The Effect of Motivation, Workload, Subjective Norms, and Skills of the Accuracy of Triage Implementation to IGD Nurses in Karo Regency

Authors

  • Beres Sahat Tua Naiboha Universitas STRADA Indonesia, Kediri City, East Java, Indonesia
  • Novita anna Anggraeni Universitas STRADA Indonesia, Kediri City, East Java, Indonesia
  • Prima Dewi Kusumawati Universitas STRADA Indonesia, Kediri City, East Java, Indonesia

DOI:

https://doi.org/10.30994/sjik.v14i2.1179

Keywords:

motivation, subjective norms, skills, triage, workload

Abstract

Priority of patient handling can be done by using triage. The triage system greatly influences the success rate of assistance when the patient experiences an emergency . The aim of the study was to analyze influence between motivation, burden work, and subjective norms to accuracy implementation triage to IGD nurses in karo district. The research design used was analysis descriptive with approach cross sectional. Population study all Emergency Nurses in Karo Regency. The research sample was 101 using the Stratified Sampling technique. The research was conducted in May 2024. Data analysis used multiple linear regression statistical tests . The results of the study show motivation of 0,000, the load Work of 0.022, subjective norm of 0.015 and triage skills of 0.000.

References

Ajzen, I. (1991). The Theory of Planned Behavior. Organizational Behavior And Human Decision Proceses, 50, 179–211. https://doi.org/10.1016/0749-5978(91)90020-T.

Ajzen, I. (2018). The Theory of Planned Behavior. Personality and Social Psychology Bulletin, 2(1), 22–45. https://doi.org/10.1016/0749-5978(91)90020-T.

Alqurashi, N., Alotaibi, A., Bell, S., Lecky, F., & Body, R. (2022). The diagnostic accuracy of prehospital triage tools in identifying patients with traumatic brain injury: A systematic review. Injury, 53(6), 2060–2068. https://doi.org/10.1016/j.injury.2022.02.020.

Arikunto. (2010). Prosedur penelitian: suatu pendekatan praktek, (5th ed.). Rineka Cipta.

Bazyar, J., Farrokhi, M., Salari, A., Safarpour, H., & Khankeh, H. R. (2022). Accuracy of Triage Systems in Disasters andMass Casualty Incidents; a Systematic Review. Archives of Academic Emergency Medicine, 10(1). https://doi.org/10.22037/aaem.v10i1.1526.

Campbell, D., Fetters, L., Getzinger, J., Perko, A., & Slater, S. (2022). A clinical nurse specialist-driven project to improve emergency department triage accuracy. Clinical Nurse Specialist, 36(1), 45–51. https://doi.org/10.1097/NUR.0000000000000641.

Cetin, S. B., Eray, O., Cebeci, F., Coskun, M., & Gozkaya, M. (2020). Factors affecting the accuracy of nurse triage in tertiary care emergency departments. Turkish Journal of Emergency Medicine, 20(4), 163–167. https://doi.org/10.4103/2452-2473.297462.

Coulombe, P., Tardif, P. A., Nadeau, A., Beaumont-Boileau, R., Malo, C., Emond, M., Blanchard, P. G., Moore, L., & Mercier, E. (2022). Accuracy of Prehospital Trauma Triage to Select Older Adults Requiring Urgent and Specialized Trauma Care. Journal of Surgical Research, 275, 281–290. https://doi.org/10.1016/j.jss.2022.02.037.

Devita, Y., Pertiwi, M., Wardah, & Gasril, P. (2023). Faktor Yang Berhubungan Dengan Ketepatan Pelaksanaan Triase Modern Canadian Triage Acquity System (Ctas). Photon: Jurnal Sain Dan Kesehatan, 13(2), 60–69. https://doi.org/10.37859/jp.v13i2.4321.

Ellina, A. D., Nursalam, Yunitasari, E., Putra, M. M., & Adiutama, N. M. (2022). Culturally based caring model in nursing services. Kontakt, 24(3), 212–218. https://doi.org/10.32725/kont.2022.027.

