Compliance of the Nurse for Fall Risk Assessment as a Procedure of Patient Safety: A Systematic Review
Abstract
Fall is an incident that is often reported in hospitals. Fall can result in a loss to the patient. Fall risk assessment is an operational standard procedure that becomes a part of the performance and behaviour of the nurses. The aim of this study is to find out the level of compliance of the nurses in assessing the risk of fall in hospitalized
patients. This study uses systematic review based on the Prisma Protocol. A search was conducted on electronic databases ProQuest, Scopus, and Google Scholar using relevant keywords. The relevant studies were further selected using inclusion and exclusion criteria. Twelve studies were included in this review. Five studies were
conducted in wards, one study in emergency room, and six studies did not specifically mention the place. All studies show that nurses are already quite obedient in doing the standard operational procedure but there are still many nurses who do not do the fall risk assessment. The compliance of the nurses are influenced by the assessment instrument Morse scale, socialization of the operational standard procedure by the supervisor, level of education, age, work experience, and team work. As conclusion, the compliance of the nurses in assessing the risk of fall in patients is getting better. The most important factor is the availability of assessment instrument.
Keywords: fall, fall risk assessment, nurses’ compliance, patient safety, Morse scale
References
[1] Suparna. (2015). Evaluasi penerapan patient safety risiko jatuh unit gawat darurat di rumah sakit panti rini kalasan sleman. SEKOLAH TINGGI ILMU KESEHATAN ‘AISYIYAH YOGYAKARTA’.
[2] Ringquist, K. (2013). Evaluation of hospital-based fall prevention program. ProQuest.
[3] Oktaviani, H. (2015). Hubungan pengetahuan dengan kepatuhan perawat dalam pelaksanaan standar prosedur operasional pencegahan resiko jatuh pasien di rumah sakit panti waluyo surakarta. STIKES Kususma Husada.
[4] Rosyada, S. D. (2014). Gambaran Budaya Keselamatan Pasien pada Perawat. Journal of Chemical Information and Modeling, vol. 53, no. 9, pp. 1689–1699.
[5] Koh, S. S., Manias, E., Hutchinson, A. M., et al. (2008). “Nurses’ perceived barriers to the implementation of a Fall Prevention Clinical Practice Guideline in Singapore hospitals. BMC Health Services Research, vol. 8, no. 1, p. 105.
[6] Schwendimann, K., Bühler, R., De Geest, H., et al. (2006). Falls and consequent injuries in hospitalized patients: Effects of an interdisciplinary falls prevention program. BMC Health Services Research, vol. 6, no. 7, p. 69.
[7] Schwendimann, R., De Geest, S., and Milisen, K. (2006). Evaluation of the Morse Fall Scale in hospitalised patients. Basel, Switzerland.
[8] Dwi, S. (2014). Hubungan Supervisi Kepala Ruangan dengan Pelaksanaan Pedoman Pencegahan Pasien Resiko Jatuh. J. Ilm. Keperawatan Indones., pp. 2–31.
[9] Ariyati, T., Apriyatmoko, R., and Pranoto, H. H. (2016). Hubungan Karakteristik Perawat dengan Kepatuhan Penerapan Prosedur Keselamatan Pasien di Instalasi Rawat Inap II RSJ Prof. dr. Soerojo Magelang. Magelang,.
[10] Setyarini, E. A. and Herlina, L. L. (2013). Kepatuhan Perawat Melaksanakan Standar Prosedur Operasional: Pencegahan Pasien Resiko Jatuh di Gedung Yosef 3 Dago dan Surya Kencana Rumah Sakit Borromeus. J. Kesehat. STIKes St. Borromeus, pp. 94– 105.
[11] Alvarez, C. D. and Fitzpatrick, J. J. (2007). Nurses’ job satisfaction and patient falls. Asian Nursing Research (Korean Society of Nursing Science), vol. 1, no. 2, pp. 83–94.
[12] Kalisch, B. J., Tschannen, D., and Lee, H. (2011). Missed nursing care, staffing, and patient falls. Journal of Nursing Care Quality, vol. 27, no. 1, pp. 6–12.