Emergency Room Nurses Research Articles

Filipino Nurses’ Experiences in Conducting Health Education in the Emergency Room

Background: Nurses face more challenges in delivering health education in contexts where the milieus are not well defined, such as the emergency room (ER). Objective: This study aimed to explore the experiences of ER nurses in conducting health education inside the ER and identify the most common barriers therein. Method: A phenomenology approach was utilized involving Ten ER nurses purposely chosen for the interview. Braun and Clarke's framework was used in data analysis. Results: The participants' experiences were expressed and represented in the following themes and subthemes: The theme: Experiences in Conducting Health Education in the ER consists of three subthemes: (1) Routine Work in the ER, (2) Length, Frequency, and Manner in Conducting Health Education, and (3) Feelings Derived from Conducting Health Education. The theme: Barriers to Health Education in the Emergency Room comprised the six subthemes: (1) Lack of Time, (2) Language Barrier, (3) Patient’s Psychosocial State, (4) Patient’s Cultural Beliefs, (5) Nurse’s Lack of Knowledge, and (6) Lack of Infographic Materials. Recommendation: Based on the findings, the conduct of health education in the ER can be done. Knowing the barriers can assist ER nurses and the hospital administration in producing the best solutions to solve them, thereby improving the quality of nursing care in the emergency room

The Relationship Between The Level of Knowledge of Nurses and Response Time in The Emergency Installation at Porsea Regional General Hospital Toba Regency

Emergency Room is the main access to get treatment at the hospital, has a very important role in treating patients with various levels of emergency. Response Time is the speed in handling patients, calculated from the time the patient arrives until the treatment is carried out. In carrying out special health services in the emergency department, one of the indicators that must be achieved is handling the right response time to achieve the expected results. The standard response for emergency patients must be served no later than 5 (five) minutes after arriving at the emergency department. This research method is a cross sectional study to determine the relationship between nurses' knowledge and response time in the Emergency Installation of the Porsea Regional Hospital, Toba Regency, which was carried out in February 2022 on 17 emergency room nurses at Porsea Regional General Hospital using a total sampling technique. The results of the study found that there was a relationship between Nurse Knowledge Levels and Response Time in the Emergency Room using the Chi-Square test, p value = 0.007, p value < (0.05). So it can be concluded Ha, which means that there is a relationship between the level of knowledge of nurses and response time in the ER at the Porsea Regional Hospital in 2022. It is expected that nurses will continue to improve their skills/insights and knowledge by optimizing in providing services in the form of comprehensive nursing actions.

Development of a Consensus-Based Cross-Domain Protocol for the Management of Elastic Compression Stocking Therapy in Patients With Deep Venous Thrombosis and Chronic Venous Disease: A Modified Delphi Study.

ObjectiveElastic compression stocking (ECS) therapy is commonly used in patients with deep venous thrombosis (DVT) and chronic venous disease (CVD). The provision of ECS therapy is complex, and studies indicate a lack of practical guidance and suboptimal collaboration among health care professionals. We aimed to reach consensus on critical issues of ECS therapy among the involved health care professionals and patients.MethodsA three-round modified Delphi analysis was performed in the Netherlands in which 56 health care professionals (internists, dermatologists, general practitioners, emergency room nurses, home care nurses, medical stocking suppliers, and occupational therapists) and seven patients were invited. The 21 statements included in this analysis were based on information collected from a previously conducted Functional Resonance Analysis Method and Realist Evaluation. We used 7-point Likert scale questions and a 75% threshold for consensus.ResultsOf the 63 persons invited for this study, 59 (94%) agreed to participate and responded in the first questionnaire round; of whom 52 were health care professionals and seven were patients (five DVT and two CVD). The overall response rate for the three questionnaire rounds was 91%. After completion of the rounds, full consensus was achieved on 19 out of 21 statements. No consensus was reached on the need for a follow-up appointment for CVD patients and who should be responsible to determine the ECS type (custom-made or standard).ConclusionWe identified 19 consensus-driven recommendations on treatment decisions and collaboration in ECS therapy among an interdisciplinary panel of health care professionals and patients. These recommendations form a basis for consensus-driven optimization of ECS therapy and should ideally be incorporated in a general cross-domain protocol for ECS therapy in patients with DVT and CVD.

