The Influence of Workload, Work Shifts, Dual Role Conflict on Performance Through Work Stress In Female Nurses of RSUD Makassar City 2025

Abstract

Introduction: The nursing profession has a high risk of experiencing work stress due to large workloads and responsibilities, which have a negative impact on the quality of their services and performance. 
Method: This study used a quantitative approach with a cross-sectional design. The sample of this study was 104 respondents selected by probability sampling technique. Physical workload was measured by %CVL (Cardio Vascular Load), NASA-TLX mental workload, work shift, dual role conflict, work stress and performance using measured using a questionnaire. Data analysis using AMOS-based path analysis. 
Results: Based on the analysis at 95% confidence level (Cl = 0,05), nurses' performance was significantly affected by physical workload (p = 0,000), mental workload (p = 0,007), work shift (p = 0,031), as well as work stress (p = 0.000), while work stress was mainly mediated by mental workload (p = 0,015); indirect effect = -0,022) and dual role conflict (p = 0,000; indirect effect = -0,042), while physical workload (p = 0,112; indirect effect = -0,111) and work shifts (p = 0,075; indirect effect = -0,064) had no significant effect on stress nor indirectly on performance. 
Conclusion: Nurses' performance is influenced directly by workload, work shift and work stress and indirectly by mental workload and dual role conflict.