NURSE IMPLEMENTATION IN PREVENTING THE RISK OF FALL IN HOSPITAL: LITERATURE REVIEW
Abstract
Falls are one of the most critical patient safety incidents. This must be prevented as it will have the side effect of injury. Patient safety incident prevention is a system that makes patient care safer, minimizes risk, and prevents injury. However, the system has not been fully implemented so patient safety incidents still often occur and the incidence of patient falls is still high. The purpose of this study was to identify the application of patient safety by nurses in preventing the risk of falling in the hospital. This study uses a literature review method from Pubmed and Google Scholar sources. Search using advanced search with predefined keywords. The search results obtained 13,373 articles, then were assessed for feasibility, categorized, and adapted to the research theme. 20 selected articles were used for research. Nurses are responsible for providing safe nursing services. Patient identification, effective communication, monitoring of medication administration, and assessment of falls should be performed. The implementation of the professional organization model makes it easier for nurses to prevent falls with the Morse Fall Scale guide and the Auto-FallRAS system from EMR. Nurses are more critical, reflective, and caring in making decisions and solving the problems of falling patients. Safety culture must be continuously improved so that the risk of falling incidents can be minimized. Conclusion: Nurse implementation in preventing the risk of falls in hospitals can reduce the incidence. This can also improve the quality of service in hospitals.
References
Akwilina Ritarni Anseli Soru, A. W. (2018). Penerapan Sasaran Keselamatan Pasien. Journal Stikes.
Asmirajanti, M., Aliyupiudin, Y., Rusmini, S., Rumondang, P. R., Chanafie, D., & Supyono, S. (2021). Penerapan Standar Akreditasi Terhadap Mutu Dan Keselamatan Pasien Sebelum Dan Selama Pandemi Covid 19. The Journal of Hospital Accreditation, 3(2), 65–70. https://doi.org/10.35727/jha.v3i2.93.
Asmirajanti, M., Yani, A., Hamid, S., & Hariyati, T. S. (2018). Enfermería Clínica. Enfermería Clínica, 28, 240–244. https://doi.org/10.1016/S1130-8621(18)30076-7.
Carlesi, K. C., Padilha, K. G., Toffoletto, M. C., Henriquez-Roldán, C., & Juan, M. A. C. (2017). Patient Safety Incidents and Nursing Workload. Revista Latino-Americana de Enfermagem, 25. https://doi.org/10.1590/1518-8345.1280.2841.
Clara, A. (2017). Pelaksanaan Pencegahan Risiko Jatuh yang Dilakukan Perawat di Rumah Sakit Universitas Sumatera Utara. 1–93.
Cruz, S., Carvalho, A. L., Barbosa, P., & Lamas, B. (2015). Morse Fall Scale User's Manual: Quality in Supervision and Nursing Practice. Procedia - Social and Behavioral Sciences, 171, 334–339. https://doi.org/10.1016/j.sbspro.2015.01.130.
Dubois, C. A., D'amour, D., Tchouaket, E., Clarke, S., Rivard, M., & Blais, R. (2013). Associations of patient safety outcomes with models of nursing care organization at the unit level in hospitals. International Journal for Quality in Health Care, 25(2), 110–117. https://doi.org/10.1093/intqhc/mzt019.
Faridha, N. R. D., & Milkhatun. (2020). Hubungan Pengetahuandengan Kepatuhan Perawat dalam PelaksanaanPencegahan Pasien Jatuh di Rumah SakitUmum Daerah Pemerintah Samarinda. Borneo Student Research, 1(3), 1883–1889.
Françolin, L., Gabriel, C. S., Bernardes, A., De Camargo Silva, A. E. B., De Fatima Paiva Brito, M., & Machado, J. P. (2015). Patient safety management from the perspective of nurses. Revista Da Escola de Enfermagem, 49(2), 277–283. https://doi.org/10.1590/S0080-623420150000200013.
Ginting, R. (2019). Pentingnya melakukan pelaksanaan langkah – langkah menuju keselamatan pasien dalam mencegah resiko jatuh di rumah sakit. https://doi.org/10.31219/osf.io/9rhnq.
Hessels, A. J., Paliwal, M., Weaver, S. H., Siddiqui, D., & Wurmser, T. A. (2019). Impact of Patient Safety Culture on Missed Nursing Care and Adverse Patient Events. Journal of Nursing Care Quality, 34(4), 287–294. https://doi.org/10.1097/NCQ.0000000000000378.
Hiyama, A. (2017). Relationship between Ethical Issues in Fall Prevention Care and Nurses’ Characteristics. International Journal of Nursing, 4(2), 22–28. https://doi.org/10.15640/ijn.v4n2a3.
Insani, T. H. N., & Sundari, S. (2018). Analisis Pelaksanaan Keselamatan Pasien oleh Perawat. JHeS (Journal of Health Studies), 2(1), 84–95. https://doi.org/10.31101/jhes.436.
Iriyanto Pagala, Zahroh Shaluhiyah, B. W. (2017). Perilaku Kepatuhan Perawat Melaksanakan SOP Terhadap Kejadian Keselamatan Pasien di Rumah Sakit X Kendari. Jurnal Promosi Kesehatan Indonesia, July, 17.
Kim, J. H., Lee, J. L., & Kim, E. M. (2021). Patient safety culture and handoff evaluation of nurses in small and medium-sized hospitals. International Journal of Nursing Sciences, 8(1), 58–64. https://doi.org/10.1016/j.ijnss.2020.12.007.
