PELAKSANAAN ASESMEN RISIKO JATUH DI RUMAH SAKIT
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
Penulis: Hirza Ainin Nur, Edi
Dharmana, Agus Santoso
Kode Jurnal: jpkebidanandd170401
