The Relationship between Workload and Work Stress and Nurse Performance in the Emergency Installation (IGD) of Dr. M.M Dunda Limboto Hospital
Keywords:
Workload, Work Stress, Nurse Performance, Emergency Room
Abstract
Emergency Installations (IGD) have high work dynamics that require nurse preparedness for 24 hours, so nurse performance is an important indicator in determining service quality. Nurse performance includes quality, quantity, precision and work behavior according to professional standards. In its implementation, nurses face an excessive workload and can trigger work stress in the form of emotional pressure when providing services. This study aims to determine the relationship between workload and work stress and the performance of nurses in the Emergency Installation (IGD) of Dr. M.M Dunda Limboto Hospital.
This study is a quantitative research with a cross sectional method. A sample of 31 nurses was taken using the total sampling technique. This research instrument used questionnaires of workload, work stress, and nurse performance. Bivariate analysis using the Spearman Rank test. The results showed a significant relationship between workload and nurse performance (p-Value = 0.001; r = -0.580). Meanwhile, there was also a significant relationship between work stress and nurse performance (p-Value = 0.003; r = -0.520. It is hoped that the hospital can hold a stress management program and workload management on a regular basis and create a conducive work environment to improve nurse performance.
References
Alpian, N., Zulfikar, I., & Wahyuni, S. (2024). The Relationship of Workload to Work Stress in Emergency Room Nurses at Dr. Kanujoso Djatiwibowo Regional General Hospital Balikpapan. Journal of Safety, Occupational Health and Environment, 10(1), 143–144. https://doi.org/https://doi.org/10.36277/identifikasi.v10i1.335
ANA. (2023, May). Mental Health and Wellness Survey 4. American Nurses Association.
Anggraini, R., Masitoh, R., & Ariyani, N. (2024). The Relationship between Workload and Work Stress Level in Nurses in Nakula Sadewa Ward of Panembahan Senopati Hospital Bantul. Aisyiyah University Yogyakarta, 2.
Asri, Hannan, M., & Nursam, W. S. (2023). The Effect of Work Stress on the Performance of Inpatient Nurses at Hajjah Andi Hospital Depu Polewa Mandar. Journal of Clinical Psychology, 5(2), 888. https://doi.org/10.35329/jp.v5i2.4516
Asriadi, Supri, A., & Pasande, T. D. (2024). Factors Affecting the Performance of Emergency Installation Maintainers. Mega Buana Journal of Nursing, 3(1).
Asriasi, Supri, A., & Pasande, T. D. (2024). Factors Affecting the Performance of Emergency Installation Nurses. Mega Buana Journal of Nursing, 3(1), 11–13. https://doi.org/10.59183/wn5x8g76
Darma, E., Windiyaningsih, C., & Lutfie, H. S. (2021). The Effect of Patient Introduction, Patient Condition, and Workload of Emergency Department Health Workers on Response Time at the Emergency Room of RSIA Bunda Aliyah Jakarta in 2020. Journal of Management and Administration of Indonesian Hospitals (MARSI), 5(1), 50–60. https://doi.org/10.52643/marsi.v5i1.1296
Dewa, M. P. C. P., Lede, P. C., Takalapeta, A. P., & Leba, A. L. (2024). Stress-Causing Factors in Nurses in Psychiatric Hospitals: Literature Review. Journal of Creative Student Research (JCSR), 2(3), 204–210. https://doi.org/10.55606/jcsrpolitama.v2i3.3876
Erviana, E. (2024). The Relationship of Workload to Work Stress in Emergency Room Nurses. Journal of the Health Society, 13(2), 105–106. https://doi.org/10.62094/jhs.v13i2.173
Erwanto, Leviana, B., Rahmawati, N., & Erlinda, S. A. P. (2025). The relationship between workload and nurse performance. Scientific Journal of Mandalika, 6.
