<![CDATA[This research examines the level of fulfillment of the minimum competencies required in the initial nursing assessment in the Emergency Department (IGD) of Bogor City General Hospital based on the 2022 accreditation standards set by the Ministry of Health.. The study aims to provide an overview of nurses' adherence to completing the minimal content of initial nursing assessments in the ED and to identify factors influencing this compliance. A qualitative research method was employed, focusing on nurses as subjects and medical records related to the initial nursing assessment forms during May 2024 as the object of study. Data analysis was conducted through medical record reviews, interviews with ED nurses, and field observations. The findings revealed that out of 8,077 patient medical records from May 1 to May 31, 2024, 53% of the minimal assessment components were not filled out, while 47% were completed. Among the thirteen components studied, the highest percentage of unfilled components was in pain assessment (12%), followed by allergy history and medication history assessments (10% each), and economic and health history assessments (9%). According to the compliance level criteria by Yayasan Spiritia (2006), the 47% compliance rate falls into the non-compliant category, failing to meet the target set by Starkes (2022), which requires a 100% completion rate and 0% unfilled components. Interviews indicated that factors affecting compliance include human resources aspects (workload, motivation, knowledge, discipline, and communication), regulations, leadership, training material, and facilities. These findings underscore the need for enhanced training, better management of nurses' workloads, clear operational standards for initial nursing assessments, improved supervision and monitoring systems, and consideration of simplifying assessment components while adhering to hospital accreditation standards to enhance nursing service quality and patient safety in the ED]]>
