Pengaruh Shift dan Beban Kerja terhadap Kelelahan pada Dokter Muda di RSUP Prof. Dr. R. D. Kandou Manado
DOI:
https://doi.org/10.35790/dkrg5192Keywords:
shift; beban kerja; kelelahan; dokter muda (co-assistant)Abstract
Abstract: Fatigue represents a significant occupational health issue among co-assistants, which is influenced by work shift and high workload, potentially impacting performance and patient safety. This study aimed to analyze the influence of work shift and workload on fatigue among co-assistants at Prof. Dr. R. D. Kandou General Hospital, Manado. This was an observational analytical study with a cross-sectional design. Samples consisted of 108 co-assistants selected through purposive sampling. Shift was measured using self report questionnaire. Workload was measured using the NASA-Task Load Index (NASA-TLX) questionnaire, and fatigue was measured with the Swedish Occupational Fatigue Inventory (SOFI). Data were analyzed using the Spearman's test and ordinal logistic regression. The results showed that the majority of respondents had high workload (46.30%) and severe fatigue (60.18%). Bivariate analysis showed a significant positive relationship (p<0.05). Multivariate analysis showed a significant simultaneous effect of shift work and workload on fatigue (p<0.05), accounting for 38.2% of the variation in fatigue. The majority of respondents experienced severe fatigue and high workload. The ordinal logistic regression analysis showed that work shifts and workload simultaneously had significant influence on fatigue. In conclusion, shift and workload affect the severity of fatique experienced by co-assistants at Prof. Dr. R. D. Kandou General Hospital, Manado. Night shifts and heavy workload are predictors of increased fatigue.
Keywords: shift; workload; fatigue; co-assistants
Abstrak: Kelelahan merupakan masalah kesehatan kerja pada dokter muda (co-assistant), yang dipengaruhi oleh shift kerja dan beban kerja tinggi, yang dapat berdampak pada kinerja dan keselamatan pasien. Penelitian ini bertujuan untuk menganalisis pengaruh shift kerja dan beban kerja terhadap kelelahan pada dokter muda di RSUP Prof. Dr. R. D. Kandou Manado. Penelitian ini menggunakan metode observasional analitik dengan desain potong lintang. Sampel penelitian terdiri dari 108 dokter muda yang dipilih melalui purposive sampling. Shift kerja diambil melalui kuesioner. Beban kerja diukur menggunakan kuesioner NASA-Task Load Index (NASA-TLX) dan kelelahan diukur dengan Swedish Occupational Fatigue Inventory (SOFI). Data dianalisis menggunakan uji Spearman dan uji regresi ordinal logistik. Hasil penelitian mendapatkan mayoritas responden dengan beban kerja tinggi (46,30%), dan mengalami kelelahan berat (60,18%). Uji analisis bivariat menunjukkan adanya hubungan positif bermakna (p<0,05). Analisis multivariat menunjukkan adanya pengaruh bermakna shift dan beban kerja terhadap kelelahan (p<0,05), yang mencakup 38,2% variasi kelelahan. Analisis regresi logistik menunjukkan bahwa shift kerja dan beban kerja secara simultan berpengaruh bermakna terhadap kelelahan. Simpulan penelitian ini ialah shift dan beban kerja berpengaruh terhadap memberatnya kelelahan yang dialami oleh mahasiswa profesi dokter (co-assistant) di RSUP Prof. Dr. R. D. Kandou Manado. Shift malam dan beban kerja yang tinggi menjadi prediktor memberatnya kelelahan.