Etlidawati, Jeni, P., & Kurniawan, A. R. (2023). Analysis of Workload with Nurse Performance in the Inpatient Room of the Integrated Mental Health Service Installation of Banyumas Hospital. Journal of Lighthouse Health, 6(2).
Fadillah, R., & Nurmalasari, M. (2024). The Relationship of Workload with Nurses' Work Stress Levels. Multi Science Scientific Journal of Health, 16(1), 166–168. https://jurnal.stikes-aisyiyah-palembang.ac.id/index.php/Kep/article/view/
Fathia, A. N., & Kurdaningsih, V. S. (2022). Characteristics of Nurses on Response Time in Handling Patient Emergencies in Emergency Departments. Journal of Aisyiyah Medika, 7(2), 89–90. https://doi.org/https://doi.org/10.36729
Fortuna, D. I. (2025). Factors Influencing Nurse Performance in Hospitals: A Literature Review. Journal of Health and Nursing Management, 1(4), 194–201. https://doi.org/10.35968/wnyrep90
Galuh, H., Indriyati, & Aryani, A. (2023). The Relationship between Workload and Work Stress with Performance in Nurses in the Acute Room of RSJD Surakarta. Senriabdi, 452–465. https://jurnal.usahidsolo.ac.id/index.php/SENRIABDI/article/view/1654
Gaziyyah, F. F., Sartika, & Puspitasari, A. (2025). Factors Related to Work Stress in Nurses in the Inpatient Room of Lasinrang Hospital. Journal of Public Health, 6(1), 102–112.
Hanoum, C. F., Rizan, M., & Anugrah, P. R. (2023). Job Stress of Female Nurses in Hospitals: Systematic Literature. Journal of Employment Development, 1(1). https://doi.org/10.59574/jpk.v1i1.24
Herawati, A., Setyowati, Afriani, T., Yatnikasari, A., & Dewi, S. (2021). Analysis of Causative Factors and Stress Management for Emergency Unit Nurses. JKJ: Indonesian National Nurses Association, 9(1), 113–114. https://jurnal.unimus.ac.id/index.php/JKJ/article/view/6594/1000
Iskandar, & Yuhansyah. (2018). The Effect of Motivation & Insecurity on Job Assessment That Impacts Job Satisfaction. Media Friends of Scholars. https://books.google.co.id/books?id=LkJ7DwAAQBAJ
Ismail, Haskas, Y., & Sabil, A. F. (2023). The relationship between work stress and nurses' performance in carrying out care. Student Scientific Journal & Nursing Research, 3(2), 30.
Layli, N. A., Suryawati, C., & Kusumastuti, W. (2023). The Effect of Motivation on Nurse Performance in Hospitals. Journal of Science and Health, 5(5), 870–877. https://doi.org/10.25026/jsk.v5i5.1758
Lisdayanti, Sabil, A. F., & Mutmainnah. (2022). The Relationship between Workload and Work Stress of Nurses and the Implementation of Nursing Care in Hospital Inpatients. Student Scientific Journal & Nursing Research, 2.
