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"Pandemi Covid-19 merupakan kondisi baru yang menimbulkan burnout atau kelelahan kerja pada tenaga kesehatan. Burnout dapat mempengaruhi berlangsungnya kolaborasi interprofesional membuat kualitas pelayanan kesehatan menjadi terganggu. Penelitian ini merupakan penelitian kuantitatif dengan desain cross-sectional yang bertujuan untuk mengetahui adanya hubungan antara tingkat burnout dan kolaborasi tim Covid-19 di Rumah Sakit Pendidikan. Sampel penelitian sebesar 88 responden teridir atas dokter, perawat, radiographer, dan analisis laboratorium yang dipilih dengan teknik purposive sampling. Pengambilan data penelitian menggunakan instrumen yaitu Maslach Burnout Inventory-Human Service Survey (MBI-HSS) dan Assessment of Interprofessional Team Collaboration Scale II (AITCS II). Analisis data yang digunakan yaitu analisis univariat dan analisis bivariat dengan uji Chi-square. Hasil penelitian menunjukkan tidak ada hubungan antara tingkat burnout dan kolaborasi tim Covid-19 di Rumah Sakit Pendidikan (p value > 0.05). Penelitian ini merekomendasikan agar Rumah Sakit dapat menurunkan kondisi kelelahan diantaranya melakukan relaksasi otot progresif pada tenaga kesehatan serta meningkatkan kolaborasi interprofesi dengan membentuk tim Covid-19 yang terdiri dari profesi berbeda.

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The Covid-19 pandemic is a new phenomenon that causes burnout or work fatigue among health workers. Burnout can affect the ongoing interprofessional collaboration as well as causing disruption the quality of health services. This study is a quantitative study with cross-sectional design that aims to determine the relationship between burnout levels and the inter professional collaboration of the Covid-19 team at Teaching Hospital. The research sample was 88 respondents consisting of doctors, nurses, radiographers, and laboratory analysts who were selected by purposive sampling technique. The research data were collected using 2 instruments: the Maslach Burnout Inventory-Human Service Survey (MBI-HSS) and the Assessment of Interprofessional Team Collaboration Scale II (AITCS II). The data were then analyzed using both univariate analysis and bivariate analysis. The bivariate analysis used is Chi-square test. The results showed that there was no significant relationship of burnout levels and the Covid-19 team interprofessional collaboration during pandemic in Teaching Hospital (p value > 0.05). This study recommends that hospitals can reduce burnout conditions including progressive muscle relaxation for health workers and increasing interprofessional collaboration by forming a Covid-19 team consisting of different professions."

"Kolaborasi interprofesional merupakan hal penting dalam pelayanan perawatan. Stereotip dianggap sebagai hambatan dalam penerapan kolaborasi interprofesional. Artikel ini merupakan hasil penelitian yang bertujuan untuk membuktikan adanya hubungan stereotip terhadap implementasi kolaborasi tenaga kesehatan di RSUD Pasar Rebo. Penelitian ini menggunakan metoda deskriptif analitik cross sectional. Responden penelitian ini yaitu dokter, perawat, ahli gizi, dan farmasis (N=88). Sampel penelitian diambil dengan cara stratified random sampling. Penelitian menggunakan Student Stereotypes Rating Questionnaire (SSRQ) dan Assessment of Interprofessional Team Collaboration Scale (AITCS) sebagai instrumen penelitian. Hasil penelitian menunjukkan adanya hubungan antara stereotip terhadap implementasi kolaborasi tenaga kesehatan (p=0.009; α=0.05). Analisis bivariat menunjukkan stereotip kategorik rendah berdasarkan 9 poin yang ada di SSRQ dan implementasi kolaborasi buruk berdasarkan partnership/shared decision making, coorperation, dan coordination mendominasi. Rekomendasi penelitian ini adalah perlu dilakukan penelitian lebih lanjut, mengupayakan meningkatkan hubungan interpersonal dengan tenaga kesehatan lainnya melalui pendekatan pemahaman peran masing-masing tenaga kesehatan dan memfasilitasi upaya tersebut merupakan hal yang penting.

