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Subjective Workload Assessment among Nurses and Its Relationship with Work Quality Satisfaction: A Scoping Review Misni, Yulia; Amaningrum, Nurfika; A'la, Muhamad Zulfatul
Indonesian Journal of Global Health Research Vol 7 No 3 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i3.6078

Abstract

Subjective Workload Assessment among nurses is a crucial aspect in evaluating the well-being of healthcare professionals and the quality of care provided. High workload levels have been associated with increased stress, burnout, and decreased job satisfaction, ultimately affecting the quality of healthcare services. Additionally, organizational factors such as uneven workload distribution, inflexible work schedules, and limited social support further exacerbate the negative effects of excessive workload. Therefore, a comprehensive review is necessary to understand how subjective workload influences job satisfaction and how social support-based interventions can mitigate its adverse effects. This scoping review aims to identify and analyze the relationship between subjective workload assessment, social support, and job satisfaction among nurses in non-intensive care units. A systematic literature search was conducted across PubMed, Scopus, Web of Science, and the Cochrane Library, with a publication date range from 2020 to 2024. Article selection was based on the Population, Concept, Context (PCC) framework developed by the Joanna Briggs Institute (JBI). Out of 228 identified articles, 45 passed the initial screening phase. Following a critical appraisal using the Joanna Briggs Institute Critical Appraisal Tools, 12 studies met the final inclusion criteria. The reviewed studies employed quantitative, qualitative, and mixed-methods approaches, investigating subjective workload in nurses and its relationship with job satisfaction and social support. Literature analysis indicates that high subjective workload is associated with decreased job satisfaction, increased stress, burnout, and negative impacts on nurses’ mental health. Studies further reveal that peer support is more effective in alleviating workload-related stress compared to support from supervisors or management. Additionally, a supportive work environment and flexible organizational policies contribute to higher job satisfaction despite high workload levels. However, challenges persist in implementing workload evaluation strategies, particularly due to the lack of standardized assessment frameworks and the limited availability of longitudinal research examining the long-term effects of subjective workload on nurses’ well-being. High subjective workload has significant negative effects on nurses' mental well-being and job satisfaction. However, peer support, flexible organizational policies, and evidence-based interventions can mitigate the adverse effects of excessive workload. Therefore, further research is needed to explore more effective intervention strategies for improving nurses' well-being. This review also recommends the development of inclusive policies and standardized workload assessment frameworks to ensure that healthcare professionals can deliver optimal care in a healthier and more supportive work environment.
Exploring the supportive care needs for people with cancer undergoing chemotherapy: a qualitative descriptive study A'la, Muhamad Zulfatul; Nuntaboot, Khanitta
Jurnal Ners Vol. 18 No. 1 (2023): MARCH 2023
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v18i1.41837

Abstract

Introduction: Chemotherapy's side effects cause people with cancer to encounter difficult situations that might impact their supportive care needs. Exploration of supportive care needs may assist the nurse in improving the quality of life of people with cancer undergoing chemotherapy (PwCUC). Therefore, this study aims to explore the supportive care needs of PwCUCs. Methods: A qualitative descriptive study from November 2021 until May 2022 was utilized through in-depth interviews and Focus Group Discussions (FGD) in three public health centers in Jember, Indonesia. Data saturation was achieved after the researcher conducted an in-depth interview of 27 informants and FGD of 13 informants. A total 40 informants from PwCUCs, family of PwCUCs, doctors, and nurses was recruited based on inclusion criteria using purposive sampling technique. The researcher developed an in-depth interview and FGD guidelines to collect the data. Six-step thematic analysis was used. Triangulation, member-checking, and thick description were performed to maintain trustworthiness. Results: The study yielded four themes that represent participants' voices. These were 1) social support needs, 2) accompanying needs, 3) information needs, and 4) healthcare service support. Conclusion: Supportive care needs for PwCUCs is a complex and contextual phenomenon. This study revealed that PwCUCs required individual, social, and healthcare service support to meet their needs. Therefore, further study is required regarding developing a nursing care plan for PwCUCs based on cultural-sensitive supportive care needs.
Effectiveness of Compression Therapy on Lower Extremity Oedema in Heart Failure Patients: A Case Study Batrisyia, Irdina; Sutawardana, Jon Hafan; A'la, Muhamad Zulfatul; Setiawan, Iwan
Jurnal Kesehatan Komunitas Indonesia Vol 4 No 2: August 2024
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jkki.v4i2.339

