Decreased Work Productivity Research Articles

The association between anemia and sensorineural hearing loss: A review.

Anemia affects a third of the world's population and contributes to increased morbidity and mortality, decreased work productivity, and impaired neurological development. In recent years, many studies have found a possible association between anemia and sensorineural hearing loss (SNHL), especially in various types of nutritional deficiency and hemoglobin disorders anemia. Anemia may affect hearing through various mechanisms, including affecting microcirculation in the ear, causing tissue hypoxia in the ear, and through inflammatory and oxidative stress pathways. This review aims to comprehensively analyze the association between various types of anemia and SNHL, including possible biological mechanisms, clinical features, and treatment strategies, and clarify the importance of anemia treatment and management in preventing SNHL.

Investigation of some issues of automation of elements of terminal complexes for transshipment of large-capacity containers

The topic of the work is the study of the reasons for increasing the efficiency of the use of marine container transportation in the entire supply chain. It is noted that the increase in their efficiency is explained by the possibility of transporting various types of cargo, the speed of handling vehicles, as well as the compactness of storage and safety of cargo. The problem of increasing ship capacity on the terms of shipping companies, which currently exists and is being solved by container terminal operators, has been formulated, which allows minimizing the time of ships parking in the port for processing, which in turn can be achieved by increasing the capacity of ships. Attention is drawn to the fact that reducing costs by increasing the efficiency of lifting and transport equipment stimulates investments in automation systems for almost all terminal operations, and in particular in lifting and transport equipment systems. It is emphasized that the automation process of container terminals differs depending on the task at hand (a new project is being considered or work is being carried out to automate an existing terminal). The implementation of automation at existing terminals is a more difficult task due to the problems of compatibility with the types of activities performed and resistance to ongoing changes, which primarily involve systematic and repetitive technological processes that can be programmed. Attention is drawn to the fact that container terminals use the latest operating systems to control and optimize the movement of containers inside the warehouse area (in particular, they are used at terminals where gantry cranes on a pneumatic (RTG) and on a rail (RMG) are used), and it is also emphasized that when working with RTG technology gantry cranes on a pneumatic vehicle are equipped with sensors connected to satellite positioning systems, which are located on the terminal area and on wheeled carts and are brought to the place of cargo operation by signals from the control room, at the same time, the dock operator controls only when lowering or lifting the container. Such information systems are also used on terminals operating using RMG technology. It is noted that automation of berthing container cranes is currently under development, since the complexity of its implementation lies in the fact that during pitching the vessel has a roll and a deflector, therefore, when moving it, it is difficult to determine the exact location of the container and the alignment of the spreader horizon with the container horizon, as a result, the guidance process? It requires additional time, which leads to a decrease in work productivity.

Alcohol use disorders among healthcare professionals: a call for action.

Alcohol consumption and harmful and hazardous drinking are significant contributors to the global burden of disease, accounting for about 3 million deaths each year globally. Owing to their stressful work environment, healthcare professionals are at a high risk of experiencing physical and mental health problems, particularly alcohol use disorders. Alcohol use disorder among healthcare professionals is of concern as it is associated with decreased work productivity and performance and associated ill health and cognitive impairment. This review, therefore, aimed to gather evidence on the prevalence and associated factors for alcohol use disorders among healthcare professionals. The findings revealed a high prevalence of alcohol use disorders among healthcare professionals, which were worsened during the COVID-19 pandemic. Additionally, there was a glaring dearth of studies conducted in low- and middle-income countries. Urgent interventions and support systems are therefore needed to address these issues. A comprehensive approach, considering individual and organizational factors, alongside evidence-based interventions, training and support programs, can promote workforce well-being and improve the quality of patient care. It is imperative to integrate alcohol use screening, preventive and treatment interventions with primary healthcare and psychiatry services.This will help ensureearly diagnosis and timelyinitiation of preventive and therapeutic measures, reducing the risk of missed opportunities. Furthermore, offering effective human resource management support services to healthcare professionals would significantly enhance their well-being and help prevent alcohol use disorders.