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Interprofessional collaboration is essential in healthcare. Stereotype are considered as barrier for interprofessional collaboration practice. This aim of this article is to prove the significant correlation between stereotype and interprofessional collaboration practice in RSUD Pasar Rebo. Cross sectional analytical was used in this study. Participants were healthcare provider which consist of physician, nurse, pharmacy, and dietitian in RSUD Pasar Rebo (N=88). This study used Student Stereotypes Rating Questionnaire (SSRQ) and Assessment of Interprofessional Team Collaboration Scale (AITCS) as its instrument. Sample were taken by stratified random sampling.

This study showed there is correlation between stereotype with interprofessional collaboration practice (p=0.009; α=0.05). The result of bivariate analysis showed that low stereotype based on 9 point in SSRQ and bad implementation interprofessional collaboration based on partnership/shared decision making, cooperation, and coordination dominates. Based on result, to do other research is needed, the effort to do more in interpersonal relationship with understanding of each role member team, and facilitate this effort is important."

"Peternakan ayam PT Indocentral Desa Sukatani merupakan peternakan ayam petelur yang berdiri sejak 1979. Jumlah ayam petelur pada peternakan sebesar 100.000 ekor. Salah satu dampak negatif dari adanya peternakan adalah bau yang disebabkan oleh konsentrasi gas amoniak yang tinggi. Penelitian ini dilakukan untuk menganalisis pengaruh konsentrasi amoniak dari peternakan ayam PT Indocentral Desa Sukatani terhadap gangguan kesehatan pekerja dan masyarakat sekitar. Konsentrasi amoniak diukur dengan menggunakan metode spektrofotometer-Nessler pada panjang gelombang 425 nm. Variasi titik pengambilan sampel konsentrasi amoniak didasarkan pada jenis kandang dan umur ayam. Pengaruh konsentrasi amoniak di udara dengan gangguan kesehatan dinyatakan dalam bentuk korelasi, yang didapatkan dengan menggunakan korelasi Momen Product Pearson. Konsentrasi rata-rata amoniak yang didapatkan pada area peternakan ayam PT Indocentral sebesar 38,1 ppm. Konsentrasi maksimum ditemukan sebesar 100,6 ppm pada area kandang ayam dewasa.

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PT Indocentral poultry is used for breeding laying hen that has been building in 1979. This poultry have 100,000 laying hen. One of the negative impact form poultry is odor proceed form high ammonia concentration. This study analyzes influence of ammonia concentration from PT Indocentral poultry toward health disruption of worker and surrounding community. Ammonia concentration was measured by spectrophotometer-Nessler method with 425 nm wavelength. Variation of test point ammonia concentration was based of cage type and hen age. The influence of ammonia concentration in air with health disruption was expressed in correlation. This correlation was gotten from Momen Product Pearson Correlation. The average of ammonia concentration from this study in PT Indocentral poutry is 38,1 ppm. This study found the maximum of ammonia concentration is 100,6 ppm in cage of adult hen."

"Melalui gangguan ekonomi dan dampak pada jam kerja yang masif, krisis Covid-19 telah berdampak pada 3,3 miliar tenaga kerja dunia. Salah satu sektor ekonomi yang berdampak akibat virus Covid-19 adalah sektor konstruksi. Ketakutan dan kecemasan tentang penyakit Covid-19 dan faktor-faktor lainnya dapat berpengaruh terhadap tingkat distres.  Tujuan penelitian ini ingin menganalisis faktor bahaya psikososial yang berhubungan dengan tingkat distres pada sektor konstruksi Proyek XYZ di masa pandemi Covid-19. Penelitian ini dilaksanakan pada bulan Maret-Juni 2022 dengan menggunakan metode kuantitatif dengan desain studi cross-sectional. Responden dan sampel pada penelitian ini adalah seluruh staff kontraktor serta subkontraktor pada Proyek PT XYZ. Distres diukur menggunakan Pandemic-Related Perceived Stress Scale of Covid-19 (PSS-10-C). Data dianalisis menggunakan Chi-Square dan regresi logistic ganda. Pada Proyek PT XYZ memiliki tingkat distres sedang (67.6%) dan rendah (32.4%). Analisis regresi logistic ganda menunjukan bahwa faktor dominan yang berhubungan dengan tingkat distres yaitu hubungan keluarga-pekerjaan. Proyek PT XYZ mengalami tingkat distres sedang dan rendah selama pandemi Covid-19. Hubungan keluarga-pekerjaan yang baik dibutuhkan untuk mencegah meningkatnya tingkat distres di sektor konstruksi PT XYZ selama pandemi Covid-19.