Abstract

Background: Heart Failure is a condition that the heart can not pump enough blood to meet the circulatory needs used in the body's metabolic processes. Patients with heart failure disease may experience swelling (oedema) in certain parts of the body, especially the lower extremities. Oedema that is not treated will exacerbate damage to the circulatory system. One of the treatments for lower extremity oedema in heart failure patients can be done by giving compression therapy. Purpose: The purpose of this study is to determine the effectiveness of compression therapy on lower extremity oedema in heart failure patients. Method: This research is a case study that managed one patient with heart failure disease who has lower extremity oedema. Data collection was carried out by observation, interview and provision of interventions carried out for 4 days using moderate pressure (20-30 mmHg). This research use compression stocking for 18 hours within 24 hours. Compression therapy is given once a day that the stocking is used at 14.00 WIB and removed at 08.00 WIB on the following day. The instrument used in this study was the pitting oedema observation sheet. Result: The results of this study were a decrease in the degree of pitting oedema in patients from a value of +3 with a depth of 5 mm in a return time of 65 seconds to a value of +1 with a depth of 1 mm in a return time of 2 seconds. Conclusion: Compression therapy is effective in reducing the degree of pitting oedema in patients with heart failure. Compression therapy has optimal effectiveness on the third day of intervention. Therefore, this therapy is highly recommended to be applied in the inpatient room, especially in patients with heart failure who have oedema in lower extremity.
Efek Faktor Individu, Manajemen dan Pendukung Terhadap Penundaan Operasi Elektif Sriwardani, Endang; Wijaya, Dodi; A’la, Muhamad Zulfatul
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 16, No 4 (2025): Oktober-Desember 2025
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf16440

Abstract

Delays in elective surgery are considered a fundamental problem in healthcare because they cause significant disruptions to patient flow, further exacerbating already limited operational capacity, and consequently reducing hospital performance and patient satisfaction. The purpose of this study was to determine the reasons for surgical delays across hospitals and countries. The method used in this study was a literature review. The search terms used were "Delay" AND "Elective" AND "Surgery" in the Scopus, ScienceDirect, PubMed, and Proquest databases. Articles reviewed were limited to the last five years in English. The study's findings are divided into three domains: individual factors, including patient condition, type of surgery, medical diagnosis, ASA scoring, race, kidney failure, steroid use, gender, and health insurance. Management factors include insufficient human resources, including nurses and specialist doctors, as well as hospital policies. Supporting factors include insufficient operating room capacity and inadequate equipment. The study concluded that the main causes of surgical delays fall into three domains and are potentially controllable by hospital managers, who can strive to improve areas such as patient flow and capacity management.Keywords: surgery; elective; postponement ABSTRAK Penundaan operasi elektif dianggap sebagai masalah fundamental dalam layanan kesehatan karena menyebabkan gangguan yang signifikan terhadap alur pasien, yang semakin memperburuk kapasitas operasional yang seringkali sudah terbatas, dan akibatnya mengurangi kinerja rumah sakit serta kepuasan pasien. Tujuan studi ini adalah mengetahui alasan penundaan operasi di berbagai rumah sakit dan negara. Metode yang digunakan dalam studi ini adalah literature review. Kata kunci yang digunakan dalam mencari literatur adalah “Delay” AND “Elective” AND “Surgery” pada database Scopus, ScienceDirect, PubMed, dan Proquest. Artikel yang ditelaah dibatasi 5 tahun terakhir dalam Bahasa inggris. Temuan studi ini dibagi menjadi 3 domain yaitu faktor individu yang meliputi kondisi pasien, jenis operasi, diagnose medis, skoring ASA, ras, gagal ginjal, penggunaan steroid, jenis kelamin, dan asuransi kesehatan. Faktor manajemen meliputi sumber daya manusia yang kurang yaitu perawat dan dokter spesialis serta kebijakan rumah sakit. Sedangkan pada faktor pendukung ditemukan kurangnya kapasitas kamar operasi dan peralatan yang kurang memadai. Kesimpulan studi ini menyatakan bahwa penyebab utama penundaan operasi terbagi atas 3 domain dan memungkinkan dapat dikendalikan oleh manajer rumah sakit, yang dapat berupaya untuk meningkatkan area seperti aliran pasien dan manajemen kapasitas.Kata kunci: pembedahan; elektif; penundaan
Nursing Care for Pleural Effusion Patients Through Semifowler Position on Hemodynamic Status: A Case Report Mas’ulyatul Hukmiyah; Muhamad Zulfatul A'la; Ika Adelia Susanti; Yudho Tri Handoko
Health and Technology Journal (HTechJ) Vol. 3 No. 2 (2025): April 2025
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v3i2.320

