Soebandi Hospital Jember Research Articles

Progressive Muscle Relaxation for Anxiety and Hyperglycemia in Diabetes Mellitus Type 2 Patient: A Case-Study

Hyperglycemia is the main symptom in patients with diabetes mellitus. One of the risk factors that can increase blood sugar levels in diabetes mellitus (DM) patients is anxiety and stress, as a result of diabetes mellitus sufferers who experience anxiety, their physical condition does not improve, and their blood sugar levels are always high. Progressive muscle relaxation therapy (PMR) is a therapy that aims to focus the patient's attention so that they can differentiate the feelings that occur when the muscles are relaxed or relaxed from when they are contracting so that the patient can manage their body condition against their anxiety. This study aims to analyze the provision of progressive muscle relaxation therapy to control anxiety levels and blood sugar levels in patients with type 2 diabetes mellitus in the Gardena medical ward of Dr. Soebandi Hospital Jember. This research uses descriptive methods in the form of case studies on a patient with Type 2 DM. Therapy was given once a day for 20-30 minutes. Anxiety levels were measured using the DASS questionnaire, and blood sugar measurements were made using a blood sugar stick. After being given PMR therapy for 3 x 24 hours, the patients experienced a decrease in anxiety levels and blood sugar levels. Providing PMR therapy is effective in treating unstable blood glucose levels and anxiety for patient with Type 2 DM.

Validity and Reliability of Basic Life Support Intention Questionnaire for Nurses at Dr. Soebandi Hospital Jember

Based On the Theory of Planned Behaviour perspective, basic life support intention is determined by attitudes, perception of a social norm, perceived self-efficacy, and control ability in performing basic life support. This study analyzed the validity and reliability of the basic life support intention questionnaire, designed to measure basic life support intention among nurses. A total of 48 items were developed based on literature reviews encompassing four main constructs: attitude, social norms, self-efficacy, and control ability. The questionnaire then underwent a validation process, including construct and content validity (CVI) and reliability analysis. This study was conducted on nurses in Dr. Soebandi Hospital Jember. The questionnaire was distributed to 160 nurses, of whom only 80 questionnaires were returned. The results of the CVI test on 36 questionnaire statements found that the CVI value was in the range 0,85-1. In comparison, the results of the construct validity test on 48 questionnaire statements were found to be valid and obtained 21 statement items. Reliability test-retest results obtained a coefficient correlation value of 0,75 and an alpha value of 0,669, which means it is reliable. The final set of basic life support intentions consisted of 21 items measuring attitude (four items), social norms (seven items), self-efficacy (six items), and control ability (four items) of practicing basic life support intention. The basic life support intention questionnaire was shown to be valid and reliable.

Relation of NLR Value and Mortality Rate in Neonatal Sepsis

<p><strong>Introduction</strong>: Neonatal sepsis is a significant issue for newborns everywhere and causes a large amount of morbidity and mortality. Various indicators of newborn sepsis are expensive and occasionally unavailable in peripheral hospitals. The neutrophil-lymphocyte ratio (NLR), which is affordable, is a component of complete blood counts and does not call for further testing. This study intended to investigate the neutrophil-to-lymphocyte ratio (NLR) as a predictor of neonatal mortality rate in the local hospital in rural locations.</p><p><strong>Methods</strong>: This study sampled newborns with sepsis in the perinatal room of dr. Soebandi Hospital Jember for this cross-sectional study, from January 2021 to June 2022. NLR is calculated by manually dividing the number of neutrophils by the actual number of lymphocytes. Our neutrophil and lymphocyte data were obtained from the patient's lab results. This study analyzed neonatal sepsis NLR data using Spearman analysis to find the relation between NLR value and mortality rate of neonatal sepsis.</p><p><strong>Results</strong>: This study obtained 43 data on neonatal sepsis in the perinatology ward during this period. The data found to show that 37 neonatal sepsis survived and 6 died. The collected data analysis found that the lowest NLR neonatal sepsis is 0.4, the highest NLR neonatal sepsis is 25.6 and the mean value for NLR neonatal sepsis in perinatology was 3.88. This study found no correlation between the NLR value of the sepsis neonate and the neonatal mortality rate Sig. (2-tailed) 0.662.<strong></strong></p><p><strong>Conclusion</strong>: In this study demonstrated no correlation between the NLR value of the sepsis neonates and the neonatal mortality rate.</p>

