Pengaruh Pelatihan Simple Triage and Rapid Treatment (START) Terhadap Self-efficacy Tenaga Medis dan Tenaga Kesehatan Dalam Melakukan Triage

Bagus Alfrisa, Syahirul Alim, S.Kp., M.Sc., Ph.D; Uki Noviana, S.Kep., Ns., M.N.Sc., Ph.D

2024 | Tesis | S2 Magister Keperawatan

Latar Belakang: Triage sebagai pengelompokan prioritas dalam kedaruratan perawatan pasien. Bencana dapat mengakibatkan berbagai dampak yang serisus kerusakan lingkungan dan korban jiwa. Dalam mengurangi dampak yang terjadi triage sangat penting untuk dilakukan oleh tenaga medis dan kesehatan. Salah satu triage yang mudah dan paling sederhana dalam bencana adalah model triage START. Untuk melakukan triage START seseorang harus memiliki pengatahuan dan self-efficacy yang tinggi melalui berbagai cara yang dapat dilakukan salah satunya adalah pelatihan (START).

Tujuan: Mengetahui pengaruh pelatihan triage START terhadap self-efficacy tenaga medis dan kesehatan dalam melakukan triage START.

Metode: Dalam penelitian quasi-experiment pretest-posttest study with control grup dengan responden 86 tenaga medis dan kesehatan yang dibagi menjadi 2 kelompok intervensi dan kelompok kontrol. Kelompok intervensi diberikan pelatihan triage START selama 1 hari, pre-test dan post-test dilakukan dalam hari yang sama, sedangkan kelompok kontrol diberikan pre-test, modul dan post-test pada hari yang sama. Pengumpulan data menggunakan kuesioner self-efficacy triage START. Analisis data menggunakan Paired T-test dan Unpaired T-tes.

Hasil: Rata-rata skor self-efficacy pada kelompok intervensi mengalami peningkatan skor self-efficacy sebelum dan setelah diberikan pelatihan triage START (30,60 vs 36,55; p = <0>p = 0,061). Terdapat pengaruh yang signifikan pemberian pelatihan triage START terhadap self-efficacy pada tenaga medis dan kesehatan (p = <0 xss=removed>

Kesimpulan: pemberian pelatihan triage START dapat meningkatkan skor self-efficacy pada tenaga medis dan kesehatan dengan efek yang kuat.

Background: Triage as a priority grouping in emergency patient care. Disasters can result in various serious impacts, environmental damage and loss of life. In reducing the impact that occurs, triage is very important to be carried out by medical and health personnel. One of the easiest and simplest triages in disasters is the START triage model. To carry out START triage, a person must have high knowledge and self-efficacy through various methods, one of which is training (START).

Objective: To determine the effect of START triage training on the self-efficiency of medical and health personnel in carrying out START triage.

Method: In a quasi-experiment pretest-posttest study with control group with 86 medical and health personnel as respondents who were divided into 2 intervention groups and a control group. The intervention group was given START triage training for 1 day, the pre-test and post-test were carried out on the same day, while the control group was given the pre-test, module and post-test on the same day. Data collection used the START triage self-efficiency questionnaire. Data analysis uses Paired T Test and Unpaired T Test.

Results: The average self-efficiency score in the intervention group experienced an increase in self-efficiency scores before and after being given START triage training (30.60 vs 36.55; p = <0 xss=removed xss=removed xss=removed>

Conclusion: providing START triage training can increase self-efficiency scores in medical and health personnel with a strong effect.

Kata Kunci : Pelatihan START, Self-efficacy, Tenaga medis dan Tenaga Kesehatan