Pelaksanaan Asesmen Risiko Jatuh di Rumah Sakit

Hirza Ainin Nur, Edi Dharmana, Agus Santoso

Abstract


Falls are the most worrying incidence of patients in the hospital and that has an impact on injury and even death. The incidence was second ranks of adverse event after medication errors. Hospitals are already making efforts to reduce the fall incident but in reality, the incidence of falls still occurs. Data obtained from March to September 2016 have 6 cases of incident patients falling from a total of 43 patient safety incidents. The results of the observations show that most of the fall prevention programs that have not been done are falling risk assessments. Fall risk assessment is the first step to prevent the occurrence of falls in the patient, if not done then the incident will occur. This study aims to explore the implementation of falls risk assessment conducted by nurses in the hospital wards. The research method using qualitative research with phenomenology approach. The population used is inpatient ward nurses as many as 304 nurses.The sample used by purposive sampling technique with 10 informants. Data collection using primary and secondary data. Primary data obtained by in-depth interview with semi-structured interview to all informants. Secondary data was used document review of SOP prevention of fall risk, assessment protocol, and patient's medical record status. Data analysis used Miles and Huberman analysis model by reducing data, making display data, and drawing conclusions. The results of the research are two themes that are the existence of internal training and socialization affects the nurse's understanding of the implementation of falls risk assessment both initial of falls risk assessment and re-assessment of falls risk and implementation of falls risk assessment influenced by the inhibiting and supporting factors, both of these factors affect compliance of falls risk assessment conducted by the nurse. This study suggests that the understanding of fall risk assessment does not guarantee the nurse to always adhere to the implementation of fall risk assessment. It is expected that there will be cooperation between hospital management, working group prevention of falls risk, and head of ward to always supervise and monitor evaluation related to implementation of falls risk assessment along with giving reward and punishment.

Keywords


implementation of falls risk assessment; nurse; hospital

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References


Joint Commission International. Standar Akreditasi Rumah Sakit. 2011.

Komite Akreditsi Rumah Sakit. Instrumen Akreditasi Rumah Sakit Versi 2012. Jakarta; 2012.

Joint Commission International. Sentinel Alert Event [Internet]. 2015;(55). Available from: www.joincommission.org

AHRQ. Fall and Injury Prevention. In: Patient Safety and Quality. An Evidence-Based Handbook for Nurses [Internet]. 2008;08-0043. Available from: www.ahrq.gov/qual/nurseshdbk/docs/CurrieL_FIP.pdf.

National Patient Safety Agency. Slips, Trips and Falls in Hospital. In 2007. Available from: www.nrls.npsa.nhs.uk/resources/

PERSI. Seminar Keselamatan Pasien. Jakarta; 2012.

Diah FP. Strategi Meningkatkan Perilaku Caring Perawat dalam Mutu Pelayanan Keperawatan. J Manaj Keperawatan. 2015;3(1):1–6.

Yulia S. Pengaruh Pelatihan Keselamatan Pasien Terhadap Pemahaman Perawat Pelaksana Mengenai Penerapan Keselamatan Pasien di RS Tugu Ibu Depok. Universitas Indonesia; 2010.

Notoatmodjo. Promosi Kesehatan dan Ilmu perilaku. Jakarta: PT Rineka Cipta; 2007.

Harten-Krouwel, Marieke S, Marielle Emmelot-Vonk, Ruth Pel-Littel. Development and Feasibility of Falls Prevention Advice. J Clin Nurs. 2011;20:2761–76.

Kozier-Erbs, Audrey B, Shirlee S, Geralyn F. Fundamental of Nursing Consepts, Process, and Practice. 10th ed. USA: Pearson Education Inc; 2016.

Sizewise. Understanding Fall Risk, Prevention, and Protection. USA: Kansas; 2007.

Budiono S. Pelaksanaan Program Manajemen Pasien dengan Risiko Jatuh di Rumah Sakit. J Kedokt Brawijaya. 2014;28(1).

Budioro B. Pengantar Pendidikan (Penyuluhan) Kesehatan Masyarakat. 2nd ed. Semarang: Badan Penerbit Universitas Diponegoro; 2007.

Maulana H. Promosi Kesehatan. Jakarta: EGC; 2009.

Niven Neil. Psikologi Kesehatan: Pengantar Untuk Perawat Dan Profesional. Jakarta: EGC; 2008.

Setyarini E. Pelaksanaan Standar Prosedur Operasional: Identifikasi Resiko Pasien Jatuh dengan Menggunakan Skala Jatuh Morse di Rumah Sakit “A” Bandung. Artik J. 2010;

Rutami. Pelaksanaan Proses Pengkajian Keperawatan di Ruang Rawat Inap RSUP H. Adam Malik Medan. Universitas Sumatera Utara; 2012.

Boushon B et al. Transforming Care at the Bedside How-to Guide: Reducing Patient Injuries from Falls. Cambridge: Institute for Health Care Improvement; 2008.

Gibson J et al. Organisasi: Perilaku, Struktur, dan Proses. Jakarta: Erlangga; 2006.

Sarwono. Manajemen Sumber Daya Manusia di Rumah Sakit Suatu Pendekatan Sistem. Jakarta: EGC; 2011.

Hariandja M. Manajemen Sumber Daya Manusia. Jakarta: Grasindo; 2009.

Marquis & Huston. Kepemimpinan dan Manajemen Keperawatan: Teori dan Aplikasi. Empat. Jakarta: EGC; 2010.

Hasibuan MSP. Organisasi dan Motivasi Dasar Peningkatan Produktivitas. Jakarta: PT. Bumi Aksara; 2008.

Michelle S. Habbit : Delapan Kebiasaan yang Mengubah Nasib Anda. Jakarta: Gramedia Pustaka Utama; 2009.

Silfia F. Pengaruh Reward dan Punishment terhadap Motivasi Kerja serta Dampaknya terhadap Kinerja. J Adm Bisnis. 2014;12(1):1–9.

Koencoro D. Pengaruh Reward dan Punishment terhadap Kinerja. Universitas Brawijaya; 2012.




DOI: http://dx.doi.org/10.21927/jnki.2017.5(2).123-133

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