Factors Analysis Related to the Response Time of Nursing Services Based on the ATS II Category in the Emergency Installation


The response time for nursing refers to the time required to provide emergency nursing care to patients following the triage assessment. This study seeks to analyze the factors associated with the response time of nursing services based on the ATS II category in the emergency department and the magnitude of the influence of age, knowledge, education, and length of work on response time. The method used in this research was correlational, with a cross sectional method and a questionnaire sheet. The research sample was comprised of 20 nurses. Data analysis was used the Pearson correlation test. The results showed that there was a relationship between age, education, length of work and knowledge with response time, with the value of each variable as follows: age with a p-value of 0.015 and r 0.533; education with a p-value of 0.005 and r 0.601; length of work with a p-value of 0.000 and r 0.739; and knowledge with a p-value of 0.002 and r 0.638. From the results of the analysis, it can be concluded that the strongest determinant factors for response time are length of work and level of knowledge. This study concludes that improving nurse education and training related to handling emergency patients should be prioritised.


Keywords: length of work; knowledge; education, response time; age

[1] Mutiarasari, D., Miranti, M., and Demak, I. P. K. (2019). Response Times and Patient Satisfaction in Emergency Room at Anutapura General Hospital, City of Palu. Journal of Current Medical Research and Opinion, vol. 2, issue 5, pp. 152–157, https://doi.org/10.15520/jcmro.v2i05.165.

[2] Kurniawan, M. H. and Hariyati, R. T. S. (2019). Patient Assessment Responses in Nursing Practice io Enhance Patient Safety: A Systematic Review. Enfermeria Clinica, vol. 29, issue S2, pp. 459–463, https://doi.org/10.1016/j.enfcli.2019.04.068.

[3] Bashkin, O., et al. (2015). Organizational Factors affecting Length of Stay in the Emergency Department: Initial Observational Study. Israel Journal of Health Policy Research, vol. 4, issue 1, pp. 1–7. https: //doi.org/10.1186/s13584-015-0035-6.

[4] Workplance Emergency Management. (2015). Specialist Emergency Medicine Workforce and Training Activities 2014. Melbourne: Australian College for Emergency Medicine.

[5] Alsawat, I. T. (2019). Patient Satisfaction with Service Quality in Emergency Department of Public Hospitals in KSA. International Journal of Medical Research & Health Sciences, vol. 8, issue 10, pp. 102–110.

[6] Suwaryo, P. A. W. and Yuwono, P. (2018). Penggunaan Glasgow Outcome Scale Dalam Penilaian Kondisi Pasien Pasca Cedera Kepala. Jurnal Ilmiah Kesehatan Keperawatan, vol. 13, issue 3, pp. 107–113, https://doi.org/10.26753/jikk.v13i3.227.

[7] Rumampuk, J. F. and Katuuk, M. E. (2019). Hubungan Ketepatan Triase Dengan Response Time Perawat Di Instalasi Gawat Darurat Rumah Sakit Tipe C. Jurnal Keperawatan, vol. 7, issue 1, pp.1-9.

[8] Rasyid, T. A., Kosasih, C. E. and Mirwanti, R. (2020). The Reliability and Accuracy of International Triage Scale in the Emergency Department (ED): A Literature Review. Journal Nursing Care, vol. 3, issue 1, pp. 26–40, https://doi.org/10.24198/jnc.v3i1.24503.

[9] Afaya, A., Azongo, T. B. and Yakong, V. N. (2017). Perceptions and Knowledge on Triage of Nurses Workingin Emergency Departments of Hospitals in the Tamale Metropolis, Ghana. IOSR Journal of Nursing and Health Science, vol. 6, issue 3, pp. 59–65, https://doi.org/10.9790/1959-0603065965.

[10] Duko, B., et al. (2019). Triage Knowledge and Skills among Nurses in Emergency Units of Specialized Hospital in Hawassa, Ethiopia: Cross sectional study. BMC Research Notes, vol. 12, issue 1, pp. 19–22, https://doi.org/10.1186/s13104-019-4062-1.

[11] Cabral, E. L. dos S., et al. (2018). Response Time in the Emergency Services. Acta Cirurgica. Brasileira, vol. 33, issue 12, pp. 1110–1121, https://doi.org/10.1590/s0102-865020180120000009.

[12] Banoet, S. N. and Hidayati, L. (2019). Efektifitas Penggunaan ATS (Australasian Triage Scale) Modifikasi terhadap Response Time Perawat di Instalasi Gawat Darurat. Jurnal Keperawatan Medikal Bedah Dan Kritis, vol. 8, issue 1, pp. 62–69, https://doi.org/10.20473/cmsnj.v8i1.12618.

[13] Annisa, T., Wahdaniah, R. and Ridwan, S. (2020). Validity Triage and Response Time Nurses in hospitals emergency room Sheikh Yusuf Gowa. Journal of Nursing Practice, vol. 3, issue 2, pp. 153–164. https: //doi.org/10.30994/jnp.v3i2.82.

[14] Potter, P. A. and Perry, A. G. (2010). Fundamentals of Nursing (7th ed.). Mosby: Elsevier.

[15] Ashra, F. and Amalia, S. (2018). The Relationship Between Characteristics of Nurse and their Response Time in Emergency Case in Emergency Unit. Jurnal Kesehatan Prima Nusantara Bukittinggi, vol. 9, issue 2, p. 89, https://doi.org/10.35730/jk.v9i2.355.g412.

[16] Yanti, D., Tartila, R. and Wahyudi, A. S. (2020). Determinant of Nurses’ Response Time in Emergency Department When Taking Care of a Patient. Indonesian Nursing Journal of Education and Clinic (INJEC), vol. 5, issue 2, pp. 125-133, https://doi.org/10.24990/injec.v5i2.305.

[17] Aloyce, R., Leshabari, S. and Brysiewicz, P. (2014). Assessment of Knowledge and Skills of Triage amongst Nurses Working in the Emergency Centres in Dar es Salaam, Tanzania. African Journal of Emergency Medicine, vol. 4, issue 1, pp. 14–18, https://doi.org/10.1016/j.afjem.2013.04.009.

[18] Fadli, F. and Sastria, A. (2017). Pengetahuan dan Pengalaman Perawat Dalam Penilaian Triage Di Instalasi Gawat Darurat. Jurnal Ilmiah Kesehatan Pencerah, vol. 6, issue 1, pp. 54–58.

[19] Andriyani, S. H., et al. (2019). Nurse’ Knowledge and their Performance on Cardiopulmonary Resucitation (CPR) in Critical and Emergency Care Unit. Indonesian Journal of Nursing Practices, vol. 3, issue 1, pp. 52–57, https://doi.org/10.18196/ijnp.3193.