Abstract

Pleural effusion is the accumulation of fluid in the pleural cavity or membrane that separates the inner chest wall from the lungs. Pleural effusion can affect hemodynamics because increased intrapleural pressure can push organs in the mediastinum. Providing a semi-fowler position is one of the nursing interventions that is expected to improve hemodynamic status in patients with pleural effusion. This study aims to determine the implementation of nursing care for patients with pleural effusion by applying the semi-fowler position to hemodynamic status in the Catleya Room, dr. Soebandi Hospital, Jember. The research method in this study uses a case study. The respondents and place in this study were Mr. T. with pleural effusion in the Catleya Room of RSD dr. Soebandi Jember. Semifowler position intervention was given for 3 days with a duration of 2 hours. The results of this study indicate that on the first day, there was a decrease in blood pressure, MAP, and respiratory rate. While the pulse rate and oxygen saturation increased. On the second and third day, of the application of the semifowler position, the results showed that there was a decrease in respiratory rate and an increase in pulse rate and oxygen saturation. While there were no hemodynamic changes in blood pressure and MAP. The conclusion of this study is that the implementation of the semi-Fowler position has an effect on hemodynamic status, especially on reducing respiratory rate and increasing pulse rate and oxygen saturation.
Nursing Care for Hydronephrosis Patients Through Deep Breathing Relaxation Techniques Implementation to Reduce Pain: A Case Report Miftah Salsabila; Muhamad Zulfatul A'la; Murtaqib; Yudho Tri Handoko
Health and Technology Journal (HTechJ) Vol. 3 No. 3 (2025): June 2025
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v3i3.321

Abstract

Hydronephrosis occurs due to a disorder in the urinary tract that causes the flow of urine from the urinary tract to be obstructed, causing the dilation of the channels in the kidneys. The main symptoms that hydronephrosis patients commonly feel are pain in the lower back, nausea, and fatigue. Deep breath relaxation therapy, as a non-pharmacological therapy, has the effect of reducing pain. This study aims to determine the effect of deep breath relaxation techniques in patients with hydronephrosis and pain complaints. The method used in this study was a case study of one patient who was given an intervention for three days. The pain intensity scale was measured using the Numeric Rating Scale (NRS). This study showed a significant reduction in pain intensity in hydronephrosis patients from a scale of 6 to a scale of 3, where the deep breath relaxation technique intervention was given for three consecutive days for three sets per day in patients. Based on the results of the study, the researcher suggests the use of deep breath relaxation techniques as a non-pharmacological therapy in hydronephrosis patients with pain complaints in clinical practice, which can be provided by health workers, especially nurses or as patient-independent therapy because deep breath relaxation techniques are easy to do therapy and do not require additional tools and materials to do so.
Nursing Care for Dengue Hemorrhagic Fever Patients with Deep Breath Relaxation Intervention to Reduce Pain Tita Saskia Asmoro; Muhamad Zulfatul A'la; Mulia Hakam; Heri Siswanto
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.v3i4.322

Abstract

Dengue fever or hemorrhagic fever is an acute infectious disease that can be transmitted by the Aedes aegypti mosquito. The virus carried by the Aedes aegypti mosquito will attack cells in the liver, disrupting liver function and causing swelling and bleeding. Symptoms that can occur are high fever, muscle and joint pain, and rash. One of the nonpharmacological therapies is deep breath relaxation therapy to reduce pain. This study aims to analyze deep breath relaxation techniques to reduce pain. This research design used a case report approach.   The pain can decrease after being given deep breath relaxation therapy for 3 days. On the first day, on a scale of 7, it decreased to a scale of 2 on the third day of hospitalization. Applying deep breath relaxation techniques can help reduce pain intensity by relaxing skeletal muscles that experience spasms due to increased prostaglandins, so that vasodilation of blood vessels will increase blood flow that is spasmed and ischemic. This technique can help a person or patient control themselves when feeling emotional discomfort, physical stress, or pain. Deep breath relaxation techniques can be given to patients who experience pain as a nonpharmacological therapy. The application of this relaxation technique is proven to reduce pain intensity.
The Impact of Early Marriage: a Literature Review Evita Rohmaniah; Iis Rahmawati; Muhamad Zulfatul A'la
Jurnal Ners Vol. 9 No. 2 (2025): APRIL 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i2.42841