Emergency Transport Crew: Post-Traumatic Stress Disorder Prevention Program

Background: The incidences of post-traumatic stress disorder (PTSD) among critical care nurses, emergency room nurses, and paramedics range from 20 to 33%. PTSD is associated with a lower quality of life (QOL), occupational impairments, physical health decline, and increases the risk of premature death. Research supports prevention and surveillance measures for post-traumatic stress disorder in emergency medical service providers, but the practice is not routinely done.
 Methods: A multi-purpose quality improvement project focused on educating transport crew members about PTSD. Other interventions emphasized anti-stigma lessons, resiliency assistance, and coping skills training. The pilot provided surveillance efforts, employed an early organizational PTSD recognition, and immediate debriefing for at-risk personnel at three Air Evac Lifeteam bases.
 Results: After the QI interventions, most crew members’ overall post-test PCL-5 scores were lowered by 12.5%. Another measure of the QI success was the Professional Quality of Life score improvement. Specially, the compassion satisfaction average level increased by 14% and the average burnout level decreased by of 15%.
 Conclusions: The QI project demonstrated the transport crew members’ well-being can be positively influenced by a PTSD prevention and surveillance program. These interventions offer a promising reduction in the prevalence of stress and PTSD. A nationwide practice change with these project interventions could improve the mental health of helicopter emergency medical personnel.

The effect of basic trauma and cardiac life support training in increasing the competence of emergency room nurses

Introduction: Nurses on duty in the emergency room (ER) play an important role in the early identification of a life-threatening patient condition, immediate action, and the subsequent care of critically ill patients. Continuous training and improvement need to be done to improve the ER nurses’ competency. This research aimed to analyze the differences in nurses’ competencies. Methods: This quantitative study employed a quasi-experiment design. The sample size comprised 50 nurses of ER in Surabaya with a total sampling technique. Variables used on this study were demographical data as the independent variables and dependent variables including knowledge, attitude and skills. Intervention was given by two methods, online training for knowledge and attitude, while offline training for skill improvement. After ensuring the distribution and homogeneity of the data, a paired t-test was employed for parametric statistical data analysis. Results: There were differences in pre-test and post-test scores in the domain of knowledge, attitude and skill (p = 0.000), respectively. The mean of knowledge, attitude, and skills had increased significantly. Hence, the training is proven to improve those competencies as well as the sub-topic items. Conclusions: Basic Trauma and Cardiac Life Support (BTCLS) training has improved nurse competency; it is advised to hold this training, especially in the ER. Indeed, it can improve healthcare services quality and improve patient safety at health facility. In addition, future research can modify the training time, training delivery methods, and content of BTCLS training materials to adjust with the current situation of the COVID-19 pandemic.

Workplace violence, occupational commitment and intention among emergency room nurses: A mixed-methods study.

This study aimed to determine the correlations between the violence experienced by emergency nurses in the work environment, their occupational commitment and their intention to resign. The emergency service, when compared with other hospital departments, is the unit where violence against healthcare workers is most common. A multi-method design was used. The research was carried out between 15January 2020 and 15May 2021. The sample of the study consisted of 202 emergency service nurses. The first stage of the research was reserved for the validity and reliability study of the Turkish version of the Perceptions of the Prevalence of Aggression Scale (POPAS). Quantitative data were collected using the POPAS, the Three-Component Model of Commitment Scale. A qualitative method was used to determine in-depth the causes and effects of the violence the nurses were exposed to and what they thought and felt about the factors affecting their commitment to the occupation and their intention to resign. The Consolidated criteria for Reporting Qualitative Research (COREQ) were used for this paper. The fit index values of the POPAS, which were confirmed with 15 items and four subdimensions, were determined to be acceptable and highly reliable. It was determined that 96.5% of the nurses were exposed to verbal violence. Qualitative interviews with nurses revealed that the violence they were subjected to in the working environment affected the nurses physically, psychologically, socially and caused them to consider leaving their jobs. The increasing incidence of exposure to violent behaviours and verbal violence was found to decrease nurses' emotional commitment to their occupation. Nurses' working conditions and work environments should be improved and their workload should be reduced in order to maximise their level of occupational commitment and prevent them from thinking about resigning.

