Efek Fatigue terhadap Respon Time Penanganan Penderita Gawat Darurat Kategori Australasian Triage Scale 1-5 Versi Indonesia
DOI:
https://doi.org/10.33746/fhj.v9i02.433Kata Kunci:
Fatigue, Respon Time, Unit Gawat Darurat, Australasian Triage ScaleAbstrak
Kecepatan memberikan pertolongan (respon time) merupakan indikator penanggulangan penderita gawat darurat. Keterlambatan penanganan dapat berakibat fatal, dimana salah satu faktor penyebabnya adalah beban kerja tinggi yang menimbulkan fatigue. Fatigue secara fisik ditandai dengan menurunnya kualitas reflex gerak yang berakibat pada turunnya kecepatan penanganan kegawatdaruratan (respon time). Tujuan penelitian ini adalah mengidentifikasi efek fatigue terhadap respon time penanganan penderita gawat darurat. Desain penelitian adalah korelasi dengan pendekatan cross sectional pada 21 petugas Instalasi gawat darurat yang dipilih melalui teknik total sampling. Instrumen untuk mengukur fatigue adalah Fatigue Severity Scale versi bahasa Indonesia dan untuk mengukur respon time adalah lembar observasi dan stopwatch. Hasil menunjukkan 52,4% responden mengalami derajat fatigue ringan, 100% respon time penanganan penderita gawat darurat sesuai dengan kategori Australasian Triage Scale (ATS) 1,2,3,4,5 dengan nilai median 57 detik, dan waktu kecepatan respon 52,4% responden kurang dari 57 detik. Analisis uji Spearman Rank mendapatkan nilai r 0,121, menunjukkan secara statistik tidak ada kolerasi antara derajat fatigue dengan respon time. Lemahnya hasil uji statistik tetap menunjukkan nilai bahwa fatigue menyebabkan turunnya kemampuan analisis pemecahan masalah, reflek dan kualitas gerak yang berakibat pada penurunan respon time. Perlu adanya penanganan fatigue dengan manajemen stress, pengaturan jam kerja, dan pengelolaan waktu istirahat yang cukup.
Unduhan
Referensi
Abdul, H., Rottie, J., & Karundeng, M. Y. (2016). Analisis Perbedaan Response Time Perawat Terhadap Pelayanan Gawat Darurat di Unit Gawat Darurat di RSU GMIM Pancaran Kasih dan di RSU TK. III Robert Wolter Monginsidi Kota Manado. Jurnal Keperawatan, 4(2). [cited 15 November 2020], Available from: https://ejournal.unsrat.ac.id/index.php/jkp/article/view/12879/12469
Al-Abdallah, A. M., & Malak, M. Z. (2019). Factors correlating with prolonged fatigue among emergency department nurses. Journal of Research in Nursing, 24(8), 571-584. [cited 15 November 2020], Available from: https://journals.sagepub.com/doi/abs/10.1177/1744987119880309
Alharbi, J., Jackson, D., & Usher, K. (2020). The potential for COVID‐19 to contribute to compassion fatigue in critical care nurses. Journal of clinical nursing. [cited 15 November 2020], Available from: https://onlinelibrary.wiley.com/doi/epdf/10.1111/jocn.15314
Astuti, F. W., Ekawati, E., & Wahyuni, I. (2017). Hubungan antara Faktor Individu, Beban Kerja dan Shift Kerja Dengan Kelelahan Kerja pada Perawat di RSJD Dr. Amino Gondohutomo Semarang. Jurnal Kesehatan Masyarakat (Undip), 5(5), 163-172. [cited 15 November 2020], Available from: https://ejournal3.undip.ac.id/index.php/jkm/article/view/18925/18009