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Through economic disruption and massive impact on working hours, the Covid-19 crisis has impacted the world's 3.3 billion workforce. One of the economic sectors impacted by the Covid-19 virus is the construction sector. Fear and anxiety about the Covid-19 disease and other factors can affect the level of distress. This study aims to analyze the psychosocial hazard factors associated with the level of distress in the PT XYZ Project construction sector during the Covid-19 pandemic. This research was conducted in March-June 2022 using quantitative methods with a cross-sectional study design. Respondents and samples in this study were all contractor staff and subcontractors on the PT XYZ Project. The distress level is measured using the Pandemic-Related Perceived Stress Scale of Covid-19 (PSS-10-C). Data are analyzed using Chi-Square and multiple logistic regression. The PT XYZ project has a moderate (67.6%) and low (32.4%) levels of distress. Multiple logistic regression analysis showed that the dominant factor associated with the level of distress is family-work relationship. The PT XYZ project experienced moderate and low levels of distress during the Covid-19 pandemic. Good family – work relationships is needed to prevent an increase in the level of distress in PT XYZ's construction sector during the Covid-19 pandemic."

"Penelitian ini bertujuan untuk melihat secara spesifik hubungan antara jenis-jenis tuntutan kerja (quantitative job-demand,cognitive demand, &emotional demand) dengan burnout serta melihat jenis tuntutan kerja mana yang paling dirasanakan tenaga kesehatan. Penelitian dilakukan kepada 317 tenaga kesehatan (Perawat 75%, 77.3% Perempuan, rentang usia berkisar dari 20-65 tahun) Menggunakan alat ukur Oldenburg burnout inventoryuntuk mengukur burnout, dan bagian dari Copenhagen Psychosocial Questionnaire-II untuk mengukur tuntutan kerja. Pengambilan data dilakukan secara daring dan menggunakan teknik convenient sampling dan dilakukan selama 7 hari. Hasil penelitian menunjukkan bahwa terdapat hubungan positif yang signifikan antara quantitative demand dan burnout (r = .46, p < .01), lalu terdapat hubungan positif yang signifikan antara cognitive demand dan burnout (r = .31, p < .01) dan terdapat hubungan positif yang signifikan antara emotional demand dan burnout (r = .37, p < .01). Tuntutan kerja dengan jenis emotional demand yang tinggi dirasakan oleh 84% tenaga kesehatan, diikuti dengan cognitive demand yang tinggi dirasakan oleh 64% tenaga kesehatan, dan quantitative job demand yang tinggi dirasakan oleh 30% tenaga kesehatan.

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This study aim to analyze the specific relationship between various type of job-demand (quantitative job-demand, cognitive demand, & emotional demand) with burnout and seek which type that healthcare workers experienced the most. The study was conducted on 317 healthcare workers (75% nurse, 77.3% female, age range 20-65 years) using the Oldenburg Burnout Inventory to measure burnout, and several part of the Copenhagen Psychosocial Questionnaire-II to measure job-demand. The data were collected using online questionnaire, we also used convenient sampling method, the data collection we’re took seven days. We founded that quantitative job-demand corelates with burnout (r = .46, p <.01), cognitive demand also corelates with burnout (r = .31, p <.01) and emotional demand also corelates with burnout (r = .37, p <.01). The majority of healthcare workers experienced that emotional demand are the worse. We also founded that 84% of healthcare workers felt high emotional demand, 64% of healthcare workers felt a high cognitive demand, and 30% of healthcare workers felt high quantitative job demand."