Franc, J. M., Kirkland, S. W., Wisnesky, U. D., Campbell, S., & Rowe, B. H. (2022). METASTART: A Systematic Review and Meta-Analysis of the Diagnostic Accuracy of the Simple Triage and Rapid Treatment (START) Algorithm for Disaster Triage. In Prehospital and Disaster Medicine (Vol. 37, Issue 1, pp. 106–116). https://doi.org/10.1017/S1049023X2100131X.

Ghozali, I. (2018). Structural Equation Modeling Metode Alternatif dengan Partial Least Squares (PLS) (IV). Badan Penerbit Universitas Diponegoro.

Gustinucci, D., Benevolo, M., Cesarini, E., Mancuso, P., Passamonti, B., Giaimo, M. D., Corvetti, R., Nofrini, V., Bulletti, S., Malaspina, M., Tintori, B., & Giorgi Rossi, P. (2022). Accuracy of different triage strategies for human papillomavirus positivity in an Italian screening population. International Journal of Cancer, 150(6), 952–960. https://doi.org/10.1002/ijc.33858.

Kemenkes RI. (2018). Profile Kesehatan Indonesia Tahun 2018. In Ministry of Health Indonesia. https://doi.org/10.1002/qj.

Kim, M., Koo, D. W., & Han, H. S. (2021). Innovative behavior motivations among frontline employees: The mediating role of knowledge management. International Journal of Hospitality Management, 99, 103062. https://doi.org/10.1016/J.IJHM.2021.103062.

Kopelman, R. E. (2019). Improving Organizational Performance: The Cube One Framework. Routledge.

Lokerman, R. D., van Rein, E. A. J., Waalwijk, J. F., van der Sluijs, R., Houwert, R. M., Lansink, K. W. W., Edwards, M. J. R., van Vliet, R., Verhagen, T. F., Diets-Veenendaal, N., Leenen, L. P. H., & van Heijl, M. (2023). Accuracy of Prehospital Triage of Adult Patients With Traumatic Injuries Following Implementation of a Trauma Triage Intervention. JAMA Network Open, 6(4), e236805. https://doi.org/10.1001/jamanetworkopen.2023.6805.

Marcussen, C. E., Bräuner, K. B., Alstrøm, H., & Møller, A. M. (2023). Accuracy of triage systems for mass casualty incidents in live simulations – a systematic review. In Danish Medical Journal (Vol. 70, Issue 11). https://api.elsevier.com/content/abstract/scopus_id/85175177707.

Marincowitz, C., Sutton, L., Stone, T., Pilbery, R., Campbell, R., Thomas, B., Turner, J., Bath, P. A., Bell, F., Biggs, K., Hasan, M., Hopfgartner, F., Mazumdar, S., Petrie, J., & Goodacre, S. (2022). Prognostic accuracy of triage tools for adults with suspected COVID-19 in a prehospital setting: An observational cohort study. Emergency Medicine Journal. https://doi.org/10.1136/emermed-2021-211934.

Ng, A. L. Y., Yeo, C. H. X., Ong, S. T., Chua, C. L. Y., Liwanagan, M. G., Lim, K. K., Chor, D. W. P., & Chua, M. T. (2022). Improving triage accuracy through a modified nurse-administered emergency department assessment of chest pain score on patients with chest pain at triage (EDACT): A prospective observational study. International Emergency Nursing, 61. https://doi.org/10.1016/j.ienj.2021.101130.

Nursalam. (2017). Metodologi Penelitian Ilmu Keperawatan. Salemba Medika.

Nursalam. (2019). Metodologi Penelitian Ilmu Keperawatan Pendekatan Praktis (P. Lestari (ed.); 4th ed.). Salemba Medika.

Pabundu. (2010). Budaya Organisasi dan Peningkatan Kinerja Karyawan. Bumi Aksara.

Park, H., Noh, J. H., Pedersen, M., & Lee, S. (2022). What are the determinants and managerial motivations for employee ownership in retirement pension plans? The North American Journal of Economics and Finance, 59, 101560. https://doi.org/10.1016/J.NAJEF.2021.101560.

Petignat, P., Kenfack, B., Wisniak, A., Saiji, E., Tille, J. C., Tsuala Fouogue, J., Catarino, R., Tincho, E., & Vassilakos, P. (2022). ABCD criteria to improve visual inspection with acetic acid (VIA) triage in HPV-positive women: a prospective study of diagnostic accuracy. BMJ Open, 12(4). https://doi.org/10.1136/bmjopen-2021-052504.

