DETERMINATION OF NURSES’ KNOWLEDGE IN INITIAL HANDLING OF EMERGENCY PATIENTS IN THE CRITICAL UNIT OF SUMBAWA REGIONAL GENERAL HOSPITAL
DOI:
https://doi.org/10.60050/lkh.v9i3.95Keywords:
Basic Life Support, Emergency Nursing, Nurse Knowledge, Training, Critical CareAbstract
Background: Rapid and accurate initial management of emergency patients is crucial to prevent mortality and disability, especially in critical care units. However, variations in nurses’ knowledge and preparedness—often influenced by education, experience, and training—highlight the need to assess factors affecting their competence in emergency management.
Objectives: This study aimed to assess nurses’ knowledge of initial emergency management and identify factors associated with their knowledge levels in the critical care units of Sumbawa Regional General Hospital.
Methods: Analytical descriptive (cross-sectional) quantitative study conducted in June 2025. The target population comprised nurses working in the Emergency Room, ICU, NICU, and Surgical unit (N = 60). A total of 52 nurses participated (response rate 86.7%) and were included using convenience (accidental) sampling. Data were collected using a structured questionnaire assessing knowledge of initial emergency management. Knowledge was categorized as Good (≥75%), Sufficient (50–74%), and Lacking (<50%) based on the total score. Analysis included descriptive statistics and bivariate analysis using the Chi-square test (α = 0.05).
Results: Of 52 respondents, 44.2% (n = 23) demonstrated Good knowledge, 25.0% (n = 13) Sufficient knowledge, and 30.8% (n = 16) lacked knowledge. Bivariate analysis showed significant associations between knowledge level and educational level (p = 0.041), length of work (p = 0.035), and previous emergency training (p < 0.001).
Conclusion: Knowledge of initial emergency management among nurses at Sumbawa General Hospital is heterogeneous, with gaps associated with lower formal education, shorter work experience, and lack of training. We recommend regular, simulation-based, and blended BLS/PPGD training, periodic competence assessments, and hospital-level policies to ensure mandatory life-support certification for critical care nurses.
References
Abuejheisheh, A. J., et al. (2023). Effectiveness of blended learning basic life support module: A systematic review. [Review].
Abuejheisheh, A. J., et al. (2024). A national cross-sectional study on the retention of basic life support knowledge among nurses. BMC Nursing, 2024. https://doi.org/10.1186/s12912-024-02502-x
Ana, K. D., & Kusyani, A. (2023). Pengetahuan Bantuan Hidup Dasar dengan Tingkat Kecemasan Keluarga pada Pasien Henti Jantung. Journal of Education Research, 4(1), 100–106. https://doi.org/10.37985/jer.v4i1.131
Darwel, Syamsul, M., Ramlan, P., Samad, M. A., Syakurah, R. A., Ngkolu, N. W., Pratiwi, P. L., & Rahmawati. (2022). Statistik Kesehatan : Teori Dan Aplikasi. In M. Sari & R. M. Sahara (Eds.), Global Eksekutif Teknologi. Global Eksekutif Teknologi. www.globaleksekutifteknologi.co.id
Dayana, B. A. A., et al. (2024). Effectiveness of hands-on basic life support training program on students' knowledge. Journal of Education and Health, 2024.
Firdaus, M. N. J., Atmojo, J. T., & Mubarok, A. S. (2024). Efektivitas Pelatihan Dalam Meningkatkan Pengetahuan Dan Ketrampilan Bantuan Hidup Dasar Pada Masyarakat: Literatur Review. Journal of Language and Health, 5(2), 483–494. https://doi.org/10.37287/jlh.v5i2.3533
Hall, J. E. (2020). Guyton and Hall Textbook of Medical Physiology. In Elsevier (13th ed.). Elsevier. https://www.asia.elsevierhealth.com/guyton-dan-hall-buku-ajar-fisiologi-kedokteran-9789814666015.html
Irma, Hs, A., & Aristan. (2025). Hubungan Tingkat Pengetahuan Perawat Dan Ketersediaan Alat Dan Obat Dengan Respon Time Di Instalasi Gawat Darurat (Igd) Rs Dr. M. Yasin Bone. Jurnal Ilmiah Kesehatan Pencerah (JIKP), 14(1), 25–34. https://jurnal.itkesmusidrap.ac.id/JIKP/article/view/865
Izquierdo-Condoy, J. S., et al. (2024). Assessment of preparedness and proficiency in basic and advanced life support: findings from Ecuadorian nursing professionals. Frontiers in Medicine, 2024.