Pengaruh Status Gizi terhadap Tingkat Kelelahan Pekerja PT. Maruki Internasional Indonesia

Fatigue is a common complaint in the wider community and the working population. Work-related fatigue is a situation where workers experience a decrease in work productivity. This study aims to determine the effect of nutritional status on work fatigue. This type of research is observational analysis with a cross-sectional study design, which is carried out on employees of the production department of PT. Maruki International Indonesia. The research population amounted to 197 people, and 130 people were selected as a sample through the proportional sampling method. Nutritional status data collection is carried out by measuring Body Mass Index (BMI). Work fatigue data was obtained through interviews using a Subjective self-rating test questionnaire from the Industrial Fatigue Research Committee (IFRC). Data analysis was carried out using a linear regression test with SPSS. Based on the results of the study, a p-value of 0.043 (p<0.05) was obtained, so nutritional status had a significant influence on fatigue in employees of the production department of PT. Maruki International Indonesia. So it can be concluded that work fatigue can be influenced by the nutritional status of workers in the Production section of PT. Maruki International Indonesia.

Epidemiology of Metabolic Dysfunction-Associated Steatotic Liver Disease

As the rates of obesity and type 2 diabetes (T2D) continue to increase globally, so does the prevalence of metabolic dysfunction associated steatotic liver disease (MASLD). Currently, 38% of all adults and 7-14% of children and adolescents have MASLD. By 2040, the MASLD prevalence rate for adults is projected to increase to over 55%. Although many with MASLD will not develop progressive liver disease, given the vast number of patients with MASLD, it has now become the top indication for liver transplant in the United States for those with hepatocellular carcinoma (HCC) and women. However, the most common cause of mortality among patients with MASLD remains death cardiovascular diseases. In addition to liver outcomes (cirrhosis and HCC), MASLD is associated with increased risk for the developing de-novo T2D, chronic kidney disease, sarcopenia and extrahepatic cancers. Furthermore, MASLD is associated with decreased health related quality of life, decreased work productivity, fatigue and increased healthcare resource utilization and substantial economic burden. Similar to other metabolic disease, lifestyle interventions with heathy diet and increased physical activity remain the cornerstone of managing these patients. Although a number of obesity and T2D drugs are available to treat co-morbid disease, Resmetirom is the only MASH-targeted medication that was recently approved by the Federal Drug Administration for use in the United States for those with stage 2-3 fibrosis. The following review provides an overview of MASLD epidemiology, its related risk factors and outcomes and demonstrates that without further global initiatives, MASLD may continue to increase.

Impact of Allergic Rhinitis Control on Work Productivity and Costs: A Real-World Data MASK-air Study

BackgroundAllergic rhinitis (AR) has a substantial socioeconomic impact associated with impaired work productivity. ObjectiveTo study the impact of AR on work productivity and estimate the corresponding indirect costs for 40 countries. MethodsWe conducted a cross-sectional study using direct patient data from the MASK-air® app on users with self-reported AR. We used the Work Productivity and Activity Impairment Questionnaire: Allergy Specific to measure the impact of AR on work productivity (presenteeism and absenteeism). Weekly indirect costs were estimated per country, for each level of rhinitis control and considering patients with and without asthma. ResultsWe assessed data from 677 weeks (364 patients), 280 of which were reported by patients with asthma. Regarding presenteeism, the median impact of AR in weeks of poor disease control was 60.7% (P25-P75=24.9-74.2%), while partial and good disease control were respectively associated with an impact of 25.0% (P25-P75=12.1-42.4%) and 4.4% (P25-75=0.8-12.9%). In poorly-controlled weeks, presenteeism was associated with indirect costs ranging from 65.7 US Dollars purchase power parity (US$ PPPs) (P25-P75=29.2-143.2) in Brazil to 693.6 US$ PPP (P25-P75=405.2-1094.9) in Iceland. Median absenteeism per week was of 0% for all levels of rhinitis control. Patients with AR+asthma showed higher overall work impairment than patients with AR alone, particularly in poorly-controlled weeks (median work impairment in AR alone=39.1% [P25-P75=12.5-71.9%]; median work impairment in AR+asthma=68.4% [P25-P75=54.6-80.2%]). ConclusionPoor AR control was associated with decreased work productivity and increased indirect costs, particularly in patients with AR+asthma. The estimates from this study underpin the economic burden of AR.

