<![CDATA[abstrak Nyeri dada berpotensi mengarah pada kondisi kardiovaskular yang mengancam jiwa, sehingga perawat pelayanan primer memerlukan kemampuan triase dan clinical reasoning yang optimal dalam menentukan keputusan rujukan.Tujuan: Menganalisis pengaruh edukasi triase nyeri dada berbasis gamefikasi terhadap peningkatan clinical reasoning perawat dalam pengambilan keputusan rujukan pasien. Metode: Penelitian menggunakan literature review naratif terhadap 12 artikel tahun 2020–2025 yang diperoleh dari Google Scholar, Garuda, DOAJ, SINTA, PubMed, dan jurnal keperawatan nasional.Hasil: Edukasi triase berbasis teknologi, termasuk video, virtual reality, sistem web, dan gamefikasi, meningkatkan pengetahuan, keterampilan, kecepatan, akurasi, serta clinical reasoning perawat dalam triase nyeri dada.Kesimpulan: Edukasi triase berbasis gamefikasi efektif meningkatkan kualitas keputusan rujukan perawat. Metode ini disarankan untuk diterapkan dalam pelatihan rutin, serta diteliti lebih lanjut melalui studi eksperimental. Kata kunci: Triase, nyeri dada, gamefikasi, clinical reasoning, keputusan rujukan, perawat pelayanan primer. Abstract Chest pain can indicate life-threatening cardiovascular conditions; therefore, primary care nurses need optimal triage skills and strong clinical reasoning to make appropriate referral decisions. Objective: This study aimed to analyze the effect of gamification-based chest pain triage education on improving nurses’ clinical reasoning in patient referral decision-making. Methods: A narrative literature review was conducted using 12 articles published between 2020 and 2025, obtained from Google Scholar, Garuda, DOAJ, SINTA, PubMed, and national nursing journals. Results: Technology-based triage education, including videos, virtual reality, web-based systems, and gamification, improved nurses’ knowledge, skills, speed, accuracy, and clinical reasoning in chest pain triage.Conclusion: Gamification-based triage education is effective in enhancing the quality of nurses’ referral decisions. This method is recommended for routine training programs and should be further evaluated through experimental studies Keywords: Triage, chest pain, gamification, clinical reasoning, referral decision, primary care nurses.]]>
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