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All Journal Jurnal Abdi Kesehatan dan Kedokteran International Journal of Health Concord
Kumar, K. Sesha
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Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Veterinary

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Accuracy of Triage and Its Association with Family Satisfaction in the Emergency Department of a General Hospital: A Cross-Sectional Study Delianto; Kumar, K. Sesha
International Journal of Health Concord Vol. 1 No. 1 (2025): International Journal of Health Concord
Publisher : Lembaga Chakra Brahmanda Lentera (Chakra Brahmanda Lentera Institute) [CANDLE]

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/ihc.v11.8

Abstract

Background: Triage is a critical process in emergency departments (EDs), determining patient prioritization based on condition severity. While triage accuracy is crucial for clinical outcomes, its influence on family satisfaction remains underexplored, particularly in rural Indonesian settings. This study aimed to examine the relationship between triage accuracy and family satisfaction in the emergency department of Mokoyurli General Hospital, Buol Regency. Methods: A cross-sectional design was used involving 113 family members of ED patients selected through accidental sampling. Triage accuracy was assessed based on standard criteria (red, yellow, green), while family satisfaction was measured using a validated questionnaire covering six domains. Data were analyzed using descriptive statistics and Spearman’s rho correlation Result: Among the respondents, 77% experienced accurate triage, while 23% did not. In terms of satisfaction, 18.6% were dissatisfied, 44.2% fairly satisfied, and 37.2% satisfied. A strong, statistically significant correlation was found between triage accuracy and family satisfaction (ρ = 0.710, p < 0.001). Respondents particularly appreciated timely communication and respectful care, although moderate satisfaction remained predominant. Conclusion: Triage accuracy significantly influences family satisfaction, functioning as both a clinical and emotional reassurance mechanism. Enhancing emergency nurses’ triage competencies and interpersonal communication can improve care experiences. Hospitals, especially in rural areas, should integrate structured triage protocols with clear communication strategies to build trust and satisfaction. Future research should include mixed-method approaches to capture nuanced family perspectives and assess long-term satisfaction trends.
Hubungan Pengetahuan Triage Perawat dengan Lama Bekerja di Puskesmas: A Cross-Sectional Study: Relationship Between Nurses’ Triage Knowledge and Length of Service in Community Health Centers: A Cross-Sectional Study Suwardianto, Heru; Alfianto, Ahmad Guntur; Amaral, Octavio Daniel Bria; Vijay, P Vijay; Kumar, K. Sesha
Jurnal Abdi Keperawatan dan Kedokteran Vol 5 No 1 (2026): Jurnal Abdi Kesehatan dan Kedokteran
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/jakk.v5i1.129

Abstract

Emergency and disaster situations demand rapid, accurate, and well-coordinated responses from healthcare professionals. Triage is a critical process for prioritizing patients based on severity, ensuring optimal use of limited medical resources. Nurses are often the first responders responsible for triage implementation, especially in community health centers (Puskesmas) in Indonesia. Knowledge of triage systems, particularly the Simple Triage and Rapid Treatment (START) method, is essential for achieving optimal patient outcomes. This study aimed to examine the relationship between nurses’ triage knowledge and length of service in community health centers, providing insights for targeted training and emergency preparedness strategies. A cross-sectional correlational study was conducted with 32 nurses from 19 community health centers in Cirebon, Indonesia, selected through purposive sampling. Triage knowledge was assessed using a validated 16-item questionnaire, with scores categorized into low, moderate, and high. Length of service was measured in years. Data were collected via an online session and analyzed using descriptive statistics and Pearson correlation analysis with a significance level of p < 0.05. Most nurses demonstrated high triage knowledge (75%) with a mean score of 13.0 ± 2.74. Knowledge was highest in disaster definitions (93.8%) and START triage concepts (93.8%), while the most errors occurred in identifying green-labeled (68.8% incorrect) and white-labeled patients (59.4% incorrect). Pearson correlation showed a weak, non-significant positive relationship between length of service and triage knowledge (r = 0.083; p = 0.650). The findings indicate that length of service alone does not ensure higher triage knowledge, especially in community health centers with limited exposure to emergencies. Continuous professional development, scenario-based simulations, and structured training are essential to maintain and enhance nurses’ triage competence. These results can inform the development of targeted educational programs and policies to strengthen emergency preparedness in primary healthcare settings.
Co-Authors Ahmad Guntur Alfianto Amaral, Octavio Daniel Bria Delianto Heru Suwardianto Vijay, P Vijay