Kusumawaty, I., Septiyana, V., Daniel, A., Ginting, S., Yunita, Y., Diyan, L., Wiwin, I., Solehudin, M., Syamsi, N., & Lalla, N. (2022). Metodologi Penelitian Keperawatan. In Neila Sulung & Rantika Maida Sahara (Eds.), Global Eksekutif Teknologi. www.globaleksekutifteknologi.co.id
Lavonas, E. J., MAgid, D. J., Aziz, K., Berg, K. M., & Cheng, A. (2020). American Heart Association 2020 : Pedoman CPR dan ECC. In American Heart Association. https://cpr.heart.org/-/media/CPR-Files/CPR-Guidelines-Files/Highlights/Hghlghts_2020ECCGuidelines_Indonesian.pdf?sc_lang=en
Mardalena, I. (2021). Asuhan Keperawatan Gawat Darurat. In PUSTAKA BARU PRESS (1st ed.). PUSTAKA BARU PRESS. https://eprints.poltekkesjogja.ac.id/7961/1/Buku%20asuhan%20keperawatan%20gawat%20darurat19-07-2017.pdf
Mulyanis, Lintang Suryani, R., & Wahyu Ningrum, E. (2023). Tingkat Pengetahuan Petugas Kesehatan Mengenai Bantuan Hidup Dasar (Bhd) Di Rumah Sakit Kesrem Lhokseumawe Aceh Pada Tahun 2022. Journal of Nursing and Health, 7(3), 232–241. https://doi.org/10.52488/jnh.v7i3.192
Muninggar, A. Y., Kusumawati, H. I., & Alim, S. (2024). Pengetahuan dan Sikap tentang Bantuan Hidup Dasar (BHD) pada Guru Sekolah Menengah Atas di Sleman DIY. Jurnal Keperawatan Klinis Dan Komunitas (Clinical and Community Nursing Journal), 8(1), 1. https://doi.org/10.22146/jkkk.90410
Nurul, A., Muhammad, H., Aldika, I., Alfian, A., & Rosyid, N. (2018). GAWAT DARURAT MEDIS DAN BEDAH. In A. N. Hidayati, M. I. A. Akbar, & A. N. Rosyid (Eds.), Airlangga University Press (Surabaya). Airlangga University Press. https://repository.unair.ac.id/95073/3/Buku%20Gawat%20Darurat%20Medis%20dan%20Bedah.pdf
Perman, S. M., Elmer, J., Maciel, C. B., Uzendu, A., May, T., Mumma, B. E., Bartos, J. A., Rodriguez, A. J., Kurz, M. C., Panchal, A. R., & Rittenberger, J. C. (2024). 2023 American Heart Association Focused Update on Adult Advanced Cardiovascular Life Support: An Update to the American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation Journal, 149(5), 254–273. https://doi.org/10.1161/CIR.0000000000001194
Prahmawati, P., Rahmawati, A., & Kholina. (2021). Hubungan Response Time Perawat Dengan Pelayanan Gawat Darurat Di Instalasi Gawat Darurat Rsud Demang Sepulau Raya Lampung Tengah. Jurnal Wacana Kesehatan, 6(2), 69–79. https://doi.org/10.52822/jwk.v6i2.281
R, W. F., Sherly, & Lestari, S. A. (2021). Gambaran Pengetahuan Perawat Pelaksana Dalam Penanganan Pasien Gawat Darurat Di Ruangan Igd Rsud Karawang. Jurnal Inovasi Penelitian, 2(2), 791–796. https://doi.org/10.47492/jip.v2i2.2805
Ranjbar, F., et al. (2024). The effect of spaced e-learning on knowledge of basic life support: A randomized educational trial. BMC Medical Education, 2024.
Sastroasmoro, S., & Ismael, S. (2024). Dasar-dasar Metodologi Penelitian Klinis. In Sagung Seo (6th ed.). Sagung Seto.
Swarjana, & Ketut, I. (2023). Metodologi Penelitian Kesehatan: Edisi Terbaru. Penerbit Andi. https://books.google.co.id/books?id=T7HJEAAAQBAJ
Wahyuni, A., Sudrajat, A., Pane, J. P., Trevia, R., Ristandi, H., & Rahmawati, E. Q. (2024). BUKU AJAR KEPERAWATAN GAWAT DARURAT. In Nuansa Fajar Cemerlang (1st ed.). Nuansa Fajar Cemerlang. https://repository.nuansafajarcemerlang.com/media/publications/586704-buku-ajar-keperawatan-gawat-darurat-a760cfbe.pdf
Wiliastuti, U. N., Anna, A., & Mirwanti, R. (2018). PENGETAHUAN TIM REAKSI CEPAT TENTANG BANTUAN HIDUP DASAR. Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal), 4(2), 77–85. https://doi.org/10.33755/jkk.v4i2.105
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