Work and Individual Factors Influencing Stress Among Nurse Anesthetists in West Java, Indonesia
Abstract
Introduction: Anesthesia services have complex and high-risk work characteristics, which can impact work stress in health workers, including nurse anesthetists in the operating room. This research aims to determine the relationship between work and individual characteristics and the incidence of work stress experienced by nurse anesthetists.
Methods: The research method used was quantitative research with a cross-sectional approach. The population in this study were nurse anesthetists in the West Java region who were members of the DPD IPAI JABAR, totalling 765 people. The sample was chosen with non-probability sampling using a stratified random sampling technique based on the work area of the nurse anesthetists, totalling 88 people. The research instrument used a questionnaire about individual characteristics, work characteristics, and workload using the Maslach Burnout Inventory (MBI) questionnaire, created as a Google form sent via the DPD IPAI West Java admin. Data analysis uses regression with chi-square.
Results: The research results show that the average work stress is 58.15, with a minimum value of 23, a maximum of 87, and a moderate stress category of 81.8%. Work characteristics related to work stress include hospital type (p-value 0.003), length of work per day (p-value 0.016), and patient’s ASA (p-value 0.013). Meanwhile, individual characteristics related to work stress are age (0.002) and year of work (0.000).
Conclusion: Differences in working hours, type of hospital, work patterns, length of service, type of hospitals, as well as lack of seminars or education regarding stress management in the workplace, can influence work stress so that there is a need for clear work mapping for the hospital so that the quality of service can be provided optimally.
References
Alshehri S, Kayal M, Alahmad Almshhad H, Dirar Q, AlKattan W, Shibl A, et al. The Incidence of Needlestick and Sharps Injuries Among Healthcare Workers in a Tertiary Care Hospital: A Cross-Sectional Study. Cureus. 2023;15(4). DOI: 10.7759/cureus.38097. https://pubmed.ncbi.nlm.nih.gov/37252529/
Abdo Almoliky M, Elzilal HA, Alzahrani E, Abo-Dief HM, Saleh KA, Alkubati SA, et al. Prevalence and associated factors of needle stick and sharp injuries among nurses: A cross-sectional study. SAGE Open Med. 2024;12. DOI: 10.1177/20503121231221445. journals.sagepub.com/home/smo
Mehregan N, Adineh M, Saberipour B, Ghorbani P, Hemmatipour A, Alasvand M, et al. The prevalence of sharp object injuries among the operating room staff. J Nurs Midwifery Sci. 2019;5(1):149–55. DOI: 10.4103/JNMS.JNMS_10_18. http://www.jnmsjournal.org on
Noprianty R, Wahdana W, Suryanah A. Dampak Beban Kerja terhadap Produktifitas Kerja di Ruang Perioperasi. J Kepemimp dan Manaj Keperawatan. 2022;5(2). DOI: 10.4103/JNMS.JNMS_10_18. www.jnmsjournal.or.
Totonchilar S, Aarabi A, Eftekhari N, Mohammadi M. Examining workload variations among different surgical team roles, specialties, and techniques: a multicenter cross-sectional descriptive study. Perioper Med [Internet]. 2024;13(1):1–10. Available from: https://doi.org/10.1186/s13741-023-00356-6
Nasri BN, Mitchell JD, Jackson C, Nakamoto K, Guglielmi C, Jones DB. Distractions in the operating room: a survey of the healthcare team. Surg Endosc [Internet]. 2023;37(3):2316–25. Available from: https://doi.org/10.1007/s00464-022-09553-8
Noprianty R, Febianti SA, Fikri J. Analysis of Nurses Staff Needs Using Workload Indicate Staff Need in Pediatric Ward With Time Motion Study. J Medicoeticolegal dan Manaj Rumah Sakit. 2020;9(1):13–22. http://journal.umy.ac.id/index.php/mrs. https://doi.org/10.18196/jmmr.91112.
Amir H, Permatananda PANK, Cahyani DD, Langelo W, Rosita R, Sajodin S, et al. Enhancing skill conceptualization, critical thinking, and nursing knowledge through reflective case discussions: a systematic review. J Med Life. 2023;16(6):851–5. DOI: 10.25122/jml-2023-0042.
Noprianty R, Wahyudi FM, Wahdana W, Juarta T. Quality Assurance in The Surgical Ward of Hospital X in Bandung During the Covid- 19 Pandemic. 2023;4(1):37–42. https://journal.rescollacomm.com/index.php/ijqrm/index
Sukma M, Syahrul MZ. Burnout Syndrome Pada Staf Kamar Operasi Dan Faktor Penyebab: Literature Review. J … [Internet]. 2023;4(4):5681–94. Available from: http://journal.universitaspahlawan.ac.id/index.php/jkt/article/view/21782
Charuniza T, Syarifuddin H, Jalius J. Analisis Kualitas Mikrobiologi Udara Dalam Kamar Operasi Pada Instalasi Bedah Sentral Rumah Sakit “X” Kota Jambi Tahun 2019. J Pembang Berkelanjutan. 2020;3(2):7–12. DOI : 10.22437/jpb.v3i2.8944
Upadhyai R, Jain AK, Roy H, Pant V. A Review of Healthcare Service Quality Dimensions and their Measurement. J Health Manag. 2019;21(1):102–27. DOI: 10.1177/0972063418822583. journals.sagepub.com/home/jhm
Lewar EI, Putra I. The effects of differences in the divison of labor on fatigue of nurse anesthetists in operating rooms in indonesia: Pengaruh perbedaan sistem pembagian kerja …. Bali Med J [Internet]. 2021;8(4):404–11. Available from: https://balimedikajurnal.com/index.php/bmj/article/view/223%0Ahttps://balimedikajurnal.com/index.php/bmj/article/download/223/137. DOI: https://doi.org/10.36376/bmj.v8i4 ISSN.