Melyana, D. I., & Saparwati, M. (2025). Overview of Nurses' Work Stress Levels in Hospital Inpatient Installations. Journal of Healthy Cultured Nursing, 3(1). https://doi.org/https://doi.org/10.35473/jkbs.v3i1.3522
Muhajirin, A. R. F., Sulaiman, L., & Setiwan, S. (2024). Analysis of Workload and Work Stress in Nurses. Bioscientist : Scientific Journal of Biology, 12(2), 1853. https://doi.org/10.33394/bioscientist.v12i2.12970
Muhajirin, A., Setiyadi, A., Rasid, A. H., Mulyati, T., Retno, Y., Tania, S., Purba, S., Redjeki, S., Yunitas, & Gita, I. (2025). The Relationship between Work Stress and Nurses' Performance in Carrying Out Nursing Services in Emergency Departments (IGD) and Intensive Care Units (ICUs). Journal of Midwifery, Nursing and Health (J-BIKES, 5(1), 63–69. https://doi.org/10.51849/j-bikes.v%vi%i.128
Mulyono, Saswati, N., & Harkomah, I. (2024). The Relationship between Workload and Nurses' Work Stress. Indonesian Journal of Science, 1(2), 236–237. https://doi.org/https://doi.org/10.31004/science.v1i2.36
Pangestu, A., Sucipto, A., & Wiludjeng, R. (2025). The Relationship between Workload and Performance and Fatigue of Nurses in the Inpatient Room of Sultan Imanuddin Kotawaringin West Hospital, Central Kalimantan. The Scientific Journal Helath (TSJH), 2(1). https://jurnal.stikesyahyabima.ac.id
Pourteimour, S., Yaghmaei, S., & Babamohamadi, H. (2021). The relationship between mental workload and job performance among Iranian nurses providing care to COVID-19 patients: A cross-sectional study. Journal of Nursing Management, 29(6), 1–2. https://doi.org/10.1111/jonm.13305
Putri, A. D., Asmuji, & Suryaningsih, Y. (2023). The Relationship between Workload and Nurses' Performance in Performing Nursing Care in the Inpatient Installation of Balung Hospital Based on Kopelman Theory. Health & Medical Sciences, 1(3). https://doi.org/10.47134/phms.v1i3.51
Ratnaningsih, D., Sumarni, T., & Siwi, S. (2024). The Relationship between Quality of Working Life and Nurse Performance. Journal of Professional Nursing Research, 2. https://doi.org/https://doi.org/10.37287/jppp.v6i2.2158
Safitri, R. A., & Budiono, D. P. N. (2025). The Relationship of Workload with Burnout Syndrome in Nurses in the Inpatient Room of Hospital X. JOURNAL OF PUBLIC HEALTH PEARL, 10(1), 34–42. https://doi.org/10.51544/jmkm.v10i1.6071
Saputra, C., Marzolina, & Rama, R. (2023). The Effect of Work Stress, Work Discipline and Motivation on the Performance of Nurses at the Rantau Panjang Kiri Health Center, Kubu Babussalam District, Rokan Hilir Regency. FRIDAY FEB, 10(1), 4. https://jom.unri.ac.id/index.php/JOMFEKON/article/viewFile/34196/32850
Sari, D., Sari, N., Aryawati, W., & Riyanti. (2023). Factors Related to Nurses' Work Stress in the Emergency Installation and Operating Room of Dr. H. Abdul Moeloek Hospital. Journal of Ilkes, 14(2). https://doi.org/https://doi.org/10.35966/ilkes.v14i2.298
Saroinsong, D., Akay, T., & Berhimpong, V. (2024). The Relationship between Workload and Work Fatigue with Nurse Performance at Gmim Bethesda Tomohon Hospital. Sariputra Multidisciplinary Journal, 14(02).
Sasmita, N. F., Dereja, H. S. A., Rahmawati, I., Maydinar, D. D., & Oktobero, E. (2022). The Relationship between Work Stress and the Performance of Implementing Nurses in Hospitals. Tambusai Health Journal, 3(3). https://doi.org/https://doi.org/10.31004/jkt.v3i3.18727
Sudirman, Andri, M., & Nurfianti. (2022). The Relationship between Workload and Work Stress and the Performance of Nurses of Covid 19 Patients at Madani Hospital. MPPKI, 5(11), 1439–1441. https://doi.org/10.31934/mppki.v2i3
Syarli, S. (2024). Literature Review: Problem Solving Nurse Workload Problems with a Nursing Research Approach Seroja Husada, 1(4), 79–89. https://doi.org/10.572349/husada.v1i1.363
Tunny, H., & Rochmaedah, S. (2023). Workload of nurses in the Emergency Installation Room (IGD) of H. Ishak Umarela Hospital. Scientific Journal of Medicine and Health, 2(3), 238–246. https://doi.org/10.55606/klinik.v2i3.2093
Vanchapo, A. R. (2020). Workload and Work Stress. CV. Publisher Qiara Media.
