Eprami Mukti Wibawani, Irwan Budiono , Eko Farida

Factors Related to Work Stress in Nurses of COVID-19 Patients at Pandan Arang Boyolali Hospital

Introduction

Factors related to work stress in nurses of covid-19 patients at pandan arang boyolali hospital. Explore work stress factors in COVID-19 nurses at Pandan Arang Boyolali Hospital. Job and family conflicts significantly impact stress, unlike age, gender, or education.

Abstract

The results of a preliminary study conducted on nurses at Pandan Arang Hospital, Boyolali Regency, showed that 80% of nurses who handled COVID-19 patients had been confirmed positive for COVID-19. 75% of them experience work stress, preliminary survey results show that concerns about being infected with COVID 19 and increasing workloads are the main factors for work stress among nurses. This study aims to analyze what factors are related to work stress in nurses who provide services to COVID-19 patients at Pandan Arang Boyolali Regional Hospital. The study utilized a cross-sectional approach. The sample consisted of 76 nurses in the COVID-19 care unit determined through total sampling. Data collection was conducted using questionnaires, and data analysis was performed using bivariate analysis. The results of the multivariate analysis showed that job conflict (B = 1.636, p < 0.001) and family conflict (B = 0.634, p < 0.001) had a significant effect on work stress, while age, gender, and education level did not show a significant relationship with work stress (p > 0.05). The practical implication of this study is the importance of managing job conflict to reduce work stress.

Review

This study addresses a critically important and timely topic, investigating factors contributing to work stress among nurses caring for COVID-19 patients at Pandan Arang Boyolali Hospital. The preliminary findings, indicating high infection rates among nurses and initial concerns about COVID-19 infection and increased workload, provide a strong justification for the research. The use of a cross-sectional design with total sampling for 76 nurses ensures a focused approach to understanding the immediate stressors faced by this vulnerable population, making the findings particularly relevant for immediate intervention strategies. The core findings highlight job conflict (B = 1.636, p < 0.001) and family conflict (B = 0.634, p < 0.001) as significantly related to work stress, while age, gender, and education level showed no significant relationship. However, there is a notable inconsistency in the abstract's methodological reporting: it states "bivariate analysis was performed," yet immediately presents "multivariate analysis" results with 'B' coefficients, typically derived from regression. Clarification is needed on which analytical approach yielded the reported significant factors. More critically, the preliminary survey identified "concerns about being infected with COVID 19 and increasing workloads" as *main factors* for stress; yet, these are conspicuously absent from the final significant findings of the main study. This disconnect warrants a thorough explanation in the full manuscript, addressing whether these factors were measured, and if so, why they did not emerge as significant in the final analysis. While the identification of job and family conflict offers clear targets for intervention, the cross-sectional design fundamentally limits the ability to establish causal relationships. Future research could benefit from longitudinal studies to track the evolution of stress and its determinants over time. The practical implication of managing job conflict is well-supported by the findings, but given the strong association of family conflict, the study should also emphasize the need for support systems that address work-life balance and family-related stressors. Addressing the methodological ambiguities and providing a comprehensive discussion on the divergence between preliminary observations and final empirical results would significantly strengthen the study's contribution to understanding and mitigating work stress in high-pressure healthcare settings.

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