The Relationship between the Level of Nurse Knowledge and the Accuracy of the Assessment of the Glasgow Coma Scale in Head Injury Patients in the Emergency Room of Prof. Dr. H. Aloei Saboe Hospital, Gorontalo City
Keywords:
GCS Assessment Accuracy, Knowledge, Nurses
Abstract
The Glasgow Coma Scale (GCS) is included in the primary survey carried out when a patient enters the emergency room which is usually assessed by the emergency room nurse and can prevent complications so that it requires a proper GCS examination. The purpose of this study was to determine the relationship between the level of knowledge of nurses and the accuracy of the assessment of the Glasgow Coma Scale in patients with head injuries in the emergency room of Prof. Dr. H. Aloei Saboe Hospital, Gorontalo City. Quantitative research method with a cross sectional study approach, the population in this study was all implementing nurses in the emergency room of Prof. Dr. H. Aloei Saboe Hospital, Gorontalo City, a research sample of 29 nurses with a total sampling technique, research instruments using knowledge questionnaires and GCS assessment observation sheets, data were analyzed by Chi-square test. The results of the study obtained the level of knowledge of nurses about the GCS assessment which was good knowledge as many as 19 nurses (65.5%) and sufficient knowledge as many as 10 nurses (34.5%), then the accuracy of the right GCS assessment was 21 nurses (72.4%) and inappropriate as many as 8 nurses (27.6%), and a p-value of 0.000 (? ? 0.05) was obtained. It can be concluded that there is a relationship between the level of nurse knowledge and the accuracy of GCS assessment in head injury patients in the emergency room of Prof. Dr. H. Aloei Saboe Hospital, Gorontalo City.
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Aditya, F. (2020). Differences in the Glasgow Coma Scale and full outline of unresponsiveness score on the level of consciousness examination. Journal of Professional Nurse Research, 2(4), 545–554.
Agustien, R., Rahmawan, F. A., & Faidah, N. (2025). Nursing Care for Patients with Emergencies in the Nursing System. Jakarta: Masterpiece Citra Utama.
Alsharif, R., Al-Azayem, S. A., Alsomali, N., Alsaeed, W., Alshammari, N., Alwatban, A., ... Alrasheedi, A. (2024). Nurses' Knowledge of Glasgow Coma Scale in Neurological Assessment of Patients in a Tertiary Care Hospital. Clinical and Translational Neuroscience, 8(28), 1–12. https://doi.org/10.54112/bcsrj.v2024i1.1283
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Ansar, A. (2014). An overview of the level of nurses' knowledge of GCS assessment in capitis trauma patients in the emergency installation room of Labuang Baji Hospital Makassar. Thesis of the Faculty of Health Sciences, UIN Alauddin Makassar.
Ardi, M., Hartini, W., Adillah, L., Nurliawati, E., Romana, A. B. Y., Rodinih, & Astuti, N. L. S. (2024). Nursing Methodology Textbook: A Conceptual Foundation for Practice. Jakarta: PT Nuansa Fajar Cemerlang.
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Bachtiar, E., Mahyuddin, Nur, N. K., Tumpu, M., Setiawan, A. M., Erdawaty, ... Rachim, F. (2021). K3 Construction Management. Medan: Yayasan Kita Menulis.
Elsavina, A., Rahayu, M., Fauziyah, A. S., Desky, H. S., Febriyanti, I., Artameysia, R. H., & Haryeti, P. (2025). Factors in Nurse Clinical Decision Making in Emergency Patients: A Literature Review. Journal of Health Partners, 07(02), 183–195.
Haruna, S. R., Ponseng, N. A., Rahmadani, S., Rosnania, Afrida, & Bubun, J. (2021). Community Compliance in the Use of Masks as One of the Prevention of Covid-19. Ponorogo: Uwais Inspiration Indonesia.
Hulu, V. T., Pane, H. W., Tasnim, Zuhriyatun, F., Munthe, S. A., Hadi, S., ... Mustard. (2020). Public Health Promotion. Medan: Yayasan Kita Menulis.
Indarwati, Agustina, N. W., Wahyuningsih, A., Marasabessy, N. B., Maryatun, & Handayani, S. (2024). Public Health. Batam: CV Rey Media Grafika.
Mahoklory, S. S. (2021). Care Bundle Management in Head Injury Patients. Source: PT Nasya Expanding Management.
Marbun, A. S., Sinuraya, E., Amila, & Simanjuntak, G. V. (2020). Head Injury Management. Malang: Ahlimedia Press.
Meilando, R. (2020). Analysis of nurses' ability to classify patients with head injuries based on the Glasgow Coma Scale (GCS) value. Scientific Journal of STIKES Citra Delima Bangka Belitung, 4(1), 66–73.
Mohamad, N. R., Yunus, P., & Damansyah, H. (2023). Description of the handling of head injury patients in the emergency installation room of the hospital. Prof. Dr. Aloei Saboe, Gorontalo City, Gorontalo Province. Journal of Educational Innovation and Public Health, 1(2), 188–197.