Waryantini, & Maya. (2020). The Relationship between Workload and Nurse Performance in Performing Nursing Care in Hospital Inpatient Rooms. Healthy Journal, 8(1).
Yuli, A. G., Widhiastuti, H., & Dewi, R. (2018). Work Stress. Semarang University Press.
ANA. (2023, May). Mental Health and Wellness Survey 4. American Nurses Association.
Anggraini, R., Masitoh, R., & Ariyani, N. (2024). The Relationship between Workload and Work Stress Level in Nurses in Nakula Sadewa Ward of Panembahan Senopati Hospital Bantul. Aisyiyah University Yogyakarta, 2.
Asri, Hannan, M., & Nursam, W. S. (2023). The Effect of Work Stress on the Performance of Inpatient Nurses at Hajjah Andi Hospital Depu Polewa Mandar. Journal of Clinical Psychology, 5(2), 888. https://doi.org/10.35329/jp.v5i2.4516
Asriadi, Supri, A., & Pasande, T. D. (2024). Factors Affecting the Performance of Emergency Installation Maintainers. Mega Buana Journal of Nursing, 3(1).
Asriasi, Supri, A., & Pasande, T. D. (2024). Factors Affecting the Performance of Emergency Installation Nurses. Mega Buana Journal of Nursing, 3(1), 11–13. https://doi.org/10.59183/wn5x8g76
Darma, E., Windiyaningsih, C., & Lutfie, H. S. (2021). The Effect of Patient Introduction, Patient Condition, and Workload of Emergency Department Health Workers on Response Time at the Emergency Room of RSIA Bunda Aliyah Jakarta in 2020. Journal of Management and Administration of Indonesian Hospitals (MARSI), 5(1), 50–60. https://doi.org/10.52643/marsi.v5i1.1296
Dewa, M. P. C. P., Lede, P. C., Takalapeta, A. P., & Leba, A. L. (2024). Stress-Causing Factors in Nurses in Psychiatric Hospitals: Literature Review. Journal of Creative Student Research (JCSR), 2(3), 204–210. https://doi.org/10.55606/jcsrpolitama.v2i3.3876
Erviana, E. (2024). The Relationship of Workload to Work Stress in Emergency Room Nurses. Journal of the Health Society, 13(2), 105–106. https://doi.org/10.62094/jhs.v13i2.173
Erwanto, Leviana, B., Rahmawati, N., & Erlinda, S. A. P. (2025). The relationship between workload and nurse performance. Scientific Journal of Mandalika, 6.
Etlidawati, Jeni, P., & Kurniawan, A. R. (2023). Analysis of Workload with Nurse Performance in the Inpatient Room of the Integrated Mental Health Service Installation of Banyumas Hospital. Journal of Lighthouse Health, 6(2).
Fadillah, R., & Nurmalasari, M. (2024). The Relationship of Workload with Nurses' Work Stress Levels. Multi Science Scientific Journal of Health, 16(1), 166–168. https://jurnal.stikes-aisyiyah-palembang.ac.id/index.php/Kep/article/view/
Fathia, A. N., & Kurdaningsih, V. S. (2022). Characteristics of Nurses on Response Time in Handling Patient Emergencies in Emergency Departments. Journal of Aisyiyah Medika, 7(2), 89–90. https://doi.org/https://doi.org/10.36729
Fortuna, D. I. (2025). Factors Influencing Nurse Performance in Hospitals: A Literature Review. Journal of Health and Nursing Management, 1(4), 194–201. https://doi.org/10.35968/wnyrep90
Galuh, H., Indriyati, & Aryani, A. (2023). The Relationship between Workload and Work Stress with Performance in Nurses in the Acute Room of RSJD Surakarta. Senriabdi, 452–465. https://jurnal.usahidsolo.ac.id/index.php/SENRIABDI/article/view/1654
Gaziyyah, F. F., Sartika, & Puspitasari, A. (2025). Factors Related to Work Stress in Nurses in the Inpatient Room of Lasinrang Hospital. Journal of Public Health, 6(1), 102–112.
