Occupational Stress Among Nurses: An ENSS-Based Analysis at X Hospital, Boyolali in 2024
Article Sidebar
Nurses,
Occupational Stress
Main Article Content
Abstract
According to a survey by the Indonesian National Nurses Association (PPNI) in 2018, around 50.9% of nurses in Indonesia experience work stress. This study aims to identify factors that cause work stress in nurses based on the Expanded Nursing Stress Scale (ENSS), which consists of nine subscales: Death and Dying, Conflict with Doctors, Insufficient Preparation, Problems with Coworkers, Problems with Supervisors, Uncertainty of Treatment, Problems with Patients, Workload, and Discrimination. This study used a cross-sectional study design with a total sample of 76 nurses, Data analysis used PLS-SEM and bootstrapping methods. The results showed that the three main constructs contributing to the highest job stress were Problems with Supervisors (β = 0.224; p = 0.000), Workload (β = 0.211; p = 0.000), and Treatment Uncertainty (β = 0.201; p = 0.000), while Discrimination showed no significant effect (p = 0.232). Problems with Supervisors, Workload, and Treatment Uncertainty are the causes of job stress in nurses at X Hospital, Boyolali in 2024
Article Details
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
References
Afra, Zahratul, and Ardia Putra. 2017. “Stres Kerja Perawat Di Ruang Rawat Inap RSUD Dr. Zainoel Abidin Banda Aceh.” Jurnal Ilmiah Mahasiswa Fakultas Keperawatan 2 (4).
Cahya, Mochamad Robby Fajar, and Nafiah Ariyani. 2024. “The Effect of Workload and Stress on Work Productivity in Nurses at Sabah Al Ahmad Urology Center Kuwait.” Media Publikasi Promosi Kesehatan Indonesia (MPPKI) 7 (7): 1973–84.
CDC. 2022. “Psychosocial Hazards.” 2022. https://www.cdc.gov/niosh/learning/safetyculturehc/module-2/8.html.
Goudarzian, Amir Hossein, Alireza Nikbakht Nasrabadi, Hamid Sharif-Nia, Bahar Farhadi, and Elham Navab. 2024. “Exploring the Concept and Management Strategies of Caring Stress among Clinical Nurses: A Scoping Review.” Frontiers in Psychiatry 15:1337938.
Hammond, Wizdom Powell, Marion Gillen, and Irene H Yen. 2010. “Workplace Discrimination and Depressive Symptoms: A Study of Multi-Ethnic Hospital Employees.” Race and Social Problems 2:19–30.
Hidayati, Afkar Nabila Rahma, Hanifa Maher Denny, and Sri Achadi Nugraheni. 2025. “Factors Associated with Work-Related Stress among Nurses at Hospital X in South Tangerang City.” Intisari Sains Medis 16 (1): 353–56.
ILO. 2016. “WORKPLACE STRESS: A Collective Challenge.”
———. 2017. “International Journal of Labour Research – 2016, Vol. 8, Issue 1–2.” www.ilo.org/publns.
Karasek, R A. 1990. “Healthy Work: Stress, Productivity and the Reconstruction of Working Life.” Basic Book.
Karina, Karina, Hilda Zulkifli, and Novrikasari Novrikasari. 2021. “Gambaran Stres Kerja Pada Perawat Wanita Di Rs. X Palembang.” Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) 7 (1): 7–14.
Keller, Elizabeth, Megan Guardiano, and Jian Li. 2023. “Discrimination in the Workplace Linked to Psychological Distress: A Longitudinal Study in the United States.” Journal of Occupational and Environmental Medicine, 10–1097.
Ladamu, Wawan, and Akbar Harisa. 2025. “Overview of Work Stress of Nurses Providing Services at Madani Regional Hospital Palu.” Indonesian Contemporary Nursing Journal (ICON Journal) 9 (2): 100–108.
Mariana, Evi Risa, and Agustine Ramie. 2021. “Analisis Hubungan Beban Kerja Dengan Stres Kerja Perawat: Literature Review.” JKM: Jurnal Keperawatan Merdeka 1 (2): 158–68.
Moustaka, Eleni, and Theodoros C Constantinidis. 2010. “Sources and Effects of Work-Related Stress in Nursing.” Health Science Journal 4 (4): 210.
SANTOSO, WINDU, and A N A ZAKIYAH. 2018. “The Relationship between Workload with Work Stress on Nurses in Intensive Installation of Bangil General Hospital Pasuruan District.” International Journal Of Nursing And Midwifery Science (IJNMS) 2 (03): 311–21.
Shaifuddin, Zakky, Aulia Chairani, Niniek Hardieni, and Melly Kristanti. 2025. “The Relationship between Mental Workload and Work Stress in Nurses at the Inpatient Installation.” Jurnal Ilmiah Kesehatan Masyarakat: Media Komunikasi Komunitas Kesehatan Masyarakat 17 (1).
Singh, Saniya, Chris Degeling, Peta Drury, Amy Montgomery, Peter Caputi, and Frank P Deane. 2024. “Nurses’ Anxiety Mediates the Relationship between Clinical Tolerance to Uncertainty and Antibiotic Initiation Decisions in Residential Aged-Care Facilities.” Medical Decision Making 44 (4): 415–25.
Susanto, Tantut, Budi Anna Keliat, Heni Dwi Windarwati, Hanik Endang Nihayati, Niken Asih Laras Ati, Rizkiyani Istifada, Dewi Rokhmah, and Khoiron Khoiron. 2025. “Work Stress, Anxiety, Depression, and Quality of Life among Nurses in East Java: A Cross-Sectional Study.” Jurnal Ners 20 (1): 45–52.
Thio, Trifena. 2016. “Hubungan Antara Stres Kerja, Iklim Kerja, Hubungan Kerja Dengan Beban Kerja Perawat Di Rawat Inap Rumah Sakit Bethesda GMIM Tomohon.” Jurnal Fakultas Kedokteran. Pascasarjana Universitas Sam Ratulangi Manado 4:1–9.
Wolotira, Elizabeth A. 2023. “Trauma, Compassion Fatigue, and Burnout in Nurses: The Nurse Leader’s Response.” Nurse Leader 21 (2): 202–6.
Wynn, Franklin. 2020. “Burnout or Compassion Fatigue? A Comparative Concept Analysis for Nurses Caring for Patients in High-Stakes Environments.” International Journal for Human Caring 24 (1).
Yana, Dewi. 2015. “Stres Kerja Pada Perawat Instalasi Gawat Darurat Di RSUD Pasar ReboTahun 2014.” Jurnal ARSI (Administrasi Rumah Sakit Indonesia) 1 (2): 6.