Fast Nurses' Response Time and Mild Family Anxiety in the Emergency Department of RSUD Undata Palu
Keywords:
response time, anxiety, family, emergency department, nursing serviceAbstract
Background: Response time is an important indicator of emergency nursing service quality and may influence the anxiety level of patients' families. Delays in treatment can increase fear, uncertainty, and dissatisfaction among family members in emergencies. This study aimed to determine the relationship between nurses' response time and family anxiety levels in the Emergency Department of RSUD Undata Palu.
Methods: This quantitative study used a correlational design with a cross-sectional approach. A total of 68 respondents were selected using consecutive sampling. Nurses' response time was measured using observation sheets and a stopwatch, while family anxiety levels were assessed using the Hamilton Anxiety Rating Scale (HARS). Data were analyzed using frequency distributions and Fisher's Exact Test, as several cells in the cross-tabulation had expected counts less than 5.
Results: Most nurses' response times were categorized as fast (≤5 minutes), with 67 respondents (98.5%) and only 1 respondent (1.5%) experiencing a slow response time. Regarding anxiety levels, 46 respondents (67.6%) experienced mild anxiety and 22 respondents (32.4%) experienced severe anxiety. Fisher's Exact Test showed no statistically significant relationship between nurses' response time and family anxiety levels (p=0.324), although mild anxiety was more frequently observed among respondents who experienced fast response time.
Conclusion: Nurses' response time in the Emergency Department of RSUD Undata Palu was generally fast, and most family members experienced mild anxiety. However, there was no statistically significant relationship between nurses' response time and family anxiety levels. These findings should be interpreted cautiously due to the highly unequal distribution of response time categories.
References
Ambarika, R., Mayasari, P., & Anggraini, N. A. (2024). The Relationship of Nurses Response Time With Family Anxiety of Ed Patients Based on Triage at RSU Muslimat Ponorogo. Journal of Global Research in Public Health, 9(1), 35–43. https://jgrph.org/index.php/JGRPH/article/view/501/268
Aprianus, & Sahrudi. (2024). Pengaruh Pendampingan Keluarga terhadap Tingkat Kecemasan Pasien di Unit Gawat Darurat Rumah Sakit Pelabuhan Jakarta. Manuju, 6(10), 3965–3972. https://ejurnalmalahayati.ac.id/index.php/manuju/article/view/13805/Download Artikel
Arifianti, D., & Purwokerto, U. M. (2023). Relationship between Triage Response Time and Patient Satisfaction in the Emergency Room of Prof . Dr . Margono Soekarjo Purwokerto Hospital. UMP Press, 6. https://doi.org/10.30595/pshms.v6i.1405
Bazmul, M. F., Lantang, E. Y., & Kambey, B. I. (2018). Profil Kegawatdaruratan Pasien Berdasarkan Start Triage Scale di Instalasi Gawat Darurat RSUP Prof . Dr . R . D . Kandou Manado. E-Clinic, 7(1), 46–50. https://ejournal.unsrat.ac.id/v3/index.php/eclinic/article/view/23538/23195
Brice, S. N., Boutilier, J. J., Gartner, D., Harper, P., Knight, V., Lloyd, J., Pusponegoro, A. D., Rini, A. P., Ross, J. T., & Tuson, M. (2022). Emergency services utilization in Jakarta ( Indonesia ): a cross ‑ sectional study of patients attending hospital emergency departments. BMC Health Services Research, 22(639), 1–10. https://doi.org/10.1186/s12913-022-08061-8
Demir, S., Tunçbilek, Z., & Alinier, G. (2023). The effectiveness of online Visually Enhanced Mental Simulation in developing casualty triage and management skills of paramedic program students : A quasi-experimental research study. International Emergency Nursing, 67(January), 101262. https://doi.org/10.1016/j.ienj.2023.101262
Kemenkes RI. (2022). Profil kesehatan indonesia 2022. https://kemkes.go.id/app_asset/file_content_download/1702958336658115008345c5.53299420.pdf
Lajali, Y., Luneto, S. I., & Suranata, F. M. (2023). Hubungan Waiting Time Dengan Kepuasan Pasien Prioritas 3 di Instalasi Gawat Darurat Rumah Sakit Tingkat II Robert Wolter Mongisidi Manado Yana Lajali Universitas Muhammadiyah Manado Universitas Muhammadiyah Manado Instalasi Gawat Darurat adalah Instalasi. Vitamin : Jurnal Ilmu Kesehatan Umum, 1(4), 44–54. https://journal.arikesi.or.id/index.php/Vitamin/article/view/100/105
Lasman, Islamy, A., Nurhidayati, Rohmawati, I., & Osella, D. (2023). Relationship between Emergency Level ( Triage ) and Anxiety Level of the Patient ’ s Family. Prisma Sains, 11(2), 463–470. https://e-journal.undikma.ac.id/index.php/prismasains/article/view/7377/4421
