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

Abstract

The high frequency of patient visits to the ER will disrupt the service process at the Emergency Department
(IGD). One solution is the application of a triage system, which is the process of sorting patients according
to their level of gravity. The accuracy of triage decisions has a significant impact on patient outcomes so
that in this case nurses in the ER must have knowledge, understanding, and skills about triage. Analyze
personal factors that influence emergency nurse decision-making. This study aimed to identify personal
factors influencing triage decision-making among emergency nurses. Respondents were 30 male and female
nurses who worked and were active up to now in the IGD Hospital of the University of Muhammadiyah
Malang. Data on work experience, education, and training were taken from data on the characteristics of
respondents. The knowledge questionnaire came from the Emergency nurses association/ENA while the
skills questionnaire used the Triage Skill Questionnaire/TSQ. The Spearman correlation test shows that there
is a significant relationship between skills and education with triage decision making (p=0.000; r=0.626 and
p=0.039; r=0.378). Meanwhile, the variables of knowledge, work experience, and training do not correlate
with triage decision making (p> 0.05) except that GELS training shows a significant relationship between
GELS training and triage decision making (p=0.016; r=0.437). The results of linear regression analysis,
skills, and education are factors that influence decision-making in conducting triage in the ER (45,4%).
Skills and education are the factors that most influence triage decision-making.