Abstract

Early marriage is not a new phenomenon that occurs in Indonesia or in other countries. The Statistics Center noted that the incidence or prevalence of early marriage is higher in rural areas with a figure of 27.11% compared to urban areas at 17.09%. The purpose of the study was to analyze the impact of early marriage in Indonesia, so as to obtain strategies and recommendations that have the potential to create positive changes in handling problems that lead to negative impacts on adolescents who marry at an early age. This research method uses Literature Review. The literature search process carried out in this literature review uses the database used in the article in the search for articles in the form of Google Scholar, Pubmed, and scient direct with a publication year range of 2018-2023. The search was carried out using several keywords "Early marriage", "impact", AND "Teenege Girl". The findings of 10 journals show that the significant impact of early marriage on reproductive health in women and the risk of dying during childbirth. 10 articles have been identified related to the impact of early marriage on adolescent girls that have an impact on reproductive health, psychology and physical health. The conclusion is that the impact of early marriage on young women results in reproductive health problems in women, physical, psychological, and psychosocial health. In addition, mental readiness at a young age in facing something new as a mother and wife, requires mental readiness and mature thinking to make a decision to marry at a young age. From the many impacts that occur in young women's marriage, the government has issued a new rule for the maximum age of marriage at 19 years. Early marriage can occur in young women due to various factors, namely, education, economic, and cultural/customary factors.
Disaster Literacy Among Nurses in the Risk of Disaster Areas: A Literature Review Muhamad Hasan Basri; Muhamad Zulfatul A’la; Tantut Susanto
Jurnal Ners Vol. 9 No. 2 (2025): APRIL 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i2.43619

Abstract

Literasi bencana memegang peran penting dalam fase kesiapsiagaan, respons dan fase pemulihan bencana, terutama bagi perawat yang bekerja di daerah rawan bencana. Perawat memiliki peran yang sangat krusial dalam menangani situasi darurat bencana, sehingga diperlukan peningkatan literasi kebencanaan melalui pendidikan, pelatihan, dan dukungan sosial yang sitematis guna meningkatkan kesiapan mereka dalam menghadapi kondisi darurat di wilayah dengan risiko tinggi bencana. Studi literatur ini dilakukan untuk meninjau berbagai penelitian yang membahas tentang literasi bencana pada perawat di daerah rawan bencana. Sumber data diperoleh dari berbagai database pencarian seperti PubMed, Scopus, Google Scholar, ScienceDirect, dengan artikel penelitian yang dipublikasikan antara tahun 2019 hingga 2025. Kata kunci yang digunakan mencakup "Disaster Literacy", "Nursing Education", "Disaster Preparedness", dan "Emergency Nurses", “Disaster Prone Areas”. Literasi bencana pada perawat mencakup dimensi dan strategi kebencanaan. Dimensi utama kebencanaan meliputi pengetahuan teknis, keterampilan psikososial, kepemimpinan, dan kesiapan fisik serta mental. Sementara itu, strategi utama yang efektif dalam meningkatkan literasi kebencanaan pada perawat meliputi pendidikan bencana dalam kurikulum keperawatan, pelatihan berbasis simulasi, dan dukungan sosial yang berfokus pada peningkatan ketahanan psikologis dan efikasi diri. Namun tingkat kesiapsiagaan bencana pada perawat di daerah rawan bencana masih tergolong sedang. Lebih lanjut pelatihan yang memadai serta pengalaman langsung dalam merespon bencana terbukti mampu meningkatkan kompetensi perawat secara signifikan dalam menghadapi situasi kebencanaan. Pendekatan multidimensi dalam meningkatkan literasi bencana pada perawat di daerah rawan bencana sangat diperlukan. Pendidikan formal, pelatihan berkelanjutan, serta dukungan sosial harus menjadi bagian dari kebijakan dan praktik keperawatan bencana. Dengan literasi bencana yang lebih baik, perawat dapat memberikan respons yang lebih cepat dan efektif dalam situasi darurat, baik dalam skala lokal maupun internasional.
Predicting Mortality and ICU Admission in Trauma: An Emergency Nursing Comparison of NEWS, RTS, and MREMS Yunanto, Rismawan; Maysaroh, Salma; Setioputro, Baskoro; Haristiani, Ruris; 'Ala, Muhamad Zulfatul
Jurnal Berita Ilmu Keperawatan Vol. 19 No. 1 (2026): January
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/bik.v19i1.13037