Immunization Stress-Related Response (ISSR) from Covid-19 Vaccination First-Dose among Medical Clerkship Students in dr. Soebandi Hospital Jember

Vaccination is one of the recommended way to eradicate Covid-19 pandemic. Unfortunately, there are still many people who refuse to get vaccinated. One of the causes is anxiety about the side effects that occur after vaccination. With this misinformation about vaccines, public anxiety is getting higher, so that more and more people are hesitant to get vaccinated. The purpose of this study was to determine the level of anxiety related to vaccines in medical students who have more knowledge about vaccines than the general public society. The anxiety assessment method used was the Hamilton Rating Scale for Anxiety (HARS) questionnaire. There were 108 medical clerkship students in this study, consisting of 25 male respondents and 83 female respondents, aged between 21-27 years. Based on the HARS-score obtained, it showed that all respondents were in the low or minimal anxiety range. Aspects of anxiety predominately appeared in the pre-vaccination phase. The differences between men and women were influenced by hormonal fluctuations and conditions before vaccination, such as stress, workload, knowledge capacity, and information obtained related to vaccination.
 Keywords: Anxiety, Covid-19, HARS-score, ISRR, Vaccines

Antibiotic Sensitivity Against Klebsiella spp. in the Post Debridement Culture an Open Fracture in Emergency Department of dr. Soebandi Hospital Jember

Surgical site infection (SSI) in open fracture is often caused by bacterial contamination in the management of open fracture. Because of that, one of the most important thing in handling open fracture is debridement. Prophylactic antibiotics given are Cephalosporin and Aminoglycosides. Post-debridement culture is important in predicting the incidence of infection. One of the bacteria that is often found in post-debridement culture is Klebsiella spp. which can produce ESBL to fight β-lactam class of antibiotics. The purpose of this study was to determine antibiotic sensitivity against Klebsiella spp. in the post-debridement culture of cases of open fractures in the emergency department of dr. Soebandi hospital Jember. This study uses a laboratory exploratory research design. The sample of this study was the isolate of Klebsiella spp. which amounts to 5 from post debridement culture of open fracture patients in the emergency department of dr. Soebandi hospital Jember from March to May 2019.The method used is diffusion (Kirby Baurer) by matching using the CLSI standard table to determine sensitive, intermediate, or resistant. The results of this study showed that most antibiotics had resistance to Klebsiella spp., including β-lactam antibiotics, such as Amoxicillin, Ceftriaxone, Cefixime, Penicilin, Meropenem, and Cefadroxil. Vancomycin antibiotics are still sensitive to Klebsiella spp. in all patients. Gentamicin, Ciprofloxacin, Tetracycline, and Chloramphenicol antibiotics were sensitive in 1 patient. Erythromycin intermediates antibiotics against Klebsiella spp.. The conclusion of this study is that all β-lactam group antibiotics are resistant to Klebsiella spp while the most sensitive antibiotic is Vancomycin.

Effectivity of Pyridoxine as Adjuvant Therapy of Phenytoin in Patients with Epilepsy at Soebandi Regional Hospital Jember

Phenytoin is an antiepileptic drug used as monotherapy for partial and generalized tonic-clonic seizures for more than 50 years. Pyridoxine is a water-soluble vitamin widely used for seizure patients unresponsive to standard treatment regimens. This study was conducted to determine the effect of pyridoxine as adjuvant therapy in epilepsy patients receiving phenytoin and to determine the relationship between age, gender, type of epilepsy, and duration of therapy on the incidence of seizures in epilepsy patients at Soebandi Regional Hospital Jember. This research is an observational analytic study with a cross sectional design. The data was taken from the patient's medical record at Soebandi Hospital Jember. The number of samples in each treatment group was 18 samples so the total number of samples in this study was 36 samples. Samples were taken using total sampling technique. Data analysis was performed using Chi-Square test on bivariate analysis and The Logistic test on multivariate analysis. The sample in this study was dominated by male patients (52.8%), aged 19-59 years (52.8%), had epilepsy with generalized seizure type (86.1%), and received therapy for < 3 years (77.8%). The results of bivariate and multivariate analysis showed correlation between the administration of pyridoxine and the incidence of seizures, indicating that phenytoin therapy with pyridoxine adjuvants was more effective than monotherapy phenytoin. Other factors such as gender, age, type of epilepsy, and duration of therapy were not proven to have a correlation with the incidence of seizures in epilepsy patients at Soebandi Hospital Jember.

