Zulkarnain Zulkarnain

Background. Chronic kidney disease (CKD) is a growing global health problem, with many patients requiring longterm hemodialysis as kidney function declines. While hemodialysis prolongs survival, its repetitive and prolonged nature can lead to physical discomfort, psychological distress, boredom, reduced treatment adherence, and diminished quality of life among patients. Objective. This study aimed to investigate the impact of lifelong hemodialysis as a factor contributing to patients' lack of willingness to comply with treatment. Specifically, the study focused on examining the levels of burnout, boredom, and quality of life among hemodialysis patients in the city of Medan. Methods. This study used the descriptive correlation design with three questionnaires, burnout, boredom, and KDQOL-SF36. Furthermore, a sample of 157 people who met the inclusion criteria for hemodialysis >1 year, routine 2 times a week, and body weight not more than 2.5% of previous HD during the last 6 months were included. The data analysis was carried out using chi-square. Results. Most participants were women (56%) and had been undergoing HD for more than three years (70%). The most common physical complaint was dizziness (28%). A moderate level of boredom was reported by (86%) of patients, mild burnout by (86%), and poor quality of life by (55%). Chi-square analysis showed a significant relationship between burnout and quality of life (p = 0.000), and between boredom and quality of life (p = 0.000). Conclusion. The level of burnout and boredom experienced by hemodialysis patients has a significant impact on their quality of life. This highlights the importance of the role of family members and healthcare workers, particularly nurses, in providing services and using pleasant facilities to minimize fatigue and boredom during dialysis, which could help to improve patients quality of life.

Kontakt is a platform for publishing contributions on the complexity of interactions between clinical and social actions in the context of health improvement.

Context and relevance. Bullying remains a pervasive challenge across educational systems worldwide, posing serious risks to students' psychological well-being and academic performance. In Indonesia, its prevalence continues to grow, echoing patterns observed in various other countries and reinforcing the need for culturally informed, data-driven interventions. Objective. This study investigates high school students' risk of involvement in bullying — either as victims or perpetrators — based on age, gender, and school type. Methods and materials. Utilizing a cross-sectional survey design, data were collected from 1153 students aged 14 to 19 years (M = 16; SD = 0,919), including 514 males (45%) and 639 females (55%). The sample comprised 907 senior high school students and 246 vocational high school students from 10 sub-districts in Medan City, Indonesia. Results. A multinomial logistic regression analysis revealed that gender was the only significant predictor of victimization risk, while no variables significantly predicted dual roles as both perpetrator and victim. Conclusions. These findings underscore the importance of gender-sensitive monitoring and preventive strategies, particularly for female students, and contribute to a growing body of international research aimed at mitigating bullying behaviors through targeted educational programs.

Orientation: Contract-based healthcare workers often face disproportionate challenges, such as job insecurity, limited career advancement opportunities and unequal pay, despite performing similar duties to permanent staff. Research purpose: This study investigates the moderating role of personal resources in the relationship between job demands and employee well-being among contract healthcare workers. Motivation for the study: Given the rising reliance on contract healthcare staff, it is crucial to understand how their well-being can be protected and sustained under high-demand working conditions. Research approach/design and method: Data were collected from 221 contract healthcare workers in a public hospital using structured questionnaires. Moderated regression analysis was employed to test both direct and interaction effects of job demands and personal resources on well-being. Main findings: Job demands negatively predicted well-being, while personal resources had a significant positive effect. Furthermore, personal resources buffered the adverse effects of high job demands, confirming their moderating role. Practical/managerial implications: Human resource strategies should not only manage job demands but also strengthen personal resources through resilience training, psychological coaching and self-efficacy development. Such initiatives can enhance psychological safety and support workforce sustainability. Contribution/value-add: This study extends the Job Demands–Resources and Conservation of Resources frameworks by providing empirical evidence of the moderating role of personal resources. It offers actionable insights for improving well-being among contract healthcare workers operating under demanding conditions.