Smokeless Tobacco Cessation in an Emergency Room in Rural West Virginia.

BackgroundEmergency room nurses have a strong influence on the population of smokeless tobacco users. If healthcare providers address patient's tobacco use by using a brief intervention strategy (one minute or less), it increases the quit attempt rate threefold. The object of this study is to assess the effectiveness of asynchronous internet based brief tobacco intervention training with rural emergency room nurses.MethodsA 1-h asynchronous training session on smokeless tobacco use and the 2-A and 1-R (Ask, Advise, and Refer) brief tobacco intervention strategy were given to 13 emergency room nurses at a rural acute care hospital in West Virginia. Paired sample t-tests were used to compare the pre-and post-test results.ResultsThe 1-h training session produced significant and positive increases in all items measured: increased motivation to assist patients in quitting; increased knowledge of smokeless tobacco use, its dangers, and cessation processes; increased self-efficacy in implementing brief interventions; increased perception of tobacco cessation as important; increased perception of the effectiveness of tobacco cessation interventions; and increased acknowledgment of barriers and an awareness of how to deal with them.ConclusionsThe results suggest that there is a significant potential benefit from training emergency room nurses. Brief tobacco interventions should be conducted by clinical staff during the medical history check, physical examination, or discharge phases of the emergency room visit.

Influence Of Empowerment, Work Environment and Work Attitude on The Performance of Emergency Room Nurses

Influence Of Empowerment, Work Environment and Work Attitude on The Performance of Emergency Room Nurses

Emergency Nursing-Care Patient Satisfaction Scale (Enpss): Development and Validation of a Patient Satisfaction Scale with Emergency Room Nursing.

This study aimed to develop and validate an emergency nursing-care patient satisfaction scale to measure patient satisfaction with emergency room (ER) nursing. Patient satisfaction scales for ER nursing have been validated without considering the perspectives of the healthcare system or cultural background of the country. Moreover, although nursing care is changing with COVID-19, no scale has been specifically designed to assess patient satisfaction with ER nursing. The study population included patients who visited five ERs in Japan (March to December 2021) (n = 135). The rating scales were provided to patients who visited the ER and gave consent, and the patients were asked to reply. In the process of validating the scale, exploratory and confirmatory factor analyses of the construct and criterion validity were conducted. The confirmatory factor analysis results showed a factorial structure consisting of four factors. The domain and summary scores demonstrated good-to-excellent internal reliability (Cronbach’s range = 0.81–0.89). This patient satisfaction scale was designed and validated from the perspective of the Japanese healthcare system and cultural backgrounds. This scale may be useful for developing assessments and interventions to improve patient satisfaction with ER nursing.