Kata kunci: shift; beban kerja; kelelahan; dokter muda (co-assistant)
References
1. Caldwell JA, Caldwell JL, Thompson LA, Lieberman HR. Fatigue and its management in the workplace. Neurosci Biobehav Rev. 2019;96:272–89. Doi: https://doi.org/10.1016/j.neubiorev.2018.10.024
2. Kartsonaki MG, Georgopoulos D, Kondili E, Nieri A-S, Alevizaki A, Nyktari V, et al. Prevalence and factors associated with compassion fatigue, compassion satisfaction, burnout in health professionals. Nurs Crit Care. 2023;28(2):225–35. Doi: https://doi.org/10.1111/nicc.12769
3. Jin M, Wang J, Zeng L, Xie W, Tang P, Yuan Z. Prevalence and factors of compassion fatigue among nurse in China A protocol for systematic review and meta-analysis. Medicine. 2021;100:3(e24289). Doi: https://doi.org/10.1097/md.0000000000024289
4. Kida R, Takemura Y. Working conditions and fatigue in Japanese shift work nurses: a cross-sectional survey. Asian Nurs Res (Korean Soc Nurs Sci) 2022;16(2):80–86. Doi: https://doi.org/10.1016/j.anr.2022.03.001
5. Putri YP, Kania L, Puji R, Ratnaningtyas TO. Hubungan antara karakteristik individu dan shift kerja dengan kelelahan kerja pada perawat di RSUD Pesanggrahan Jakarta. Frame Health J. 2022;1(1):20-28. Available from: https://eprints.wdh.ac.id/2064/
6. Saikhunuddin, Widajati N. Correlations of shift work 2-2-2(2) rotation on sleep quality and fatigue of nurses Ibnu Sina Gresik General Hospital. Journal of Vocational Health Studies 2024;8(1):28–34. Doi: https://doi.org/10.20473/jvhs.V8.I1.2024.28-34
7. Yuliani R, Ginting CN, Chiuman L, Girsang E. The relationship between workload, job stress, nutritional status, and shift work the night with the fatigue of nurses working in hospitals Aceh Singkil 2020. Int J Res Med Sci 2021;9(7):2055-61. Doi: https://doi.org/10.18203/2320-6012.ijrms20212358
8. Wiyarso J. Hubungan antara shift kerja dan beban kerja dengan kelelahan kerja pada perawat di Ruang Rawat Inap Yeheskiel dan Hana di Rumah Sakit Umum GMIM Pancaran Kasih Manado. KESMAS. 2018;7(5):1-5. Available from: https://ejournal.unsrat.ac.id/v3/index.php/kesmas/issue/view/2116
9. Kaani JN, Larira DM, Toar JM. Hubungan beban kerja dengan burnout syndrome pada perawat di Ruang Rawat Inap Dewasa Rumah Sakit Bhayangkara Tingkat III Manado. e-J Keperawatan. 2023;11(2):54-8. Available from: https://ejournal.unsrat.ac.id/v3/index.php/caring/article/view/49027
10. Tareluan DG, Bawotong J, Hamel R. Hubungan antara beban kerja dengan gangguan pola tidur pada perawat di Instalasi Gawat Darurat non trauma RSUP Prof Dr. R. D. Kandou Manado. e-J Keperawatan. 2016;4(2):1-6. Doi: https://doi.org/10.35790/jkp.v4i2.12912
11. Rahmadani M, Kurniawidjaja LM, Puspasari MA, Simanullang D, Prabandari YS, Anshory A, et al. Workload, fatigue, and cognitive performance in University Hospital Nurses: a cross-sectional study. Salud, Ciencia y Tecnologia. 2025;5(1731):1-11 Doi: https://doi.org/10.56294/saludcyt20251731
12. Scott-Marshall HK. Safe limits on work hours for the nursing profession: a rapid evidence review. Front Glob Womens Health. 2024;5(1455422):1-21. Doi: https://doi.org/10.3389/fgwh.2024.1455422
13. Wei T, Li C, Heng Y, Hu Y, Xu Y, Xie Y, et al. Association between night-shift work and level of melatonin: systematic review and meta-analysis. Sleep Med. 2020;75:502–509. Doi: https://doi.org/10.1016/j. sleep.2020.09.018
14. Lund S, Yan M, D’Angelo J, Cheadle N, Krouskop N, Dunning T, et al. NASA-TLX assessment of workload in resident physicians and faculty surgeons covering trauma, surgical intensive care unit, and emergency general surgery services. Am J Surg. 2021;222(6):1158–1162. Doi: https://doi.org/10.1016/j.amjsurg.2021.10.020
15. Liu X, Zhao Z, Zhang Y, Zou J, Zhang L. Multiple organ phenotype of fatigue. Biomolecules MDPI. 2025;15(10):1476. Doi: https://doi.org/10.3390/biom15101476
16. Panghestu WK, Sujangi, Jayadi H, Yulianto B, Prasetyo A. Pengaruh shift kerja terhadap kelelahan kerja perawat di RSUD Kota Madiun tahun 2023. J Profesi Kesehatan Masyarakat. 2024;5(1):35-8. Doi: https://doi.org/10.47575/jpkm.v5i1.57
17. Krisdiana H, Iljas J, Ayuningtyas D, Juliati E. Hubungan beban kerja tenaga kesehatan dengan kelelahan kerja di Puskesmas Kecamatan Sukmajaya Kota Depok selama pandemi. J Biostatistik, Kependudukan, dan Informatika Kesehatan. 2022;2(3):136-47. Doi: https://doi.org/10.7454/bikfokes.v2i3.1030
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Sebastian M. Karema, Diana V.D. Doda, Ivonny M. Sapulete
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
COPYRIGHT
Authors who publish with this journal agree to the following terms:
Authors hold their copyright and grant this journal the privilege of first publication, with the work simultaneously licensed under a Creative Commons Attribution License that permits others to impart the work with an acknowledgment of the work's origin and initial publication by this journal.
Authors can enter into separate or additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (for example, post it to an institutional repository or publish it in a book), with an acknowledgment of its underlying publication in this journal.
Authors are permitted and encouraged to post their work online (for example, in institutional repositories or on their website) as it can lead to productive exchanges, as well as earlier and greater citation of the published work (See The Effect of Open Access).
