Analysis of workload, work environment, and work stress on nurse performance
DOI:
https://doi.org/10.53713/nhsj.v5i3.551Keywords:
workload, work environment, work stress, performanceAbstract
The decline in nurse performance significantly affects the service image of a hospital in the community. Poor nursing services lead to a lack of public confidence in the hospital's capabilities. The low quality of nursing services can be caused by many factors, such as the quality of nurses' working lives and burnout syndrome. High work handled by a few human resources will only result in a high workload and increased work stress. A conducive work environment not only helps nurses control stress but also allows them to improve their performance. Researchers aim to analyze the workload, work environment, and work stress on the performance of nurses. The number of samples used was 141 nurses who were willing to be respondents and not in a state that could affect data collection. The dependent variable is nurse performance, and the independent variables are workload, work environment, and work stress. Data was analyzed using the Chi-Square Analysis method with the SPSS 19.0 for Windows program. The results showed that the workload variable did not affect nurse performance, with a p-value of 0.513; the work environment variable affected nurse performance, with a p-value of 0.013; the work stress variable did not affect nurse performance, with a p-value of 0.484. The results indicate that the work environment is the only factor significantly associated with nurse performance among the variables examined. These findings suggest that interventions to improve nurse performance should prioritize optimizing the work environment. Work workload and work stress, as measured in this study, may not require targeted adjustments for performance enhancement.
References
Alhawajreh, M. J., Paterson, A. S., & Jackson, W. J. (2023). Impact of hospital accreditation on quality improvement in healthcare: A systematic review. PLOS ONE, 18(12), e0294180. https://doi.org/10.1371/journal.pone.0294180
Alojayfi, F. H. A., Alshammri, K. T., Alshotiri, R. H., Almarzoq, H. A. R., Alrashdan, A. G., Aljameeli, J. Z. M., ... & khalifah shafi Alshammary, H. (2024). The Influence of Workplace Environment on Nursing Performance in Hospitals and Health Centers: a Systematic Review. Journal of International Crisis and Risk Communication Research, 7(S5), 459. https://doi.org/10.63278/jicrcr.vi.2415
Alsadaan, N. (2025). Exploring the connections between destructive leadership styles, occupational pressures, support systems, and professional burnout in nursing: a cross-sectional survey. BMC nursing, 24(1), 681. https://doi.org/10.1186/s12912-025-03421-1
Ariga, F. A., Purba, J. M., & Nasution, M. L. (2020). The Relationship Of Emotional Intelligence, Workplace Culture, And Nurse Performance In A Private Hospital In Medan Indonesia. Belitung Nursing Journal, 6(3), 73–76. https://doi.org/10.33546/bnj.1063
Camicia, M., Lutz, B., Summers, D., Klassman, L., & Vaughn, S. (2021). Nursing's Role in Successful Stroke Care Transitions Across the Continuum: From Acute Care Into the Community. Stroke, 52(12), e794–e805. https://doi.org/10.1161/STROKEAHA.121.033938
Chen, X., Li, J., Arber, A., Qiao, C., Wu, J., Sun, C., Han, X., Wang, D., Zhu, Z., & Zhou, H. (2025). The impact of the nursing work environment on compassion fatigue: The mediating role of general self-efficacy. International Nursing Review, 72(2), e13044. https://doi.org/10.1111/inr.13044
Darmawan, T. ., Nirmala, R., & Mahayaty, L. (2024). Relationship Between Nursing Length of Work and Nursing Workload with Completeness of Using Personal Protective Equipment among Nurses in Hospital Infection Room. Nursing and Health Sciences Journal (NHSJ), 4(4), 423–426. https://doi.org/10.53713/nhsj.v4i4.428
Dimino, K., Learmonth, A. E., & Fajardo, C. C. (2021). Nurse managers leading the way: reenvisioning stress to maintain healthy work environments. Critical Care Nurse, 41(5), 52-58. https://doi.org/10.4037/ccn2021463
