Ensure Adequate Facilities and Infrastructure

Oct 13, 2025 by wbrum.org 139 views

Analysis of Work Systems to Reduce Nurse Fatigue with a Macroeconomic Approach in Hospitals

Introduction

Fatigue among nurses in Indonesia is a serious problem that can have a significant impact on the quality of health services. A survey conducted by the Indonesian National Nurse Association (PPNI) shows that 50.9% of nurses experience fatigue, stress, and other health problems due to a high workload and low salaries without adequate incentives. This condition highlights the need for an in-depth analysis of the causes of nurse fatigue based on their work system in hospitals, using a macro-ergonomic approach. This study focuses on one of the hospitals in the city of Medan, involving 83 nursing respondents and 7 respondents from the hospital management. Data was collected through interviews and questionnaires to gain a better understanding of this situation.

The Problem of Nurse Fatigue

Nurse fatigue is a complex issue that affects not only the health of individual nurses but also the quality of health services received by patients. The high workload and low salaries without adequate incentives are major contributing factors to nurse fatigue. A study by the PPNI found that 50.9% of nurses experience fatigue, stress, and other health problems due to these factors. This is a significant concern, as nurse fatigue can lead to decreased productivity, increased errors, and reduced patient satisfaction.

The Macro-Ergonomic Approach

The macro-ergonomic approach examines interactions between humans, work, and the environment in the broader work system context. This approach is essential in understanding the complex relationships between various factors that contribute to nurse fatigue. In this study, data analysis was carried out through correlation tests, hypothesis tests, and regression tests to identify the significant effects between the work system and nurse fatigue levels.

Results of the Analysis

The results of the analysis showed that there was a significant effect between the work system from various aspects of the nurse fatigue level. In terms of personal nurses, the value of R² shows an effect of 0.615, while the company's organization has a R² value of 0.638. In addition, the workload contributes with a value of R² 0.638, the work environment with a R² value of 0.258, as well as equipment and technology with a R² value of 0.264. This indicates that inadequate work systems can cause a high level of fatigue among nurses.

Proposals to Overcome Nurse Fatigue

Based on the results of the analysis, some important proposals can be submitted to overcome this problem. First, hospitals need to consider suggestions from nurses and researchers to improve the existing work system. This includes an increase in the communication process between management and nurses, as well as recognition of nurses' input regarding their workload and working conditions.

Furthermore, routine training for nurses becomes a crucial aspect to develop their stress skills and management, so as to improve work efficiency and minimize fatigue. This training can also include relaxation and time management techniques so that nurses are able to manage workloads better.

Finally, the provision of adequate facilities and infrastructure is also a step that is no less important. Hospitals must ensure that nurses have access to effective equipment and a conducive work environment. This includes a comfortable restroom, good facilities, and equipment that facilitates their daily tasks. By carrying out these steps, it is expected that the level of fatigue of nurses can be reduced and the quality of services in hospitals can be increased.

Conclusion

The problem of nurse fatigue does not only have an impact on the health of individual nurses but also on the quality of health services received by patients. Therefore, a holistic and integrated approach is needed to create a better and more humane work system for nurses in hospitals. By considering the suggestions from nurses and researchers, providing routine training, and ensuring adequate facilities and infrastructure, hospitals can reduce nurse fatigue and improve the quality of health services.

Recommendations

Based on the findings of this study, the following recommendations are made:

Improve Communication: Hospitals should increase the communication process between management and nurses to ensure that nurses' input is recognized and valued.
Provide Routine Training: Routine training for nurses should be provided to develop their stress skills and management, so as to improve work efficiency and minimize fatigue.
Ensure Adequate Facilities and Infrastructure: Hospitals must ensure that nurses have access to effective equipment and a conducive work environment.
Recognize Nurses' Input: Hospitals should recognize nurses' input regarding their workload and working conditions to improve the existing work system.

By implementing these recommendations, hospitals can reduce nurse fatigue and improve the quality of health services.
Frequently Asked Questions (FAQs) about Nurse Fatigue and Work Systems

Q: What is nurse fatigue, and why is it a concern?

A: Nurse fatigue is a condition where nurses experience physical, emotional, and mental exhaustion due to prolonged periods of work, high workload, and inadequate rest. It is a concern because it can lead to decreased productivity, increased errors, and reduced patient satisfaction.

Q: What are the causes of nurse fatigue?

A: The causes of nurse fatigue include high workload, low salaries, inadequate rest, and poor working conditions. Additionally, factors such as lack of communication, inadequate training, and insufficient resources can also contribute to nurse fatigue.

Q: What is the macro-ergonomic approach, and how does it relate to nurse fatigue?

A: The macro-ergonomic approach is a method of analyzing interactions between humans, work, and the environment in the broader work system context. In the context of nurse fatigue, this approach helps to identify the complex relationships between various factors that contribute to nurse fatigue.

Q: What are the results of the analysis, and what do they indicate?

A: The results of the analysis showed that there was a significant effect between the work system from various aspects of the nurse fatigue level. This indicates that inadequate work systems can cause a high level of fatigue among nurses.

Q: What are some proposals to overcome nurse fatigue?

A: Some proposals to overcome nurse fatigue include improving communication between management and nurses, providing routine training for nurses, and ensuring adequate facilities and infrastructure.

Q: Why is communication important in reducing nurse fatigue?

A: Communication is essential in reducing nurse fatigue because it helps to ensure that nurses' input is recognized and valued. This can lead to improved working conditions, reduced workload, and increased job satisfaction.

Q: What is the role of routine training in reducing nurse fatigue?

A: Routine training is crucial in reducing nurse fatigue because it helps to develop nurses' stress skills and management. This can lead to improved work efficiency, reduced fatigue, and increased job satisfaction.

Q: Why is it essential to ensure adequate facilities and infrastructure in reducing nurse fatigue?

A: Ensuring adequate facilities and infrastructure is essential in reducing nurse fatigue because it helps to create a conducive work environment. This can lead to reduced workload, improved working conditions, and increased job satisfaction.

Q: What are the benefits of reducing nurse fatigue?

A: Reducing nurse fatigue can lead to improved patient satisfaction, increased productivity, and reduced errors. Additionally, it can also lead to improved job satisfaction, reduced turnover rates, and increased retention of nurses.

Q: How can hospitals implement the recommendations to reduce nurse fatigue?

A: Hospitals can implement the recommendations by improving communication, providing routine training, and ensuring adequate facilities and infrastructure. Additionally, they can also recognize nurses' input, provide adequate resources, and promote a culture of safety and well-being.

Q: What is the next step in reducing nurse fatigue?

A: The next step in reducing nurse fatigue is to implement the recommendations and monitor their effectiveness. This can be done by conducting regular surveys, collecting data, and evaluating the impact of the recommendations on nurse fatigue and patient satisfaction.