Diagnostic Comparison of Ultrasound and Magnetic Resonance Imaging in Detecting Rotator Cuff Tears: A Study Conducted in the Population of Vijayapura.

Injuries to the shoulder and restricted range of motion often lead to decreased work productivity, increased use of medical resources, and impaired quality of life.The most frequent cause of shoulder discomfort and dysfunction is a disease related to the rotator cuff, such as bursitis, degenerative tears, and calcific tendinosis. This study evaluates ultrasonography's diagnostic efficacy in relation to magnetic resonance imaging (MRI). Prospective research was conducted at a hospital to compare MRI and ultrasonography for shoulder cases involving rotator cuff injuries. There were 53 patients in the sample. Those who presented with pain and dysfunction in the shoulder were given both an MRI and an ultrasound (USG). Comparing the results of the MRI and USG allowed for the calculation of the diagnostic tests' accuracy, sensitivity, specificity, and positive and negative predictive values. The results of the study demonstrated a substantial agreement (p value <0.05) between the identification of rotator cuff tears by MRI and USG shoulder imaging. With a total accuracy of 88.6%, the sensitivity and specificity of identifying rotator cuff tears were 91.2% and 81.8%, respectively. With similar sensitivity and specificity, MRIand USG are useful diagnostic techniques for rotator cuff injuries. USG is a great screening alternative due to its cost-effectiveness, noninvasiveness, and easy accessibility. However, when it comes to identifying the anatomical regions that need surgical repair, MRI is superior.

Relationship between Nasal Congestion and Quality of Life of Allergic Rhinitis Patients

Nasal congestion is the most common complaint complained of by allergic rhinitis sufferers. Symptoms of nasal congestion in allergic rhinitis can affect a person's quality of life, resulting in decreased work productivity, academic and social success. Based on previous research, the prevalence of allergic rhinitis is 10 to 30% of the world population, where nasal congestion is the most frequently reported symptom with a prevalence of 60%. The aim of this study was to determine the relationship between nasal congestion and the quality of life of allergic rhinitis sufferers among FK Unissula students. This research is an analytical research with a cross sectional design with sample criteria of Unissula Medical Faculty students Class of 2022 and 2021 who suffer from allergic rhinitis and meet the inclusion and exclusion criteria. The inclusion criteria in this research were students of FK Unissula Class of 2022 and 2021 and were willing to be research subjects. The exclusion criteria in this study were students with anatomical nasal abnormalities and those experiencing chronic rhinosinusitis with or without nasal polyps, deviated septum, adenoid hypertrophy, and neoplasms. There were 50 respondents from FK Unissula students who suffered from allergic rhinitis. It was found that 31 (62%) students had a blocked nose and 19 (38%) students did not experience a blocked nose. The research results showed that the majority of students experienced mild nasal congestion and the quality of life for the majority of students was good. The results of the analysis of the relationship between nasal congestion and the quality of life of allergic rhinitis sufferers using the Spearman test obtained p 0.048 with a correlation coefficient of 0.281. The results of the analysis above showed that there was a significant relationship between nasal congestion and the quality of life of allergic rhinitis sufferers.

Quantifying value loss due to presenteeism and absenteeism in workers’ compensation spinal patients

BackgroundRecent studies suggest that better outcomes in work productivity following spine surgery eventually offset the higher cost of treatment. By analyzing preoperative and postoperative changes in work productivity, studies can determine if surgery is cost-effective and give patients valuable information about treatment. Prior studies reviewing outcomes in work performance after spine surgery have largely excluded patients on workers’ compensation from the overall cost analysis. MethodsA retrospective review of 92 eligible patients was conducted. Evaluation of the EHR identified presenteeism and absenteeism from designated work restrictions. Statistical analyses were conducted using JMP Pro 17. ResultsAbout 84 (83%) spinal surgery cases were able to return to work, 60 (59%) were able to return to work with no restrictions, 26 (26%) received permanent work restrictions, and 12 (12%) were still undergoing treatment. 86 (85%) experienced presenteeism and 99 (98%) experienced absenteeism. Of the cases that were able to return to work without permanent work restrictions, the mean presenteeism length postoperatively was 287.4 days (median 191 days) and the mean absenteeism length postoperatively was 232.5 days (median 142 days). 72 patients were identified as having sedentary or nonsedentary labor. After excluding outliers, the average return-to-work length was 988.62 days for patients with sedentary employment types and 952.15 days for patients with nonsedentary employment types (p=.116). ConclusionFollowing spinal surgery, our worker's compensation patient population's return-to-work rate was at an average of 232.5 days (median of 142 days) for 83% of patients included in this study. This exhibited worse outcomes than a previous study's measurement excluding worker's compensation patients. Presenteeism length within our population contributed more to decreased work productivity postoperatively than absenteeism length. Our results found no significant difference in return-to-work length between patients with sedentary and nonsedentary employment types.

