Faktor-Faktor yang Berhubungan dengan Pengambilan Keputusan Perawat Dalam Ketepatan Triase Di Kota Padang

Abstract

The absence of guidelines and lack of socialization for regarding triage scale make nurse's ambiguity to determinant the triage scale for patient, thus making the triage judgment innacurate. Inaccurate choosing of the triage scale is the first step that caused long waiting time, affecting the satisfaction rate, patient safety, and even morbidity and mortality. The purpose of this research is to determine the dominant factor of the nurse's clinical decision making on the precision of filling triage scale at Emergency Department of Padang City Hospital. This research is a quantitative research. 54 of 61 emergency nurses are participated in this study. The triage knowledge factor is the dominant factor related to nurse's decision making on the precision of triage scale with p value 0,012 and odd ratio value 17,856. Any methode for increasing the triage knowledge can be practice in triage room or emergency department such as triage algoritm and knowledge transfer among nurses. Abstrak: Belum adanya pedoman dan sosialisasi mengenai pengisian skala triase 5 level menimbulkan keragu-raguan bagi perawat triase untuk menentukan skala triase pasien, sehingga membuat penilaian triase menjadi tidak tepat. Ketidaktepatan pengisian skala triase merupakan langkah awal terjadinya lamanya waktu tunggu, mempengaruhi angka kepuasan, keselamatan pasien, dan bahkan angka kesakitan dan kematian. Tujuan dari penelitian ini adalah mengetahui faktor dominan dalam pengambilan keputusan perawat pelaksana terhadap ketepatan pengisian skala triase di Instalasi Gawat Darurat Rumah Sakit Kota Padang. Penelitian ini merupakan penelitian kuantitatif. 54 dari 61 perawat gawat daruratikut serta dalam penelitian ini. Hasil penelitian didapatkan faktor tingkat pengetahuan merupakan faktor dominan yang berhubungan dengan pengambilan keputusan perawat terhadap ketepatan pengisian skala triase dengan p value 0,012 dan nilai odd ratio 17,856. Berbagai cara dapat diterapkan untuk meningkatkan pengetahuan triase seperti pedoman triase dan kaderisasi keilmuan diantara perawat.

The Relationship Between Preceptor Role and Student Knowledge with Triage Skills in Emergency Department

“…The accuracy of triage skills in the emergency department is influenced by various factors, namely: student knowledge, skills, education level, length of work, information, and the role of a clinical supervisor (preceptor). The results of research from previous researchers at the Padang City Emergency Room found that knowledge was the dominant factor affecting decision making in triage accuracy with a p-value of 0.012 with OR: 17.8 (Khairina et al, 2018). According to the results of the study (Santosa, 2015), it was found that there was a very strong relationship between knowledge and actions of nurses p = 0.002; r = 0.802.…”

“…According to Notoatmodjo (2012), knowledge is the result of a person's learning process for something, whether seen, heard, or practiced. Based on the research of Khairina et al (2018), it was found that the knowledge level factor was the dominant factor related to nursing decision-making on the accuracy of filling in the triage scale with a p-value of 0.012 and an odds ratio value of 17.856. [4].…”

Analysis of Nurse Personal Factors of Triage Decision-Making in Emergency Installation at University of Muhammadiyah Malang Hospital

“…The results showed that there was a significant correlation between these 2 variables with a p-value of 0.000 and a correlation coefficient of 0.565. While research conducted by Khairina (2018)8 on factors related to nurse decision making in triage accuracy, it was found that the length of work was the most dominant factor with a p-value of 0.012 and an odds ratio value of 17.856.A study presented and reported that nurses had insufficient knowledge about hospital triage, 39.94% of the responses to the knowledge level questions were correct in that study. They concluded their findings that in hospital emergency departments in Iran, nurses were not equipped with triage knowledge.…”

“…Another study states that the absence of guidelines and socialization regarding filling out the 5-level triage scale raises doubts for triage nurses to determine the patient's triage scale, thus making the triage assessment undertriage and over triage. The inaccuracy of filling in the triage scale is the first step in the occurrence of long waiting times and affects the satisfaction rate and patient safety 8 .…”

Pengaruh Empowerment Terhadap Pengambilan Keputusan Perawat: Kajian Literature Review

“…Misalnya seorang ahli komputer yang bekerja pada sebuah perusahaan, atau seorang karyawan yang memiliki kemampuan menggunakan 2 atau 3 bahasa internasional, akan memiliki expert power karena sangat dibutuhkan oleh perusahaannya (Marianti, 2011). Berdasarkan penelitian sebelumnya ditemukan bahwa faktor yang paling dominan mempengaruhi ketepatan pengambilan keputusan perawat adalah pengetahuan yang dimiliki oleh seorang perawat dengan nilai p value 0.012 (Khairina, Malini, Huriani, Dominan, & Pasien, 2018).…”