Mokoginta, L. T., & Gunawan, H. M. (2025). Analisis Information of Delays, Doctor’s Performance, Waiting Time dan Accessibility terhadap Trust melalui Patient Satisfaction dan Perceived Quality of Healthcare pada Pasien di Unit Gawat Darurat RS Siloam Manado. Jurnal Ilmiah Manajemen Bisnis Dan Inovasi Universitas Sam Ratulolangi, 12(2), 863–881. https://ejournal.unsrat.ac.id/v3/index.php/jmbi/article/view/63179/50046
Muldiansyah, F., & Sahrudi. (2025). Gambaran Tingkat Kecemasan Pasien di Instalasi Gawat Darurat RSUD Kabupaten Bekasi. MAHESA : Malahayati Health Student Journal, 5(2), 726–743. https://ejurnalmalahayati.ac.id/index.php/MAHESA/article/view/16707/Download Artikel
Noommeechai, N., Mittapoomwiboon, M., & Kwangmaha, C. (2023). The Effect of Communication Information Among Professional Nurses ’ Model on Stress Anxiety and Satisfaction to Family Members of Patients in The Emergency Department Chonburi Hospital. International Journal of Sociologies and Anthropologies Science Reviews (IJSASR), 3(6), 469–478. https://so07.tci-thaijo.org/index.php/IJSASR/article/view/3902/2426
Nugroho, K. D., & Auliya, N. I. (2024). Relationship between Nurses ’ Therapeutic Communication to Patient Family Anxiety in Emergency Conditions. Babali Nursing Research, 5(2), 423432. https://scispace.com/pdf/relationship-between-nurses-therapeutic-communication-and-bh95746aku.pdf
Pratama, I. H., Romantika, I. W., & Abadi, E. (2022). Hubungan Respon Time Perawat dengan Kepercayaan Keluarga Pasien Triase Kuning di Ruang Instalasi Gawat. Jurnal Ilmiah Karya Kesehatan, 03(01), 31–37. https://jurnal.karyakesehatan.ac.id/JIKK/article/view/422
Radadi, M. K., Fauziah, & Mansuriza. (2025). Hubungan Pengetahuan Keluarga dengan Tingkat Kecemasan pada Anggota Keluarga yang Dirawat di Ruang ICU dan ICCU Rumah Sakit Umum Daerah Meuraxa Kota Banda Aceh gangguan jantung dan pembuluh darah . Pasien dengan kondisi seperti infark miokard ( serangan. Inovasi Kesehatan Global, 2(262–275). https://journal.lpkd.or.id/index.php/IKG/article/view/2430/2664
Rahman, M. A., & Nu, N. (2025). Response Time Perawat dan Kepuasan Pasien di Instalasi Gawat Darurat ( IGD ) Rumah Sakit QIM Batang Studi Cross Sectional Universitas Islam Sultan Agung , Indonesia merespons pasien sejak pertama kali pasien tiba di IGD hingga dilakukan tindakan time pera. Dagnosa: Jurnal Ilmu Kesehatan Dan Keperawatan, 5(4), 106–117. https://ifrelresearch.org/index.php/diagnosa-widyakarya/article/view/5548/5547
Rahmawati, I., Fernalia, & Munawar, A. (2022). Jurnal Sains Kesehatan Vol. 29 No. 3 Desember 2022. Jurnal Sains Kesehatan, 29(3), 26–37. https://jurnal.stikestrimandirisakti.ac.id/index.php/jsk/article/view/267/pdf
Ramdani, D. (2025). Response Time and Influencing Factors Among Emergency Nurses in Indonesian Hospital : A Scoping Review of Current Evidence. Journal of Multidisciplinary Healthcare, 18, 133–145. https://pmc.ncbi.nlm.nih.gov/articles/PMC11740773/pdf/jmdh-18-133.pdf
Reynaldi, R., Gaol, L., Taufik, M., & Hasibuan, D. (2024). Hubungan Respons Time dengan Tingkat Kepuasan Pasien di Instalasi Gawat Darurat Murni. Indonesian Trust Nursing Journal (ITNJ), 2(1), 101–109. https://jurnal.murniteguhuniversity.ac.id/index.php/itnj/article/view/221/200
Rohman, M. A., Kurniawan, Susilo, C., & Hamid, M. A. (2023). Hubungan Response Time Perawat dengan Tingkat Kecemasan Keluarga Pasien Kategori Triage Kuning di IGD Rumah Sakit Daerah Balung. Assyifa: Jurnal Ilmu Kesehatan, 2(2), 352–359. https://assyifa.forindpress.com/index.php/assyifa/article/view/88/110
Solikhin, K. A., Siwi, A. S., & Susanti, I. (2025). Hubungan kategori triase dengan kecemasan keluarga di instalasi gawat darurat rumah sakit tentara wijayakusuma purwokerto. Nutrix Journal, 9(1), 38–45. https://ejournal.unklab.ac.id/index.php/nutrix/article/view/1267/1006
Souza, D. L., Korzenowski, A. L., Alvarado, M. M., Sperafico, J. H., Eberhard, A., Ackermann, F., Mareth, T., & Scavarda, A. J. (2021). A Systematic Review on Lean Applications ’ in Emergency Departments. Healthcare, 9(6), 1–19. https://www.mdpi.com/2227-9032/9/6/763
Waladani, B., Yuwono, P., Setianingsih, E., & Widyaswara, P. A. (2025). Association Between Anxiety Levels and Demographic Patinets’s Family Members: A Cross Sectional Study. International Journal of Pharmaceutical and Bio Medicine, 05(07), 2767. https://ijpbms.com/index.php/ijpbms/article/view/752/553
WHO. (2019). Emergency care systems for universal health coverage : ensuring timely care for the acutely ill and injured (Issue May). https://apps.who.int/gb/ebwha/pdf_files/wha72/a72_r16-en.pdf
Yesil, A., & Butun, A. (2025). Investigation of state anxiety levels of parents admitted to the paediatric emergency. BMC Pediatrics, 25(634), 1–12. https://link.springer.com/article/10.1186/s12887-025-05976-z
