The Effect of Animated Video Learning on ESI Triage Knowledge and Student Satisfaction of Nursing Polytechnic Health Ministry of Health Makassar


  • Andi Aridhasari Sudirman Brawijaya University, Malang
  • Kumboyono Kumboyono Brawijaya University, Malang
  • Suryanto Suryanto Brawijaya University, Malang



Animation Video, ESI Triage, Knowledge, Microsoft PowerPoint, Satisfaction, Triage Decision Making


Triage at the hospital's Emergency Room (ER) is critical for prioritizing the care of emergency patients. Triage errors can be dangerous and endanger patient safety, so nursing students should have a solid understanding of triage. This study investigates the impact of ESI triage learning media containing PowerPoint and animated films on knowledge, triage decision-making (TDM), and participant satisfaction. The research used a quantitative approach with a Quasi-Experimental pretest-posttest method involving 36 5th semester Diploma Nursing students at the Makassar Ministry of Health Polytechnic. The study was divided into two groups, experimental (animated video learning) and control (PowerPoint learning), to evaluate the effect of treatment on knowledge, triage decision-making, and student satisfaction in ESI triage learning. The results of the data analysis show a significant increase in knowledge about ESI Triage and student satisfaction after the intervention, with significant values ​​of 0.001 and 0.018, respectively (p-value < 0.05). Although there was no significant increase in Triage decision-making abilities between the groups that used animated videos and Microsoft PowerPoint (p = 0.440), the use of animated videos overall increased student responses and satisfaction. MANOVA analysis confirmed that the implementation of animated videos significantly influenced knowledge and satisfaction in students with a p-value <0.05. The use of animated videos increases student knowledge and satisfaction significantly compared to PowerPoint, although it does not affect triage decision-making.


AlShaikh, R., Al-Malki, N., & Almasre, M. (2024). The implementation of the cognitive theory of multimedia learning in the design and evaluation of an AI educational video assistant utilizing large language models. Heliyon, 10(3).

Anaemejeh, N., Bachmann, G., Hutchinson-Colas, J., & Alshowaikh, K. (2022). Sexual Health Education- Using Animated Videos to Teach Teenagers and Young Adults. The Journal of Sexual Medicine, 19(Supplement_3), S23–S23.

Biggs, O., Taljaard, L., Van Hoving, D. J., & Rugunanan, M. (2024). The utilisation of emergency point-of-care ultrasound in a tertiary hospital emergency department in East London, South Africa. African Journal of Emergency Medicine, 14(3), 135–140.

Burnitt, E., Grealish, L. A., Crilly, J., May, K., & Ranse, J. (2024). Providing end of life care in the emergency department: A hermeneutic phenomenological study. Australasian Emergency Care.

de Lange, S., Heyns, T., & Filmalter, C. (2024). A concept analysis of person-centred handover practices: The meaning in emergency departments. International Emergency Nursing, 74.

Frick, P., & Schüler, A. (2023). Extending the theoretical foundations of multimedia learning: Activation, integration, and validation occur when processing illustrated texts. Learning and Instruction, 87.

Greenlaw, C., Elhefnawy, Y., Jonas, R., & Douglass, L. M. (2021). Using an animated video to promote an informed discussion on SUDEP with adolescents. Epilepsy and Behavior, 122.

Huriani, E., Mailani, F., & Nur’arita, V. F. (2022). The Role of Preceptor and Knowledge of Students on Triage Skills in The Emergency Unit. Jurnal Smart Keperawatan, 9(2), 82.

Labrague, L. J. (2024). Emergency room nurses’ caring ability and its relationship with patient safety outcomes: A cross-sectional study. International Emergency Nursing, 72.

Liang, J. S., Lin, H. Y., Chen, Y. J., Lai, F. C., Liu, H. M., Yang, C. Y., Chiang, Y. T., & Chen, C. W. (2024). Nurses’ perspectives on child-friendly care needs in emergency departments: A qualitative study. International Emergency Nursing, 73.

Mangus, C. W., James, T. G., Parker, S. J., Duffy, E., Chandanabhumma, P. P., Cassady, C. M., Bellolio, F., Pasupathy, K. S., Manojlovich, M., Singh, H., & Mahajan, P. (2024). Frontline Providers’ and Patients’ Perspectives on Improving Diagnostic Safety in the Emergency Department: A Qualitative Study. Joint Commission Journal on Quality and Patient Safety.

Ongor, M., & Uslusoy, E. C. (2023). The effect of multimedia-based education in e-learning on nursing students’ academic success and motivation: A randomised controlled study. Nurse Education in Practice, 71.

Sallman, D. A., Bejar, R., Montalban-Bravo, G., Kurtin, S. E., List, A. F., Garcia-Manero, G., Nimer, S. D., O’Connell, C. L., Schaar, D., Butchko, J., Iraca, T., & Searle, S. (2022). Improving patient understanding and outcomes in myelodysplastic syndromes - An animated patient guide to MDS with visual formats of learning. Leukemia Research Reports, 17.

Schick, K., Reiser, S., Janssen, L., Schacht, L., Pittroff, S. I. D., Dörfler, E., Klein, E., Roenneberg, C., Dinkel, A., Fleischmann, A., Berberat, P. O., Bauer, J., & Gartmeier, M. (2024). Training in medical communication competence through video-based e-learning: How effective are video modeling and video reflection? Patient Education and Counseling, 121.

Taskin, O., Disel, N. R., & Yilmaz, M. (2024). Amidst the clamor: Effects of emergency department noise on Physicians’ health and attention. American Journal of Emergency Medicine, 76, 87–92.

Tucker, C. M., Jaffe, R., & Goldberg, A. (2023). Supporting a culture of patient safety: Resident-led patient safety event reviews in a pathology residency training program. Academic Pathology, 10(1).

Uema, A., Kitamura, H., & Nakajima, K. (2020). Adaptive behavior of clinicians in response to an over-constrained patient safety policy on the administration of concentrated potassium chloride solutions. Safety Science, 121, 529–541.

Wibowo, D. (2020). The Efektifitas Penulisan Dokumentasi Triase Emergency Severity Index (ESI) Dengan Canada Triage Acuity Scale (CTAS) Terhadap Ketepatan Prioritas Triase Pasien Oleh Mahasiswa Ners STIKES Cahaya Bangsa di IGD RSUD Ulin Banjarmasin. Jurnal Kesehatan Indonesia, 10(2), 60–65.

Wu, Q., Ngien, A., Jiang, S., & Dong, Y. (2024). Why communication matters? The roles of patient-provider communication and social media use in cancer survivors’ meaning in life. Computers in Human Behavior, 156.

Xue, L., Zhong, Q., Xu, N., Zheng, Y., & Liu, Y. (2024). Investigation in image quality and immediate patient safety using pre-dual-flow injection for low-contrast dose spectral pulmonary artery CT angiography. European Journal of Radiology Open, 12.