Exploring the relationships among training needs, willingness to participate and job satisfaction in disaster nursing: The mediating effect of achievement motivation

ObjectivesDisaster nursing competencies and their willingness to participate are essential for the success of disaster relief nurses. This study investigates the correlations among emergency room and intensive care unit nurses' training needs, willingness to participate, achievement motivation and job satisfaction as well as their mutual influences on disaster relief efforts. MethodsA convenience sampling cross-sectional study was conducted, where 488 emergency room and intensive care unit nurses from five hospitals in Taiwan participated (response rate: 84.4%). The relationships among the variables were verified using structural equation modelling. ResultsTraining needs in disaster nursing were found to be positively correlated with willingness to participate and job satisfaction. Moreover, willingness to participate was found to be positively correlated with achievement motivation and job satisfaction. Achievement motivation was found to be positively correlated with job satisfaction. Furthermore, willingness to participate in disaster relief was found to indirectly mediate job satisfaction through achievement motivation. ConclusionsThe fulfilment of training needs for disaster nursing and willingness to participate may have an impact on nurses' job satisfaction through the mediating effect of achievement motivation. Nurses' learning needs should be the foremost consideration in disaster nursing training to alleviate human resource shortages and improve disaster responses. These findings can serve as a reference for increasing preparedness training for nurses in disaster management. Relevance to clinical practiceNurses substantially contribute to the progression of disaster relief and postdisaster reconstruction. Successful and effective disaster management relies on sufficient nurse responses and training preparedness. Nurses' willingness to participate and achievement motivation in disaster nursing can have an impact on their job satisfaction and alleviate distress for both themselves and patients for the purpose of disaster relief.

The Beat Goes On: Emergency Nurses’ Song of Resilience

Since the beginning of the COVID-19 pandemic, emergency nurses have been on the frontlines. Not only were emergency nurses caring for patients with physical symptoms, they were also confronted by anxiety, depression, stress, and uncertainty in patients, peers, and themselves. Even as nurses cared for patients seeking their help, they were dealing with their own struggles as members of the larger community and the organization. The purpose of this study was to examine emergency nurses’ resiliency and to provide nurse leaders a different lens for viewing resilience. Five interconnected elements surfaced through direct observations with live environmental music therapy, focus groups, and essays with emergency room nurses. Fostering the elements of emergency nurses’ song of resilience: harmony, melody, rhythm, silence/rest, and beingness may enhance individual, team, and organizational performance. Nurse leaders can support resiliency and promote healthy work environments by perceiving resilience creatively and through reflection.

Relationships between Violence Experience, Resilience, and the Nursing Performance of Emergency Room Nurses in South Korea.

In urgent situations where tensions and conflicts are amplified, emergency room nurses are vulnerable to violence and are exposed to dangerous situations because they are confronted by patients or caregivers. This study sought to examine the relationship between violence experience, resilience, and nursing performance among emergency room nurses in South Korea. A cross-sectional descriptive design was used. The study participants included 130 nurses working in the emergency room of a general hospital. Measures included the general characteristics list, the violence experience tool, the resilience tool, and the nursing performance tool. Data were collected from February to March 2021. In this study, among the forms of violence experienced by emergency room nurses, verbal violence was most prevalent. The violence experiences showed significant differences according to age, clinical experience, work experience in the emergency room, position, and job satisfaction. Resilience displayed significant differences according to marital status, clinical experience, position, average monthly salary, and job satisfaction. Nursing performance showed significant differences based on gender, age, marital status, clinical experience, work experience in the emergency room, position, average monthly salary, and job satisfaction. There was a positive correlation between resilience and nursing performance. This study suggests that emergency room nurses in Korea experienced more verbal violence than other types of violence. The violence experiences, resilience, and nursing performance showed significant differences according to the general and job-related characteristics of the study participants. Concrete strategies and interventions to reduce the frequency of experiences of verbal violence among emergency room nurses, increase their resilience, and improve the nursing performance of emergency room nurses are needed.