Hanoum, C. F., Rizan, M., & Anugrah, P. R. (2023). Job Stress of Female Nurses in Hospitals: Systematic Literature. Journal of Employment Development, 1(1). https://doi.org/10.59574/jpk.v1i1.24
Herawati, A., Setyowati, Afriani, T., Yatnikasari, A., & Dewi, S. (2021). Analysis of Causative Factors and Stress Management for Emergency Unit Nurses. JKJ: Indonesian National Nurses Association, 9(1), 113–114. https://jurnal.unimus.ac.id/index.php/JKJ/article/view/6594/1000
Iskandar, & Yuhansyah. (2018). The Effect of Motivation & Insecurity on Job Assessment That Impacts Job Satisfaction. Media Friends of Scholars. https://books.google.co.id/books?id=LkJ7DwAAQBAJ
Ismail, Haskas, Y., & Sabil, A. F. (2023). The relationship between work stress and nurses' performance in carrying out care. Student Scientific Journal & Nursing Research, 3(2), 30.
Layli, N. A., Suryawati, C., & Kusumastuti, W. (2023). The Effect of Motivation on Nurse Performance in Hospitals. Journal of Science and Health, 5(5), 870–877. https://doi.org/10.25026/jsk.v5i5.1758
Lisdayanti, Sabil, A. F., & Mutmainnah. (2022). The Relationship between Workload and Work Stress of Nurses and the Implementation of Nursing Care in Hospital Inpatients. Student Scientific Journal & Nursing Research, 2.
Melyana, D. I., & Saparwati, M. (2025). Overview of Nurses' Work Stress Levels in Hospital Inpatient Installations. Journal of Healthy Cultured Nursing, 3(1). https://doi.org/https://doi.org/10.35473/jkbs.v3i1.3522
Muhajirin, A. R. F., Sulaiman, L., & Setiwan, S. (2024). Analysis of Workload and Work Stress in Nurses. Bioscientist : Scientific Journal of Biology, 12(2), 1853. https://doi.org/10.33394/bioscientist.v12i2.12970
Muhajirin, A., Setiyadi, A., Rasid, A. H., Mulyati, T., Retno, Y., Tania, S., Purba, S., Redjeki, S., Yunitas, & Gita, I. (2025). The Relationship between Work Stress and Nurses' Performance in Carrying Out Nursing Services in Emergency Departments (IGD) and Intensive Care Units (ICUs). Journal of Midwifery, Nursing and Health (J-BIKES, 5(1), 63–69. https://doi.org/10.51849/j-bikes.v%vi%i.128
Mulyono, Saswati, N., & Harkomah, I. (2024). The Relationship between Workload and Nurses' Work Stress. Indonesian Journal of Science, 1(2), 236–237. https://doi.org/https://doi.org/10.31004/science.v1i2.36
Pangestu, A., Sucipto, A., & Wiludjeng, R. (2025). The Relationship between Workload and Performance and Fatigue of Nurses in the Inpatient Room of Sultan Imanuddin Kotawaringin West Hospital, Central Kalimantan. The Scientific Journal Helath (TSJH), 2(1). https://jurnal.stikesyahyabima.ac.id
Pourteimour, S., Yaghmaei, S., & Babamohamadi, H. (2021). The relationship between mental workload and job performance among Iranian nurses providing care to COVID-19 patients: A cross-sectional study. Journal of Nursing Management, 29(6), 1–2. https://doi.org/10.1111/jonm.13305
Putri, A. D., Asmuji, & Suryaningsih, Y. (2023). The Relationship between Workload and Nurses' Performance in Performing Nursing Care in the Inpatient Installation of Balung Hospital Based on Kopelman Theory. Health & Medical Sciences, 1(3). https://doi.org/10.47134/phms.v1i3.51
