THE RELATIONSHIP BETWEEN TRIAGE USING EWS SCORES AND NURSES’ RESPONSE TIME IN EMERGENCY PATIENT MANAGEMENT AT IGD RSU ABDHI FAMILI BANYUWANGI
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Abstract
Background: The Emergency Department (IGD) is a vital unit in a hospital that provides first aid to emergency patients. The application of the Early Warning System (EWS) in the emergency room triage process is very crucial as a parameter for monitoring and early detection of critical conditions.
Objective: This study aims to analyze the relationship between emergency room triage using EWS score and nurse response time in handling emergency patients at Abdhi Famili Banyuwangi Hospital.
Methods: This research employed a correlational analytic design with a cross-sectional approach. The population and sample consisted of all nurses working in the Emergency Room of Abdhi Famili Banyuwangi Hospital, totaling 30 participants, selected through total sampling. Data were collected using observational instruments.
Results: The results showed that of the 18 respondents with low EWS scores, the majority (13 people or 72.2%) had a fast response time. The analysis using the Spearman Rank test yielded a value of p = 0.047 (< α = 0.05) and a correlation coefficient of 0.365. A p-value of less than 0.05 showed a significant relationship between emergency room triage using EWS scores and nurses' response time in handling emergency patients. However, a correlation coefficient value of 0.365 indicates that the relationship falls into the low category.
Conclusion: There was a significant relationship, although in the low category, between emergency room triage using EWS scores and nurses' response time in handling emergency patients at Abdhi Famili Banyuwangi Hospital.
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References
Anderson, E., & Rantepadang, A. (2022). Frekuensi Napas Dan Ews Pada Pasien Di Departemen Gawat Darurat. Klabat Journal of Nursing, 4(2), 66. https://doi.org/10.37771/kjn.v4i2.834 DOI: https://doi.org/10.37771/kjn.v4i2.834
Ayatulloh, D., Fahmi, N., Laily, R., Alfianti, K. Z., Priyantini, D., & Masruri, M. (2024). Faktor Determinan Yang Mempengaruhi Perilaku Caring Perawat Emergency Di Ruang Instalasi Gawat Darurat. Jurnal Keperawatan Muhammadiyah, 9(2), 78–86.
Bobi, S., Dharmawati, T., & Romantika, I. W. (2020). Hubungan Pengetahuan, Pendidikan dan Masa Kerja dengan Response Time di Instalasi Gawat Darurat. Jurnal Ilmiah Karya Kesehatan, 01(01), 1–8. https://stikesks-kendari.e-journal.id/JIKK/article/view/393/210
Boimau, M., Berkanis, A. T., & Lea, A. I. (2022). Hubungan Pengetahuan Perawat Dengan Pelaksanaan Early Warning Score (EWSS) Pada Pasien Di Ruangan Emergency Dan Intensive Care Unit (ICU) Rumah Sakit Siloam Kupang. Chmk Nursing Scientific Journal, 6(1), 1–7. http://cyber-chmk.net/ojs/index.php/ners/article/view/1041
Dewi, B. A. M., Susila, I. M. D. P., & Darmawan, A. A. K. N. (2020). Pengaruh Penggunaan Adult Early Warning Scoring (AEWS) Terhadap Tingkat Mortalitas Di RSUD Bali Mandara. Jurnal Kesehatan Saelmakers PERDANA, 3(2), 1–1.
Dinas Kesehatan Kabupaten Banyuwangi. (2022). Pemerintah kabupaten banyuwangi (Issue 68). chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/https://dinkes.banyuwangikab.go.id/portal/wp-content/uploads/2024/01/PROFIL-KESEHATAN-KAB-BANYUWANGI-THN-2022-final.pdf
Faizah, A. (2023). Keperawatan Gawat Darurat dan Manajemen Bencana. PRADINA PUSTAKA.
Gerry, S., Birks, J., Bonnici, T., Watkinson, P. J., Kirtley, S., & Collins, G. S. (2017). Early warning scores for detecting deterioration in adult hospital patients: A systematic review protocol. BMJ Open, 7(12), 1–5. https://doi.org/10.1136/bmjopen-2017-019268 DOI: https://doi.org/10.1136/bmjopen-2017-019268
Hania, U. P., Budiharto, I., & Yulanda, N. A. (2020). LITERATURE REVIEW: FAKTOR-FAKTOR YANG MEMPENGARUHI RESPONSE TIME PERAWAT PADA PENANGANAN IGD. SpringerReference, 56, 1–14. https://doi.org/10.1007/springerreference_23659 DOI: https://doi.org/10.1007/SpringerReference_23659
Kemenkes RI. (2019). Data dan Informasi Profil Kesehatan Indonesia. In Pusat Data dan Informasi Kementerian Kesehatan RI. KEMENKES RI.