Evaluation of emergency service nurses' patient handover and affecting factors: A descriptive study

AimThe aim of the study was to determine the patient handover efficacy level of emergency room nurses and the influencing factors. MethodThis descriptive, cross-sectional study was completed with (n = 120) emergency room nurses of two different state hospitals from April 26 to May 26, 2021. The “Nurses descriptive information form” and “Handover Evaluation Scale” were used as data collection forms. ResultsThe mean age of the nurses was 29.53(6.327 years, 70.8% of them were female, and 76.7% of them had a bachelor’s degree. The mean number of handovers was 3.25 (SD = 3.17) for one nurse in a shift, and the mean handover duration for a patient was 10.16 (SD = 9.23) minutes. More than half of the nurses (61.7%) carried out oral handover at the bedside. The mean score of the handover evaluation scale was 53.31 (SD = 9.55). The mean score of the nurses who performed the handover with all the nurses on the shift (spelling and relieving) together was 56.47 (SD = 9.21) and higher than that of the nurses who performed the handover in small groups 49.84 (SD = 9.70), (p = 0.012). ConclusionThe results of this study may contribute to promoting patient safety and improving patient handover processes in emergency rooms. It is recommended that standardized and comprehensive written handover forms be used, that all emergency room nurses should attend the handover process, and that further observational and interventional studies should be conducted.

GAMBARAN PENGGUNAAN APD PERAWAT IGD RSI JEMURSARI SURABAYA PADA MASA PANDEMI COVID-19

Based on data compliance with the use and release of PPE Covid-19 pandemic for emergency room nurses during October to December 2020, the use of PPE decreased from October to November, the release of PPE decreased from November to December. This study aims identify the description of the use PPE for emergency room nurses at Jemursari Islamic Hospital. The study used quantitative descriptive design with cross sectional study approach. The research population nurses in emergency room at Jemursari Islamic Hospital, Surabaya. The sample was 32 respondents using total sampling technique. The data used reports of compliance the use and release of PPE obtained through the PPI team and data knowledge, attitudes and actions towards through distributing questionnaires to respondents using the Descriptive Statistics test. The results showed that the majority of nurses were aged <= 30 years (75%), with a D3 education level (63%) and a tenure of > 4 years (72%). The knowledge and attitudes of emergency room nurses about the use of PPE when working are in the good category, while the behavior of most respondents in the complete category is using PPE by 62.5%. The majority of IGD nurses at the Surabaya Islamic Hospital Jemursari are aged <= 30 years, education level is D3 and working period is > 4 years. Knowledge, attitudes and behavior of nurses in the good category and the majority behave completely in wearing PPE. The agency is expected to maintain training on the use of PPE, tighten supervision and reward disciplined nurses.

Triage Management During Covid-19 in Emergency Department: A Phenomenology Approach Among Nurses in Medan

Introduction: Triage is an important link in treating critical patients, but during the COVID-19 pandemic, triage is not only to select and sort patients from emergency status, but to avoid a surge in patients from the limited hospital capacity and medical personnel. The experience of emergency room nurses is needed to formulate a nursing service strategy. The purpose of this study was to explore the experience of nurses in carrying out management of triage (client priority classification system based on the severity of the client's condition or the emergency that requires immediate action) in the Emergency Room (ER) during COVID-19 pandemic in Medan. Methods: The type of research used in this studied was qualitative research with a phenomenological approach. Sampling used purposive sampling technique with the number of participants as many as 10 people. Data collection was done through in- depth interviews. The process of data analysis in this studied used Colaizzi's approach of content analysis. Results: The results of the study found four main themes that describe the experience of nurses in carrying out triage management during the COVID-19 pandemic. The themes that emerged as a result of the research were: 1) Triage management during Covid pandemic, 2) Individual perceptions of infection/contagion Triage, 3) The burden of the triage nurses' during Covid pandemic, and 4) Nurses’ gratitude. Conclusion: The experience of nurses in conducting triage management during the COVID-19 pandemic was focused on initial screening, namely the assessment of acute respiratory infections (ARI), contact history and a history of indications for COVID-19. Then secondary triage was sorting patients based on emergency conditions. The use of personal protective equipment still did not meet the standards, the workload of nurses was high and there was gratitude by them for being at the forefront of handling COVID-19.

