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All Journal Jurnal NERS Berita Kedokteran Masyarakat Proceeding Mulawarman International Conference on Tropical Public Health
Gusrina, Sylvia
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Nursing Public Health

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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.
Overview of SARS-CoV 2 infection case and fatality descriptive analysis in Samarinda, East Kalimantan 2020-2021 Gusrina, Sylvia
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Objective: The study provides an overview of Covid-19 cases in Samarinda City since the Pandemic started in March 2020 until the third quarter of 2021, immediately after the peak of the second wave. Content: Samarinda is the capital city of East Kalimantan, one of the top ten provinces with the highest number of Covid-19 cases in Indonesia. The study extracted data from the Covid-19 national notification system application called Allrecord TC-19 di Indonesia. Overall, 22.152 or 2664,9 cases per 100.000 population were reported, while the peak of the second wave reached 1516 cases in the 28th epidemiology week of 2021, which was tripled the number of the first wave. Case Fatality Rate (CFR) was 3,22% with the highest death reaching 67 cases in a week. 54,2% of SARS CoV-2 Infection occurred in men with a 3,4% fatality rate, while in women it was 3,0%. Almost half (47,5%) of the total cases affected the productive age group (20-40 years old age group). Meanwhile, the most Case Fatality Rate (CFR) occurred in the elderly age group, with 233 cases (1,06%) affecting people in their 50s-60s and 202 cases (0,91%) in their 60s-70s. Based on location analysis, the highest number of cases was found in Samarinda Ulu subdistrict with 15,02% (4162 cases). However, the highest Attack Rate(AR) occurred in Samarinda Kota subdistrict with 4032,41 cases per 100.000 population, while the proportion is only 5,8% from total cases. The highest CFR is 6,17% which occurred in the Samarinda Ilir subdistrict. Uniquely, the number of cases reported by the settler was about 8,57% which was higher than the other six subdistricts (5,11% - 6,11%). Further analysis is needed to explore risk factors and causal relationships between the factors and the Covid-19 case in Samarinda City to produce recommendations that can strengthen Covid-19 prevention and control efforts by all sectors.
Outbreak investigation of Chikungunya fever in Kapanewon Banguntapan, Bantul, Yogyakarta: a lesson learned Gusrina, Sylvia; Lestari, Nining Puji; Aryanto, Samsu; Wiratama, Bayu Satria
BKM Public Health and Community Medicine Vol 40 No 05 (2024)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v40i05.9777

Abstract

Purpose: The investigation was conducted to confirm the Chikungunya outbreak in Banguntapan. Bantul. from November 2021 to January 2022 and identify the risk factors for control measures. Methods: We conducted a 1:1 case-control study. Cases were residents of the six hamlets in Banguntapan with sudden fever and arthralgia from December 2021 to February 14. 2022. Controls were residents of the same neighborhood with no symptoms. We collected demographics, risk factors, and environmental data using standardized questionnaires through direct interviews and observation. For diagnosis confirmation, we examine the case blood serum for laboratory testing. Logistic regression was used to analyze the risk factors. Results: We identified 151 Chikungunya suspects (Attack-rate/AR 13.6%) of 1111 total population. The highest AR by gender and location were in women (16.3%) and Genengan hamlet in Jambidan village (45.6%), respectively. Fever (92.1%) and muscle pain (81.7%) are the significant symptoms. The latest larval rate average was 13% lower than the national target. More than one-third of the cases were in the acute phase of infection. Multivariate analysis showed close contact of cases (aOR 22.79; 95% CI: 7.01–74.17) and community habit of hanging clothes in the house (aOR 2.42; 95% CI: 1.01–5.82) significantly associated with the Chikungunya outbreak. Conclusion: There was a Chikungunya outbreak in Jambidan and Tamanan Village, Banguntapan, from November 8, 2021, to January 31, 2022. Therefore, we recommend that the DHO strengthen health education related to protective action while having close contact with suspects and the habit of hanging wardrobes in the house as risk factors associated with the outbreak.
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 Al Banjari, Safriansyah Aryanto, Samsu Bayu Satria Wiratama Dwi Setyorini Fahruddin, Akhir Lestari, Nining Puji Slametiningsih, Slametiningsih