Freijser, L., Annear, P., Tenneti, N., Gilbert, K., Chukwujekwu, O., Hazarika, I., & Mahal, A. (2023). The role of hospitals in strengthening primary health care in the Western Pacific. The Lancet Regional Health - Western Pacific, 33, 100698. https://doi.org/10.1016/j.lanwpc.2023.100698
Galatzan, B. J., Shan, L., Johnson, E., & Patrician, P. A. (2025). Perceptions of Cognitive Load and Workload in Nurse Handoffs: A Comparative Study Across Differing Patient-Nurse Ratios and Acuity Levels. Computers, informatics, nursing : CIN, 43(1), e01216. https://doi.org/10.1097/CIN.0000000000001216
Goudarzian, A. H., Nikbakht Nasrabadi, A., Farhadi, B., & Navab, E. (2024). Exploring the concept and management strategies of caring stress among clinical nurses: A scoping review. Frontiers in Psychiatry, 15, 1337938. https://doi.org/10.3389/fpsyt.2024.1337938
Grace, P. J., Peter, E., Lachman, V. D., Johnson, N. L., Kenny, D. J., & Wocial, L. D. (2024). Professional responsibility, nurses, and conscientious objection: A framework for ethical evaluation. Nursing Ethics. https://doi.org/10.1177_09697330231180749
Hosseini Moghaddam, M., Mohebbi, Z., & Tehranineshat, B. (2022). Stress management in nurses caring for COVID-19 patients: a qualitative content analysis. BMC psychology, 10(1), 124. https://doi.org/10.1186/s40359-022-00834-4
Jackson, J., Maben, J., & Anderson, J. E. (2022). What are nurses’ roles in modern healthcare? A qualitative interview study using interpretive description. Journal of Research in Nursing. https://doi.org/10.1177_17449871211070981
Kapoor, N. (2024). Public health institutions and systems. Translational Gastroenterology, 449-452. https://doi.org/10.1016/B978-0-12-821426-8.00001-7
Kohnen, D., De Witte, H., Schaufeli, W. B., Dello, S., Bruyneel, L., & Sermeus, W. (2023). What makes nurses flourish at work? How the perceived clinical work environment relates to nurse motivation and well-being: A cross-sectional study. International Journal of Nursing Studies, 148, 104567. https://doi.org/10.1016/j.ijnurstu.2023.104567
Kurniawati, F., Fikaris, M. F., Eryani, I. S., Rohendi, A., & Wahyudi, B. (2023). The Effect Of Workload, Burnout, And Work Motivation On Nurse Performance. Jurnal Aplikasi Manajemen, 21(4), 915-927. https://doi.org/10.21776/ub.jam.2023.021.04.05
Nemati-Vakilabad, R., Kamalifar, E., Jamshidinia, M., & Mirzaei, A. (2025). Assessing the relationship between nursing process competency and work environment among clinical nurses: a cross-sectional correlational study. BMC nursing, 24(1), 134. https://doi.org/10.1186/s12912-025-02760-3
Noor, N. ., Rehman, S. ., & Gull, M. . (2023). Determinants of Work-Related Stress among Nursing Professionals. Pakistan Journal of Humanities and Social Sciences, 11(2), 1836–1849. https://doi.org/10.52131/pjhss.2023.1102.0486
Nwokedi, C. N., Soyege, O. S., Balogun, O. D., Mustapha, A. Y., Tomoh, B. O., Mbata, A. O., ... & Forkuo, A. Y. (2025). Addressing healthcare disparities: Tackling socioeconomic and racial inequities in access to medical services. Gulf Journal of Advance Business Research. https://doi.org/10.51594/gjabr.v3i3.118
Putri, A. A., Yanti, N. P. E. D., & Krisnawati, K. M. S. (2025). The relationship between workload and the mental health of nurses at the community health center. Nursing and Health Sciences Journal (NHSJ), 5(2), 185–192. https://doi.org/10.53713/nhsj.v5i2.490
Qureshi, S. M., Bookey-Bassett, S., Purdy, N., Greig, M. A., Kelly, H., & Neumann, W. P. (2022). Modelling the impacts of COVID-19 on nurse workload and quality of care using process simulation. PLOS ONE, 17(10), e0275890. https://doi.org/10.1371/journal.pone.0275890
Sarıköse, S., & Göktepe, N. (2022). Effects of nurses’ individual, professional and work environment characteristics on job performance. Journal of Clinical Nursing, 31(5-6), 633-641. https://doi.org/10.1111/jocn.15921
Singh, B. (2023). Reimagining human rights: harnessing the power of law for global health and sustainable development goals. Human Rights in the Global South (HRGS), 2(2), 93-105. https://doi.org/10.56784/hrgs.v2i2.65
Wiratikusuma, Y., Acihayati, J. P., & Supardi, S. (2023). The Effect Of Nursing Round Training On Patient Satisfaction In Nursing Services At RS X Jakarta. Jurnal Mutiara Ners, 6(1), 34–45. https://doi.org/10.51544/jmn.v6i1.3399