Ratnaningsih, D., Sumarni, T., & Siwi, S. (2024). The Relationship between Quality of Working Life and Nurse Performance. Journal of Professional Nursing Research, 2. https://doi.org/https://doi.org/10.37287/jppp.v6i2.2158
Safitri, R. A., & Budiono, D. P. N. (2025). The Relationship of Workload with Burnout Syndrome in Nurses in the Inpatient Room of Hospital X. JOURNAL OF PUBLIC HEALTH PEARL, 10(1), 34–42. https://doi.org/10.51544/jmkm.v10i1.6071
Saputra, C., Marzolina, & Rama, R. (2023). The Effect of Work Stress, Work Discipline and Motivation on the Performance of Nurses at the Rantau Panjang Kiri Health Center, Kubu Babussalam District, Rokan Hilir Regency. FRIDAY FEB, 10(1), 4. https://jom.unri.ac.id/index.php/JOMFEKON/article/viewFile/34196/32850
Sari, D., Sari, N., Aryawati, W., & Riyanti. (2023). Factors Related to Nurses' Work Stress in the Emergency Installation and Operating Room of Dr. H. Abdul Moeloek Hospital. Journal of Ilkes, 14(2). https://doi.org/https://doi.org/10.35966/ilkes.v14i2.298
Saroinsong, D., Akay, T., & Berhimpong, V. (2024). The Relationship between Workload and Work Fatigue with Nurse Performance at Gmim Bethesda Tomohon Hospital. Sariputra Multidisciplinary Journal, 14(02).
Sasmita, N. F., Dereja, H. S. A., Rahmawati, I., Maydinar, D. D., & Oktobero, E. (2022). The Relationship between Work Stress and the Performance of Implementing Nurses in Hospitals. Tambusai Health Journal, 3(3). https://doi.org/https://doi.org/10.31004/jkt.v3i3.18727
Sudirman, Andri, M., & Nurfianti. (2022). The Relationship between Workload and Work Stress and the Performance of Nurses of Covid 19 Patients at Madani Hospital. MPPKI, 5(11), 1439–1441. https://doi.org/10.31934/mppki.v2i3
Syarli, S. (2024). Literature Review: Problem Solving Nurse Workload Problems with a Nursing Research Approach Seroja Husada, 1(4), 79–89. https://doi.org/10.572349/husada.v1i1.363
Tunny, H., & Rochmaedah, S. (2023). Workload of nurses in the Emergency Installation Room (IGD) of H. Ishak Umarela Hospital. Scientific Journal of Medicine and Health, 2(3), 238–246. https://doi.org/10.55606/klinik.v2i3.2093
Vanchapo, A. R. (2020). Workload and Work Stress. CV. Publisher Qiara Media.
Waryantini, & Maya. (2020). The Relationship between Workload and Nurse Performance in Performing Nursing Care in Hospital Inpatient Rooms. Healthy Journal, 8(1).
Yuli, A. G., Widhiastuti, H., & Dewi, R. (2018). Work Stress. Semarang University Press.
Published
2026-01-05
How to Cite
Sri Aryanti Yusuf, Siti Rahma, & Rachmawaty D. Hunawa. (2026). The Relationship between Workload and Work Stress and Nurse Performance in the Emergency Installation (IGD) of Dr. M.M Dunda Limboto Hospital. International Journal of Health, Economics, and Social Sciences (IJHESS), 8(1), 246~257. https://doi.org/10.56338/ijhess.v8i1.9976
Section
Articles
Copyright (c) 2026 Sri Aryanti Yusuf, Siti Rahma, Rachmawaty D. Hunawa
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