Australian Government Department of Health and Aging (2009), Emergency triage education kit and triage workbook. [cited 23 February 2020], Available from: https://www1.health.gov.au/internet/main/publishing.nsf/Content/387970CE723E2BD8CA257BF0001DC49F/$File/Triage%20Workbook.pdf
Bahari, Z. K., Suwaryo, P. A. W., & Setyaningsih, E. (2019). Penerapan ESI (Emergency Severity Index) Terhadap Response Time Pasien di IGD PKU Muhammadiyah Gombong. Proceeding of the URECOL, 307-319. [cited 15 November 2020], Available from: http://repository.urecol.org/index.php/proceeding/article/view/623/608
Choi, E. M., & Bae, S. H. (2020). Nursing Performance, Compassion Fatigue, and Job Stress in Emergency Room Nurses. Journal of muscle and joint health, 27(1), 41-49. [cited 15 November 2020], Available from: https://www.koreascience.or.kr/article/JAKO202013562119263.pdf
Cicchitti, C., Cannizzaro, G., Rosi, F., Maccaroni, R., & Menditto, V. G. (2014). Burnout syndrome in pre-hospital and hospital emergency. Cognitive study in two cohorts of nurses. Recenti progressi in medicina, 105(7-8), 275-280. [cited 23 February 2020], Available from: https://europepmc.org/abstract/med/25072542
Dimkatni, N. W., Sumampouw, O. J., & Manampiring, A. E. (2020). Apakah Beban Kerja, Stres Kerja dan Kualitas Tidur Mempengaruhi Kelelahan Kerja pada Perawat di Rumah Sakit? Sam Ratulangi Journal of Public Health, 1(1), 009-014. [cited 15 November 2020], Available from: https://ejournal.unsrat.ac.id/index.php/srjph/article/view/27273
Farahdika, A., & Azam, M. (2015). Faktor risiko yang berhubungan dengan penyakit jantung koroner pada usia dewasa madya (41-60 tahun) (studi kasus di RS Umum Daerah Kota Semarang). Unnes Journal of Public Health, 4(2). [cited 15 November 2020], Available from: https://journal.unnes.ac.id/sju/index.php/ujph/article/view/5188
Greig, P., & Snow, R. (2017). Fatigue and risk: are train drivers safer than doctors. BMJ, 359. [cited 04 July 2020], Available from: https://www.bmj.com/content/359/bmj.j5107.full
Hammad, H., Rizani, K., & Agisti, R. (2018). Tingkat kelelahan perawat di ruang ICU. Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan, 6(1), 27-33. [cited 15 November 2020], Available from: https://ppjp.ulm.ac.id/journal/index.php/JDK/article/view/4957/4268
Hooper, C., Craig, J., Janvrin, D. R., Wetsel, M. A., & Reimels, E. (2010). Compassion satisfaction, burnout, and compassion fatigue among emergency nurses compared with nurses in other selected inpatient specialties. Journal of emergency nursing, 36(5), 420-427. [cited 15 November 2020], Available from: https://www.sciencedirect.com/science/article/abs/pii/S0099176709005534
Kachalia, A., Gandhi, T. K., Puopolo, A. L., Yoon, C., Thomas, E. J., Griffey, R., ... & Studdert, D. M. (2007). Missed and delayed diagnoses in the emergency department: a study of closed malpractice claims from 4 liability insurers. Annals of emergency medicine, 49(2), 196-205. [cited 23 February 2020], Available from: https://www.sciencedirect.com/science/article/abs/pii/S0196064406009383
Kementrian Kesehatan RI, No. 129, (2010), Standar Instalasi Gawat darurat Rumah Sakit. Jakarta: Menteri Kesehatan RI
Kurnia, N. I. H. H., & Hotmaida, L. (2015). Hubungan Tingkat Stres dengan Tingkat Kelelahan Kerja Perawat ICU Rumah Sakit Immanuel Bandung.