The internet has revolutionised communication, providing teenagers with opportunities for connection and sharing information. However, excessive internet use raises concerns about its negative impact on daily life and well-being. With this study we examined the mediating role of self-control in the relationship between happiness and internet addiction among 260 teenagers using a cross-sectional design. Validated self-administered assessments measured happiness, self-control, and internet addiction. Smart PLS analyses revealed a significant negative relationship between happiness and internet addiction, with self-control mediating this association. These findings highlight the importance of fostering self control to mitigate the risks of internet addiction. Schools should implement strategies to promote self-regulation, encourage balanced internet use, and engage with parents to support students’ well-being.

Orientation: Managing employee turnover is a significant challenge for organisations, especially in industries where retaining skilled professionals is essential for sustained success. Research purpose: This study explores the moderating effect of work-life balance (WLB) on the relationship between job embeddedness and turnover intention among bank employees. Motivation for the study: The study is driven by the need to identify organisational factors that help minimise turnover intention and improve employee retention. Research approach/design and method: A quantitative research design was adopted, utilising survey data from 330 respondents. Statistical analyses were conducted to assess both the direct impact of job embeddedness on turnover intention and the moderating role of WLB. Main findings: The moderation analysis revealed that job embeddedness more strongly reduced turnover intention when WLB was low. This suggests that employees with poor WLB may rely more on organisational fit, social connections and perceived sacrifices to staying. Practical/managerial implications: The findings suggest that organisations should focus on strengthening job embeddedness by fostering positive workplace relationships, career development opportunities and a supportive organisational culture. Contribution/value-add: This finding highlights the importance of job embeddedness as a strategic human resource tool for employee retention. It shows that employees may choose to stay even when WLB is low, as long as they feel a strong sense of fit, connection, and perceived loss if they leave.

Orientation: Physicians in developing countries are exposed to high stressors that seriously affect their well-being and work performance. Psychological capital (PsyCap) and meaningful work might be utilised to counter such adversities. Research purpose: This study aims to identify the most suitable psychological well-being model for physicians to manage the high work demands of their profession. Motivation for the study: With rising burnout among health professionals, there is an urgent need for Human Resource Management (HRM)-driven strategies to enhance employee well-being and sustain organisational effectiveness. By providing evidence-based insights, this research aims to inform HR practices that foster a healthier, more motivated workforce while improving overall organisational performance. Research approach/design and method: Quantitative data were collected from 315 Indonesian physicians using three validated tools. This study employed scaling for data collection and utilised structural equation modelling (SEM) for data analysis. Main findings: This study found that psychological capital positively influences both meaningful work and psychological well-being among physicians. Psychological capital emerged as the strongest predictor in the model, with its influence on well-being partially mediated by meaningful work. However, meaningful work showed a negative association with well-being, indicating that in high-stress settings, it may also act as a psychological burden. Practical/managerial implications: By integrating PsyCap development and meaningful work strategies, HRM can create a supportive and fulfilling work environment, ultimately improving employee well-being, productivity and retention. Contribution/value-add: By highlighting the role of PsyCap and meaningful work, this research provides valuable insights for organisations seeking to cultivate a motivated, fulfilled and high-performing workforce.

Medical personnel is a profession with a high workload. High work demands can lead to a decline in physical and emotional health. An in-depth understanding of the impact of workload on health, especially mental health, is crucial to implementing measures for their well-being. This literature review aims to gather and compare available information to produce an apparent picture of the mental health of medical personnel and influencing factors. A comprehensive search was conducted utilizing a variety of electronic databases, including Scopus, Science Direct, Springer Link, ProQuest, EBSCO, MED-LINE, and Google Scholar. The literature search focused on papers assessed with the Preferred Reporting Items for Systematic Reviews and Meta-Analyzes (PRISMA) methodology. We identified 16 studies that reported the criteria for in-depth analysis. The study concluded that overburdened medical personnel are prone to burnout, which in turn has the potential to lead to mental health problems. Common disorders are burnout, depression, anxiety, and abnormal stress. Further research sourced from internal individuals needs to be done so that it is expected to be more robust and consistent, considering that medical personnel are very likely to work in more than one institution during the process.