THE RELATIONSHIP BETWEEN WORKLOAD AND WORK STRESS IN NURSES IN THE EMERGENCY DEPARTMENT OF BAHTERAMAS GENERAL HOSPITAL IN SOUTHEAST SULAWESI PROVINCE Noviati

background:Workload is closely related to the productivity of health workers, which 53.2% of the truly productive time is spent on direct health services and the remaining 39.9% is used for supporting activities. Health workers, especially nurses, which the workload analysis can be seen from some aspects such as tasks based on their main function, additional works which are done, number of patients to be treated, work capacity according to the education he obtained, and working time to do the works. Excessive workload will lead to stress, which is usually dominated by somatic complaints, for example how a person's body responds when he is experiencing excessive workload. Methods: This type of research is an analytic survey with cross sectional design that is a research design to determine the relationship of workload with work stress on nurses in Emergency Room Installation of Emergency Services Bahteramas General Hospital, Southeast Sulawesi Province, with a total sample of 38 respondents. Results: The results obtained are significant p = 0,000 <0.05, with a Pearson Correlation value of 0.782 correlation, which means that the correlation is very strong, so it can be seen that there is a relationship between workload and work stress The amount of influence (r) workload on stress, if calculated determinant coefficient (R) or (r) 2, then (0.782) 2x100% = 61.2%. This means that 61.2% workload contributes to the incidence of work stress. Conclusion: Based on the results obtained it can be concluded that there is a relationship between workload and work stress of nurses at IGD BLUD Bahteramas General Hospital in Southeast Sulawesi Province.


INTRODUCTION
The role of nurses is very important because as the spearhead in the Emergency Room (ER) and hospitalization, nursing is the longest power contact or interact with patients and families. This will lead to a strong stressor on nurses in the work environment. The duties and responsibilities of nurses is not a light thing to bear. The nurse responsible for the physical tasks, administrative agency where he works, dealing with anxiety, complaints and self-defense mechanisms of patients who appear on the patient due to the pain, tension, boredom in the face of patients with the condition suffering from critical illness or terminal state, on the other hand he should always be required to always appear as a good nurse profile by patients [1], the production of fluid intake and discharge in the high care unit in because ICU and ICCU full,face relatives of patients with different character that trigger emotional that workload will increase the stressor is also high so of the heavy workload that there were 11 respondents (29%) who experienced job stress severe form of saturation in the work, the response give up, drop out despair, withdrawal, touchy, irritable, decreased work productivity, leaving work.
Respondents to the work load lighter category No 1 respondent (2.6%) had mild levels of stress levels as well as patients who visit the emergency room decreased, patients were observed using oral therapy, injections observation without infusion and serving administration since there are few nurses the airport administration emergency room because the cashier is available if it can not be present so that the nurse concurrently to become a cashier that of the light workload there is one respondent (2.6%) experienced mild job stress. Stress experienced a sense of boredom will be job done, motivation and creativity of work are decreasing.
A relatively light workload is also due to the laziness factor ER nurse so that the nurse trying to get away from work to find a friend to interact or go in another room to interact with one another. Factors delay will be the presence of diruang IGD to do the job jg is one indication of the workload light for work that should be done as receiving patients, performing actions such as the installation of an intravenous infusion or observing the patient left behind as a result of treatment rooms full, documenting patient, making askep or move the patient to the treatment room or take to the investigations have been carried out by a friend of guard shift at the time.
The workload is felt the nurse ED is caused because in addition to the work that directly deal with patients also carry out activities not directly deal with patients, it is because there is no specialized personnel who commit acts of non nursing such as, cleaning medical instruments, making the beds of patients, the number of non-medical charge of delivering the patient to the room As a result of the workload is too heavy can result in a worker suffering from disorders or occupational diseases. Excessive workload will cause either physical or mental fatigue and emotional reactions such as headaches, digestive disorders and irritable. While the workload is too little where the work is happening because of the repeated motion will lead to boredom, a sense of monotony. Boredom in routine daily work for assignments or work too little results in a lack of attention on the job so that potentially harmful to workers. Excessive workload or low can cause work stress.
These results are consistent with research conducted by Supardi [6], Which states that the workload affects the stress levels of nurses.
Based on research data obtained, in accordance with the concept that explains the positive relationship between the workload of nurses with work stress. With the creation of a balanced workload conditions and in accordance with the ability of nurses will generate positive attitude towards their work is done individually, it will be the achievement of the individual work performance [7].

Conclusions
Based on the analysis with a very strong correlation concluded that there is a correlation between workload and work stress of nurses in IGD RSU BLUDs Bahteramas Southeast Sulawesi Province.
It is expected that the head of Emergency Room (ER) BLUDs RSU Bahteramas in order to provide the workload on nurses should be appropriate to the capabilities, competence and professionalism, as well as proposing the addition of nurses so as not to cause the workload excessive for nurses that can cause stress and need to do more