The relationship between mental workload and nurse stress levels in hospitals


Submitted: 15 September 2023
Accepted: 17 November 2023
Published: 14 December 2023
Abstract Views: 603
PDF: 89
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

Authors

High mental workload implies significant mental resources and can lead to increased cognitive stress and fatigue. Nurses have the responsibility of managing a wide range of nursing care tasks, which frequently involve addressing anxiety, handling patient complaints, and managing patient defense mechanisms, all of which can lead to increased stress levels. This study aimed to identify the relationship between mental workload and the stress level of nurses in the Hospital Malang City. The research utilized a cross-sectional study design. The sampling technique employed was Total Sampling, involving 96 inpatient nurses at the hospital. Data collection involved the use of two questionnaires: the National Aeronautics and Space Administration Task Load Index (NASA-TLX) and the Perceived Stress Scale (PSS-10). Data analysis in this study was conducted using Pearson Correlation. The results indicated a positive relationship between mental workload and nurses' stress levels, supported by a significant p-value of 0.002 and a correlation coefficient of 0.312. A high mental workload can impact the level of job-related stress experienced by nurses. Effective stress management skills can help individuals mitigate this impact.


Kusumawati PM, Dewi IGAM. Peran Stres Kerja Memediasi Pengaruh Beban Kerja terhadap Burnout Perawat Rumah Sakit Daerah Mangusada Badung. Udayana University; 2021. DOI: https://doi.org/10.24843/EJMUNUD.2021.v10.i03.p01

Sandianto S, Tualeka AR, Indriani D. The effect of workload on the job stress of nurses in outpatient care unit of public hospital Surabaya, Indonesia. Indian J Public Heal Res Dev 2018;9:80–4. DOI: https://doi.org/10.5958/0976-5506.2018.00015.3

Zare S, Esmaeili R, Kazemi R, Naseri S, Panahi D. Occupational stress assessment of health care workers (HCWs) facing COVID-19 patients in Kerman province hospitals in Iran. Heliyon 2021;7(5). DOI: https://doi.org/10.1016/j.heliyon.2021.e07035

Paskarini I, Dwiyanti E, Syaiful DA, Syanindita D. Burnout among nurses: Examining psychosocial work environment causes. J Public Health Res. 2023;12:22799036221147812. DOI: https://doi.org/10.1177/22799036221147812

Permarupan PY, Al Mamun A, Hayat N, et al. Nursing management challenges: Effect of quality of work life on depersonalization. Int J Healthc Manag 2021;14:1040–9. DOI: https://doi.org/10.1080/20479700.2020.1728924

Sari ML, Ruliati LP, Upa EEP, Berek NC. Analisis Faktor Yang Berhubungan Dengan Stres Kerja Perawat di Rumah Sakit Jiwa Naimata Kupang Tahun 2019. Timorese J Public Heal 2020;1:99–104. DOI: https://doi.org/10.35508/tjph.v1i3.2136

Rohita T, Nursalam N, Hadi M, et al. Relationship quality of nursing work life and burnout among nurses: A systematic review. Gac Med Caracas 2022;130:S1205–14. DOI: https://doi.org/10.47307/GMC.2022.130.s5.46

Lee HF, Hsu HC, Efendi F, et al. Burnout, resilience, and empowerment among COVID-19 survivor nurses in Indonesia. PLoS One 2023;18:e0291073. DOI: https://doi.org/10.1371/journal.pone.0291073

Bazazan A, Dianat I, Bahrampour S, et al. Association of musculoskeletal disorders and workload with work schedule and job satisfaction among emergency nurses. Int Emerg Nurs 2019;44:8–13. DOI: https://doi.org/10.1016/j.ienj.2019.02.004

Antonius Rino Vanchapo ARV, Serly Sani Mahoklory SSM, Ni Made Merlin NMM. The correlation between workload and occupational stress of nurses in the emergency department of Regional Public Hospital Rsud Prof. Dr. WZ Johannes Kupang. J Ners Kebidanan Indones (Indonesian J Nurs Midwifery) 2019;7:18–23. DOI: https://doi.org/10.21927/jnki.2019.7(1).18-23

Ghawadra SF, Lim Abdullah K, Choo WY, et al. The effect of mindfulness-based training on stress, anxiety, depression and job satisfaction among ward nurses: A randomized control trial. J Nurs Manag 2020;28:1088–97. DOI: https://doi.org/10.1111/jonm.13049

