THE COMPARISON OF WORK-RELATED FATIGUE AND STRESS AMONG NURSES IN EMERGENCY DEPARTMENTS WORKING WITHIN SHIFT OF 7-7-10 AND 12-12 IN THE HOSPITALS OF BADUNG AND DENPASAR REGENCIES

Emergency Department (ED) nurses are medical professionals who work within shift working system. The implementation of working shift will affect the level of work-related fatigue and stress of ED nurses which eventually affects the working performance, service quality, and the implementation of patient safety in the Emergency Department. Based on preliminary study in Badung and Denpasar Regencies it has revealed that there are other shift schemes beside 6-6-12 shift, namely 7-7-10 shift and 12-12 shift. There has been no research conducted to evaluate work-related fatigue and stress of ED nurses working under those schemes. The aim of this research is to identify the differences of work-related fatigue and stress of Emergency Department nurses working under the 7-7- 10 and 12-12 shift schemes in the hospitals of Badung and Denpasar Regencies. This research was quantitative study using analytical observational design with cross sectional approach. The sampling technique was purposive sampling with the samples of 45 nurses from four Emergency Departments in the hospitals of Badung and Denpasar Regencies. The data were collected by means of OFER and ENSS questionnaires, translated into Bahasa Indonesia and tested for their validity and reliability. Statistic test has shown that there is a significant difference of working shift on work-related fatigue with p = 0.012, but there is no meaningful difference on the effect of working shift schemes on nurses’ work-related stress (p = 0.267). It is also revealed that there is a difference on the influence of work distribution system on work-related fatigue, but there is no significant difference of work-related stress level of nurses in 7-7-10 shift scheme and those in 12-12 shift scheme.

Keywords: shift work, nurses’ fatigue, nurses’ work-related stress, 7-7-10 shift scheme, 12-12 shift scheme