Effect of the Strategic Thinking, Problem Solving Skills, and Grit on the Disaster Triage Ability of Emergency Room Nurses.

In this descriptive study, we aimed to identify factors related to emergency room nurses’ disaster triage ability. A total of 166 nurses who worked for emergency departments of general hospitals completed a structured questionnaire consisting of the Disaster Triage Ability Scale (DTAS), the Strategic Thinking Scale (STS), the Problem-Solving Inventory (PSI), and the Original Grit Scale (Grit-O). The data were analyzed using SPSS/WIN 25.0 by means of descriptive statistics, t-test, one-way ANOVA, the Scheffé post hoc test, Pearson’s correlation coefficients, and stepwise multiple regression. Participants’ DTAS averaged 14.03 ± 4.28 (Range 0–20) and showed a statistically significant difference according to their experience of triage education (t = 2.26, p = 0.022) as a disaster triage-related attribute. There were significant correlations among DTAS and confidence in the PSI (r = 0.30, p < 0.001), the approach-avoidance style in the PSI (r = −0.28, p < 0.001), and futurism in the STS (r = 0.19, p = 0.019). The strongest predictor was confidence in the PSI; in addition, 14.1% of the DTAS was explained by confidence in the PSI, approach-avoidance in the PSI, and futurism in the STS. Emergency room nurses who received triage education showed a higher level of the DTAS and their DTAS could be explained by problem-solving skills and strategic thinking. Therefore, it is necessary to develop and implement triage education programs integrated with stress management to improve the approach-avoidance style to ensure better problem-solving skills and to utilize various training methods to enhance confidence to improve problem-solving skills and futurism as part of strategic thinking.

A Secondary Traumatic Stress Reduction Program in Emergency Room Nurses.

IntroductionSecondary traumatic stress is highly prevalent among nurses, especially among nurses working within the emergency department (ED). Reducing healthcare worker secondary traumatic stress is important for ensuring the delivery of high quality, safe patient care. This paper reports on the development and implementation of a secondary traumatic stress reduction program.MethodsWe used an adaption of a 5-week intervention based on the Accelerated Recovery Program to test whether there would be a reduction in secondary traumatic stress in a pilot sample of nine ED nurses. Outcomes were assessed using the Secondary Traumatic Stress Scale (STSS), Somatic Symptoms Scale (SSS), and Compassion Satisfaction subscale (CSS) measures.ResultsEight of nine nurses were able to complete at least three of the five sessions. Results indicate significant change in STSS (F[5,23] = 4.22, p = .007) and SSS (F[3,15] = 4.42, p = .02) scores, but not CSS (F[5,23] = 0.83, p = .54) scores. Pairwise comparisons revealed that the beneficial effects of the program happened early. For both STSS and SSS, scores at sessions 1 and 2 were generally higher than subsequent sessions. We also found a trend for continued effects on STSS at a four-month follow-up (t23 = 1.95, p = .064).ConclusionOverall, results indicate the 5-week program was associated with a significant reduction in secondary traumatic stress and related somatic symptoms in healthcare workers.

Ergonomic Risk-prone Activities toward Nurses in the Intensive Care and Emergency Room

BACKGROUND: Nurses have the risk of ergonomic hazards in providing nursing care, especially with increasingly dynamic health services such as during Coronavirus disease-19 pandemic like today. AIM: The aim of the study was to evaluate activities prone to produce ergonomic risks during the implementation of nursing care in intensive care and emergency room (ER) of a hospital in Riau, Indonesia. METHODOLOGY: This study was conducted by observing the routine activities conducted by the nurses and using similar task group techniques equipped with Rapid Entire Body Assessment instrument. Those observed activities were obtained from 17 intensive care room nurses and ten ER nurses. There were six activities observed in the intensive care room: Bathing, transferring the patient, wounds dressing, taking blood samples for the AGDA examinations, as well as inserting the intravenous needle and electrocardiograms. Meanwhile, there were two activities observed in the ER: Transferring the patient and inserting the intravenous needle. RESULTS: The highest ergonomic risks activity in the intensive care room was bathing the patient with a total score of 13. At the ER, the highest risk score was transferring the patient with a total score of 12. Both activities were at level 4, indicating a high-risk condition. Thus, examinations and changes should be immediately initiated. CONCLUSION: The results are significant to be paid attention by the related parties at the hospital to facilitate some improvements immediately. In addition, the ergonomic approaches that can be suggested to the nurses are regular stretching, physical exercises, and applying ergonomic principles while working.