Muharry, A., & Rohman, H. (2021). Basic Application of Stata in Health Data Research and Management. Solok: Insan Cendekia Mandiri.
Nofia, V. R., & Angraini, S. S. (2023). Basic Life Support and Emergency Teaching Materials and Clinical Skills Guidebook. Yogyakarta: Deepublish.
Notoatmodjo, S. (2018). Health & Behavioral Science Promotion. Jakarta: Rineka Cipta.
Nusdin. (2020). Emergency Nursing. Surabaya: Jakad Media Publishing.
Ose, M. I. (2020). Services and Trends of Nursing Issues in the Emergency Department and Based on Evidence Base. Indramayu: CV Adanu Abimata.
Prasetyo, R., & Purwanto, N. H. (2025). Analysis of the Level of Knowledge of Nurses in the Application of the Four Score Scale in the Intensive Care Unit (ICU) Room. Journal of Health Science and Practice Development, 4(4), 243–258.
Riduansyah, M., Zulfadhilah, M., & Annisa. (2021). Overview of the level of awareness of head injury patients using the Glasgow Coma Scale (GCS). Journal of the Indonesian National Nurses Association (JPPNI), 5(3), 137–145.
Risnawati, Malik, M. Z., Nurarifah, Gustini, Lumbantobing, C., Rahim, A., ... Muti, R. T. (2021). Disaster and Emergency Nursing. Bandung: Media Sains Indonesia.
Roflin, E., Liberty, I. A., & Pariyana. (2021). Population, Sample, Variables in Medical Research. Location: Expanded management.
Saputra, G. B. (2024). The Relationship between the Level of Nurse Knowledge and the Accuracy of GCS Assessment in Head Injury Patients in the Emergency Installation of Temanggung Hospital. Thesis of the S1 Nursing Study Program, Faculty of Health Sciences, University of Muhammadiyah Magelang.
Sari, G. M., & Sutrisna, M. (2023). Sensory, Auditory and Tactile Stimulation Therapy in Patients with Head Injuries. Jambi: PT Sonpedia Publishing Indonesia.
Setiawan, P. B., Rahman, F. A., Sari, F. T., Naritasari, F., Mardhiyah, I., Widita, E., & Vega, C. (2023). Dental Hygiene Management Compromises Medical and Special Needs. Lombok: Seval.
Shabestari, M. M., Tabrizi, F. J., Roshangar, F., Ghahramanian, A., Zamanzadeh, V., Sabaksh, P., & Agom, D. A. (2024). Nurses’ Perception of Uncertainty In Clinical Decision-Making: A Qualitative Study. Heliyon, 10(16), 1–10.
Shodiqurrahman, R., Martini, M., Yundari, I. D. H., Muskananfola, I. L., & Idris, B. N. (2022). Emergency Nursing and Critical Nursing. Bandung: Media Sains Indonesia.
Susilawaty, Fibriana, L. P., & Purwanza, S. W. (2024). Surgical Medical Nursing Textbook II. Jakarta: Masterpiece Citra Utama.
Susilo, T., Syarifah, N. Y., & Deliana, M. (2025). Basic Life Support Clinical Skills at the Clinical Level and Daily Life. Jakarta: PT Nuansa Fajar Cemerlang.
Suswitha, D., Tafdhila, & Arindari, D. R. (2023). Response Time for Nursing Actions with Head Injury Handling in the Emergency Installation Room of Palembang Hospital. Journal of Medical and Health Sciences, 10(4), 1782–1790.
Swarjana, I. K. (2022). Concepts of Knowledge, Attitudes, Behaviors, Perceptions, Stress, Anxiety, Pain, Social Support, Compliance, Motivation, Satisfaction Covid-19 Pandemic Access to Health Services. Yogyakarta: NO.
Wijayanti, F., Yudanari, Y. G., Ismoyowati, T. W., Fatimah, Liyanovitasari, Chairijah, Z., ... Mardiyaningsih, E. (2025). Textbook on Nursing Process and Critical Thinking. Yogyakarta: PT Green Pustaka Indonesia.
Wurarah, M. (2022). Implications of Prior Knowledge. Yogyakarta: Bintang Semesta Media.
Yani, D., Agustiani, S., & Anggraini, R. B. (2024). Factors related to the ability of nurses in the early stages of head injury patients in the emergency room of Depati Bahrin Sungailiat Hospital in 2024. Tambusai Health Journal, 5(3), 8226–8239.
Published
2026-02-25
How to Cite
Lendy Kurniawan, Pipin Yunus, & Fifi Ishak. (2026). The Relationship between the Level of Nurse Knowledge and the Accuracy of the Assessment of the Glasgow Coma Scale in Head Injury Patients in the Emergency Room of Prof. Dr. H. Aloei Saboe Hospital, Gorontalo City. International Journal of Health, Economics, and Social Sciences (IJHESS), 8(2), 955~964. https://doi.org/10.56338/ijhess.v8i2.10489
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Articles
Copyright (c) 2026 Lendy Kurniawan, Pipin Yunus, Fifi Ishak
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