Pengaruh Pelatihan Simple Triage And Rapid Treatment (START) Terhadap Cognitive, Affective, dan Psychomotor Tenaga Medis dan Tenaga Kesehatan dalam Melakukan Triage START
Novia Faizatiwahida, Syahirul Alim, S.Kp., M.Sc., Ph.D; Prof. Intansari Nurjannah, S.Kp., M.NSc., Ph.D
2024 | Tesis | S2 Magister Keperawatan
Latar
Belakang: Meningkatnya
insiden bencana secara global menggambarkan
pentingnya kesiapsiagaan untuk meminimalkan kesalahan selama triase bencana.
Triase yang tidak memadai dapat meningkatkan tingkat kematian dan kecacatan.
Sistem triase yang umum digunakan dan mudah diterapkan dikenal sebagai metode simple
triage and rapid treatment (START).
Belum terdapat pelatihan efektif yang tersedia
bagi tenaga medis dan tenaga kesehatan untuk meningkatkan cognitive, affective,
dan psychomotor.
Tujuan: Mengetahui pengaruh pelatihan Simple Triage and Rapid
Treatment (START) terhadap
cognitive, affective dan psychomotor tenaga medis dan tenaga kesehatan
dalam melakukan triage START di Puskesmas Cangkringan, Pakem
dan Turi.
Metode: Rancangan
penelitian ini adalah quasy
experiment dengan
desain one group pretest-posttest. Subjek penelitian ini merupakan tenaga
medis dan tenaga kesehatan di Puskesmas Cangkringan, Pakem dan Turi yang
berjumlah 43 orang yang terdiri dari 18 perawat, 8 dokter, 13 Bidan, 2 Farmasi,
dan 2 kesehatan masyarakat.
Intervensi yang dilakukan berupa pelatihan triage yang dilakukan
selama 1 hari. Pre-test dan post test dilakukan dalam hari yang
sama, post-test dilakukan segera setelah pelatihan selesai. Pengambilan data
menggunakan kuesioner tentang cognitive dan affective serta lembar
observasi psychomotor. Analisis data menggunakan uji paired t-test.
Hasil: Terdapat
peningkatan nilai rata-rata nilai cognitive (57,21 vs 78,60),
affective (33,56 vs 36,35), dan psychomotor (18,98 vs 23,02) sebelum
dan setelah diberikan pelatihan. Terdapat pengaruh pelatihan simple triage
and rapid treatment terhadap cognitive (p<0>, affective
(p<0> psychomotor (p<0>triage START.
Kesimpulan: Pelatihan START sangat penting dilakukan di setiap puskesmas
untuk meningkatkan kompetensi tenaga medis dan tenaga kesehatan dalam melakukan
triage START.
Instrumen yang dihasilkan dari penelitian ini dapat digunakan sebagai pedoman
dalam pembelajaran triage START dan dapat dikembangkan dalam konteks
bencana yang lebih luas
Background: The
increase in disaster incidents globally illustrates the importance of
preparedness to minimize errors during disaster triage. Inadequate triage can increase
mortality and disability rates. A commonly used and easy-to-implement triage
system is known as the simple
triage and rapid treatment method. There is no
effective training available for health workers to improve cognitive, affective
and psychomotor.
Objective: This study aims to understand
the significance of Simple Triage and Rapid Treatment (START) training on
cognitive, affective, and psychomotor in perfoming START triage on Medical Staff
and Healthcare Professional at Cangkringan, Pakem, and Turi Health Centers.
Method: The design of this study is a quasy experiment with a one
group pretest-posttest design. The subjects of this study were medical and
health workers at Cangkringan, Pakem and Turi Health Centers totaling 43 people
consisting of 18 nurses, 8 doctors, 13 midwives, 2 pharmacies, and 2 public
health. The intervention was in the form of triage training which was carried
out for 1 day. Pre-test and post test are conducted within the same day,
post-test is done immediately after the training is completed. Data were collected using cognitive and affective
questionnaires and psychomotor observation sheets. Data analysis using paired
t-test
Result: There was an increase in the average score of cognitive
(57.21 vs 78.60), affective (33.56 vs 36.35), and psychomotor (18.98 vs 23.02)
before and after training. There is an effect of simple triage and rapid
treatment training on cognitive (p<0>
Conclusion: START training is
very important to be carried out in every puskesmas to improve the competence
of medical and health workers in conducting START triage. The instruments
resulting from this research can be used as guidelines in START triage learning
and can be developed in the broader context of disasters
Kata Kunci : Pelatihan triage, cognitive, affective, psychomotor, tenaga medis, tenaga kesehatan