational stress among nurses (Mean = 109) and midwives (Mean = 107) was low in psychological, physical, and social environments. Workload was the most stressful factor for both nurses (Mean = 20.44) and midwives (Mean = 18.88). We found a significant difference in the level of stress based on their workplace (p = 0.038) and educational background (p = 0.005). There was no difference in the level of stress between nurses and midwives (p = 0.188). Conclusions: In comparison, either nurses or midwives have a low level of occupational stress, which is related to psychological, physical, and social environments based on ENSS tools. Therefore, optimal healthcare management and policy should be maintained and improved for migrant nurses and midwives to foster better, sustainable healthcare development in the future.
Analysis of Burnout and Job Satisfaction with Intention to Leave among Indonesian Nurses in post Pandemic in Saudi Arabia Uswatin, Nurul; Yayi Suryo Prabandari; Agus Surono; Fahruddin, Akhir
Jurnal Berita Ilmu Keperawatan Vol. 17 No. 1 (2024): January
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/bik.v17i1.3877

Abstract

The Covid pandemic has ended but health workers, especially nurses in Saudi Arabia, are still experiencing burnout due to high workloads. This study aims to analyze burnout and job satisfaction related to intention to leave among Indonesian nurses in health services in Saudi Arabia. This research used a qualitative method with a case-study approach. The research subjects used purposive sampling with a typical case of 12 Indonesian nurses who worked in health services and terminated their work contracts in Saudi Arabia. This research used data triangulation, source triangulation, and peer debriefing. In-depth interviews conducted at a predetermined place, data analysis follows 7 steps of Colaizzi's analysis. The results showed that burnout was closely related to emotional exhaustion, depersonalization, and low appreciation for one's abilities. Indonesian nurses who worked in health services in Saudi Arabia were happy and did not experience burnout. Meanwhile, job satisfaction or nurse satisfaction in dealing with work situations and environments is related to internal factors such as salary and rights to work facilities, while externally, it is related to self-development and professionalism.
Departmental Workload and Job Satisfaction of Indonesian Nurses in Saudi Arabia: A Cross Sectional Study Fahruddin, Akhir; Setyorini, Dwi; Saodah, Siti
Jurnal Berita Ilmu Keperawatan Vol. 17 No. 2 (2024): July
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/bik.v17i2.5501

Abstract

Indonesian foreign nurses working in Saudi Arabia have not been surveyed regarding workload and job satisfaction in the healthcare setting. Understanding the workload at hospital that influences job satisfaction provides an overview of the nurse’s existence at work. This study aimed to determine the prevalence of workload, and job satisfaction of Indonesian nurses in Saudi Arabia. A cross sectional study using self- administered questionnaire by Nasa Task Load Index (NASA-TLX) was used to analyze the workload, and the Minnesota Satisfaction Questionnaire (MSQ) for the satisfaction. Data were analyzed using descriptive methods and univariate statistics by SPSS version 26. A total of 132 nurses participated in this research. Five departments, including intensive care unit (ICU), emergency department (ER), operating room (OR), hemodialysis (HD), and ward department (WD) reported high workload levels (61-80 points). Job satisfaction in five departments was neutral category, while the ward department showed dissatisfied category. The analysis of nurses' characteristics revealed that the majority were aged 31-40 years old (46.2%), length of work was 1-5 years (54.5%), and worked in the outpatient department (42.4%). The study suggests that healthcare management and policymakers should implement programs to improve job satisfaction and reduce workload, especially for foreign nurses working in critical areas, including the five departments mentioned.    
The Adverse Events Following Samarinda’s 2024 Mass PolioImmunization Gusrina, Sylvia; Al Banjari, Safriansyah; Fahruddin, Akhir
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

Background : Indonesia’s Ministry of Health (IMOH) declared a polio outbreak in 2022, resulting in fourteen polio cases through 2024. As the outbreak response, supplementary immunization activities (SIAs) using the novel oral polio vaccine type 2 (nOPV2) are carried out. Objective : This study aims to determine the prevalence of adverse events following immunization (AEFI) and factors associated with second-dose coverage of nOPV2 in Samarinda, East Kalimantan. Research Methods/ Implementation Methods : We conducted a cross-sectional analysis from the AEFI nOPV2 survey conducted by the Samarinda District Health Office (DHO) in 2024. AEFI are characterized by various symptoms, including fever, diarrhea, and other medical complications that occur within 1 to 14 days post-vaccination. The presence of incomplete information in the database served as an exclusion factor. We gathered the children's characteristics, immunization sites, pre- vaccination conditions, and AEFI symptoms. The data was analyzed with chi-square analysis. Results : We analyzed 470 full datasets from a total of 628 survey responses. We identified 56 cases (11.9%) of AEFI after the first dose and 18 cases (5.4%) out of 332 after the second dose among children who got nOPV2 in 2024. Nearly one-third (29.4%) did not receive a second dose of nOPV2. No serious AEFIs were noted. The predominant AEFIs associated with nOPV2 are fever (66.1% and 55.6%) and diarrhea (28.6% and 16.7%). A significant association was found between children with AEFI in the first dose and nOPV2 second-dose uptakes (RR 1.48, CI 1.02-2.78, P < 0.040), with vomiting and nausea being the prominent symptoms influencing the decision (RR 2.16, CI 1.27-3.41, P 0.010). Conclusion/Lesson Learned : The reported prevalence of AEFI was 11.9% for the first dose and 5.4% for the second dose. The majority are mild. A surveillance of mild AEFI and an extensive educational intervention and risk communication should be implemented regarding the risks of nOPV2's AEFI, which may impact adherence to the subsequent dose
Co-Authors Afzal, Ridha Agus Surono Al Banjari, Safriansyah Dwi Setyorini Gusrina, Sylvia Hardy, Syaifoel SITI SAODAH Slametiningsih, Slametiningsih Tukayo, Isak Jurun Hans Uswatin, Nurul Yayi Suryo Prabandari