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Accuracy and Challenge of Using the Australian Triage Scale (ATS) in Emergency Departments Maulida Ummi Syafa; Anggorowati Anggorowati; Henni Kusuma
Indonesian Journal of Global Health Research Vol. 8 No. 1 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i1.554

Abstract

The Australian Triage Scale (ATS) is a five-level system widely used in emergency departments (EDs) to categorize patients by urgency and ensure timely care. While ATS has improved efficiency and outcomes in many settings, concerns remain regarding its accuracy, reliability, and applicability across diverse populations. This narrative review aimed to evaluate the accuracy, reliability, predictive validity, and implementation challenges of ATS in global emergency care. Methods: This review followed a structured and systematic literature selection process. A comprehensive search was conducted across six major databases (Scopus, PubMed/MEDLINE, Embase, Cochrane Library, Google Scholar, and SINTA) for studies published between 2010 and 2024. After duplicate removal, titles and abstracts were screened, followed by full-text reviews based on predefined inclusion and exclusion criteria. Methodological quality and relevance were assessed, and 25 studies were included in the final narrative synthesis. These studies were analyzed according to key themes, including accuracy, reliability, predictive validity, training interventions, and implementation challenges of the Australian Triage Scale in emergency departments. Results: Evidence showed that ATS improves outcomes such as reduced mortality and shorter ED length of stay in some contexts. Predictive validity was strongest for high-acuity patients, with a clear mortality gradient across categories. However, reliability was only slight to moderate (κ = 0.25–0.45), particularly weak in pediatric, psychiatric, and elderly trauma patients. Under-triage was frequent in gastrointestinal bleeding and geriatric trauma, while over-triage was noted in neonates and parental anxiety-driven cases. Training interventions increased accuracy up to 88.4% but decayed without reinforcement. System challenges included overcrowding, variable audit practices, and inconsistent application across hospitals. Comparative reviews found ATS effective overall but less consistent than ESI or MTS in children. A total of 25 studies met the inclusion criteria and were synthesized narratively. ATS remains a core triage framework in emergency care. Its strengths include structured prioritization and outcome prediction in adult populations, but limitations persist in special groups and resource-limited settings. Continuous training, adaptation, and decision-support integration are essential for sustaining accuracy and safety.
The Application of Swedish Massage to Reduce Peripheral Neuropathy Pain in Breast Cancer Clients with A History of Chemoterapy Siti Mardhiyah Hermaningrum; Innez Karunia Mustikarani; Leni Karlina; Anggorowati
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 8 No. 1 (2025): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/dcw1tz79

Abstract

Peripheral neuropathy pain is one of the manifestations of peripheral nervous system disorders in breast cancer clients with a history of chemotherapy. Peripheral neuropathy pain affects the daily activities and quality of life of breast cancer clients, even after chemotherapy treatment is completed. The purpose of this case study is to determine the effect of the application of Swedish massage on peripheral neuropathy pain of breast cancer clients. The method applied in this case study is descriptive research with a case study approach. The sampling technique in this case study used a non-probability sampling approach with purposive sampling method. The subjects used in this case study were three breast cancer clients with a history of chemotherapy who lived in the working area of the Ngesrep Community Health Center. Swedish massage intervention was implemented three times each week for two weeks with a 30 minutes duration on the foot and hand area that experienced peripheral neuropathy pain. The instrument used is the Numeric Rating Scale (NRS) questionnaire. Data were analyzed through narrative case reflections. The results of the case study showed a decrease in the scale and intensity of peripheral neuropathy pain in the three clients from moderate to mild. Swedish massage is expected to be applied independently and continuously as a supportive therapy, so that clients can be adaptive in managing peripheral neuropathy pain.
Biophysiological responses of premature infants in neonatal nursing care: a descriptive study of infant and maternal characteristics Dwi Hastuti; Anggorowati Anggorowati; Zubaidah Zubaidah; Tri Nur Kristina; Siti Yuyun Rahayu Fitri
International Journal of Public Health Science (IJPHS) Vol 15, No 3: September 2026
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v15i3.27051

Abstract

Preterm infants are physiologically vulnerable and require continuous cardiorespiratory and thermal monitoring during neonatal nursing care. Evidence describing physiological indicators in relation to infant maturity and maternal sociodemographic characteristics remains limited. This study aimed to describe physiological indicators (heart rate, respiratory rate, oxygen saturation, and temperature) among preterm infants and examine their associations with infant and maternal characteristics. An observational descriptive study was conducted from August to December 2025 among preterm infants (
Emotion regulation-based interventions for self-harm, psychological and spiritual well-being: A systematic review Purbo Asmoro Widagdo; Meidiana Dwidiyanti; Anggorowati Anggorowati
Jurnal Ners Vol. 21 No. 3 (2026): VOLUME 21 ISSUE 3 (AUGUST 2026)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v21i3.86127