Maryani L, Anggreny Y, Rohita T, Astari DW, Sakti B, Susilowati YA, et al. Kepemimpinan dan Manajemen Keperawatan (Berdasarkan Kurikulum Pendidikan Ners Indonesia Tahun 2021) [Internet]. 1st ed. Vol. 1, Buku Ajar. Purbalingga: CV Eureka Media Aksara; 2024. 428 p. Available from: http://link.springer.com/10.1007/978-3-319-59379-1%0Ahttp://dx.doi.org/10.1016/B978-0-12-420070-8.00002-7%0Ahttp://dx.doi.org/10.1016/j.ab.2015.03.024%0Ahttps://doi.org/10.1080/07352689.2018.1441103%0Ahttp://www.chile.bmw-motorrad.cl/sync/showroom/lam/es/
Noprianty R, Dewi W, Muhsinin S, Soleha S, Sugiharti I, Andriyansyah I. Perencanaan Sumber Daya Manusia Kesehatan Rumah Sakit Melalui Pelatihan Aplikasi Software Workload Indicators of Staffing Need. PengabdianMu J Ilm Pengabdi Kpd Masy. 2023;8(5). https://journal.umpr.ac.id/index.php/pengabdianmu/article/view/4991 DOI: https://doi.org/10.33084/pengabdianmu.v8i5.4991
Kim I, Kim HR. Factors Associated with Job Stress and Their Effects on Mental Health among Nurses in COVID-19 Wards in Four Hospitals in Korea. Healthc. 2023;11(10). https://www.mdpi.com/journal/healthcare. https://doi.org/10.3390/healthcare11101500
Noprianty R, Mourly F. Quality Of Work Life Of Nurse Anesthetist During Covid-19 In Indonesia. J Medicoeticolegal dan Manaj [Internet]. 2021;10(December):271–81. Available from: https://journal.umy.ac.id/index.php/mrs/article/view/12589. http://journal.umy.ac.id/index.php/mrs. DOI. https://doi.org/10.18196/jmmr.v10i3.12589
Almino RHSC, Pereira da Silva AB, Dantas AL de M, Menezes HF de, da Costa Prado NC, Stefany da Costa Santos R, et al. Middle-Range Theory of Occupational Stress in Health Professionals. SAGE Open Nurs. 2024;10. DOI: 10.1177/23779608241236290 journals.sagepub.com/home/son.
Asimah Ackah V, Adzo Kwashie A. Exploring the sources of stress among operating theatre nurses in a Ghanaian teaching hospital. Int J Africa Nurs Sci [Internet]. 2023;18(April):100540. Available from: https://doi.org/10.1016/j.ijans.2023.100540.
Zulhadi MZ. Hubungan Tingkat Stres Kerja Terhadap Kinerja Penata Anestesi Kota Padang. 2023.
Noprianty R. Buku Ajar Manajemen dan Kepemimpinan dikembangkan Berdasarkan Teori Keperawatan dan Dilengkapi Dengan Studi Kasus, Daftar Tilik Dan Soal-Soal [Internet]. 1st ed. Sleman: Deepublish; 2023. 371 p. Available from: https://r2kn.litbang.kemkes.go.id/handle/123456789/76568
Sulaeman I, Noprianty R, Wirda E, Yahana Teodososia. Kepemimpinan dan Manajemen Keperawatan. 2024. 245 p. Bandung: CV Media Sains Indonesia.
Noprianty R. 2023. Buku Ajar Manajemen dan Kepemimpinan. Yogyakarta: Deepublish. 353 p.
Noprianty R, Nafiz MH, Herawan R. The Completeness of Filling in the Anesthesia Card Form in West Java , Indonesia. Int J Sci Res. 2024;13(1):1122–7. DOI: https://dx.doi.org/10.21275/SR24117111059
Noprianty R, Putri RA, Manuopo H. Compliance in Filling Surgical Safety Checklist at The Central Surgical Installation. JAI (Jurnal Anestesiol Indonesia). 2024;16(3):208–17. DOI: https://doi.org/10.14710/jai.v0i0.61515
Bittinger AC, Dunn K, Hranchook A, Codie E. Relationship Between Emotional Intelligence and Occupational Stress Levels Among Certified Registered Nurse Anesthetists. AANA J. 2020;88(5):398–404.
Adolph R. Leadership Style, Work Load, Motivation And Stress On The Performance Of Nurses Of Central Surgical Installations Of Orthopedi Prof. Soeharso Hospital Surakarta Mustika. Int J Econ Bus Account Res. 2021;5(3):1268–80. https://jurnal.stie-aas.ac.id/index.php/IJEBAR.
Teymoori E, Zareiyan A, Babajani-Vafsi S, Laripour R. Viewpoint of operating room nurses about factors associated with the occupational burnout: A qualitative study. Front Psychol. 2022;13(August):1–11. https://doi.org/10.3389/fpsyg.2022.947189
Copyright (c) 2025 Journal of Public Health and Pharmacy

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Authors who publish with Journal of Public Health and Pharmacy retain the copyright of their work. The journal applies a Creative Commons Attribution-ShareAlike 4.0 International License (CC BY-SA 4.0), which grants the following rights:
-
Copyright Retention: Authors retain the copyright of their work, maintaining full control over their intellectual property without restrictions.
-
Right of First Publication: Authors grant the journal the right of first publication of their work. This ensures that the work is initially published and credited in Journal of Public Health and Pharmacy.
-
License to Share and Reuse: The work is licensed under CC BY-SA 4.0, allowing others to copy, distribute, remix, and build upon the work for any purpose, even commercially, as long as proper credit is given to the authors, and any new creations are licensed under the same terms.