Aprilia TD, Somantri I, Mirwanti R. Nurses’ Mental workload in critical care rooms and emergency department. J Nurs Care 2019;2(3). DOI: https://doi.org/10.24198/jnc.v2i3.20372

Rahman MA, Ford D, Sousa G, Hedley L, Greenstock L, Cross WM, et al. Mental health at the COVID-19 frontline: An assessment of distress, fear, and coping among staff and attendees at screening clinics of rural/regional settings of Victoria, Australia. J Rural Heal 2022;38:773–87. DOI: https://doi.org/10.1111/jrh.12638

Shan Y, Shang J, Yan Y, et al. Mental workload of frontline nurses aiding in the COVID‐19 pandemic: A latent profile analysis. J Adv Nurs 2021;77:2374–85. DOI: https://doi.org/10.1111/jan.14769

Pradana BA, Kristanto RS, Hidayat DS. Pengaruh Lingkungan Kerja Dan Beban Kerja Terhadap Burnout Pada Perawat Rsud Kardinah Kota Tegal. J Magisma 2017;5:61–70. DOI: https://doi.org/10.35829/magisma.v5i2.28

Simonetti M, Aqueveque AMV, Alejandra Galiano M. Environment, workload, and nurse burnout in public hospitals in Chile. Rev da Esc Enferm da USP 2021;55. DOI: https://doi.org/10.1590/1980-220x-reeusp-2020-0521

Gong Y, Han T, Yin X, et al. Prevalence of depressive symptoms and work-related risk factors among nurses in public hospitals in southern China: A cross-sectional study. Sci Rep 2014;4:7109. DOI: https://doi.org/10.1038/srep07109

Piko B. Work-related stress among nurses: a challenge for health care institutions. J R Soc Promot Health 1999;119:156–62. DOI: https://doi.org/10.1177/146642409911900304

Lim J, Bogossian F, Ahern K. Stress and coping in Australian nurses: a systematic review. Int Nurs Rev 2010;57:22–31. DOI: https://doi.org/10.1111/j.1466-7657.2009.00765.x

Letvak S, Ruhm CJ, McCoy T. Depression in hospital-employed nurses. Clin Nurse Spec 2012;26:177–82. DOI: https://doi.org/10.1097/NUR.0b013e3182503ef0

Stetz MC, Thomas ML, Russo MB, et al. Stress, mental health, and cognition: a brief review of relationships and countermeasures. Aviat Space Environ Med 2007;78:B252–60.

Chiang YM, Chang Y. Stress, depression, and intention to leave among nurses in different medical units: Implications for healthcare management/nursing practice. Health Policy (New York) 2012;108:149–57. DOI: https://doi.org/10.1016/j.healthpol.2012.08.027

Tukatman T, Sulistiawati S, Purwaningsih P, Nursalam N. Analysis of Nurse’s Occupational Health in Managing Patients in Benyamin Guluh Hospital Kolaka Regency. J Ners 2015;10:343–7. DOI: https://doi.org/10.20473/jn.v10i2.1405

Welsh D. Predictors of depressive symptoms in female medical-surgical hospital nurses. Issues Ment Health Nurs 2009;30:320–6. DOI: https://doi.org/10.1080/01612840902754537

Gao YQ, Pan BC, Sun W, et al. Anxiety symptoms among Chinese nurses and the associated factors: a cross sectional study. BMC Psychiatry 2012;12:1–9. DOI: https://doi.org/10.1186/1471-244X-12-141

Tan ESS, Chin SAFX, Sathapan MSP, et al. Mental Health and the COVID-19 Pandemic: Observational Evidence from Malaysia. Int J Environ Res Public Health 2023;20:4046. DOI: https://doi.org/10.3390/ijerph20054046

Girsang E, Chiuman L. Beban Kerja Mental Perawat Dengan Metode Rating Scale Mental Effort (RSME). Wind Heal J Kesehat 2022;419–32. DOI: https://doi.org/10.33096/woh.vi.133

Maharani R, Budianto A. Pengaruh beban kerja terhadap stres kerja dan kinerja perawat rawat inap dalam. J Manag Rev 2019;3:327–32.