The Relationship of Triage Competence with The Performance of Emergency Room Nurses at General Hospitals

Triage assessment unsuitable with patient conditions has a risk of increasing pain level, disability, and death. It causes nurses to perform non-optimal emergency nursing care for patients. This study aimed to analyze triage competency factors affecting ER nurse performance in performing emergency nursing care. The current study used the analytic observational design. The study was performed at ER of RSUD Bahteramas and RSUD Kendari City from 1 March – 7 April 2021, with all ER nurses as the samples. Total sampling was applied to obtain 55 nurses. Data analysis was conducted using the Rank Spearman and ordinal logistic regression tests. The study result shows a relationship between triage knowledge and skills with ER nurse performance in performing emergency nursing care with a p-value of 0.533. The most dominant factor affecting ER nurse performance in performing emergency nursing care was skills, with an odds ratio of 4.61. Penilaian triase yang tidak sesuai dengan keadaan pasien memiliki resiko dalam meningkatkan angka kesakitan, kecacatan bahkan kematian pasien sehingga membuat kinerja perawat tidak maksimal dalam melakukan asuhan kegawatan bagi pasien. Penelitian ini bertujuan untuk menganalisis faktor kompetensi triage yang mempengaruhi kinerja perawat IGD dalam melakukan askep kegawatdarurata. Penelitian ini menggunakan desain observational analitik yang telah dilaksanakan di ruang IGD RSUD Bahteramas dan RSUD Kota Kendari pada 1 maret - 7 april 2021, dengan sampel semua perawat yang bertugas diruang IGD. Teknik sampling menggunakan total samping dengan jumlah responden 55 Perawat. Analisa data menggunakan uji rank spearman dan uji regresi logistik ordinal. Hasil penelitian menunjukkan ada hubungan pengetahuan triage, keterampilan triage dengan kinerja perawat IGD dalam melakukan askep kegawatdaruratan dengan p-value 0,021 dan 0,000 dan tidak ada hubungan sikap triage dengan kinerja perawat IGD dalam melakukan askep kegawatdaruratan dengan p-value 0,533. Faktor paling dominan berpengaruh terhadap kinerja perawat IGD dalam melakukan askep kegawatdaruratan adalah keterampilan dengan nilai odds ratio paling besar yaitu 4,61.

OVERVIEW OF NURSES IN THE PREVENTION AND CONTROL OF HEALTHCARE ASSOCIATED INFECTIONS (HAIS) AT KARDINAH

Background Nurses are most often in contact with patients, so that of all health workers, nurses are the most at risk of being exposed to various diseases. Objective: To identify the description of nurses in the prevention and control of health care associated infections (HAIs) in the emergency department of Kardinah Hospital, Tegal City. Methods: This research is a quantitative research using descriptive research methods. The sampling technique in this study used a total sampling of 40 Results: Data analysis showed that 90% of the emergency room and ICU nurses had high knowledge of the use of PPE, as many as 10% of nurses had a negative attitude in the use of PPE. The most reason for using PPE is to maintain personal safety and the most reason for not using PPE is because they are not used to it Conclusions and Suggestions: PPI provides socialization and information on the use of PPE according to hospital SOPs. IPCN is expected to be the right role model in the use of PPE, hospital management provides support and motivation to nurses to be more disciplined in the use of PPE to prevent HAIs.