Phenomenologi Study: Risk Factors Related to Fall Incidence in Hospitalized Pediatric Patient with Theory Faye G. Abdellah

Abstract

The incidence of the fell is one of the hospital serious problems, especially in the hospitalized patient. The number of fall incidence is one of the main indicators in patient safety and hospital quality. Qualitative study with phenomenology approach was conducted to explore factors affecting the risk of fall in pediatric patients. Four nurses consist of two team leaders and two associate nurses participated in in-depth interviews. The findings from the interviews were triangulated in some process including an interview with the head of an inpatient installation, supervisor, and patient family, participative observation, documentation of form Humpty Dumpty and operational standard prevent the risk of fall. The result data was analyzed with the content analysis method and concluded with a fish bone. Four themes emerged from the analysis: knowledge, human resources, environment, and facilitation. Bad implementation of operational standard procedure, heavy workload of a nurse with unbalance ratio between patient and nurses, the slippery floor, unfixed bedside rails, and unavailability of patient bell have a role in affecting the risk of fall. This study suggests to held fall prevention education, make a review of nurse’s workload with recalculate the ratio of patient and nurse and upgrade the hospital facilitation and environment situation.

Analysis of Nurses Staff Needs Using Workload Indicate Staff Need in Pediatric Ward With Time Motion Study

“…Faye G. Abdellah explained that one of the things that could happen if the nurses' workload was overloaded was workplace accidents both for nurses and patients. This is confirmed from the study that the number of nurses who are not balanced with the patient causes the implementation of the patient falls to the patient is not optimal (Dewi & Noprianty, 2018).…”

Perbedaan Tingkat Kepatuhan Perawat Dalam Melakukan Pengkajian Ulang Risiko Jatuh Antara Sebelum Dan Sesudah Dilakukan Edukasi Di Rsud Dr Saiful Anwar Malang

“…(WHO, 2018) Di Indonesia, data kejadian pasien jatuh berdasarkan Konggres XII PERSI tahun 2012 tercatat sebesar 14%. (Dewi & Noprianty, 2018). Pada pasien usia lanjut, risiko untuk jatuh meningkat.…”

Inovasi Pengembangan Sistem Infomasi untuk Meningkatkan Kepatuhan Perawat dalam Pencegahan Pasien Jatuh

“…Kejadian pasien jatuh di Indonesia pada tahun 2012 berada dalam 5 besar kejadian yang tidak diinginkan yaitu sebanyak 34 kejadian (14 %) (Dewi & Richa, 2018) Kejadian pasien jatuh di rumah sakit dapat terjadi karena berbagai faktor, salah satunya adalah kurangnya kepatuhan perawat dalam melaksanakan protokol pencegahan pasien jatuh (Saputro, 2016;The Joint Commission, 2015). Dewi dalam penelitiannya mengungkapkan bahwa perawat hanya melaksanakan 2 -3 langkah dari 10 langkah pencegahan pasien jatuh (Dewi & Richa, 2018) Christiana Nindya Timur / Inovasi Pengembangan Sistem Infomasi untuk Meningkatkan Kepatuhan Perawat dalam Pencegahan Pasien Jatuh Kepatuhan perawat dalam melaksanakan intervensi pencegahan pasien jatuh dapat ditingkatkan melalui pengawasan kepatuhan perawat, audit dan pemberian feedback terhadap pelaksanaan pencegahan pasien jatuh, kepemimpinan, pemberian edukasi bagi staff serta pemakaian sistem teknologi informasi (Budiono, Wahyu Sarwiyata, & Alamsyah, 2014;Koh, Manias, Hutchinson, Donath, & Johnston, 2008;Miake-Lye, Hempel, Ganz, & Shekelle, 2013) Teknologi informasi merupakan suatu teknologi yang digunakan untuk mengelola informasi sedangkan sistem informasi adalah kombinasi dari teknologi informasi dan penggunanya (Standing & Standing, 2009;Sutabri & Napitupulu, 2019). Teknologi informasi dapat dimanfaatkan melalui perangkat elektronik untuk membantu perawat dalam mengakses informasi, komunikasi serta monitoring secara cepat (Standing & Standing, 2009).…”