An assessment of the direct and indirect costs of bladder cancer preceding and following a cystectomy: a real-world evidence study

Introduction To estimate the direct and indirect costs of bladder cancer prior to and following cystectomy in a U.S. sample of patients. Methods This retrospective, observational analysis of de-identified patients with bladder cancer utilized the MarketScan Commercial Claims & Encounters and Health & Productivity Management databases. Adult patients with bladder cancer plus ≥ 1 claim for partial or radical cystectomy between 1 October 2015 and 31 December 2020 (date of the cystectomy = index date) and who were continuously enrolled for 6 months pre- (baseline) and post-index (follow-up) were included in the sample. All-cause total healthcare costs and indirect costs associated with short-term and long-term disability (STD and LTD) employer claims were assessed during each of the 6-month baseline and follow-up periods. Results The study included N = 142 patients; mean age 56 ± 6 years, 76% (male), and 42% had a baseline Deyo-Charlson Comorbidity Index ≥ 2. Baseline mean total all-cause direct healthcare costs were $51,473 ± $48,560 (median: $36,202), and $99,524 ± 86,839 (median: $75,444) during follow-up. At baseline, 32% of patients had ≥ 1 STD claim, equating to a mean 134 ± 303 h lost and $2,353 ± $6,445 in total payments per patient. Follow up STD claims increased 23.4% equating to a mean 218 ± 324 h lost and $3,679 ± $7,795 per patient. Patient LTD claims increased from baseline to follow-up (1–3%), with post-cystectomy LTD claims resulting in 574 ± 490 h lost, and $1,636 ± $1,429 in total payments. Over 85% of the population had a cystectomy related complication, the most common were genitourinary-related (47.9%) and infection/sepsis (33.1%). Conclusions Cystectomy was associated with complications and decreased work productivity post-surgery. Findings may aid to inform decisions regarding cystectomy vs. bladder preservation approaches, and underscores an ongoing need to further develop bladder preservation therapies within the bladder cancer treatment landscape.

Cellular and Molecular Aspect of Bladder Pain Syndrome: An Entry Point to Exploration of Its Pathogenesis

&amp;lt;i&amp;gt;Background:&amp;lt;/i&amp;gt; Bladder pain syndrome/interstitial cystitis (BPS/IC) can cause pelvic pain, frequent urination, and a strong urge to urinate. These symptoms can significantly reduce quality of life, causing psychological distress, sexual dysfunction, poor sleep quality, decreased work productivity, and increased morbidity. Despite the prevalence of this condition, determining the most effective treatment guidelines for BPS/IC remains a challenge due to the complexity of its pathogenesis. &amp;lt;i&amp;gt;Objective:&amp;lt;/i&amp;gt; Understanding cellular and molecular aspects is essential to explore different cell types in changes in function and sensitivity of the urothelial layer and chronic inflammation. &amp;lt;i&amp;gt;Main Ideas:&amp;lt;/i&amp;gt; Cellular aspects in the pathogenesis of BPS/IC include Umbrella Cells, Basal and Intermediate Cells, Paraneuron Cells, Myofibroblasts and Telocytes, Detrusor Smooth Muscle Cells, Nerve Cells, Astrocytes, Microglia, CD68+ Macrophages, CD74+ Lymphocytes, Eosinophils, and Mast Cells. Disruption of these cells leads to altered urothelial barrier function, sensitivity, and chronic inflammation. Molecular aspects include chronic inflammation with increases in p38-mitogen activated protein kinase (p38 MAPK), Interleukin-1β (IL-1β), Interleukin-6 (IL-6), Tumor Necrosis Factor-α (TNF-α), Nerve Growth Factor (NGF), Brain-Derived Neurothropic Peptide (BDNF), and other molecules. &amp;lt;i&amp;gt;Conclusion:&amp;lt;/i&amp;gt; Changes in the urothelial barrier and bladder wall sensitivity are also significant. Complex interactions between the immune and nervous systems contribute to chronic inflammation through positive feedback. Therefore, this article aims to understand the cellular and molecular aspects that play a role in the pathogenesis of BPS/IC and help provide appropriate treatment.

