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Occupational Stress Among Nurses: An ENSS-Based Analysis at X Hospital, Boyolali in 2024 Zakki Saefurrohim, Muhamad; Mukti Wibawani, Eprami
Medical : Jurnal Kesehatan dan Kedokteran Vol 2 No 2 (2025): Juli-Desember 2025
Publisher : Yayasan Penelitian dan Pengabdian Masyarakat Sisi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69836/medical-jkk.v2i2.362

Abstract

According to a survey by the Indonesian National Nurses Association (PPNI) in 2018, around 50.9% of nurses in Indonesia experience work stress. This study aims to identify factors that cause work stress in nurses based on the Expanded Nursing Stress Scale (ENSS), which consists of nine subscales: Death and Dying, Conflict with Doctors, Insufficient Preparation, Problems with Coworkers, Problems with Supervisors, Uncertainty of Treatment, Problems with Patients, Workload, and Discrimination. This study used a cross-sectional study design with a total sample of 76 nurses, Data analysis used PLS-SEM and bootstrapping methods. The results showed that the three main constructs contributing to the highest job stress were Problems with Supervisors (β = 0.224; p = 0.000), Workload (β = 0.211; p = 0.000), and Treatment Uncertainty (β = 0.201; p = 0.000), while Discrimination showed no significant effect (p = 0.232). Problems with Supervisors, Workload, and Treatment Uncertainty are the causes of job stress in nurses at X Hospital, Boyolali in 2024
Factors Influencing Compliance with Iron Supplementation Among Female Adolescents in Senior High Schools, Samarinda City, 2025 Indriani, Dilla C; Ramadhani, Reza W; Nurlela, Siti; Irirwanas, Intannia D; Zakki Saefurrohim, Muhamad; Azmiardi, Akhmad; Pakki, Irfansyah Baharuddin; Siswanto, Siswanto; Arfandi, Muh. Amri; Risva, Risva
Panakeia Journal of Epidemiology Vol. 2 No. 2 (2025): Panakeia Journal of Epidemiology
Publisher : Universitas Mulawarman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30872/kzn7n063

Abstract

Anemia in adolescent girls is a significant health problem due to increased iron requirements during puberty. Iron supplements are an important intervention, but previous studies have shown that 58.4% of adolescent girls have low compliance rates. This study aims to analyze the relationship between knowledge and attitudes toward iron supplement consumption among high school students in Samarinda City. This study used a cross-sectional design involving 466 respondents from three secondary schools. Data were collected through an online questionnaire covering knowledge, attitude, and TTD consumption variables. Results showed that 47.2% of respondents had very good knowledge and 90.3% had a positive attitude. Bivariate analysis showed no significant relationship between knowledge and TTD consumption (OR = 1.039; 95% CI: 0.680–1.587; p = 0.860). Conversely, attitude showed a significant relationship, where students with negative attitudes were less likely to consume TTD (OR = 1.613; 95% CI: 1.052–2.471; p = 0.028). These findings indicate that attitude has a greater influence than knowledge in promoting TTD consumption behavior. Interventions to improve TTD consumption compliance should focus on fostering positive attitudes among adolescent girls.