Saquib N, Zaghloul MS, Saquib J, et al. Association of cumulative job dissatisfaction with depression, anxiety and stress among expatriate nurses in Saudi Arabia. J Nurs Manag 2019;27:740–8. DOI: https://doi.org/10.1111/jonm.12762

Galy E, Paxion J, Berthelon C. Measuring mental workload with the NASA-TLX needs to examine each dimension rather than relying on the global score: an example with driving. Ergonomics 2018;61:517–27. DOI: https://doi.org/10.1080/00140139.2017.1369583

Akbar RD, Sunardi. Analisa Beban Kerja Menggunakan Nasa- Task Load Index Di Pusat Pengembangan Sumber Daya Manusia ( Ppsdm ) Migas Cepu. Juminten J Manaj Ind dan Teknol 2020;01:151–62. DOI: https://doi.org/10.33005/juminten.v1i4.121

Reis RS, Hino AA, Añez CR. Perceived stress scale. J Heal Psychol 2010;15:107–14. DOI: https://doi.org/10.1177/1359105309346343

Sönmez B, Oğuz Z, Kutlu L, Yıldırım A. Determination of nurses’ mental workloads using subjective methods. J Clin Nurs 2017;26:514–23. DOI: https://doi.org/10.1111/jocn.13476

Pamungkas RA, Ruga FBP, Kusumapradja R. Impact of Physical Workload and Mental Workload on Nurse Performance: A Path Analysis. Int J Nurs Heal Serv 2022;5:219–25. DOI: https://doi.org/10.35654/ijnhs.v5i2.604

Siahaan J. Analisis Pengaruh Beban Kerja Mental Dan Stress Kerja Terhadap Loyalitas Pekerja Pada Oppo Service Center Indonesia. Sist J Ilm Nas Bid Ilmu Tek 2020;8:28–35. DOI: https://doi.org/10.53580/sistemik.v8i1.37

Cho H, Sagherian K, Scott LD, Steege LM. Occupational fatigue, workload and nursing teamwork in hospital nurses. J Adv Nurs 2022;78:2313–26. DOI: https://doi.org/10.1111/jan.15246

Putra RS, Rahmadhani TN, Hidayat S. Factors Related to the Risk of Occupational Stress among Nurses in the Emergency Room at Sosodoro Djatikoesoemo Bojonegoro Hospital Faktor Terkait Risiko Stres Kerja pada Perawat Instalasi Gawat Darurat di Rumah Sakit Sosodoro Djatikoesoemo Bojonegoro. Indones J Occup Saf Heal 2021;10:299–308. DOI: https://doi.org/10.20473/ijosh.v10i3.2021.299-308

Manabung AR, Suoth LF, Warouw F. hubungan antara masa kerja dan beban kerja dengan stres kerja pada tenaga kerja di PT. Pertamina Tbbm Bitung. Kesmas 2019;7(5).

Purwaningsih CII, Darma GS. Menelisik stres kerja tenaga kesehatan dimasa pandemi COVID-19 di Rumah Sakit. J Manaj Bisnis 2021;18:361–81. DOI: https://doi.org/10.38043/jmb.v18i3.3179

Özkan Ş, Uydacı M. Determining nurse workforce requirement based on workload in the public hospitals. J Heal Nurs Manag 2020;3:339–51. DOI: https://doi.org/10.5222/SHYD.2020.52244

Riklikienė O, Didenko O, Čiutienė R, Daunorienė A, Čiarnienė R. Balancing nurses’ workload: A case study with nurse anaesthetists and intensive care nurses. Econ Sociol 2020;11–25. DOI: https://doi.org/10.14254/2071-789X.2020/13-2/1

Tamara TA, Wulandari RD. Perbedaan individu sebagai faktor penyebab stres kerja pada tenaga kesehatan akibat pandemi Covid-19: narrative literature review. J Ilmu Kesehat Masy 2021;17:22–32. DOI: https://doi.org/10.19184/ikesma.v17i1.21892

Fikri, Z., Bellarifanda, A., Sunardi, S., ‘Ibad, M. R., & Mu’jizah, K. (2023). The relationship between mental workload and nurse stress levels in hospitals. Healthcare in Low-Resource Settings, 12(1). https://doi.org/10.4081/hls.2023.11817

Downloads

Download data is not yet available.

Citations