Chronic spontaneous urticaria: diagnosis, treatment, and management

Chronic spontaneous urticaria (CSU) is a disabling condition in which recurrent wheals, with or without angioedema, occur for over 6 weeks. CSU occurs in up to 1% of the general population at any time and, on average, lasts 2–5 years in duration. Standard therapy for CSU includes second-generation antihistamines and omalizumab. However, 25%–50% of patients are refractory to these treatments. CSU profoundly impairs patients’ quality of life and has a substantial societal impact, including significant health care costs and decreased work productivity. These factors underscore the importance of health care providers to be familiar with the diagnosis and management of this condition. This article reviews the epidemiology, pathogenesis, aggravating factors, clinical manifestations, diagnostic assessment, and treatment of CSU.

Penyuluhan Mengenai Pemberian MP-ASI Tinggi Protein Hewani Untuk Pencegahan Stunting

Stunting is a condition of failure to thrive in children under five (for babies under five years of age) which is caused by chronic malnutrition so that the child is too short for his age. Stunting causes children to not reach their maximum height and disrupts brain development which will affect cognitive abilities. One in five children in Indonesia is reported to be stunted. The long-term impact of stunting will cause children to have difficulty receiving lessons, decreased learning achievement, decreased work productivity, low income and minimal participation in community activities. The cause of stunting in toddlers is often the result of many factors related to poverty, including poor diet, health, hygiene and the environment. The current effort being made is to provide education about high protein foods. The education provided aims to enable mothers of toddlers to play a role in providing a healthy, high-protein menu so that it can prevent the incidence of stunting. This community service is carried out with the aim of increasing the knowledge and understanding of mothers of toddlers regarding providing MP-ASI high in animal protein to prevent stunting. It is hoped that after participating in this service activity, mothers of toddlers will be able to provide MP-ASI high in animal protein for toddlers to support their children's height growth.

Pulmonary Rehabilitation of Post-COVID-19 Patients with Bronchial Asthma (Review)

Respiratory diseases rank among the most prevalent ailments affecting both adults and children, marked by diverse clinical manifestations, frequent complications and exacerbations. Long-term hypoxia can disrupt normal metabolic activities, leading to functional impairments and occasionally organic changes in other organs and systems. Bronchial asthma represents a significant global health issue, affecting an estimated 300 million individuals worldwide. Its prevalence is on the rise in many developing countries.Objective — to synthesise literature data concerning the characteristics and frequency of pulmonary rehabilitation usage in patients with bronchial asthma post-COVID-19. Many patients experience persistent and progressive symptoms that hinder daily activities and result in a reduced overall quality of life. This reduction in quality of life can lead to decreased work productivity and increased healthcare costs. Continuous treatment and the development of prevention strategies are essential to mitigate exacerbations and various complications. Furthermore, this issue has gained increased relevance in the context of the COVID-19 pandemic.Coronavirus infection impacts not only the respiratory system but the entire body. Therefore, for optimal recovery and a faster return to normal life post-illness, it is recommended to integrate respiratory exercises with strengthening rehabilitation measures and moderate physical activities, tailoring the regimen to the overall health condition of the individual. Pulmonary rehabilitation for patients with bronchial asthma post-COVID-19 represents a pertinent and effective treatment method but requires broader implementation within the modern healthcare system.

Effect of nutritional interventions on the psychological symptoms of premenstrual syndrome in women of reproductive age: a systematic review of randomized controlled trials.