"Setidaknya 1 dari 200 pasien COVID-19 akan mengalami DVT, dan sekitar 20% kasus VTE berhubungan dengan COVID-19. Risikonya meningkat empat kali lipat pada pasien COVID-19. Munculnya berbagai faktor patofisiologis yang berkontribusi terhadap terjadinya DVT pada pasien COVID-19 menimbulkan pertanyaan menarik mengenai perbedaan dalam karakteristik luaran pasien DVT sebelum dan selama pandemi, serta variasi dalam perawatan dan hasil pasien. Desain penelitian yang digunakan adalah studi kohort retrospektif untuk melihat perbandingan karakteristik dan manajemen pasien DVT (Deep Vein Thrombosis) sebelum dan selama pandemi COVID-19. Didapatkan data 489 subyek yang diikutsertakan dalam penelitian ini dengan nilai rata-rata usianya adalah 50.72 ± 18.00. Berdasarkan waktu terkenanya DVT, dari 489 subyek tersebut, sebagian besar sampel yaitu sebanyak 344 orang (72.9%) merupakan pasien yang mengalami DVT selama pandemi COVID. Berdasarkan status mortalitas, terdapat 336 orang (71.8%) yang masih hidup setelah mengalami DVT. Berdasarkan keberadaan perdarahan hebat, sebagian besar subyek yaitu 402 orang (82.2%) tidak mengalami perdarahan hebat. Berdasarkan status rekurensi, terdapat 321 orang (65.7%) yang mengalami rekurensi yaitu kembali dirawat dengan diagnosa yang sama dalam 1 tahun pertama setelah pertama kali dirawat. Sebanyak 479 orang (97.9%) tidak mengalami emboli paru. Didapatkan nilai rata-rata durasi rawat inap selama 13.41 ± 9.89 hari. Berdasarkan hasil pemeriksaan D-Dimer, didapatkan nilai rata-rata 3008.21 ± 1494.59 ng/mL. Sedangkan hasil pemeriksaan fibrinogen, didapatkan nilai rata-rata 301.06 ± 58.63 mg/dL. Dalam melihat komparasi data DVT sebelum dan selama pandemic COVID-19, dari 4 variabel yang dilihat, hanya D-Dimer yang memiliki perbedaan yang signifikan berupa peningkatan nilai rata-rata apabila dibandingkan antara sebelum pandemic COVID (2052.34 ± 568.30 ng/mL) dan selama COVID (3363.89 ± 1573.79 ng/mL) dengan nilai p < 0.001. Hasil berbeda terjadi pada fibrinogen yang tidak memiliki perbedaan yang signifikan antara sebelum pandemic COVID (295.66 ± 57.28 mg/dL) dibandingkan dengan selama COVID (303.06 ± 59.08 mg/dL) dengan nilai p 0.223. Ditemukan bahwa pada pasien COVID-19 didapati nilai D-Dimer yang lebih tinggi (nilai p <0.001) serta fibrinogen yang lebih tinggi secara signifikan (p=0.032).

