Determinant of Nurses’ Response Time in Emergency Department When Taking Care of A Patient

Abstract

Introduction: : Response time is the handling speed calculated when the patients arrive at the hospital until they are treated. It is influenced by several factors according to Gibson Performance Theory. The research approach aimed to analyze individual factors including: skills, emergency training, gender, age, length of working, and education, organizational factors: rewards, and psychological factors: nurse motivation that influences the response time of the nurses in emergency departments at general hospitals in Madura. Methods: The research method used was a descriptive-analytic study with a cross-sectional approach. The sampling technique is total sampling, which is 101 nurses. Independent variables are skills, emergency training, gender, age, length of working, education, rewards, and motivation. Dependent variable is response time. Data were collected using a questionnaire and direct observations on nurses, data were analyzed using the Multiple Regression Logistic test. Results: The results show that there was no correlation between age (p= 0.996); education (p= 0.913); length of working (p= 0.921); training (p= 0.830); skill factor (p= 0.999); and motivation factors (p= 0.471) with response time. Whereas gender (p= 0.020); and reward factor (p = 0.020) were related with response time. Conclusion: In order to improve patients’ handling procedure, hospitals should give support to nurses, like promotion or salary. Hospitals are expected to record documentations about the number of patients according to triage category and how fast nurses handle them because it may be an evaluation for rooms.

Factors Analysis Related to the Response Time of Nursing Services Based on the ATS II Category in the Emergency Installation

“…The average length of service for nurses was <5 years in the emergency department. This is different from the results obtained in previous studies, there is no significant relationship between length of work and response time of nurses in handling clients[16]. So that the length of work cannot be used as a benchmark for determining nurse response time without being based on good training and knowledge.The results of this study obtained the average knowledge of nurses in handlingEmergency clients in the category of Ausrtalian Triage Scale (ATS) II are dominant well.…”

The Initial Assessment of Nurse Knowledge to Response Time in Traffic Accident Case

“…Respon time perawat adalah kecepatan atau waktu tanggap pelayanan terhitung sejak pasien datang sampai dengan di lakukannya penanganan. Keberhasilan waktu tanggap atau respon time bergantung kepada kecepatan pemberian pertolongan dan kualitas pertolongan dalam upaya penyelamatan jiwa atau pencegahan terjadinya kecacatan akibat kecelakaan yang dialami oleh pasien [23]. Selain dapat menentukan keluasan kerusakan organ-organ dalam, mekanisme response time dapat juga mengurangi beban biaya pasien dan keluarga [24].…”

“…Ketersedian perawat yang kompeten dapat mendukung tercapainya respon time yang baik [17]. Penempatan perawat yang kompeten di IGD akan mempercepat proses kepulangan Nandang DD Khairari / The Initial Assessment of Nurse Knowledge to Response Time in Traffic Accident Case pasien untuk pasien yang cidera ringan dan membantu memulai penanganan bagi pasien yang mengalami cidera berat [23].…”

“…Tingkat pengetahuan yang baik dalam respon time cepat dapat membantu pasien kecelakaan lalu lintas dalam keadaan gawat darurat untuk menyelamatkan nyawa atau mencegah cacat sejak pertolongan di rumah sakit [20]. Tingkat pengetahuan dipengaruhi oleh faktor pendidikan, dengan pendidikan yang tinggi dapat menghasilkan lulusan yang memiliki sikap dan pengetahuan yang tinggi dan keterampilan profesional maka pendidikan sangat mempengaruhi pengetahuan [23]. Hal ini sesuai dengan pernyatan notoatmodjo (2010) [25] bahwa seseorang yang memiliki pendidikan tinggi maka semakin banyak pengetahuannya dalam menangani pasien gawat darurat.…”