1640 Bali Medical Journal 2022; 11(3): 1640-1643 | doi: 10.15562/bmj.v11i3.3746 ORIGINAL ARTICLE ABSTRACT Fatigue and excessive daytime sleepiness among nurses Septian Mixrova Sebayang 1 , Made Suandika 1* , Ita Apriliyani 2 , Suci Khasanah 2 , Asmat Burhan 1 , Noor Yunida Triana 2 , Dwi Astuti 3 Background: Nurses are responsible for ensuring the safety of their patients. It has long been known that weariness and sleepiness can lead to mistakes that jeopardize patient safety. The researchers wanted to see if there was a link between exhaustion and excessive daytime sleepiness among nurses. Methods: The study used a cross-sectional correlational design with 36 nurses from a Tertiary Eye Care Hospital as participants. Convenience sampling was used to collect data. The Epworth Sleepiness Scale (ESS) and the Three-Dimensional Work Fatigue Inventory (3D-WFI) were used to collect data. Pearson’s correlation coefcient was used to calculate the correlation between WFI and ESS. Results: The statistical analysis with ratio data between exhaustion and Excessive Daytime Sleepiness, we obtained that p 0.000 with Pearson correlation and suggests that there is a strong link between fatigue and excessive daytime sleepiness (EDS) among hospital nurses. Conclusions: Fatigue and daytime sleepiness are signifcant occupational health concerns for hospital nurses. According to this study, nurses should optimize their work hours to avoid daytime sleepiness and maintain circumstances to avoid excessive sleepiness, which can lead to adverse outcomes. Keywords: fatigue, occupational health, sleepiness. Cite This Article: Sebayang, S.P., Suandika, M., Apriliyani, I., Khasanah, S., Burhan, A., Triana, N.Y., Astuti, D. 2022. Fatigue and excessive daytime sleepiness among nurses. Bali Medical Journal 11(3): 1640-1643. DOI: 10.15562/bmj.v11i3.3746 1 Department of Anesthesia, Faculty of Health Science, Universitas Harapan Bangsa, Central Java Indonesia; 2 School of Nursing, Faculty of Health Science, Universitas Harapan Bangsa, Purwokerto; 3 School of Nursing, Politeknik Yakpermas Banyumas, Central Java Indonesia; *Corresponding author: Made Suandika; Department of Anesthesia, Faculty of Health Science, Universitas Harapan Bangsa, Banyumas, Central Java, Indonesia; madesuandika@uhb.ac.id Received: 2022-09-17 Accepted: 2022-10-12 Published: 2022-11-15 1640 Bali Medical Journal (Bali MedJ) 2022, Volume 11, Number 3: 1640-1643 P-ISSN.2089-1180, E-ISSN: 2302-2914 Open access: www.balimedicaljournal.org INTRODUCTION Although fatigue is ofen considered a multidimensional phenomenon, most nursing research has focused mainly on sleep, mental fatigue, emotional exhaustion, and other components and their implications for safety. 1 Nurse weariness caused by poor sleep quality is a healthcare problem that afects nurse performance. 2 Nurses who work shifs are also prone to sleep deprivation weekly. Nurses working day shifs cause them to bite more sleep during the day. 3 In nursing populations, certain epidemiological studies have investigated the prevalence and correlation of exhaustion, excessive daytime sleepiness (EDS), and other factors 4 , 12-hour working 5 , psychosocial work stressors 6,7 , sleep hours 8 , work shif nurse 9 , burnout with fatigue 10 , and work capacity 11 have all been linked to fatigue in previous studies. Several studies have found links between nurses’ cognitive function 12 , working consecutive 12-hour shifs 13 , performance 14 , medical mistake categories 15 , and excessive daytime drowsiness. As a result, more research on the prevalence of fatigue and EDS in nurses and their correlations with other variables is needed. Nurses in the present study perceived that the workload they experience is stressful and reduces their energy and strength, which afects their performance in physical and mental care activities. In the long run, nurses further reported fatigue and exhaustion, which reduces their focus and level of concentration when providing care. 16 Individual well- being and curtailed work performance may occur when a high workload results in behaviour changes such as reduced work pace and some occupational diseases, for example, work-related musculoskeletal disorder (WMSDs). 17 Working is one of the causes of reduced sleep 18 reported that the average sleep duration in Japanese daytime workers was 6.5 hours. Shif work is one of the largest contributing factors to sleep loss; it causes circadian misalignment, 19 due to a sleep disturbance. Despite negative consequences of sleep loss, there are also adverse consequences of insufcient sleep at work. Sleep loss causes daytime sleepiness, fatigue, and performance impairment in the workplace. 2,20 Short sleep duration has been reported to signifcantly impair working performance. Because those symptoms potentially result in workplace accidents, obtaining proper sleep is vital for maintaining workers ‘well-being. Even though irregular and night-time shif work has been the subject of numerous research, it is still unclear what causes daytime workers to sleep less than they should. 21 On the other hand, fatigue and EDS in hospital nurses is a serious occupational health concern that afects patient safety. However, Indonesian hospital nurses’