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At least 1 in 200 COVID-19 patients will experience DVT, and approximately 20% of VTE cases are related to COVID-19. The risk increases fourfold in COVID-19 patients. The emergence of various pathophysiological factors that contribute to the occurrence of DVT in COVID-19 patients raises interesting questions regarding differences in the outcome characteristics of DVT patients before and during the pandemic, as well as variations in patient care and outcomes. The research design used was a retrospective cohort study to compare the characteristics and management of DVT (Deep Vein Thrombosis) patients before and during the COVID-19 pandemic. Data were obtained for 489 subjects who were included in this study with an average age value of 50.72 ± 18.00. Based on the time of DVT, of the 489 subjects, the majority of the sample, namely 344 people (72.9%) were patients who experienced DVT during the COVID pandemic. Based on mortality status, there were 336 people (71.8%) who were still alive after experiencing DVT. Based on the presence of severe bleeding, the majority of subjects, namely 402 people (82.2%) did not experience severe bleeding. Based on recurrence status, there were 321 people (65.7%) who experienced recurrence, namely being treated again with the same diagnosis within the first year after first being treated. A total of 479 people (97.9%) did not experience pulmonary embolism. The average duration of hospitalization was 13.41 ± 9.89 days. Based on the results of the D-Dimer examination, an average value of 3008.21 ± 1494.59 ng/mL was obtained. Meanwhile, the results of the fibrinogen examination showed an average value of 301.06 ± 58.63 mg/dL. In looking at the comparison of DVT data before and during the COVID-19 pandemic, of the 4 variables looked at, only D-Dimer had a significant difference in the form of an increase in the average value when compared between before the COVID pandemic (2052.34 ± 568.30 ng/mL) and during COVID (3363.89 ± 1573.79 ng/mL) with p value < 0.001. Different results occurred in fibrinogen which did not have a significant difference between before the COVID pandemic (295.66 ± 57.28 mg/dL) compared to during COVID (303.06 ± 59.08 mg/dL) with a p value of 0.223. It was found that COVID-19 patients had higher D-Dimer values (p value <0.001) and significantly higher fibrinogen (p=0.032)."

"Sindroma metabolik merupakan salah satu permasalahan kesehatan yang menjadi perhatian. Prevalensi sindroma metabolik di Indonesia diketahui sebesar 21,66%, dengan prevalensi di Jakarta sebesar 37,5%. Kejadian sindroma metabolik seringkali dihubungkan dengan faktor risiko terkait gaya hidup di antaranya aktivitas fisik dan perilaku sedenter. Berdasarkan data Riskesdas 2013 dan 2018, terjadi penurunan tingkat aktivitas fisik pada penduduk Indonesia. Pekerja perkantoran merupakan salah satu populasi yang berisiko terhadap penurunan aktivitas fisik. Hal ini karena rendahnya kebutuhan akan aktivitas fisik selama bekerja dan tinggnya waktu yang dihabiskan dalam posisi sedenter. Pandemi COVID-19 menyebabkan pemberlakuan pembatasan aktivitas dan kebijakan work from home (WFH). Kebijakan tersebut menyebabkan semakin menurunnya tingkat aktivitas fisik pada pekerja disertai peningkatan perilaku sedenter yang menyebabkan pekerja menjadi lebih rentan mengalami sindroma metabolik. Penelitian ini bertujuan untuk mengetahui hubungan antara tingkat aktivitas fisik dengan kejadian sindroma metabolik pada pekerja perkantoran di masa pandemi COVID-19, serta mengetahui faktor-faktor lain yang memengaruhi. Penelitian ini menggunakan desain potong lintang dengan data sekunder yang diperoleh dari data Posbindu PTM yang dilaksanakan pada salah satu institusi pendidikan negeri di DKI Jakarta. Subjek penelitian berjumlah 270 pekerja berusia 22-58 tahun yang terdiri dari 99 laki-laki dan 171 perempuan. Pada analisis bivariat ditemukan bahwa tingkat aktivitas fisik tidak berhubungan secara signifikan dengan kejadian sindroma metabolik (p = 0,321), namun ditemukan hubungan yang signifikan antara waktu sedenter (p = 0,017), usia (p <0,001), dan jenis kelamin (p = 0,04). Berdasarkan analisis multivariat, ditemukan variabel usia yang memengaruhi kejadian sindroma metabolik. Dapat disimpulkan bahwa tingkat aktivitas fisik tidak berhubungan secara signifikan dan tidak memengaruhi kejadian sindroma metabolik pada pekerja perkantoran di masa pandemi COVID-19.