The Relationship Between Moral Distress With Level of Burnout on Nurses in Intensive Care Room at the dr. Soebandi Hospital Jember

Moral distress is defined as psychological disequilibrium and negative feelings that results from recognizing an ethically appropriate action, yet not taking it because of such barriers. This causes an increase workload of nurses in the intensive care room, resulting burnout that affects nurses, patients and health care providers. This study aimed to analyze the relationship between moral distress and the level of burnout in intensive care room nurses at the dr. Soebandi Hospital Jember. This study used a quantitative descriptive observational analytic with the approach cross sectional design selected 47 nurses as respondents used total sampling. Data collected by Measure of Moral Distress Scale - Healthcare Professionals (MMD-HP) and Maslach Burnout Inventory (MBI). The results revealed that most respondents experienced low moral distress (85.1%) and low burnout (61.7%). The bivariate analysis showed with spearman test that p-value was < 0.001 (α = 0.05; r = 0.531). There was a relationship between moral distress and the level of burnout in intensive care room nurses at the dr. Soebandi Hospital Jember with moderate and positive relationship strength. A healthy work environment plays an important role in the low level of moral distress and burnout, if there are staff skilled in communication, good collaboration between people or professions, effective decision making, proper staffing, recognition and leadership.

Assessments of quality of life in burn patients after hospital treatment in Jember

Background: Burn injuries can contribute to physical and psychological problems affecting quality of life (QoL). The QoL is a parameter to assess medical results after treatment. In Indonesia, studies concerning burn patients’ QoL after treatment are still limited. Objective: This study aims to observe correlations between 8 dimensions of QoL after treatment and histories of burn severity, numbers of surgical procedures, and lengths of hospital stay Methods: A cross sectional study was conducted in December 2018. Subject criteria of this study were patients who have experienced burn injuries for the last 2 years and have been treated at dr. Soebandi Hospital Jember. Then all the patients were discharged from the hospital by following medical advice in recovered conditions. They were asked to complete SF-36 questionnaires that consist of 8 dimensions of QoL. Every dimension was correlated with histories of burn severity, numbers of surgical procedure, and lengths of hospital stay. Next, the obtained data were analysed by Pearson and Spearman. Results: 13 subjects or patients were analysed. Most of them (38.5%) were adults in a range of 41 – 50 years old and were male (69.2%). A bivariate analysis found a significant negative correlation between burn severity and QoL in physical functions, bodily pains, and mental health dimensions (p=0.030, p=0.012, p=0.044). A significant negative correlation was also reported between numbers of surgical procedures and QoL in physical role dimensions (p=0.047). Lengths of hospital stay had a significant negative correlation with physical functions and physical role dimensions (p=0.044, p=0.031). Conclusion: This study revealed significant correlations between burn severity, numbers of surgical procedures, length of hospital stay and the various dimensions of QoL. This study also provided data of QoL, so in the future burn centres can identify dimensions of QoL after burn injuries and can improve their burn management and patient care to improve their QoL.

Risk of Mortality on Patients with Traffic Accidents of Emergency Department at dr. Soebandi Hospital, Jember Regency

Introduction: The number of deaths due to traffic accidents has become a global burden. In addition SDGs 2030 has set a target to decrease the number of fatalities and global injuries due to traffic accidents. The purpose of this study was to analyse the risk of mortality due to traffic accidents in the Emergency Department (ED) of dr.Soebandi Hospital Regional, Jember Regency.Methods: A retrospective observational study was carried out in the ED by studying medical records of the traffic accident patients aged ≥16 years. The sampling technique was simple random sampling with sample size 250. The study collected data with Modified Rapid Emergency Medicine Score. This study result was analyzed with frequency distribution and Chi-square test.Results: The result showed respondents who experienced traffic accidents were mostly 20-29 years old (19.6%). The majority of the patients were men (68.4%). The riders of two/three-wheeled vehicles who suffered traffic accidents reached 73.2%. Most of the accidents occurred between 06.00-11.59am, 37.6%. Generally, traffic accidents occur to drivers as much as 68.4% and the number of types of head trauma as much as 57.2%. This study showed that 94.8% patients were at low risk of mortality. There was significant relationship between risk of mortality and the role in vehicle use (p-value = 0.043).Conclusion: Almost all patients have a low risk of mortality in the ED of dr. Soebandi Hospital Jember Regency.

