Pengetahuan dan Sikap Perawat berpengaruh terhadap Tindakan Triase di Instalasi Gawat Darurat

Sahrudi Sahrudi, Akhyarul Anam

Abstract

Triase merupakan tindakan penting yang ada di Instalasi Gawat Darurat (IGD). Perawat triase merupakan orang pertama yang ditemui oleh pasien ketika datang  di IGD. Pengetahuan perawat tentang triase merupakan kunci dalam pengambilan keputusan dalam hal triase. Pengambilan keputusan yang efektif dapat memengaruhi keberhasilan tindakan yang dilakukan kepada pasien. Penelitian ini bertujuan untuk mengetahui pengetahuan dan sikap perawat terhadap tindakan triase di IGD Rumah Sakit Umum Daerah Koja. Metode penelitian menggunakan studi cross-sectional deskriptif kuantitatif dilakukan di IGD RSUD Koja. Instrumen penelitian berupa kuesioner terstruktur yang dikembangkan oleh peneliti dan didasarkan pada literatur yang ada tentang triase di IGD. Teknik pengambilan sampel pada penelitian ini adalah total sampling dengan jumlah sampel 60 responden.  Hasil penelitian menunjukkan adanya hubungan signifikan tingkat pengetahuan perawat IGD terhadap tindakan triase dengan P-value = 0,030 dan nilai OR = 0,99. Terdapat hubungan signifikan antara sikap perawat IGD terhadap tindakan triase dengan P-value = 0,002 dan nilai OR = 9,8. Penelitian ini merekomendasikan kepada perawat agar senantiasa mengikuti pelatihan yang berhubungan dengan tindakan kegawatdaruratan sehingga tercapainya optimalisasi pelayanan di IGD sebagai garda terdepan suatu Rumah Sakit.

References

Ali, S., Taverner, B. C. B., Ghani, M., Kussor, Z., & Naz, S. (2013). Knowledge of Triage Among Nurses in Emergency Units. 29, 240–243.

Aloyce, R., Leshabari, S., & Brysiewicz, P. (2014). Assessment of knowledge and skills of triage amongst nurses working in the emergency centres in Dar es Salaam, Tanzania. African Journal of Emergency Medicine, 4(1), 14–18. https://doi.org/10.1016/j.afjem.2013.04.009

Baker, T. (2009). Critical care in low-income countries. Tropical Medicine & International Health : TM & IH, 14(2), 143–148. https://doi.org/10.1111/j.1365-3156.2008.02202.x

Considine, J., Botti, M., & Thomas, S. (2007). Do knowledge and experience have specific roles in triage decision-making? Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine, 14(8), 722–726. https://doi.org/10.1197/j.aem.2007.04.015

Dünser, M. W., Baelani, I., & Ganbold, L. (2006). A review and analysis of intensive care medicine in the least developed countries. Critical Care Medicine, 34(4), 1234–1242. https://doi.org/10.1097/01.CCM.0000208360.70835.87

Ebrahimi, M., Mirhaghi, A., Mazlom, R., Heydari, A., Nassehi, A., & Jafari, M. (2016). The Role Descriptions of Triage Nurse in Emergency Department: A Delphi Study. Scientifica, 2016, 5269815. https://doi.org/10.1155/2016/5269815

Emergency Severity Index. (n.d.). Retrieved July 27, 2020, from https://www.ahrq.gov/professionals/systems/hospital/esi/index.html

Evie, S., Wihastuti, T. A., & Suharsono, T. (2016). Analisis Faktor Yang Berhubungan Dengan Pelaksanaan Triage Perawat Pelaksanadi Ruang Igd Rumah Sakit Tipe C Malang. Jurnal Ilmiah Kesehatan Keperawatan, 12(3), 144–153. https://doi.org/10.26753/jikk.v12i3.163

Fathoni, M., & Sangchan, H. (2013). Relationships between Triage Knowledge, Training, Working Experiences and Triage Skills among Emergency Nurses in East Java. Indonesia Nurse Media Journal of Nursing, 3(1), 511–525.

Gurning, Y., Karim, D., & Misrawati. (2014). Hubungan tingkat pengetahuan dan sikap petugas kesehatan igd terhadap tindakan triage berdasarkan prioritas. Skripsi, 1–9. http://jom.unri.ac.id/index.php/JOMPSIK/article/download/3530/3425.

Hicks, F. D., Merritt, S. L., & Elstein, A. S. (2003). Critical thinking and clinical decision making in critical care nursing: a pilot study. Heart & Lung : The Journal of Critical Care, 32(3), 169–180. https://doi.org/10.1016/s0147-9563(03)00038-4

Iwan, S., Ahmad, Y., & Sandra, P. (2019). Determinan Perilaku Petugas Keperawatan Dalam Penanganan Pasien Di Instalasi Gawat Darurat. Universitas Pendidikan Indonesia, Vol 5.

Janssen, M. A. P., van Achterberg, T., Adriaansen, M. J. M., Kampshoff, C. S., Schalk, D. M. J., & Mintjes-de Groot, J. (2012). Factors influencing the implementation of the guideline triage in emergency departments: a qualitative study. Journal of Clinical Nursing, 21(3–4), 437–447. https://doi.org/10.1111/j.1365-2702.2011.03921.x

Kerie, S., Tilahun, A., & Mandesh, A. (2018). Triage skill and associated factors among emergency nurses in Addis Ababa, Ethiopia 2017: a cross-sectional study. BMC Research Notes, 11(1), 658. https://doi.org/10.1186/s13104-018-3769-8

Moineddin, R., Meaney, C., Agha, M., Zagorski, B., & Glazier, R. H. (2011). Modeling factors influencing the demand for emergency department services in Ontario: a comparison of methods. BMC Emergency Medicine, 11, 13. https://doi.org/10.1186/1471-227X-11-13

Rahmati, H., Azmoon, M., Kalantari Meibodi, M., & Zare, N. (2013). Effects of Triage Education on Knowledge, Practice and Qualitative Index of Emergency Room Staff: A Quasi-Interventional Study. Bulletin of Emergency and Trauma, 1(2), 69–75.

Salonen, A. H., Kaunonen, M., Meretoja, R., & Tarkka, M.-T. (2007). Competence profiles of recently registered nurses working in intensive and emergency settings. Journal of Nursing Management, 15(8), 792–800. https://doi.org/10.1111/j.1365-2934.2007.00768.x

DOI: https://doi.org/10.25077/njk.17.1.14-20.2021

Refbacks

  • There are currently no refbacks.