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Fatigue and Work-Related Stress of Emergency Unit Nurses During






                                                                                                                                                                                                                    Pandemic at Covid-19 Referral Hospitals in Bali









                                                                                                                                                                                                                                                    I Gusti Ngurah Juniartha (1), Ni Luh Putu Shinta Devi (2)



                                                                                                                                                                                                                                                                  1,2 Nursing Department of Universitas Udayana



                                                                                                                                                                                                                                                                                                ngurahjuniartha@unud.ac.id











             INTRODUCTION                                                                                                                                                                                                                                                                                                              ER Nurses’ Fatigue Status                                                                                                                           DISCUSSION









                                                                                                                                                                                                                                                                           100
              As pandemic spreading, Covid-19 became a newest                                                                                                                                                                                                               90                                                                                                                                                                                                                   During the covid-19 pandemic, ER nurses face new




                                                                                                                                                                                                                                                                            80
              challenge for Emergency Room (ER) nurse. The novelty of                                                                                                                                                                                                       70                                                                                                                                                                                                                   conditions, dynamic change of conditions, constantly





              this disease has became an impact on their health status.                                                                                                                                                                                                     60                                                                                                                                                                                                                   changing                                  regulations,                                        uncertainty                                      about                         personal


                                                                                                                                                                                                                                                                            50
              The identified impact can be in the form of fatigue and work-                                                                                                                                                                                                 40                                                                                                                                                                                                                   protective equipment, overcrowding in wards, fear of




                                                                                                                                                                                                                                                                            30                                                                                                                                                                                                                   contagion all of which will increase their fatigue and work-
              related stress from handling patients and the risk of                                                                                                                                                                                                         20





              transmission. Even though the impact has been identified,                                                                                                                                                                                                     10                                                                                                                                                                                                                   related stress. Nevertheless, with good management and


                                                                                                                                                                                                                                                                             0                                                                                                                                                                                                                   adequate support, also the rewards given for treatment
                                                                                                                                                                                                                                                                                               Unfatigue                            Acute fatigue                        Chronic Fatigue
              there are no related data or research to assess this condition                                                                                                                                                                                                                                                                                                                                                                                                                     process, ER nurses are able to adapt to all these




              in ER nurses at Covid-19 referral hospitals in Bali. The aim of                                                                                                                                                                                                        Diagram 1. ER Nurses Fatigue status at Covid-19 referral hospitals                                                                                                                                          challenges which shown on low score fatigue and the





              this study was to analyze the impact of Covid-19 on fatigue                                                                                                                                                                                                                                    ER NURSES' WORK-RELATED STRESS                                                                                                                                                      mild range work-related stress they feel.





              and work-related stress of ER nurses at the Covid-19 referral



                                                                                                                                                                                                                                                                                            Moderate Stress
              hospital in Bali.                                                                                                                                                                                                                                                                       14%                                                                                       No Stress




                                                                                                                                                                                                                                                                                                                                                                                                    25%                                                                                     CONCLUTION


               METHODS                                                                                                                                                                                                                                                                                                                                                                                                                                                                           In fatigue status, it appears that the ER nurses at Covid-






                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 19 referral hospitals had experienced acute fatigue and






               This                     research                                is             a             quantitative                                       study                       using                       the                                                                                                                                                                                                                                                                      mild work-related stress level. It also can be said that





               Observational Analytic method and conducted at 11                                                                                                                                                                                                                                                                                                                                                                                                                                 Covid-19 related to ER nurses’ fatigue and work-related

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 sress.


               Emergency Rooms for Covid-19 referral hospital using the                                                                                                                                                                                                                              Mild Stress




                                                                                                                                                                                                                                                                                                           61%
               Proportional Random Sampling technique with a Cross





               Sectional approach. The samples involved in this study was                                                                                                                                                                                                     Diagram 2. ER Nurses Work-Related Stress at Covid-19 referral hospitals                                                                                                                                       ANKNOWLEDGMENTS




               206 ER nurses.                                                                                                                                                                                                                                                                                                                                                                                                                                                                    For this study, I am very grateful to the Udayana University to



                                                                                                                                                                                                                                                                     Table 1. Results of the Analysis of the Relationship between                                                                                                                                                                provide fundings, also all directors and COVID-19 Referral



                                                                                                                                                                                                                                                                             COVID-19 and Nurses' Fatigue and Work-related Stress                                                                                                                                                                Hospital Training and Education who have provided direction,





              RESULT                                                                                                                                                                                                                                                                                    Variables                            Respondents                                                  r                                p-value                                               as well as permission to carry out research activities.












                    The results of this study describe the fatigue status and                                                                                                                                                                                 Covid-19                                     Fatigue                                         206                                      0.266                                     0.001                                        Reference




                    work-related stress of ER nurses at the Covid-19 referral                                                                                                                                                                                                                                                                                                                                                                                                                    Asih, G.Y., Widhiastuti, H., & Dewi, R. (2018). Stress Kerja. Semarang:




                    hospital in Bali. Results can be seen at diagrams and table                                                                                                                                                                                                                    Work-related                                            206                                      0.322                                     0.006                                                               Semarang University Press.




                    beside.                                                                                                                                                                                                                                                                                  Stress                                                                                                                                                                              Bourgault, A. M. (2020). Reflections during the 2020 pandemic. Critical Care

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 Dwinell, L., & Andersen, M. (2020). A California Hospital ’ s Response to


                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  COVID-19 : From a Ripple to a. February, 1–16.


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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Leaders and Staff as Partners to Manage Grief and Build Resiliency


                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  During                        COVID-19.                                  Nurse                        Leader,                          19(3),                       308–311.


                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  https://doi.org/10.1016/j.mnl.2021.02.010



                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 Rosa, W. E., Ferrell, B. R., & Wiencek, C. (2020). Increasing Critical Care Nurse


                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Engagement of Palliative Care During the COVID-19 Pandemic. Critical



                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Care Nurse, e1–e8. https://doi.org/10.4037/ccn2020946
















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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     4 Udayana International Nursing Conference
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