Hubungan antara Kadar Feritin dengan Malondialdehyde pada Pasien Talasemia β Mayor di RSD dr. Soebandi Jember

Repeated blood transfusions, increased iron absorption, and ineffective erythropoiesis in major β thalassemia patients lead to iron overload characterized by elevated ferritin levels. Free iron will catalyze reactive oxygen species (ROS) formation by Fenton reaction that cause oxidative stress. Malondialdehyde (MDA) is the lipid peroxidation end product used to measure the oxidative stress. This study aimed to determine the correlation between ferritin levels and MDA levels in major β thalassemia patients at dr. Soebandi Hospital Jember. An analitic observational study with cross sectional study design which the subjects were 15 patients with major β thalassemia in the Pediatric Department at dr. Soebandi Hospital Jember who met inclusion and exclusion criteria. Ferritin levels measured by Enzyme-Linked Fluorescent Immuno Assay (ELFA) method and MDA levels measured by Thiobarbituric Acid Reactive Substances (TBARS) method using spectrophotometer at 535 nm. Data was analyzed with Shapiro Wilk normality test and Pearson correlation test. The mean of ferritin levels was 3540,46±3925,37 ng/mL and MDA levels was 4,77±2,03 nmol/mL. The result showed that there is strong positive correlation between ferritin levels and MDA levels with p value=0,001 and r=0,786 in major β thalassemia patients at dr. Soebandi Hospital Jember.

Hubungan antara Berat Badan Berlebih dengan Terjadinya Sindrom Syok Dengue pada Anak di RSD dr. Soebandi, Jember

Dengue Shock Syndrome (DSS) is shock syndrome that happened in dengue hemorrhagic fever patients. There are risk factors that cause DSS. One of them is overweight in children. This study aimed to determine the relationship between overweight and the occurence of DSS. This retrospective case control study conducted at the dr. Soebandi Hospital Jember. Sampels were divided into DSS group (case group) and non-DSS group (control group). To analyze the data, Chi-Square test was performed using SPSS version 21. Aa many as 191 patients were included in this study which consisted of 132 patients as the control group and 59 patients as the case group. Chi-square analysis showed the p-value was 0,649. In conclusion, overweight was not significantly associated as a risk factor of DSS in children at the dr. Soebandi hospital.

The Relation between Fatigue and Self-management in Patient with Diabetes Melitus Type 2 in Dr Soebandi Hospital Jember

Introduction: Fatigue that felt by diabetes melitus patient will be a barrier when doing self-management. An ineffectiveness of self-management will affect many complications, either macrovascular and microvascular. Objective: The goal of this research is determine the relation of fatigue and self-management of diabetes melitus type 2. Method: The design of this research is using observative correlative with cross – sectional way. There are 102 research samples obtained from the calculation G*Power. The methode of taking the data doing with way to gather use with Multidemensional Fatigue Inventory (MFI20) questionnaire and Diabetes Self-Management (DSMQ) that has tested validity and realibility for analyze the fatigue and self-management. The data from analyzed using spearman rank (α = 0,05). Results: Research’s result average of respondent showed that general fatigue (15,66), physical fatigue (13,8), reduced activity (12,44), reduced motivation (11,01), mental fatigue (11,37). Patient self-management showed if from 102 respondent in majority has good self-management 86 (84.3%) dan 15 (14,7%) the rest of respondent has enough – good. The second analyzed test showed that no relation that significant between fatigue and self-management. Discussion: There are other factor can influence self-management such as, social support and family support. Analyzed test showed if have corelation between reduce activity with managemen glukosa

Analysis of Varicose Vein in Lower Extremities Risk Factors on Woman Laborers of Tobacco Picker at Ajung District Jember Regency

Varicose vein (VV) in lower extremities are common diseases in the clinic but there is little concern from clinicians as they are considered mild and low mortality. The complications of VV can be ulcers or worst like Congestive Heart Failure (CHF). Several risk factors that can affect the occurrence of VV are women, age, long standing, overweight, pregnancy multiparity, and hormonal contraception. The general purpose of this research is knowing the relationship between risk factors mentioned above and the prevalence of VV on female laborers of tobacco picker at Ajung District Jember District. This research use observational analytic method with cross sectional study design to 72 people who meet the inclusion criteria by purposive sampling method. The sample were given questionnaire, informed consent, then measured by weight scales and microtoise staturemeter. The diagnosis of VV was obtained from the photos that been consulted to cardiothoracic surgeon at dr. Soebandi Hospital Jember. The result of contingency coefficient C correlation test said that only age has significant relation to VV occurrence states (p = 0,044; r = 0,231; OR = 3,053), while others are not significant (p> 0,05 and r < 0.2). The conclusion of this study is that only the age factor has a statistically significant relationship and the positive correlation with the weak correlation to the occurrence of lower extremities VV on woman laborers of the tobacco picker of Ajung District, Jember Regency.
 Keywords: Varicose Vein, Lower Extremities