Abstract

Trauma is a global health problem, which is a serious issue, claiming around 8% of all lives lost. Proper treatment is crucial, and accurate assessment is key. Coming hotfooting out of nowhere or being involved in a sudden accident are two of the most common causes.  Many methods have been established for the determination of trauma and for the guidance of treatment. This study attempted to compare the performance of NEWS, MREMS, and RTS in predicting death and ICU admission among trauma patients in Indonesia. This cross-sectional design analyzed 90 trauma patients admitted to the hospital in 2024. Patients aged ≥ 16 years with complete medical records were included. The instruments used to predict mortality and ICU admission were NEWS (National Early Warning Score), RTS (Revised Trauma Score), and MREMS. The analysis was conducted by comparing the predictive performance using AUCROC with the optimal threshold value by the Youden index. The Odds Ratio (OR) value was also determined. The analysis of this study was conducted using SPSS version 29. Interpretation results with p < 0.05 were considered significant. The results of this study analysis showed that the three scoring systems (NEWS, RTS, and MREMS) had excellent discriminatory ability to predict mortality (AUCROC ≥ 0.95, p < 0.001), with NEWS achieving the highest performance (AUCROC 0.979, sensitivity 0.966, specificity 0.883) compared to other instruments. In the ICU admission variable, the predictive performance results were lower, but NEWS still had a better value (AUCROC 0.816) compared to the others. This analysis concludes that the three instruments have acceptable discriminative power. NEWS is a superior instrument, as evidenced by better descriptive results for sensitivity and specificity in predicting trauma mortality and ICU admission. This finding further validates the usability of NEWS as an effective triage tool for predicting early risk of mortality and ICU admission in trauma patients.
Co-Authors Agus Meriroja Agustina, Baiq Linda Agustiningsih Agustiningsih Akhmad Zainur Ridla Amaningrum, Nurfika Anggun Afrix Rozana Anisah Ardiana Ardiyanto, Makhrufi M.A.S. Arif Eko Cahyono Arini, Puji Artha, Artha Baiq Reny Ermayuningsih Baskoro Setioputro Batrisyia, Irdina Benjayamas Pilayon Chanicha Chaitonthueng Chyntia, Meideline Chyntia Defi Efendi Dewi, Dwi Puspita Dodi Wijaya Emi Wuri Wuryaningsih Endrian Kurniawan, Dicky Esoh, Nahyeni Bassah Evita Rohmaniah Farida Nur Qomariyah Fauziah, Oktaviani Fauziah Gunarto, Sugito Tri Hafan Sutawardana, Jon Hana R. Agustina Hana Rizmadewi Agustina Heri Siswanto Ifka Wardaniyah Ika Adelia Susanti Iwan Setiawan Iyus Yosep Juthaluck Saentho Juwarti Juwarti Karisa, Putri Karisa Khanitta Nuntaboot, Khanitta Komarudin Komarudin Kurniasari, Reni Hesti Kushariyadi Kushariyadi Kustiarini, Ari Latifa Aini Susumaningrum Lianawati Lianawati Linda Novema Maghfiroh, Rahmawati L. Mas’ulyatul Hukmiyah Maulidiyah, Dewi Diniyatul Maysaroh, Salma Miftah Salsabila Misni, Yulia Muhamad Hasan Basri Muhamad Hasan Basri Mulia Hakam Murtaqib Murtaqib Musarrofa, Faise Lailatul Niruwan Turnbull Nistiandani, Ana Nurfika Asmaningrum Pairin Yodsuban Puja Sheylla Riskita Cahyani Rahmawati, Iis Retno Wardani, Hamidah Rismawan Adi Yunanto Rochmawati, Erna Rochmawati Rondhianto Rondhianto Rungreangkulkij, Somporn Ruris Haristiani Sanaah, Sanaah Sholihah, Mar'atus Siswoyo Siswoyo Siswoyo Siswoyo Siswoyo Siswoyo Siti Ulfah Rifa’atul Fitri Sriwardani, Endang SUJARWANTO Sulis Setyowati Susanti, Ika Adelia Tantut Susanto Tita Saskia Asmoro Tri Gunarto, Sugito Tri Handoko, Yudho Ulfi Bini’Matillah Wantiyah Wantiyah Wijaya, Dodi Wira Mustapa, Gesit Yudho Tri Handoko Yudho Tri Handoko Yudho Tri Handoko Yunanto, Rismawan Zetti Finali Zumrotul Farikhah