Lee, J. Y., Jin, Y., Piao, J., & Lee, S. M. (2016). Development and evaluation of an automated fall risk assessment system. International Journal for Quality in Health Care, 28(2), 175–182. https://doi.org/10.1093/intqhc/mzv122.
Lombogia, A., Rottie, J., & Karundeng, M. (2016). Hubungan Perilaku Dengan Kemampuan Perawat Dalam Melaksanakan Keselamatan Pasien (Patient Safety) Di Ruang Akut Instalasi Gawat Darurat Rsup Prof. Dr. R. D. Kandou Manado. Jurnal Keperawatan UNSRAT, 4(2), 111324.
Marpaung, S. H. S. (2019). Pelaksanaan peningkatan keselamatan pasien dengan sasaran pengurangan resiko pasien jatuh di Rumah Sakit. Education Health and Physical Education.
Maulidiawati, I., Nursalam, N., & Nihayati, H. E. (2017). Development of Supervision Model based Experiential Learning for the Implementation of Patient Safety Goals at Teaching Hospital in Surabaya. Jurnal Ners, 12(2), 158. https://doi.org/10.20473/jn.v12i2.4640.
Maulina, A., & Febriani, N. (2015). Pengetahuan Perawat Tentang Penerapan Pelaksanaan Pencegahan Insiden Pada Pasien Resiko Jatuh. Jurnal Keperawatan Widya Gantari Vol., 2(1), 81–88.
Morris, R., & O’Riordan, S. (2017). Prevention of falls in hospital. Clinical Medicine, Journal of the Royal College of Physicians of London, 17(4), 360–362. https://doi.org/10.7861/clinmedicine.17-4-360.
Nur, H. A., Dharmana, E., & Santoso, A. (2016). Pelaksanaan Asesmen Risiko Jatuh di Rumah Sakit. Jurnal Ners Dan Kebidanan Indonesia, 5(2), 123–133.
Nurhayati, S., Rahmadiyanti, M., & Hapsari, S. (2020). Kepatuhan Perawat Melakukan Assessment Resiko Jatuh Dengan Pelaksanaan Intervensi Pada Pasien Resiko Jatuh. Jurnal Ilmiah Keperawatan STIKES Hang Tuah Surabaya, 15(2), 278–284.
Nursery, & Champaca, S. M. (2018). Pelaksanaan Enam Sasaran Keselamatan Pasien Oleh Perawat Dalam Mencegah Adverse Event Di Rumah Sakit. Jurnal Keperawatan Suaka Insan (Jksi), 3(2), 1–10.
Oktavianti, L. (2019). Pelaksanaan Sasaran Keselamatan Pasien Dirumah Sakit. https://doi.org/10.31227/osf.io/k3cuf.
Panjaitan, S. H. (2017). Pencegahan Risiko Pasien Jatuh di Ruang Penyakit Dalam RSUD. Dr. Pirngadi Kota Medan. Idea Nursing Journal, 4–16. https://repositori.usu.ac.id/bitstream/handle/123456789/1541/131101108.pdf.
Rahayu Winarti, Dwi Firokhatul Mu’minin, M. K. (2020). Hubungan Caring Perawat dengan Pencegahan Pasien Risiko Jatuh Di Ruang Cempaka dan Kenanga RSUD Dr. H. Soewondo Kendal. ISBN 978-602-60315-7-0, 9.
Saanin, R. P. H. (2016). Panduan Risiko Jatuh. Statistical Field Theor, 53(9), 1–13.
Saputri, D. (2019). Peran Perawat Dalam Keselamatan Pasien Dilayanan Kesehatan. https://doi.org/10.31219/osf.io/du5vy.
Sembiring, N. G. C. (2020). Pentingnya Implementasi Budaya Keselamatan Pasien Oleh Perawat di Rumah Sakit.
Suryanto, D. T. F. (2018). Hubungan Budaya Keselamatan Pasien Dengan Pelaporan Insiden Keselamatan Pasien Oleh Perawat Di Ruang Rawat Inap Rumah Sakit. Universitas Sumatera Utara, 1–192. http://repositori.usu.ac.id/handle/123456789/12305%0Ahttp://repositori.usu.ac.id/bitstream/handle/123456789/12305/147046043.pdf?sequence=1&isAllowed=y.
Syafridayani, F. (2019). “6 Sasaran Penting Keselamatan Pasien Yang Harus Diketahui Dan Dipahami Oleh Seorang Perawat.” https://doi.org/10.31219/osf.io/67szh.
Syahputri, R. (2019). Manfaat Standar Keselamatan Pasien Dalam Pelaksanaan Langkah-Langkah Menuju Keselamatan Pasien. 1–9. https://doi.org/10.31219/osf.io/gs9ck.
Widiasari, W., Handiyani, H., & Novieastari, E. (2019). Kepuasan Pasien Terhadap Penerapan Keselamatan Pasien Di Rumah Sakit. Jurnal Keperawatan Indonesia, 22(1), 43–52. https://doi.org/10.7454/jki.v22i1.615.
Zecevic, A. A., Ho-Ting, A. L., Ngo, C., Halligan, M., & Kothari, A. (2017). Improving safety culture in hospitals: Facilitators and barriers to implementation of systemic falls investigative method (SFIM). International Journal for Quality in Health Care, 29(3), 371–377. https://doi.org/10.1093/intqhc/mzx034