MANAGEMENT OF ANXIETY AND DEPRESSION TREATMENT OF PRE-SURGERY PATIENTS AT Dr. SOEBANDI REGIONAL PUBLIC HOSPITAL JEMBER

Management of anxiety and depression treatment that can help the process of a patient while undergoing surgery. This study aims to determine the management treatment of the pre-surgery patient that is through psycho-education to be psychologically prepared for surgery. The study was conducted in patients who will have surgery in Dr. Soebandi Hospital Jember. The sample in this study was 50 people with different levels of education and data analysis using SPSS 20. Based on the results of calculations of the Anova test, it was known that the F count 0.322 > than F table 0.318 with a significance value > 0.05. The result of that calculation showed that there is no significant effect between the management of pre-surgery patients’ treatment with the level of depression and anxiety. The result of correlation test showed that depression had a positive relationship with the level of knowledge which means that patients with higher levels of education have depression when they have surgery, but anxiety has a negative correlation value which means that the higher the education level, the lower the anxiety level.

Pengaruh Kadar Albumin Serum terhadap Penyembuhan Luka pada Pasien Pascaoperasi Laparotomi dan Lumbotomi di RSD dr. Soebandi Jember

Wound healing need protein as basis for the formation of collagen network. The important component of protein is albumin. The aim of this study was to investigate albumin serum’s effect on wound healing in patients postoperative laparotomy and lumbotomy at dr. Soebandi Hospital Jember. The method of study was analytic observational with cross sectional design. Total samples in this study were 9 samples. The results showed that the higher albumis, the faster wound healing. Data analysis using bivariate analyzing Spearman's Rho test showed that the significance (p)=0.011 and correlation coefficients (r)=0.791. Thus, it can be concluded that there were a strong albumin serum’s effect of wound healing in patients postoperative laparotomy and lumbotomy at RSD dr. Soebandi Jember.

The Correlation between Ferritin Levels and Glutation (GSH) Levels in Major Beta Thalassemia Patient at dr. Soebandi Jember Hospital

Repeated blood transfusions in patient with Major Beta Thalassemia leads to iron overload marks by the increased of serum ferritin levels. Free iron caused the change of H2O2 to oxidants by fenton reaction and caused oxidative stress. These oxidants will be counteracted by GSH as antioxidants. The purpose of this study was to investigate the correlation between ferritin levels with GSH in patients with major beta thalassemia in RSD dr. Soebandi hospital Jember. The samples of this study are fifteen (15) patients age 1-18 years who were regularly transfused. Serum ferritin levels were measured by Enzyme-Linked Fluorescent Immuno Assay (ELFA) and plasma GSH levels were measured by Ellman method. Data was analyzed using Pearson correlation test. Serum feritin levels were increased in Major Beta Thalassemia children with average of 3540,46 ± 3925,37 ng/mL. The mean of GSH is 10,46 ± 2,58 µmol. We found significant and negative correlation between serum ferritin and GSH with p value=0,000 and r=-0,951 in Major beta thalassemia patient at RSD dr. Soebandi Jember.
 Keywords: Thalassemia, Oxidative stress, Feritin, GSH

Difference in The Incidence Severe Preeclampsia and Eclampsia between Maternal Age 20-34 Years and >34 Years in dr. Soebandi Hospital Jember

Maternal Mortality Rate (MMR) in Indonesia is still high. The maternal mortality rate continues to rise due to hypertension, one of which is caused by pre-eclampsia and eclampsia. Many factors cause preeclampsia, including advanced maternal age. The purpose of this study was to determine the effect of advanced maternal age during pregnancy with severe preeclampsia and eclampsia in RSD dr. Soebandi Jember. This study used cross sectional approach using 264 samples were divided into two groups, there are pregnant women aged 20-34 years and >34 years. The results of data analysis using Chi Square for severe preeclampsia and obtained p = 0.015 and OR = 2.494, which means there is a significant difference in comparison severe preeclampsia between gestational age of 20-34 years and >34 years. At the age of 20-34 years from 216 samples found 28 people suffering from severe preeclampsia (12.9%). Whereas at the age of mother> 34 years of 48 people found 13 people (27.1%) suffered severe preeclampsia Results of data analysis obtained eclampsia using Fisher and p = 0.554, which means there are no significant differences in comparison eclampsia between gestational age of 20-34 years and >34 years. At the age of 20-34 years from 216 samples found 3 people suffering from eclampsia (1.38%). While at mother age> 34 years from 48 people found 1 person (2.08%) suffered eclampsia.

