ANALYSIS OF FACTORS AFFECTING THE APPLICATION OF AUSTRALASIAN TRIAGE SCALE (ATS) IN EMERGENCY DEPARTEMENT NGUDI WALUYO WLINGI HOSPITAL

Authors

  • Mohammad Nur Firdaus universitas brawijaya
  • Setyowati Soeharto
  • Dewi Kartikawati Ningsih

DOI:

https://doi.org/10.21776/ub.jik.2018.006.01.6

Keywords:

leadership factor, waiting time factor, triage documentation factor, education factor, training factor, application of ATS

Abstract

Indonesia doesn’t have a national standard for triage system which means implementation in each hospital can be different. Nurses have an important role in the application of triage. The Australasian Triage Scale method (ATS) is one of the triage system in the world used in some countries including Indonesia but it is very difficult to implementation in overcrowded emergency departement. Nurses ratio and unstandard triage room make the ATS standart times is difficult to achieve. The aim of this study was to analyze the various factors affecting Australasian Triage Scale (ATS) in emergency departement NgudiWaluyo Wlingi Hospital. We used quantitative research with cross sectional approach and the respondent are 28 nurses in Emergency Departement Ngudi Waluyo Wlingi Hospital. Univariate analysis is used toknow the description of each variable. Fisher test to determine the relationship between variables. Logistic regression analysis to determine the most dominant factor affecting the application of Australasian Triage Scale. Fisher test result show p-Value as follows: performance factor (leadership), p =0.028 < α = 0,05, client factor (waiting time) p = 0.011 < α = 0,05, equipment factor (triage documentation) p = 0,036 < α = 0,05, staff requirements factor (education) ) p = 0.013 <α = 0,05, staff requirements factor (training) p = 0.036 <α = 0,05 The result of logistic regression shows staff requirements factor (education) p = 0.019 < α = 0.05 with OR 0.059. In conclusion there is a significant affecting between performance leadership factor, waiting time factor, triage documentation factor,education factor, training factor on the application of ATS and education is a dominant factor to predict the accuracy of the application of ATS.

References

  • Aloyce, R., Leshabari, S., Brysiewicz (2014). Assessment of knowledge and skills of triage among nurses working in the emergency centers in dar es salam.Tanzania. Journal African Medicine, 6(2): 114-121
  • Baker, T. (2009). Critical care in low income countries. Trop med int health.p 409-415
  • Chen, S. S., Chen, J. C., Ng, C. J., Chen, P. L., Lee, P. H., & Chang, W. Y. (2010). Factors that influence the accuracy of triage nurses’ judgement in emergency departments. Emergency Medicine Journal,
  • (6), 451-455.
  • Dadashzadeh, A., Abdolahzadeh, F., Rahmani, A., & Ghojazadeh, M. (2013). Factors affecting triage decision-making from the viewpoints of emergency department staff in Tabriz hospitals. Iran J Crit CareNurs2013, 6(4), 269-276.
  • Emergency Nurses Association. (2014). Standards of emergency nursing practice 5th ed., USA: lippincot Comp., pp 56-60
  • FitzGerald, G., Jelinek, G. A., Scott, D., & Gerdtz, M. F. (2010). Republished paper: Emergency department triage revisited. Postgraduate medical journal, 86(1018), 502-508.
  • Forero, R. (2012). Australasian College for Emergency Medicine (ACEM) literature review on the Australasian triage scale (ATS) (Doctoral dissertation, Institute of Health Innovation, University of New South Wales)
  • Gerdtz et al. 2009. Factors influencing consistency of triage using the Australasian Triage Scale: Implications for guideline development (original research). EMA
  • Gilboy, N. (2010). Sheehy’s Emergency Nursing Principles and Practice. Sixth Edition. Edited by Howard, P.K., & Steinmann, R.A. St.Louis, Missouri : Mosby Elsevier.
  • Gilboy, N., Tanabe, T., Travers, D., & Rosenau, A. M. (2011). Emergency Severity Index (ESI): A triage tool for emergency department. Rockville, MD: Agency for Healthcare Research and Quality
  • Janssen, M. A., van Achterberg, T., Adriaansen, M. J., Kampshoff, C. S.,
  • Schalk, D. M., & 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.
  • Republik Indonesia. (2008). Nomor 129/ Menkes/SK/II/2008. Tentang Standar Pelayanan Minimal Rumah Sakit. Kemenkes R.I. Jakarta.
  • Lee, J. Y., Oh, S. H., Peck, E. H., Lee, J. M., Park, K. N., Kim, S. H., & Youn, C. S. (2011). The validity of the Canadian Triage and Acuity Scale in predicting resource utilization and the need for immediate life-saving interventions in elderly emergency department patients. Scand J Trauma Resusc Emerg Med, 19, 68.
  • Lusiana 2011. Pengaruh Tingkat Pengetahuan dan sikap perawat dengan pelaksanaan Triage di IGD RS Puri Indah Jakarta
  • Safari, S. R. (2012). Perceptions and challenges of using emergency triage assessment treatment guideline in emergency department at Muhimbili national hospital, Tanzania (Doctoral dissertation, Muhimbili University of Health and Allied Sciences). downloaded on February, 6, 2017
  • Sitohang, H., Santosa, H., & Salbiah, S. (2017). Hubungan Fungsi Supervisi Kepala Ruangan dengan Produktivitas Kerja Perawat Pelaksana di Rumah Sakit Umum Daerah dr. Pirngadi Medan. Idea Nursing Journal, 7(1), 13-19.
  • Suhartati. (2015) .Media Pengembangan SDM. Kesehatan,1(1),76-81

Downloads

Published

2019-01-31

Issue

Vol. 6 No. 1 (2018)

Section

Articles

License

Authors published in this journal agree to the following terms:

  1. The copyright of each article is held by its author.
  2. Author grants the journal first publication rights with the work simultaneously licensed under the Creative Commons Attribution-NonCommercial 4.0 International License or CC BY-NC 4.0 license, allowing others to share the work with acknowledgment of authorship and initial publication in this journal.
  3. Authors may enter into separate additional contractual agreements for the non-exclusive distribution of the published journal version of the work (for example, posting it to an institutional repository or publishing it in a book), with acknowledgment of their initial publication in this journal.
  4. Authors are permitted and encouraged to post their work online (e.g. in an Institutional Repository or on their website) before and during the submission process, as this can result in a productive exchange, as well as earlier and larger citations of the published work.
  5. Articles and all related material published are distributed under Creative Commons Attribution-NonCommercial 4.0 International License or CC BY-NC 4.0 license.

All articles in this journal are the sole responsibility of the author. Journal of Nursing Science Update (JNSU) provides open access to anyone so that the information and findings in this article are useful for everyone. JNSU can be accessed and downloaded free of charge, free of charge, subject to Creative Commons Attribution-NonCommercial 4.0 International License or CC BY-NC 4.0 license .


JNSU  is licensed under a  Creative Commons Attribution-NonCommercial 4.0 International License or CC BY-NC 4.0 license.