HUBUNGAN KERJA SHIFT DENGAN KUALITAS TIDUR PERAWAT DAN BIDAN DI RSUD MIJEN KOTA SEMARANG

Abstrak

Latar Belakang : Rumah sakit beroperasi selama 24 jam sehingga perawat dan bidan harus bekerja dengan sistem kerja shift. Penerapan kerja shift, khususnya sistem tiga shift yang melibatkan shift malam dan rotasi, berpotensi mengganggu ritme sirkadian dan menurunkan kualitas tidur. Kualitas tidur yang buruk dapat berdampak pada kesehatan tenaga kesehatan serta kinerja dan keselamatan pelayanan pasien. Penelitian ini bertujuan untuk menganalisis hubungan antara sistem kerja shift dengan kualitas tidur perawat dan bidan di RSUD Mijen Kota Semarang.Metode Penelitian:Penelitian ini menggunakan desain kuantitatif korelasional dengan pendekatan cross-sectional. Sampel terdiri dari 35 perawat dan bidan yang diambil dengan teknik total sampling. Sistem kerja shift sebagai variabel independen dan kualitas tidur sebagai variabel dependen diukur menggunakan Pittsburgh Sleep Quality Index (PSQI). Analisis data dilakukan secara univariat dan bivariat menggunakan uji Chi-Square dengan α = 0,05.Hasil : Hasil penelitian menunjukkan bahwa sebagian besar responden bekerja dengan sistem tiga shift (54,28%) dan mayoritas memiliki kualitas tidur buruk (57,1%). Analisis bivariat menunjukkan adanya hubungan yang signifikan antara sistem kerja shift dengan kualitas tidur perawat dan bidan (p-value = 0,005), di mana sistem kerja tiga shift memiliki proporsi kualitas tidur buruk yang lebih tinggi dibandingkan sistem dua shif.

Background:Hospitals operate 24 hours a day, requiring nurses and midwives to work in shift systems. Shift work, particularly the three-shift system involving night shifts and rotation, may disrupt circadian rhythms and reduce sleep quality. Poor sleep quality can negatively affect the health of healthcare workers as well as their performance and patient safety. This study aimed to analyze the relationship between shift work systems and sleep quality among nurses and midwives at RSUD Mijen, Semarang City.Methods This study employed a quantitative correlational design with a cross-sectional approach. The sample consisted of 35 nurses and midwives selected using a total sampling technique. The independent variable was the shift work system (two shifts and three shifts), while the dependent variable was sleep quality measured using the Pittsburgh Sleep Quality Index (PSQI). Data were analyzed using univariate and bivariate analyses with the Chi-Square test at a significance level of α = 0.05.Results: The results showed that most respondents worked in a three-shift system (54.28%), and the majority had poor sleep quality (57.1%). Bivariate analysis indicated a significant relationship between shift work systems and sleep quality among nurses and midwives (p-value = 0.005), with the three-shift system showing a higher proportion of poor sleep quality compared to the two-shift system.Conclusion: There is a significant relationship between shift work systems and sleep quality among nurses and midwives at RSUD Mijen, Semarang City. The three-shift system poses a higher risk of sleep quality disturbances. Therefore, hospital management should pay attention to work schedule arrangements and implement promotive and preventive efforts to improve sleep quality and the well-being of healthcare workers.