Risk Factor Analysis of Dengue Shock Syndrome Occuring to Children in RSD dr. Soebandi Jember Regency

Dengue Shock Syndrome is a medical emergency situation caused by shocking DHF. Some factors that can influence the DSS. The purpose of this research know some risk factors that might cause DSS. Those are age, nutritional status, gender, and amount of platelet and hematocrit. This research was retrospective case control doing in dr. Soebandi Hospital Jember. The sample were divided into 2 groups. Those were DSS (case group) and non-DSS group (control group). Data analysis was done by Chi-Square test using SPSS 21 version. These were 136 patients which were divided into 94 patients of control group and 42 patients of case group. In this research, there were p-value for ages, nutritional status, gender, amount of platelet and hematocrit on each 0,450; 0,490; 0,198; 0,001; 0,007 respectively. In this search, it could be concluded that age, nutritional status, and gender were not significantly related to DSS case although amount of platelet and hematocrit were significantly related to DSS case.Keywords:dengue shock syndrome, age, nutritional status, gender, hematocrit, platelet.

PENGARUH MOTIVASI, PENGEMBANGAN KARIR TERHADAP KEPUASAN KERJA DAN KINERJA PERAWAT DI RUMAH SAKIT dr. SOEBANDI JEMBER

Abstract : Nurse of dr. Soebandi Hospital as duty bearers geared towards improving the quality of human resources, and the result will have an impact on job performance. Job performance a good nurses is a desirable thing in every hospital, due to the good performance, the hospital will achieve the goals effectively and efficiently. The determining factor to improve achievement nurses is satisfaction of work and motivation. In this research, the population was all the nurse civil servants in dr. Soebandi Hospital Jember, some 194 people from each strata is taken proportionately sample size with the total sample who was elected 131 nurses with a leeway 5 % using Slovin opinion. The sample collection in this study was conducted using stratified random sampling. To test the instruments used in extracting the data in this research, it is necessary to test the validity and reliability of the instrument with the methods of analysis data normality test, and path analysis. The results of the analysis are: (1) motivation has direct and significant impact on job satisfaction of nurses at dr. Soebandi Hospital, Jember; (2) the career development has direct and significant impact on job satisfaction of nurses at dr. Soebandi Hospital, Jember; (3) motivation has direct and significant impact on the nurses performance at dr. Soebandi Hospital, Jember; (4) the career development has direct and significant impact on the nurses performance at dr. Soebandi Hospital, Jember; (5) The job satisfaction has direct and significant impact on the nurses performance at hospital dr. Soebandi Jember.Keywords: motivation, career development, job satisfaction, Nurses

Pengaruh Burnout terhadap Kecerdasan Emosional, Self-Efficacy, dan Kinerja Dokter Muda di Rumah Sakit Dr. Soebandi

<p>The Effect Of Burnout On Emotional Intelligence, Self-Efficacy, And Co-Assistant Performance In dr. Soebandi Hospital Jember.The purpose of the studi was to examine and explain (1) the effect of burnout on co-assistant performance; (2) the effect of burnout on emotional intelligence; (3) the effect of burnout on self-efficacy; (4) the effect of emotional intelligence on co-assistant performance; and (5) the effect of selfefficacy on co-assistant performance.The sampel of this study consisted of 94 coassistant in dr. Soebandi Hospital Jember. Sample was chosen based on porpusive random sampling technique. Questionnaire was the main instrument to collect data. Data was analyzed using descriptive analyses employing Partial Least Square (PLS).The findings in this study is (1) burnout has a significant and negative effect coassistant performance; (2) burnout has a significant and positive effect on emotional intelligence; (3) burnout has a non-significant and positive effect on self-efficacy; (4) emotional intelligence has a significant and positive effect on co-assistant performance; and (5) self-efficacy has a significant and positive effect on co-assistant performance.</p>