Premenstrual syndrome (PMS) affects approximately 48% of women of reproductive age worldwide. It can lead to functional impairment, lower quality of life, and decreased work productivity. Despite the availability of medical treatment options, women are seeking alternative interventions because of concerns of harmful side effects and limited evidence of efficacy associated with pharmacological treatments. To date, high-quality research investigating the effects of dietary and nutrient intervention on PMS is limited. This systematic review investigated the effect of nutritional interventions on the psychological symptoms of PMS. Five electronic databases were searched for randomized controlled trials (RCTs) published in English from inception to October 2022. Trials eligible for inclusion were nutritional intervention studies involving women of reproductive age that measured PMS-associated psychological outcomes. Articles were selected using prespecified inclusion criteria. Data screening and extraction and risk-of-bias assessments were conducted by 3 independent reviewers using article screening software and the Cochrane Risk of Bias 2 tool. Thirty-two articles reporting on 31 RCTs involving 3254 participants, ranging in age from 15 to 50 years were included and narratively reviewed. Only 1 of the included studies had a low risk of bias. Treatment with vitamin B6, calcium, and zinc consistently had significant positive effects on the psychological symptoms of PMS. There was insufficient evidence to support the effects of vitamin B1, vitamin D, whole-grain carbohydrates, soy isoflavones, dietary fatty acids, magnesium, multivitamin supplementation, or PMS-specific diets. There is some evidence to support the use of nutritional interventions for improving psychological symptoms of PMS. However, more research using consistent protocols, procedures to minimize risk of bias, intention-to-treat analysis, and clearer reporting is required to provide conclusive nutritional recommendations for improving PMS-related psychological outcomes. CRD42022369999.

Perancangan Ulang Tata Letak Fasilitas pada Industri Garmen dengan Metode BLOCPLAN

Currently, developments and changes are occurring very rapidly in the garment industry. Technological advances and the recent Covid-2019 pandemic have led to a significant increase in online product purchases. This has had quite a big impact, as the movement of materials within the industry can change significantly. Such changes can render material movement less efficient, leading to a decrease in work productivity. Therefore, it is necessary to redesign the layout to ensure efficient material movement. The goal of this layout redesign is to minimize the total distance moved. Computer-aided layout (CAL) has garnered much interest from researchers, as it offers benefits such as generating numerous alternative layout improvements in a short time. The method used for redesigning the layout in this research is one CAL method, namely the Block Layout Overview with Layout Planning (BLOCPLAN) method. In this case study, data processing will be carried out using BLOCPLAN-90 software. The total material movement distance in the initial layout is 119,885.25 meters per month, while the total distance of material movement in the proposed layout is 61,840.33 meters per month. This indicates a decrease in the total material movement distance of 58,044.92 meters per month, or a reduction of 48.42 percent. With a decrease in the total material movement distance, it is expected that work efficiency and productivity will increase.

The Relationship of Work Stress and Workload to Work Fatigue in Nurses During The Covid-19 Pandemic

The improvement of the quality of hospital services continues to be done by evaluate fatigue of nurse work. Nurse work fatigue is a complete criterion not only regarding fatigue that is physical and psychological only, but has more to do with a decrease in physical performance, feeling tired, decreased motivation, and decreased work productivity. One of the factors that affect nurse ape fatigue is workload and work stress. The method is qualitative, using design cross sectional study, carried out in February - March 2022. The sample in this study was 64 nurses, taken with the technique of total sampling. Using univariate, bivariate analysis (with Chi Square test). This study shows that most respondents at Bintaro IMC Hospital have heavy workload (67%), very heavy (33%) and work stress with heavy category (75%) and nurse fatigue in high category (36%), very high (23%), then there is a relationship of workload and stress of nurses to nurse work fatigue at IMC Bintaro Hospital (P Value = 0.000).&#x0D; &#x0D; Keywords: Workload, Work Stress, Work Fatigue

The Effect of Compensation Policy and Work Discipline on Nurse Productivity at dr. H. Marzoeki Mahdi Mental Hospital Bogor in 2023