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Metabolic syndrome is one of the health problems of concern. The prevalence of metabolic syndrome in Indonesia is known to be 21.66%, with a prevalence in Jakarta of 37.5%. The incidence of metabolic syndrome is often associated with lifestyle-related risk factors, including physical activity and sedentary behavior. Based on data from Riskesdas 2013 and 2018, there was a decrease in the level of physical activity in the Indonesian population. Office workers are one of the populations at risk for decreased physical activity. This is due to the low need for physical activity during work and the high time spent in a sedentary position. The COVID-19 pandemic has led to the implementation of activity restrictions and work from home (WFH) policies. This policy causes a decrease in the level of physical activity in workers accompanied by an increase in sedentary behavior which causes workers to become more susceptible to metabolic syndrome. This study aims to determine the relationship between the level of physical activity with the incidence of metabolic syndrome in office workers during the COVID-19 pandemic, as well as to determine other influencing factors. This study used a cross-sectional design with secondary data obtained from Posbindu PTM data which was carried out at one of the public educational institutions in DKI Jakarta. The research subjects were 270 workers aged 22-58 years consisting of 99 men and 171 women. Bivariate analysis found that the level of physical activity was not significantly associated with the incidence of metabolic syndrome (p = 0.321), but found a significant relationship between sedentary time (p = 0.017), age (p < 0.001), and gender (p = 0 ,04). Based on multivariate analysis, it was found that age variable that affects the incidence of metabolic syndrome. It can be concluded that the level of physical activity is not significantly related and does not affect the incidence of metabolic syndrome in office workers during the COVID-19 pandemic."

"Latar Belakang: Pandemi COVID-19 melibatkan berbagai sektor kehidupan yang berpeluang menimbulkan permasalahan yang menjadi sumber stress bagi masyarakat, salah satunya adalah perubahan metode pelaksanaan pembelajaran di perguruan tinggi menjadi pembelajaran daring melalui media dan terhubung dengan jaringan (internet). Pembelajaran daring dengan beban akademis ditambah kewajiban untuk isolasi dapat berpengaruh terhadap berkurangnya interaksi sosial dan menjadi faktor risiko untuk fenomena academic burnout dan penurunan nilai kesehatan mental. Tujuan: Untuk mengetahui hubungan pembelajaran daring di masa pandemi Covid-19, faktor internal, dan faktor eksternal terhadap academic burnout dan kesehatan mental mahasiswa preklinik Fakultas Kedokteran Gigi Universitas Indonesia tahun 2021. Metode: Studi cross-sectional berupa kuesioner online pada mahasiswa preklinik Fakultas Kedokteran Gigi Universitas Indonesia tahun 2021 dengan total population sampling berjumlah 372 mahasiswa pada bulan Juli hingga Agustus 2021. Kuesioner terdiri dari 39 pertanyaan. Digunakan uji korelasi melalui uji Spearman dengan melihat nilai p-value dan r (koefisien korelasi) untuk analisis statistik. Hasil: Berdasarkan uji Spearman, terdapat hubungan yang signifikan (p<0,05) antara pembelajaran daring dengan academic burnout dan kesehatan mental, antara beberapa dimensi academic burnout dengan durasi pendidikan dan dukungan orang tua, dan antara beberapa dimensi kesehatan mental dengan dukungan orangtua dan dukungan peer group. Kesimpulan: Semakin baik persepsi mahasiswa terhadap kualitas pembelajaran daring, maka semakin rendah nilai academic burnout dan semakin tinggi kualitas kesehatan mentalnya. Selain itu, mahasiswa masih banyak mahasiswa yang memiliki nilai academic burnout di tingkat moderat dan tinggi, dan nilai kesehatan mental yang di bawah rata-rata. Kemudian, ditemukan bahwa durasi pendidikan dan dukungan sosial dari orang tua dan peer group memiliki hubungan dengan beberapa dimensi dari academic burnout dan kesehatan mental.

