The effects of differences in the divison of labor on fatigue of nurse anesthetists in operating rooms in indonesia

Pengaruh perbedaan sistem pembagian kerja terhadap kelelahan penata anestesi di ruang operasi di indonesia

Authors

  • Yustina Ni Putu yusniawati ITEKES Bali
  • Emanuel Ileatan Lewar Institut Teknologi dan Kesehatan Bali
  • I Gde Agus Shuarsedana Putra Institut Teknologi dan Kesehatan Bali

DOI:

https://doi.org/10.36376/bmj.v8i4.223

Keywords:

Division of labor, nurse anesthetists, nurse fatigue, operating room

Abstract

The division of labor in this study refers to the working hour arrangement made by the hospital management for 24-hour optimal service. Nurses in the operating room as health workers need the division of labor. It considers that not all planned or scheduled surgery can be carried out at a predetermined time since delays, acceleration, or cancellation can occur. Nurses in the operating room must be ready for 24 hours for surgeries. However, an intensive division of labor with long working hours is an essential factor affecting the fatigue levels of nurse anesthetists in the operating room. Fatigue decreases alertness, concentration, judgment, and mood. To determine the effect of different divisions of labor over fatigue levels of nurse anesthetists in the operating room in Indonesia. This study used a quantitative research design with an analytical observational design and a cross-sectional approach. The sampling technique was purposive sampling with a sample of 228 nurse anesthetists in the operating room from hospitals in various regions throughout Indonesia. Data was collected with OFER and ENSS questionnaires translated into Indonesian and tested previously for validity and reliability. Data were analyzed using SPSS Version 20, with univariate analysis. It indicates that the respondents were primarily male, aged 22 to 68 years old, married, had an associate’s degree, with >3 years tenure, the number of operating rooms were between 1 to 26 rooms, the number of nurse anesthetists ranges from 1 to 43 people, and the number of surgery ranges from 1 to 50 per day. Bivariate analysis was carried out using Kruskal-Wallis analysis. The results showed a difference between work shifts and work fatigue, where 12 hours-12 hours work shift have severe fatigue rates than others. The work shifts regulate the working hours of nurse anesthetists to work optimally. It is essential to adjust the work shift so that they can have enough time to rest. An irregular division of work hours and the work hours longer than the rest duration are significant factors causing chronic fatigue in nurse anesthetists.

 

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References

Alessandra B, Alessandra Z, Giuseppe M, Marco P, Angela V, Diana C, Vincenzo B. Strain and health implications of nurses’ shift work: a cross-sectional study. International Journal of Occupational Medicine and Environmental Health. 2013;26(4):511-521.

Janice R, Ellis PhD, RN, ANEF. Quality of Care, Nurses’ Work Schedules, and Fatigue: a white paper. Washington State Nurses Association. 2019.

Maharja, R. (2015). Analisis tingkat kelelahan kerja berdasarkan beban kerja fisik perawat di Instalasi Rawat Inap RSU Haji Surabaya. The Indonesian Journal of Occupational Safety and Health, 4(1), 93-102.

Ahwal, S., & Arora, S. (2015). Workplace Stress for Nurses in Emergency Department. International Journal of Emergency & Trauma Nursing, 1(2), 17-21.

Antill, S. (2016). Shift Work’s Impact on Patient Safety. Ons Connect, 38-39. Retrieved from http://connect.ons.org/ons-connect-blog/shift-work-nursing-careimpact-on-patient-safety.

Batak, T., Gvozdenović, L., Bokan, D., & Bokan, D. (2013). The impact of nurses’ shift work on the fatigue level. South Eastern Europe Health Sciences Journal (SEEHSJ), 3(2), 120-127.

Blasche, G., Bauböck, V. M., & Haluza, D. (2017). Work Related Self Assessed Fatigue and Recovery Among Nurses. Int Arch Occup Environ Health, 90, 197-205.

Caruso, C. C. (2015). Negative Impacts of Shiftwork and Long Work Hours. Rehabilitation Nursing, 39(1), 16-25. doi:10.1002/rnj.107

CNA. (2008). Taking Action on Nurse Fatigue. Retrieved from https://cna-aiic.ca/~/media/cna/page-content/pdf-en/ps112_nurse_fatigue_2010_e.pdf

CNO. (2012). Nursing and fatigue. Retrieved from http://www.cno.org/fr/exercice-de-la-profession/educational-tools/ask-practice/nursing-and-fatigue/

Cooper, J. (2015). Self Motivation in Nursing. Retrieved from https://www.ausmed.com/articles/self-motivation-in-nursing/

Debora, O. (2016). Analisis Pengaruh Stresor Terhadap Professional Quality of Life Perawat di Instalasi Gawat Darurat RSUD Dr. Iskak Tulung Agung. (Magister), Brawijaya, Malang, Jawa timur.

Depkes RI. (1992). Undang-Undang Kesehatan No 23 Tentang Kesehatan. Jakarta: Departemen Kesehatan RI.

Dillingham, J. (2017). Rotating or Fixed Shifts. Retrieved from http://shift-work.com/shift-schedule-issues/rotating-fixed-shifts/

Eldevik, M. F., Flo, E., Moen, B. E., Pallesen, S., & Bjorvatn, B. (2013). Insomnia, Excessive Sleepiness, Excessive Fatigue, Anxiety, Depression and Shift Work Disorder in Nurses Having Less than 11 Hours in-Between Shifts. Quick Returns, Sleep and Mental Health, 8(8), 1-9. doi:10.1371/journal.pone.0070882

Ford, S. (2014). Exclusive: Stress levels at work making nurses ill, finds survey. Retrieved from https://www.nursingtimes.net/exclusive-stress-levels-at-work-making-nurses-ill-finds-survey/5077537.article

Hanif, A. R., Abdul-Mumin, K., & Naing, L. (2017). Psychosocial Work Stressors, Work Fatigue, and Musculoskeletal Disorders: Comparison Between Emergency and Critical Care Nurses in Brunei Public Hospitals. Asian Nursing Research, 11(1), 13-18. doi:10.1016/j.anr.2017.01.003

Johnston, D. W., Jones, M. C., Charles, K., McCann, S. K., & McKee, L. (2013). Stress in Nurses: Stress-Related Affect and Its Determinants Examined Over the Nursing Day. Annals of Behavioral Medicine, 45, 348-356. doi:10.1007/s12160-012-9458-2

Johnston, D., Bell, C., Jones, M., Farquharson, B., Allan, J., Schofield, P., . . . Johnston, M. (2016). Stressors, Appraisal of Stressors, Experienced Stress and Cardiac Response: A Real-Time, Real-Life Investigation of Work Stress in Nurses. Annals of Behavioral Medicine, 50, 187-197. doi:10.1007/s12160-015-9746-8

Khammar, A., Amjad, R. N., Rohani, M., Yari, A., Noroozi, M., Poursadeghian, A., . . . Poursadeghiyan, M. (2017). Survey of Shift Work Disorders and Occupational Stress Among Nurses: A Cross Sectional Study. Annals of Tropical Medicine and Public Health, 10(4), 178-184. doi:10.4103/ATMPH.ATMPH_305_17

Published

2022-01-18

How to Cite

yusniawati, Y. N. P., Lewar, E. I. ., & Putra, I. G. A. S. . (2022). The effects of differences in the divison of labor on fatigue of nurse anesthetists in operating rooms in indonesia: Pengaruh perbedaan sistem pembagian kerja terhadap kelelahan penata anestesi di ruang operasi di indonesia . Bali Medika Jurnal, 8(4), 404–411. https://doi.org/10.36376/bmj.v8i4.223