The Indonesian National Nurses Union (PPNI) (2011) revealed that as many as 50.9% of Indonesian nurses who work experience work stress, often feel dizzy, tired, less friendly, lack of rest due to excessively high workload and inadequate income.  The objectives of the study was to look at the effect of workload, work stress, job satisfaction on work motivation on nurses: a systematic review. The research method used is systematic review to synthesize research results that are qualitative descriptive, with meta synthesis. The results of the study obtained a value of thitung X2 of 11,494 > 1,993 or α = 0.05, where sig = 0.000. In accordance with the hypothesis testing criteria that H0 is rejected and H3 is accepted, it means that the workload variable has a partially significant effect. There is a partial effect of work stress on the performance of nurses in Bali Provincial Hospital namely Pyx2 = - 0.533 with a p-value of 0.000 smaller than alpha (α) = 0.05. Ability (X1) has a significant influence on patient care (Y) when the nurse's work motivation (X2) remains (t calculated ≥ than the table t, 13,305 ≥ than in 1,907. In conclusion, the burden, satisfaction, and stress of work simultaneously have a significant effect for on the motivation of the nurse's work variable. Advice for agencies, to provide adequate rest time, as well as a reduction in shift hours to nurses so that there is no stress at work.

BPJS Kesehatan diharapkan dapat menyelenggarakan program jaminan sosial kesehatan yang berkualitas dan berkesinam-bungan. Namun, faktanya setiap tahun, defisit BPJS Kesehatan selalu mengalami kenaikan. Tujuan penelitian yaitu agar mengetahui resiko apa yang akan terjadi jika adanya perbedaan iuran dan strata sosial bagi pengguna BPJS kesehatan. Metode penelitian menggunakan metode kuantitatif dengan desain studi cross sectional yang dilakukan pada bulan juni 2022 di Kota Medan. Jumlah responden sebanyak 53 orang dari perwakilan populasi yaitu pengguna BPJS kesehatan dengan rentang umur 15-25 tahun diambil dengan cara non random sampling. Analisis dilakukan secara univariat, bivariat dan multivariat dengan nilai parameter dan ROC. Hasil studi menunjukkan bahwa ada resiko dan hubungan yang signifikan antara variabel dependen dan independen (p<0,05). Analisis lanjutan dilakukan melalui parameter, residu matrix dan lack of fit (RM; 38,993, LAF; 50,000, Parameter; 4,66-11,46, P-Value; 0,000 (<0,05), 95% CI; 0,95-2,38). Hasil AUC didapatkan sebesar 0,316 (p-value; 0,144, 95% CI; 0,083-0,548). Sensitifitas dan spesifisitas didapat sebesar 0,298 dan 0,667 melalui titik potong >1,5. Kesimpulan pada studi ini ialah adanya hubungan antara resiko perbedaan iuran dan strata sosial dengan pengguna BPJS kesehatan. Saran bagi kepala BPJS kesehatan sebaiknya ditiadakan kelas pelayanan kesehatan agar tidak terjadi perbedaan iuran dan strata sosial di masyarakat.