Abstract

Introduction: Self-harm and non-suicidal self-injury (NSSI) are major mental health concerns, particularly among adolescents and young adults. Emotion dysregulation is increasingly recognized as a core mechanism underlying self-harming behavior; however, evidence on emotion regulation-based interventions and their effects on psychological and spiritual well-being remains fragmented. Methods: This systematic review followed the PRISMA 2020 guidelines and was registered in PROSPERO (CRD420251232299). Searches were conducted in PubMed, PsycINFO, Scopus, and Web of Science for empirical intervention studies published from January 2015 to May 2025. Eligibility was structured using the Population, Intervention, Comparator, and Outcomes framework. Study quality was appraised using design-appropriate tools, including the RoB 2, ROBINS-I, and Joanna Briggs Institute checklists. A narrative synthesis was conducted because of clinical and methodological heterogeneity. Results: The strongest and most consistent evidence was found for dialectical behavior therapy-based and emotion regulation-focused interventions. These approaches generally reduce NSSI frequency, self-harm, suicidal behaviors, and emotion dysregulation. Adolescent studies most strongly supported dialectical behavior therapy for adolescents and internet-delivered emotion regulation individual therapy, whereas adult studies mainly supported emotion regulation group therapy and dialectical behavior therapy skills training. Psychological outcomes improved but remained heterogeneous, whereas spiritual well-being was rarely measured directly. Conclusions: Emotion regulation-based interventions may support mental health nursing care for self-harm prevention, psycho-education, safety planning, and follow-up. Stronger trials with standardized psychological and spiritual outcomes are needed.
Co-Authors Achmad Zulfa Juniarto Adiyati Mardiyah Agus Santoso Agusman Mendrofa, Fery Anastasia Diah Larasati Andrew Johan Andrew Johan Andria Pragholapati Anggrayeni Purba Antonius Rino Vanchapo Apriana, Rista Aris Triwiyatno Ary Astuti Astuti, Awal Prasetyo Azmi, Lut Fika Daru Bernadeta Novita Septiani Cahyani Widyastuti Chandra Bagus Chandra Bagus Ropyanto Christiana Arin Proborini Christiana Arin Proborini Dadi Hamdani Diffa Risqa Arisdiani Distinarista, Hernandia Dwi Atikah Nuriyana Dwi Hastuti Dwi Pudjonarko Dwi Susilawati Dwi Susilawati Dwiantoro, Luky Eka Listiana Elis Hartati Eni Hidayati Eviwindha Suara F.Y. Asmara Farid Agushybana Fatikhu Yatuni Asmara Ferawati -, Ferawati Firdausi, Rieh Fita Nuzulia Hadiyanto, Nor Hana Nur Arini Handayani, Fitria Handayani, Sri Hari Setyowibowo Henni Kusuma Heriandi Sutadi Himawan, Fatchurozak Hiola, Fidyawati Aprianti A Huda, Kholis Khoirul Ilmiatus Qoyimah Imam Hadi Yuwono Indriany, Megah Innez Karunia Mustikarani Irmawati, Nurisda Eva Johan , Andrew Julianti , Erna Jumiati Riskiyani Dwi Nandia Kabariyah, Kabariyah Katili, Dwi Nur Octaviani Khoirya, Ainun Kustiningsih Kusuma, Lahati, Nurul Safira Leni Karlina Luky Dwiantoro Madya Sulisno Madya Sulisno Maktum, Ummi Mardiyah, Adiyati Mardiyono Mardiyono Mardiyono, Mardiyono marsyaban, Marsyaban Marterasari, Intani Fiska Maulida Ummi Syafa Mei Putri Crismayanti Meidiana Dwidiyanti Meidiana Dwidiyanti Meira Erawati Merlin, Ni Made Mohammad Hakimi Muflihatul Muniroh Muhammad Hasib Ardani Muhammad Nur Muhammad Nur Muhammad Rofii Munawaroh, Siti Muniroh, Muflihatul Mustikarani, Innez Karunia Nanik Sudiharjani Naviati, Elsa Ni'mah Mufidah Ningsih, Dewi Mustika Nirfaul Ayunita Noor Ariyani Rokhmah Noor Ariyani Rokhmah Noor Pramono Noor Pramono Nunung Nurjanah Nur Setiawati Dewi Prayogo Pangestu Abadi Puput Risti Kusumaningrum Purba, Yunis Veronika Purbo Asmoro Widagdo RA. Koestoer Ratih Ayuningtyas Pocerattu Ratrika Sari Reina Dhamanik Rita Kartika Sari Rofii, Muhammad Rokhmah, Noor Ariyani Rovica Probowati Rr. Sri Endang Pujiastuti Santoso Santoso Sari Sudarmiati Sari Sudarmiati Septiani, Bernadeta Novita Setyowati Setyowati Shofa Chasani Siti Aisyah Siti Mardhiyah Hermaningrum Siti Yuyun Rahayu Fitri Soejoenoes, Ariawan Sofro, Muchlis Achsan Udji Sri Rahayu Suardi, Annisa Nur Faizah Sugito Suhartini Ismail Suhartini Suhartini Suharyo Hadisaputro Suminto Suminto Surtania Syarief Taufik Hidayat Tri Nur Kristina Trigantara, Regista Untung Sujianto Wahyu Hidayati Wulandari, Apri Nur Yan Wisnu Prajoko Yuni Purwati Zubaidah R, Zubaidah Zubaidah Zubaidah