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Rafika Nurmalita Sari
Universitas STRADA Indonesia
Education Health Professions Medicine & Pharmacology Nursing Public Health

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Strategi Triase dan Dukungan Keluarga dalam Optimalisasi Pelayanan Instalasi Gawat Darurat Prima Prima; Rining S; Rafika Nurmalita Sari
Kolaborasi: Jurnal Pengabdian Masyarakat Vol 6 No 2 (2026): Kolaborasi: Jurnal Pengabdian Masyarakat
Publisher : Yayasan Inspirasi El Burhani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/kolaborasi.v6i2.851

Abstract

Introduction: The Emergency Department (ED) is a critical service unit that requires rapid assessment and decision-making to ensure patient safety. The triage system plays a key role in prioritizing patients based on clinical severity. However, observations during a residency program at the Emergency Department of RSUD Dr. R. Sosodoro Djatikoesoemo Bojonegoro revealed that family members often experienced anxiety and dissatisfaction due to limited understanding of the triage process and ineffective communication from healthcare providers. These issues frequently led to misconceptions regarding waiting times and perceptions of unequal service. Objective: This community service activity aimed to improve family members’ understanding of the triage process, reduce anxiety related to waiting time, and strengthen trust in emergency care services. Method: A descriptive participatory approach was used through observation of ED service flow and interviews with nurses to identify communication gaps. An educational intervention was implemented using an audiovisual medium in the form of a short animated video explaining triage categories, which was displayed in the ED waiting area. Family members’ knowledge was assessed using pre-test and post-test questionnaires. Results: Post-test results showed a clear improvement in family members’ understanding of triage compared to pre-test findings, where most participants initially demonstrated low knowledge levels. Qualitative observations indicated reduced complaints, improved cooperation during admission, and more effective communication between nurses and families, although variability in staff communication skills remained a challenge. Conclusion: Audiovisual-based education effectively improved family understanding of the triage process and supported better communication and trust in emergency services. Structured educational media and consistent communication strategies are recommended to sustain service quality improvements in the ED.
Pengalaman Pengambilan Keputusan Klinis Tim PSC 119 Pada Pelayanan Kegawatdaruratan Pra-Rumah Sakit di Kabupaten Bojonegoro Rafika Nurmalita Sari
Jurnal Ners Vol. 10 No. 4 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i4.62499

Abstract

Pengambilan keputusan klinis merupakan aspek krusial dalam pelayanan kegawatdaruratan pra-rumah sakit, menuntut perawat Public Safety Center (PSC) 119 bertindak cepat dan tepat di tengah keterbatasan waktu dan sumber daya. Penelitian kualitatif fenomenologi ini bertujuan mengeksplorasi pengalaman perawat PSC 119 Kabupaten Bojonegoro dalam mengambil keputusan klinis, beserta hambatan, faktor pendukung, dan maknanya bagi pembentukan identitas profesional. Partisipan berjumlah 8 perawat, dipilih melalui purposive sampling, dengan triangulasi sumber dari 2 koordinator PSC. Data dikumpulkan melalui wawancara mendalam dan dianalisis secara tematik. Hasil menunjukkan bahwa pengambilan keputusan klinis dibentuk oleh faktor internal (intuisi dan pengalaman klinis, refleksi identitas profesional) serta faktor eksternal (ketidakpastian akibat intervensi masyarakat, hubungan humanistik, edukasi dan kepercayaan publik). Perawat juga beroperasi melalui mekanisme berpikir ganda—intuitif-cepat dan analitis-reflektif—serta mengelola ketegangan produktif antara kepatuhan SOP dan adaptasi situasional. Penelitian menyimpulkan bahwa pengambilan keputusan klinis merupakan proses adaptif multidimensi yang menjadi prasyarat keselamatan pasien di layanan pra-rumah sakit.
Co-Authors Prima Prima Rining S