Phillips, K. L., Brown, K. E., Talbert, S., & Talbert, D. A. (2023). Group Bias and the Complexity/Accuracy Tradeoff in Machine Learning-Based Trauma Triage Models. In Proceedings of the International Florida Artificial Intelligence Research Society Conference, FLAIRS (Vol. 36). https://doi.org/10.32473/flairs.36.133358.

Riboli-Sasco, E., El-Osta, A., Alaa, A., Webber, I., Karki, M., El Asmar, M. L., Purohit, K., Painter, A., & Hayhoe, B. (2023). Triage and Diagnostic Accuracy of Online Symptom Checkers: Systematic Review. In Journal of Medical Internet Research (Vol. 25). https://doi.org/10.2196/43803.

Rich, A., Brandes, K., Mullan, B., Hagger, M. S., & Rich, A. (2017). Theory of planned behavior and adherence in chronic illness : a meta-analysis. Journal of Behavioral Medicine. https://doi.org/10.1007/s10865-015-9644-3.

Ryan, R. M., & Deci, E. L. (2000). Self-Determination Theory and the Facilitation of Intrinsic Motivation, Social Development, and Well-Being. American Psychological Association, 55(1), 68–78.

Schmieding, M. L., Kopka, M., Schmidt, K., Schulz-Niethammer, S., Balzer, F., & Feufel, M. A. (2022). Triage Accuracy of Symptom Checker Apps: 5-Year Follow-up Evaluation. Journal of Medical Internet Research, 24(5). https://doi.org/10.2196/31810.

Smith, J., Filmalter, C., Masenge, A., & Heyns, T. (2022). The accuracy of nurse-led triage of adult patients in the emergency centre of urban private hospitals. African Journal of Emergency Medicine, 12(2), 112–116. https://doi.org/10.1016/j.afjem.2022.02.007.

Suamchaiyaphum, K., Jones, A. R., & Markaki, A. (2023). Triage Accuracy of Emergency Nurses: An Evidence-Based Review. Journal of Emergency Nursing. https://doi.org/10.1016/j.jen.2023.10.001.

Sugiyono. (2019). Metode Penelitian Kuantitatif Kualitatif dan R&D. Alfabeta.

Tao, W., Lee, Y., Sun, R., Li, J. Y., & He, M. (2022). Enhancing Employee Engagement via Leaders’ Motivational Language in times of crisis: Perspectives from the COVID-19 outbreak. Public Relations Review, 48(1), 102133. https://doi.org/10.1016/J.PUBREV.2021.102133.

Wallace, W., Chan, C., Chidambaram, S., Hanna, L., Iqbal, F. M., Acharya, A., Normahani, P., Ashrafian, H., Markar, S. R., Sounderajah, V., & Darzi, A. (2022). The diagnostic and triage accuracy of digital and online symptom checker tools: a systematic review. In npj Digital Medicine (Vol. 5, Issue 1). https://doi.org/10.1038/s41746-022-00667-w.

Zaboli, A., Ausserhofer, D., Sibilio, S., Paulmichl, R., Toccolini, E., Losi, C., Giudiceandrea, A., Pfeifer, N., Brigo, F., & Turcato, G. (2022). Nurse triage accuracy in the evaluation of syncope according to European Society of Cardiology guidelines. European Journal of Cardiovascular Nursing, 21(3), 280–286. https://doi.org/10.1093/eurjcn/zvab063.

Zhang, Y., & Liu, S. M. (2022). Balancing employees’ extrinsic requirements and intrinsic motivation: A paradoxical leader behaviour perspective. European Management Journal, 40(1), 127–136. https://doi.org/10.1016/J.EMJ.2021.11.008.

Downloads

Published

2025-11-28

How to Cite

Sahat Tua Naiboha, B., anna Anggraeni, N., & Kusumawati, P. D. (2025). The Effect of Motivation, Workload, Subjective Norms, and Skills of the Accuracy of Triage Implementation to IGD Nurses in Karo Regency. STRADA : Jurnal Ilmiah Kesehatan, 14(2), 251–259. https://doi.org/10.30994/sjik.v14i2.1179

Issue

Section

Articles