Health worker productivity problems due to suboptimal institutional management still often occur, including at the dr. H. Marzoeki Mahdi Mental Hospital (RSJMM). Nurses are the largest number of health workers in hospitals with a high level of patient intervention; if there is inappropriate treatment, they risk decreasing work productivity. The aim of this research is to analyze the effect of financial compensation, non-financial compensation, and work discipline on nurse productivity at RSJMM. The research study used a quantitative approach by distributing questionnaires to 205 nurses. The results showed partially (1) financial compensation has no significant effect on nurse productivity (Sig. value 0.953 &gt; 0.05, β=0.002); (2) Non-financial compensation has a positive and significant effect on nurse productivity (Sig. value 0.016 &lt; 0.05, β=0.073); (3) Work discipline has a positive and significant effect on nurse productivity (Sig. value 0.000 &lt; 0.05, β=0.293). The work discipline variable (0.293) most dominantly affects nurse productivity. Simultaneously, the three variables have a moderate effect on nurse productivity of 0.576 or 57.6%, while other variables influenced the remaining 42.4% was influenced by other variables. These results have limitations that are based on respondent's perceptions. It is suggested that hospitals need to optimize nurse productivity by improving hospital facilities, training, educational opportunities, transparency and fairness of compensation systems, recognition and feedback for employee performance, and compliance with work discipline.

The Effect of Workload on Work Productivity Through Job Stress in Air Traffic Controller (ATC) Employees at Makassar International Airport Sultan Hasanuddin Makassar

Objective: Air Traffic Controller (ATC) is one of the professions that has a high level of stress due to the very heavy burden of PLLU job responsibilities that risk the lives of airplane passengers and all flight crews. Work stress for ATC officers must be avoided because it can affect personal health and productivity at work. ATC officers require a lot of focus and energy that should be balanced with a lot of human resources as well. Method: This research design is cross-sectional, namely observational research design with a sample size of 65 Air Traffic Controller (ATC) employees selected by proportional random sampling. The SPSS program was used to process data univariately and the Smart PLS program was used to process data bivariately and multivariately using path analysis. Results: Then, the results showed that there was an effect of tenure on work stress (p=0.025), workload on work stress (p=0.00), age on work productivity (p=0.01), the effect of workload on work productivity (p=0.016), while there was no effect of age on work stress (p=0.22), tenure on work productivity (p=0.692), work stress on work productivity (p=0.46). Based on the intervening test, the indirect effect of age on work productivity through work stress (p=0.6530), the indirect effect of tenure on work productivity through work stress (p=0.542) and the indirect effect of workload on work productivity through stress is (p=0.461). Conclusion: Age, tenure and workload have a direct and indirect effect on work productivity, while the variables of age on productivity through work stress, tenure on productivity through work stress, and workload on productivity through work stress have no direct effect. Implication of the research: This research can help Air Traffic Controller employees by educating them about the causes of heavy workload and work stress resulting in decreased work productivity. Originality: This journal presents a study of age, tenure and workload, on work productivity through work stress in Air Traffic Controller employees at Sultan Hasanuddin International Airport Makassar. Previous work stress studies only used questionnaire measuring instruments, so in this study the use of questionnaires was replaced by measuring instruments Cocorometer. This study discusses the effect of age, tenure and workload, on work productivity through work stress. The findings explain the effect of age on work productivity, tenure on stress, workload on stress, and workload on work productivity.

STRES KERJA PADA KARYAWAN YANG BERKAITAN DENGAN FAKTOR PSIKOSOSIAL LINGKUNGAN KERJA

Every company demands good productivity from its employees. However, there are things that can cause a decrease in work productivity, one of which is work stress. This common mental state in employees can be caused by bad work environment psychosocial factors. Decreased of work productivity could occur because employees who experience stress would find it difficult to concentrate and easily tired. This research was conducted to determine the relationship between psychosocial factors in the work environment and work stress on employees. Method: Observational research with a cross-sectional study using the COPSOQ-II and SDS questionnaires on 112 employees at ministry in 2021. Data analysis used the Chi-Square test and was processed using the SPSS program with a significance level used of 0.005. Results:The results of the analysis between the psychosocial factors of the work environment and work stress on employees obtained a value of p = 0.000 which indicated that there was a significant relationship (p &lt;0.005). So it could be concluded that there was a significant relationship between psychosocial factors in the work environment and work stress on employees. Conclusion: This study shows that there is a significant relationship between psychosocial factors in the work environment and work stress on employees.