Work Fatigue as a Mediator in the Influence of Communication and Assertivity on Nurses' Productivity
DOI:
https://doi.org/10.70062/managementdynamics.v3i1.510Keywords:
Assertiveness, Effective Communication, Nurse, Work Fatigue, Work ProductivityAbstract
Rapid global environmental changes, especially due to advances in technology and information, have had a significant impact on various sectors of life, including the health sector. In the context of modern health services, hospitals are no longer just places of healing, but also institutions that are required to provide high-quality services, based on patient safety, and are able to adapt to the dynamics of community needs. This change requires a transformation in human resource management, especially related to the interpersonal and psychosocial competencies of nurses as the spearhead of medical services.Purposes: to analyze the effect of effective communication and Assertive Attitude on Nurses' Work Productivity in hospitals, with Work Fatigue as a mediating variable.Methods: This type of research is quantitative, using statistical figures to measure the influence of independent variables on dependent variables. The research design is a cross-sectional study.Results: The results of this study indicate that effective communication, assertiveness, and job fatigue collectively significantly influence nurses' work productivity. Communication and assertiveness positively contribute to job fatigue, which in turn affects productivity. Job fatigue is also shown to be a significant mediator in the relationship between communication and assertiveness on work productivity .Conclusion : The importance of strengthening effective communication as a strategy to increase productivity. Organizations need to design communication systems that support openness, transparency, and clarity of information and culture-based assertiveness training, so that employees can express their opinions appropriately without causing resistance in the team.
References
Al-hawaiti, M. R., Sharif, L., & Elsayes, H. (2025). Assertiveness in Nursing: A Systematic Review of Its Role and Impact in Healthcare Settings. Nursing Reports, 15(3), 102. https://doi.org/10.3390/nursrep15030102
Almalki, M. J., FitzGerald, G., & Clark, M. (2012). The relationship between quality of work life and turnover intention of primary health care nurses in Saudi Arabia. BMC Health Services Research, 12(1), 314. https://doi.org/10.1186/1472-6963-12-314
Barker, L. M., & Nussbaum, M. A. (2011). The effects of fatigue on performance in simulated nursing work. Ergonomics, 54(9), 815–829. https://doi.org/10.1080/00140139.2011.597878
Bougie, R., & Sekaran, U. (2019). Research Methods For Business: A Skill Building Approach. Wiley. https://books.google.co.id/books?id=ikI6EAAAQBAJ
Burgener, A. M. (2020). Enhancing Communication to Improve Patient Safety and to Increase Patient Satisfaction. The Health Care Manager, 39(3), 128–132. https://doi.org/10.1097/HCM.0000000000000298
Dharma, K. K. (2011). Metodologi penelitian keperawatan: Panduan melaksanakan dan menerapkan hasil penelitian. Trans Info Media.
Fang, L., Hsiao, L., Fang, S., & Chen, B. C. (2020). Effects of assertiveness and psychosocial work condition on workplace bullying among nurses: A cross‐sectional study. International Journal of Nursing Practice, 26(6). https://doi.org/10.1111/ijn.12806
Foronda, C., MacWilliams, B., & McArthur, E. (2016). Interprofessional communication in healthcare: An integrative review. Nurse Education in Practice, 19, 36–40. https://doi.org/10.1016/j.nepr.2016.04.005
Gumelar, H., Kusmiran, E., & Haryanto, M. S. (2021). Hubungan Beban Kerja Dengan Kelelahan Kerja Pada Perawat Pelaksana Di Instalasi Rawat Inap. Jurnal Persatuan Perawat Nasional Indonesia (JPPNI), 6(2), 89. https://doi.org/10.32419/jppni.v6i2.264
Kemenkes RI. (2023). Profil Kesehatan Indonesia. Kementerian Kesehatan Republik Indonesia, Jakarta.
Maslach, C., & Jackson, S. E. (1981). The measurement of experienced burnout. Journal of Organizational Behavior, 2(2), 99–113.
Moudatsou, M., Stavropoulou, A., Philalithis, A., & Koukouli, S. (2020). The Role of Empathy in Health and Social Care Professionals. Healthcare, 8(1), 26. https://doi.org/10.3390/healthcare8010026
Peplau, H. E. (1997). Peplau’s Theory of Interpersonal Relations. Nursing Science Quarterly, 10(4), 162–167. https://doi.org/10.1177/089431849701000407
Pirrotta, L., Ferrari, A., Cantarelli, P., & Belle, N. (2024). Communication and job satisfaction among public employees: evidence from large-scale surveys with healthcare professionals. International Journal of Public Sector Management. https://doi.org/10.1108/IJPSM-07-2024-0222
Rudyarti, E. (2021). Pengaruh Stres Kerja Terhadap Kelelahan Kerja Pada Perawat Di Rumah Sakit X. Journal of Industrial Hygiene and Occupational Health, 5(2), 13. https://doi.org/10.21111/jihoh.v5i2.4654
Sihombing, E. D. J., Girsang, E., & Siregar, S. D. (2021). Faktor yang berhubungan dengan Kelelahan Kerja Perawat di Rumah Sakit Umum Daerah Tarutung. JUMANTIK (Jurnal Ilmiah Penelitian Kesehatan), 6(2), 137. https://doi.org/10.30829/jumantik.v6i2.8251
Sofiatun, S., Fitryasari, R., & Ahsan, A. (2021). The impact of nurse characteristics and work productivity on patient satisfaction: a systematic review. STRADA: Jurnal Ilmiah Kesehatan, 10(1), 1073–1080.
Sugiyono. (2017). Metode Penelitian Kuantitatif Kualitatif dan R&D. CV. Alfabeta. https://inlislite.uin-suska.ac.id/opac/detail-opac?id=27259
Twigg, D., & Duffield, C. (2009). A review of workload measures: A context for a new staffing methodology in Western Australia. International Journal of Nursing Studies, 46(1), 132–140. https://doi.org/10.1016/j.ijnurstu.2008.08.005
Watson, J. (1985). The philosophy and science of caring. University Press of Colorado.
World Health Organization. (2024). Information Disclosure Policy. Information Disclosure Policy, 1(March), 1–12.