Lutfiana, D., Maruti, E. D., & Prabowo, D. Y. B. (2024). STIKES TELOGOREJO SEMARANG Hubungan Score EWS Dengan Durasi Waktu Penanganan Pasien SMC RS TELOGOREJO DI SMC RS STIKES TELOGOREJO SEMARANG Hubungan Score EWS Dengan Durasi Waktu Penanganan Pasien RS TELOGOREJO. KONFERENSI NASIONAL DAN CALL PAPER STIKES TELOGOREJO SEMARANG Hubungan, 0(0), 1–7.
Maatilu, V., Mulyadi, & Malara, R. T. (2014). Faktor-Faktor Yang Berhubungan Dengan Response Time Perawat Pada Penanganan Pasien Gawat Darurat Di Igd Rsup Prof. Dr . R. D. Kandou Manado. Jurnal Keperawatan UNSRAT, 2(2), 112801.
Mahendradhata, Y., & Kurniawan, A. (2022). Membangun Inovasi di Era Pandemi. Gadjah Madah University Press.
McGaughey, J., Fergusson, D. A., Van Bogaert, P., & Rose, L. (2021). Early warning systems and rapid response systems for the prevention of patient deterioration on acute adult hospital wards. Cochrane Database of Systematic Reviews, 2021(11). https://doi.org/10.1002/14651858.CD005529.pub3 DOI: https://doi.org/10.1002/14651858.CD005529.pub3
Mirawati, A., Deswita, D., & Solok Poltekkes Kemenkes Padang, K. (2022). Efektivitas Early Warning System Score dalam Pencegahan Perburukan Pasien di Rumah Sakit. Jurnal Kesehatan Lentera ’Aisyiyah, 5(1), 568–576. https://backup.politasumbar.ac.id/index.php/jl/article/view/125
National Clinical Effectiveness Committee. (2016). Guideline developers manual.
Prayitno, D. F. A., Utami, R. D. P., & Kanita, M. W. (2020). Hubungan Early Warning Score (Ews) Dengan Kejadian Henti Jantung Di Ruang Igd Rs Mardi Lestari Sragen. Universitas Kusuma Husada, 2020(25), 1–10.
Pujiastuti, D., Purwaty, E., Janah, J., Ngadhi, P., Surianto, P., Dewi, R., & Talu, Y. (2021). PENERAPAN EARLY WARNING SYSTEM (EWS) SEBAGAI DETEKSI DINI KEMATIAN DI CRITICAL CARE AREA. JURNAL PENELITIAN KEPERAWATAN, 7, 1–9. https://doi.org/10.32660/jpk.v7i1.552 DOI: https://doi.org/10.32660/jpk.v7i1.552
Rochani, S. (2021). Hubungan Tingkat Pendidikan dan Lama Kerja dengan Waktu Tanggap Perawat di Instalasi Gawat Darurat RSUD Dr. Adjidarmo Rangkasbitung. Jurnal Kesehatan Saelmakers , 4(2), 221–229. https://doi.org/10.32524/jksp.v4i2.269
Setiawan, Astuti, L., Aini, L., & Fitrianto, R. (2024). FAKTOR FAKTOR BERHUBUNGAN DENGAN PENGETAHUAN TENAGA KESEHATAN PELAKSANAAN EARLY WARNING SYSTEM. Babul Ilmi Jurnal Ilmiah Multi Science Kesehatan, 16(2), 164–173. DOI: https://doi.org/10.36729/bi.v16i2.1284
Yulia, R. (2022). Hubungan Lama Kerja dan Pelatihan dengan Ketepatan Waktu Tanggap Penanganan Pasien Di IGD RSHB Batam. Ahmar Metastasis Health Journal, 2(3), 166–173. https://doi.org/10.53770/amhj.v2i3.142 DOI: https://doi.org/10.53770/amhj.v2i3.142
Zahroh, R., & Mariyani, L. (2020). PENERAPAN EARLY WARNING SCORE (EWS) SYSTEM DENGAN RESPON TIME PADA KONDISI KEGAWATAN DI RAWAT INAP RS GRHA HUSADA. Jurnal Ners LENTERA, 20(2), 396–406.
Aditya Nuraminudin Aziz
https://orcid.org/0000-0003-2124-9457