DEVI AGUSTIN, ROFIFAH (2024) Perbandingan Pelaksanaan Metode Triage ESI dan ATS Terhadap Beban Kerja Perawat Di Instalasi Gawat Darurat Rumah Sakit Kota Malang. Sarjana thesis, Universitas Brawijaya.
Abstract
Instalasi Gawat Darurat (IGD) merupakan unit krusial dalam pelayanan kesehatan, di mana sistem triage berperan penting dalam memprioritaskan penanganan pasien berdasarkan tingkat kegawatan. Dua metode triage yang umum digunakan adalah Emergency Severity Index (ESI) dan Australian Triage Scale (ATS). Namun, beban kerja perawat yang tinggi di IGD menimbulkan tantangan dalam pelaksanaan triage secara optimal. Oleh karena itu, penelitian ini dilakukan untuk menganalisis perbandingan pelaksanaan metode ESI dan ATS terhadap beban kerja perawat di IGD. Penelitian ini menggunakan desain observasional analitik dengan pendekatan cross-sectional. Sampel terdiri dari 40 perawat IGD di dua rumah sakit di Kota Malang, yang dipilih melalui teknik total sampling. Data beban kerja diukur menggunakan kuesioner NASA Task Load Index (NASA-TLX) yang telah diuji validitas dan reliabilitasnya. Analisis data dilakukan menggunakan uji statistik non-parametrik Mann-Whitney. Hasil penelitian menunjukkan beban kerja perawat dengan triage ESI paling banyak yaitu kategori sangat tinggi dan triage ATS yaitu kategori tinggi. Terdapat perbedaan signifikan antara pelaksanaan metode triage ESI dan ATS terhadap beban kerja perawat dengan nilai p = 0,022. Metode triage ESI memberikan beban kerja yang lebih tinggi dibandingkan ATS terutama pada dimensi kebutuhan mental, waktu, dan frustrasi. Kesimpulan dari penelitian ini adalah terdapat perbedaan signifikan antara pelaksanaan metode triage ESI dan ATS terhadap beban kerja perawat di IGD. Penelitian ini diharapkan memberikan masukan bagi rumah sakit untuk meningkatkan efisiensi pelaksanaan triage melalui pelatihan intensif serta mendorong penelitian lanjutan yang menggabungkan metode subjektif dan objektif untuk penilaian beban kerja perawat.
English Abstract
The Emergency Department (ED) is a critical unit in healthcare services where the triage system plays an essential role in prioritizing patient care based on the level of urgency. Two commonly used triage methods are the Emergency Severity Index (ESI) and the Australian Triage Scale (ATS). However, the high workload of nurses in the ED poses challenges in implementing triage optimally. Therefore, this study was conducted to analyze the comparison between the implementation of the ESI and ATS methods concerning the workload of nurses in the ED. This study employed an observational analytic design with a crosssectional approach. The sample consisted of 40 ED nurses from type-C hospitals in Malang, selected using a total sampling technique. Workload data were measured using the NASA Task Load Index (NASA-TLX) questionnaire, which had been tested for validity and reliability. Data analysis was performed using the non-parametric Mann-Whitney statistical test. The results of the study indicate that the nurses workload was predominantly categorized as very high with the ESI triage and high with the ATS triage. There's a significant difference between the implementation of the ESI and ATS triage methods concerning the workload of nurses with a p-value of 0.022. The ESI triage method imposes a higher workload compared to the ATS, particularly in the dimensions of mental demand, time, and frustration. The conclusion of this study is that there is a significant difference between the implementation of the ESI and ATS triage methods regarding the workload of nurses in the ED. This study aims to provide input for hospitals to improve the efficiency of triage implementation through intensive training and encourage further research combining subjective and objective methods for assessing nurses' workload.
| Item Type: | Thesis (Sarjana) |
|---|---|
| Identification Number: | 052416 |
| Divisions: | Fakultas Ilmu Kesehatan > Ilmu Keperawatan, Fakultas Ilmu Kesehatan |
| Depositing User: | Annisti Nurul F |
| Date Deposited: | 13 Feb 2025 04:08 |
| Last Modified: | 13 Feb 2025 04:08 |
| URI: | http://repository.ub.ac.id/id/eprint/236593 |
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