en <span style="font-size:12pt"><span style="text-justify:inter-ideograph"><span new="" roman="" style="font-family:" times=""><b><span lang="EN-GB" style="font-size:10.0pt"><span cambria="" style="font-family:"><span style="color:#f79646">Aims:</span></span></span></b> <span lang="EN-GB" style="font-size:10.0pt"><span cambria="" style="font-family:">This study aimed to identify the relationship between emergency room nurses&rsquo; work stress, workload, and motivation with implementing the Emergency Severity Index triage system.</span></span></span></span></span><br> <span style="font-size:12pt"><span style="text-justify:inter-ideograph"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:10.0pt"><span cambria="" style="font-family:"><span style="color:#f79646">Instrument & Methods:</span></span></span></b><span lang="EN-GB" style="font-size:10.0pt"><span cambria="" style="font-family:"> This cross-sectional study was conducted at the X Regional General Hospital with a sample of 72 emergency room nurses. The questionnaires were validated to assess work stress, workload, motivation, and Emergency Severity Index implementation. Data were analyzed through descriptive statistics and multiple linear regression to ascertain the relationship between the explanatory variables (including work stress, workload, and motivation) and the dependent variable (Emergency Severity Index implementation).</span></span></span></span></span><br> <span style="font-size:12pt"><span style="text-justify:inter-ideograph"><span new="" roman="" style="font-family:" times=""><b><span lang="EN-GB" style="font-size:10.0pt"><span cambria="" style="font-family:"><span style="color:#f79646">Findings:</span></span></span></b><span lang="EN-GB" style="font-size:10.0pt"><span cambria="" style="font-family:"> All three independent variables and Emergency Severity Index implementation had statistically significant positive relationships. The final model revealed workload as the strongest variable (B=0.14; p=0.002), followed by work stress (B=0.24; p=0.015) and motivation (B=0.1; p=0.046). The regression model accounted for 27% of the variability in Emergency Severity Index implementation (adjusted R²=0.27).</span></span></span></span></span><br> <span style="font-size:12pt"><span style="text-justify:inter-ideograph"><span new="" roman="" style="font-family:" times=""><b><span lang="EN-GB" style="font-size:10.0pt"><span cambria="" style="font-family:"><span style="color:#f79646">Conclusion:</span></span></span></b><span lang="EN-GB" style="font-size:10.0pt"><span cambria="" style="font-family:"> Workload is the most significant factor affecting Emergency Severity Index implementation, followed by work stress and motivation.</span></span></span></span></span> Emergency Room Visits,Motivation,Health Services,Hospitals,Triage,Workload, 375 380 http://ijwph.ir/browse.php?a_code=A-10-2259-1&slc_lang=en&sid=3 S.D.M. Riu 1003194753284600379596 1003194753284600379596 Yes Department of Advanced Nursing, Faculty of Nursing, Airlangga University, Surabaya, Indonesia N. Nursalam 1003194753284600379531 1003194753284600379531 No Department of Advanced Nursing, Faculty of Nursing, Airlangga University, Surabaya, Indonesia T. Nusi 1003194753284600379530 1003194753284600379530 No Department of Nursing, Faculty of Health Science, Muhammadiyah University Manado, Manado, Indonesia I.M. Yahya 1003194753284600379529 1003194753284600379529 No Department of Nursing, Faculty of Health Science, Muhammadiyah University Manado, Manado, Indonesia N.H. Rahil 1003194753284600379528 1003194753284600379528 No Department of Nursing, College of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan Y.M. Taplo 1003194753284600379895 1003194753284600379895 No Department of Nursing, College of Medical, Veterinary, and Life Sciences, University of Glasgow, Glasgow, Scotland