Lerman, S. E., Eskin, E., Flower, D. J., George, E. C., Gerson, B., Hartenbaum, N., ... & Moore-Ede, M. (2012). Fatigue risk management in the workplace. Journal of Occupational and Environmental Medicine, 54(2), 231-258. [cited 04 July 2020], Available from: https://journals.lww.com/joem/FullText/2012/02000/Fatigue_Risk_Management_in_the_Workplace.17.aspx
Maatilu, V., Mulyadi, N., & Malara, R. (2014). Faktor-Faktor yang Berhubungan dengan Response Time Perawat pada Penanganan Pasien Gawat Darurat di IGD RSUP Prof. Dr. RD Kandou Manado. Jurnal Keperawatan, 2(2). [cited 23 February 2020], Available from: https://ejournal.unsrat.ac.id/index.php/jkp/article/view/5229
Maharja, R. (2015). Analisis tingkat kelelahan kerja berdasarkan beban kerja fisik perawat di instalasi rawat inap rsu haji surabaya. The Indonesian Journal of Occupational Safety and Health, 4(1), 93-102. [cited 15 November 2020], Available from: https://e-journal.unair.ac.id/IJOSH/article/view/1651/1272
Mudatsir, S., Sangkala, M. S., & Setyawati, A. (2017). Related Factors of Response Time in Handling Head Injury in Emergency Unit of Prof. Dr. HM Anwar Makkatutu Bantaeng General Hospital. Indonesian Contemporary Nursing Journal, 1-12. [Cited 15 November 2020], Available From: Https://Journal.Unhas.Ac.Id/Index.Php/Icon/Article/View/3579
Ornell, F., Halpern, S. C., Kessler, F. H. P., & Narvaez, J. C. D. M. (2020). The impact of the COVID-19 pandemic on the mental health of healthcare professionals. Cadernos de saude publica, 36, e00063520. [cited 15 November 2020], Available from: https://www.scielosp.org/article/csp/2020.v36n4/e00063520/
Parwata, I. M. Y. (2015). Kelelahan dan recovery dalam olahraga. Jurnal pendidikan kesehatan rekreasi, 1(1), 2-13. [cited 23 February 2020], Available from: https://ojs.ikippgribali.ac.id/index.php/jpkr/article/view/2
Pikoulis, E., Solomos, Z., Riza, E., Puthoopparambil, S. J., Pikoulis, A., Karamagioli, E., & Puchner, K. P. (2020). Gathering evidence on the decreased emergency room visits during the coronavirus disease 19 pandemic. Public Health, 185, 42. [cited 15 November 2020], Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7247452/
Prastya, A., Prafitasari, I., & Riska, H, (2017), Compassion Fatigue Berkorelasi Dengan Mutu Pelayanan Keperawatan Ditinjau Dari Segi Kepuasan Pelanggan. Publikasi Hasil Penelitian, (1), 38-45, 2017, [cited 23 February 2020], Available from: Http://103.38.103.27/Lppm/Index.Php/Publikasi_Stikes_Majapahit/Article/Viewfile/221/194
Rahadhi, A., & Sriyanto, S. (2016). Pengaruh Beban Kerja Mental, Kelelahan Kerja, Dan Tingkat Kantuk Terhadap Penurunan Tingkat Kewaspadaan Perawat (Studi Kasus Di Instalasi Gawat Darurat Rumah Sakit Umum Puri Asih, Salatiga). Industrial Engineering Online Journal, 5(2). [cited 23 February 2020], Available from; https://ejournal3.undip.ac.id/index.php/ieoj/article/view/11893
Rahman, H. A., Abdul-Mumin, K., & Naing, L. (2017). Psychosocial factors, musculoskeletal disorders and work-related fatigue amongst nurses in Brunei: structural equation model approach. International Emergency Nursing, 34, 17-22. [cited 23 February 2020], Available from: https://www.sciencedirect.com/science/article/abs/pii/S1755599X16302087
Sardjito, S. S. R. D. (2014). Uji Reliabilitas Dan Validitas Fatigue Severity Scale Versi Bahasa Indonesia Pada Dokter Residen RSUP Dr. Sardjito Yogyakarta. [cited 04 July 2020], Available from: https://simdos.unud.ac.id/uploads/file_penelitian_1_dir/dd4a22dcf9dd497bf233d25d201afd72.pdf
Sriwahyuni, S. (2019). Factors Related to Nurse Respond Time on Handling of Emergency Patient in IGD Room at Sawerigading Hospital. Journal of Health Science and Prevention, 3(3S), 121-126. [Cited 15 November 2020], Available From: http://jurnalfpk.uinsby.ac.id/index.php/jhsp/article/view/302/190
Surtiningsih, D., Susilo, C., & Hamid, M. A. (2016). Penerapan Response Time Perawat Dalam Pelaksanaan Penentuan Prioritas Penanganan Kegawatdaruratan Pada Pasien Kecelakaan Di IGD RSD Balung. The Indonesian Journal of Health Science, 6(2). [cited 23 February 2020], Available from: http://jurnal.unmuhjember.ac.id/index.php/TIJHS/article/view/131
Yudiah, W., Yudianto, K., & Prawesti, A. (2018). Fatigue and work satisfaction of emergency nurses in Bandung, West Java, Indonesia. Belitung Nursing Journal, 4(6), 602-611. [cited 15 November 2020], Available from: link: https://belitungraya.org/BRP/index.php/bnj/article/view/558/242