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Background: The COVID-19 pandemic involves various sectors of life that may cause many problems that become a source of stress for the community, one of which is the change in the method of conventional learning in universities to online learning through media and connected to the internet. Online learning with an academic load and obligation to social distancing during a COVID-19 pandemic can affect reduced social interaction and be a risk factor for the phenomenon of academic burnout and mental health decline. Objective: To determine the relationship of online learning during the COVID-19 pandemic, internal and external factors to academic burnout and mental health of undergraduate Undergraduate Dental Students University of Indonesia in 2021. Methods: Cross- sectional study in the form of online questionnaires for undergraduate dental students with a total population sampling of 372 students from July to August 2021. The questionnaire consists of 39 questions. The correlation test is used through the Spearman test by looking at the p-value and r (correlation coefficient) for statistical analysis. Results: Based on the Spearman test, there was a significant relationship (p<0.05) between online learning and academic burnout and mental health, between several dimensions of academic burnout and the duration of education and parental support, and between several dimensions of mental health and parental support. peer group support. Conclusion: The better the student's perception of the quality of online learning, the lower the academic burnout value and the higher the quality of mental health. In addition, there are still many students who have moderate and high academic burnout scores, and mental health scores that are below average. Then, it was found that the duration of education and social support from parents and peer groups was associated with several dimensions of academic burnout and mental health."

"Pendahuluan: Selama pandemi COVID-19, terjadi peningkatan beban kerja, serta kewaspadaan dan kepatuhan yang lebih besar dalam bekerja. Tenaga kesehatan harus menjalankan tugasnya dalam menghadapi ketakutan terhadap infeksi COVID-19 yang dapat memicu dan/atau memperparah stres. Penelitian ini bertujuan untuk mengetahui faktor determinan stres petugas kesehatan pada masa pandemi dengan menekankan pada perubahan situasi psikososial di rumah sakit.Metode penelitian: Studi potong lintang ini dilakukan dari bulan Januari sampai Maret 2021 dengan menggunakan kuesioner online yang terdiri dari kuesioner pribadi dan pekerjaan, serta kuesioner stres dan stres yang divalidasi menggunakan uji validitas dan reliabilitas (Cronbach's alpha 0,8 dan 0,9). Untuk analisis multivariat, digunakan regresi logistik multinomial untuk mengidentifikasi faktor determinan (p<0,05). Data dianalisis menggunakan software SPSS versi 20 (IBM Corp, USA).Hasil: Gambaran perubahan stresor pada responden adalah peningkatan stresor ringan 59,7%, peningkatan stresor sedang 20,6%, peningkatan stresor berat 5,1%, stresor tetap 11.1%, penurunan stresor 3,3%. Dengan gambaran persepsi stres adalah stres sedang 56,1%, stres berat 27,2%, stres ringan sebanyak 16,7%. Faktor determinan pada kejadian stres berat adalah tingkat perubahan stresor sedang berat dibandingkan dengan stresor menetap [aOR 8(95% CI, 2.2–29.7)], stresor tetap dibandingkan dengan stresor yang menurun [aOR 11(95% CI, 0.01–0.9)] dan lokasi kerja zona merah[aOR 3.2(95% CI, 0.1–0.8)], faktor determinan pada kejadin stres sedang adalah stresor menetap dibandingkan dengan yang menurun [aOR 25(95% CI, 0.7–0.9)], lokasi kerja zona merah[aOR 2.6(95% CI, 0.2-0.9)] dan usia kurang dari 3030[aOR 1.8(95% CI, 1.1-3.2)].Kesimpulan: Faktor determinan kejadian stres berat pada tenaga kesehatan adalah perubahan stresor kerja dan zona kerja, untuk kejadian stres sedang adalah perubahan stresor kerja, zona kerja dan usia

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Background: During the COVID-19 pandemic, there has been an increase in workload, as well as greater vigilance and compliance at work. Healthcare workers must perform their duties while facing fear of COVID-19 infection, which can trigger and/or aggravate stress. This study aimed to obtain the determinant factor of stress among the healthcare workers during the pandemic by emphasizing the change in the psychosocial situation at the hospital.

Methods: This cross-sectional study was conducted from January to March 2021 using an online questionnaire consisting of personal and occupational questionnaires, as well as a validated stressor and stress questionnaires using validity and reliability tests (Cronbach's alpha 0.8 and 0.9). For the multivariate analysis, multinomial logistic regression was used to identify the determinants factor (p<0.05). Data were analyzed using SPSS software version 20 (IBM Corp., USA).

Results: More than half of respondents had a moderate stress (56.1%) and then followed by severe and mild stress. Determinant factors in the occurrence of severe stress are the alteration of stressors, moderate-severe stressors compared to constant stressors [aOR 8(95% CI, 2.2–29.7)] constant stressors compared to decreased stressors [aOR 11(95% CI, 0.01–0.9)], and working in the red zone [aOR 3.2(95% CI, 0.1–0.8)].The determinants of moderate stress events were constant stressors compared to decreased stressors [aOR 25(95% CI, 0.7–0.9)], working in the red zone [aOR 2.6(95% CI, 0.2-0.9)] and age less than 30[aOR 1.8(95% CI, 1.1-3.2)].

Conclusions: The determinant factors for the occurrence of severe stress in health workers are changes in work stressors and work zones, for moderate stress events are changes in work stressors, work zones and age."

"Ditengah eksploitasi dan diskriminasi pekerja kesehatan pada masa pandemi, serikat pekerja kesehatan tidak hadir untuk menuntut perbaikan atas kondisi ini. Studi sebelumnya menjelaskan bahwa alasan utama serikat pekerja kesehatan kurang maksimal menjadi jembatan untuk perundingan kolektif dan perbaikan kondisi kerja adalah karena mereka kekurangan anggota untuk melaksanakan kegiatan dan memberikan dampak yang lebih luas, kekurangan anggota ini dibentuk oleh tiga hal, yaitu: (1) pekerja kesehatan yang tidak setuju dengan visi misi serikat; (2) anggapan bahwa bergabung ke serikat adalah tindakan tidak profesional dan tidak pantas diantara para pekerja kesehatan profesional; serta (3) altruisme pekerja kesehatan yang tidak memikirkan kondisi kerja dan upah mereka. Penulis setuju dengan studi-studi tersebut, namun dinamika di dalam serikat dan konteks krisis kesehatan yang merupakan momen serikat untuk lebih aktif berperan belum dijelaskan dalam studi-studi tersebut. Pendekatan kualitatif, metode studi dokumen dan wawancara mendalam dengan anggota serikat pekerja kesehatan adalah metode yang digunakan dalam penelitian ini. Hasil penelitian menyatakan bahwa terdapat tiga alasan FSP FARKES-R sebagai serikat pekerja kesehatan tidak maksimal dalam melakukan advokasi untuk pekerja kesehatan, yaitu: (1) FSP FARKES-R kekurangan tenaga ahli di bidang advokasi sehingga mereka kehilangan momentum untuk melakukan advokasi kebijakan publik terkait COVID-19; (2) kegiatan FSP FARKES-R terhambat akibat pandemi COVID-19, sehingga hampir semua kegiatan mereka tidak berjalan selama 1 tahun dan berdampak kepada; (3) renggangnya solidaritas sesama pengurus dan anggota FSP FARKES-R di masa pandemi.

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In the midst of exploitation and discrimination of health workers during the pandemic, health workers unions are not present to demand improvements to these conditions. Previous studies have explained that the main reason health workers unions are less than optimal as a bridge for collective bargaining and improving working conditions is because they lack members to carry out activities and provide wider impact, this lack of members is shaped by three things, namely: (1) health workers who do not agree with the union's vision and mission; (2) the notion that joining a union is unprofessional and inappropriate among health professionals; as well as; (3) altruism of health workers who do not think about their working conditions and wages. The authors agree with these studies, but the union capacity and the context of health crisis as a moment for unions to play a more active role have not been explained in these studies. Qualitative approach, document study method and in-depth interviews with health workers union members are the methods used in this research. The results of the study stated that there were three reasons FSP FARKES-R as a health worker union was not optimal in advocating for health workers, namely: (1) FSP FARKES-R lacked experts in the field of advocacy so that they lost momentum to advocate for public policies related to COVID-19; (2) FARKES-R FSP activities were hampered due to the COVID-19 pandemic, so that almost all of their activities did not run for 1 year and had an impact on; (3) the declining solidarity among administrators and members of FSP FARKES-R during the pandemic."