Strategi Penerapan Manajemen Risiko Cedera Tekan oleh Perawat
Abstract
This study aims to identify risk management for pressure injuries, determine strategies for controlling and preventing pressure injuries, and evaluate prototype tools. The method used is a case study with an Analysis, Design, Development, Implementation, and Evaluation (ADDIE) approach. The results showed that 90% of nurses said the work instructions and the patient repositioning aid prototype tested were easy to use. In conclusion, fulfilling the need for pressure injury prevention equipment is one of the strategies for implementing risk management, namely preparing facilities and infrastructure, including infrastructure and standard operating procedures. The author recommends evaluating with a larger sample to develop a validated tool.
Keywords: Patient Repositioning Tool, Pressure Injury, Risk Management
References
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Awoke, N., Tekalign, T., Arba, A., & Lenjebo, T. L. (2022). Pressure Injury Prevention Practice and Associated Factors among Nurses at Wolaita Sodo University Teaching and Referral Hospital, South Ethiopia: A Cross-Sectional Study. BMJ Open, 12(3), 1–7. https://doi.org/10.1136/bmjopen-2020-047687
Borojeny, L. A., Albatineh, A. N., Dehkordi, A. H., & Gheshlagh, R. G. (2020). The Incidence of Pressure Ulcers and its Associations in Different Wards of the Hospital : A Systematic Review and Meta Analysis. International Journal of Preventive Medicine, 11(171), 1–7. https://doi.org/10.4103/ijpvm.ijpvm_182_19
Ebi, W. E., Hirko, G. F., & Mijena, D. A. (2019). Nurse’s Knowledge to Pressure Ulcer Prevention in Public Hospitals in Wollega : A Cross-Sectional Stydy Design. BMC Nursing, 18(20), 1–12. https://doi.org/10.1186/s12912-019-0346-y
Fulbrook, P., Lovegrove, J., Hay, K., & Coyer, F. (2023). State-Wide Prevalence of Pressure Injury in Intensive Care versus Acute General Patients : A Five-Year Analysis. Journal of Clinical Nursing, 32, 4947-4961. https://doi.org/10.1111/jocn.16687
Galleryzki, A., Hariyati, R.T., Afriani, T., & Rahman, L.O. (2021). Hubungan Sikap Keselamatan dengan Implementasi Sasaran Keselamatan Pasien oleh Perawat di Rumah Sakit. Jurnal Kepemimpinan dan Manajemen Keperawatan., 4(1), 1–12. https://doi.org/http://dx.doi.org/10.32584/jkmk.v4i1.855
Hansen, C. A., Martins Pacheco, N. M. M., Özkil, A. G., & Zimmermann, M. (2021). What is Successful Prototyping? Insights from Novice Designers’ Self-Evaluation of Prototyping Success. International Conference on Engineering Design (ICED21), 1, 3431–3440. https://doi.org/10.1017/pds.2021.604
Kementerian Kesehatan. (2019). PMK RI Nomor 25 Tahun 2019 tentang Penerapan Manajemen Risiko Terintegrasi di Lingkungan Kementerian Kesehatan. http://hukor.kemkes.go.id/uploads/produk_hukum/PMK_No__25_Th_2019_ttg_Penerapan_Manajemen_Risiko_Terintegrasi_di_Lingkungan_KEMENKES. pdf
Kottner, J., Cuddigan, J., Carville, K., Balzer, K., Berlowitz, D., Law, S., Litchford, M., Mitchell, P., Moore, Z., Pittman, J., Sigaudo-Roussel, D., Yee, C. Y., & Haesler, E. (2019). Prevention and Treatment of Pressure Ulcers/Injuries: The Protocol for the Second Update of the International Clinical Practice Guideline 2019. Journal of Tissue Viability, 28(2), 51–58. https://doi.org/10.1016/j.jtv.2019.01.001
Lasminiasih, L., Saputra, G. E., Utomo, R. B., & Wiseno, E. (2022). Using Prototyping Method for Analysis and Design of Information Systems for Student Registration in Sekolah Master. International Journal Science and Technology, 1(2), 19–29. https://journal.admi.or.id/index.php/IJST/article/view/140/158
Li, Z., Lin, F., Thalib, L., & Chaboyer W. (2020). Global Prevalence and Incidence of Pressure Injuries in Hospitalised Adult Patients: A Systematic Review and Meta-Analysis. International Journal of Nursing Studies. 105. https://doi.org/10.1016/j.ijnurstu.2020.103546
Li, Z., Marshall, A. P., Lin, F., Ding, Y., & Chaboyer, W. (2022). Registered Nurse’ Approach to Pressure Injury Prevention : A Descriptive Qualitative Study. Journal of Advanced Nursing, 78(8), 2575–2585. https://doi.org/10.1111/jan.15218
Masyitha, K., Haryanto, H., Puspita, D., Suriadi, S., & Usman, U. (2020). Pressure Ulcers Related to Medical Device in Intensive Care in Indonesia: A Prospective Study. Enfermeria Clinica, 30(S3), 87–91. https://doi.org/10.1016/j.enfcli.2020.01.006
Padula, W. V., & Delarmente, B. A. (2019). The National Cost of Hospital-Acquired Pressure Injuries in the United States. International Wound Journal, 16(3), 634–640. https://doi.org/10.1111/iwj.13071
Pittman, J., Otts, J. A., Riley, B., & Mulekar, M. S. (2022). Pressure Injury Prevention and Management. Journal of Wound, Ostomy & Continence Nursing, 49(5), 416–427. https://doi.org/10.1097/won.0000000000000906
Purnomo, D. (2017). Model Prototyping pada Pengembangan Sistem Informasi. J I M P - Jurnal Informatika Merdeka Pasuruan, 2(2), 54–61. https://doi.org/10.37438/jimp.v2i2.67
Sardo, P. M. G., Teixeira, J. P. F., Machado, A. M. S. F., Oliveira, B. F., & Alves, I. M. (2023). A Systematic Review of Prevalence and Incidence of Pressure Ulcers/Injuries in Hospital Emergency Services. Journal of Tissue Viability, 32(2), 179–187. https://doi.org/10.1016/j.jtv.2023.02.001
Sathiyamas, J., Rungroungdouyboon, B., Muengtaweepongsa, S., & Khammak, U. (2023). Developing a Repositioning-Assisted Device for the Prevention of Pressure Ulcers for Bedridden Patients : A Pilot Study. Thai Journal of Nursing and Midwifery Practice, 9(2). https://he02.tci-thaijo.org/index.php/apnj/article/view/258866
Trisnaningtyas, W., Retnaningsih, R., & Rochana, N. (2021). Effects and Interventions of Pressure Injury Prevention Bundles of Care in Critically III Patients: A Systematic Review. Nurse Media Journal of Nursing, 11(2), 154–176. https://doi.org/10.14710/NMJN.V11I2.28881
Vecin, N. M., & Gater, D. R. (2022). Pressure Injuries and Management after Spinal Cord Injury. Journal of Personalized Medicine, 12(7), 1–27. https://doi.org/10.3390/jpm12071130
Wu, Z., Song, B., Liu, Y., Zhai, Y., Chen, S., & Lin, F. (2023). Barriers and Facilitators to Pressure Injury Prevention in Hospitals : A Mixed Methods Systematic Review. Journal of Tissue Viability, 32(3), 355-364. https://doi.org/10.1016/j.jtv.2023.04.009
Awoke, N., Tekalign, T., Arba, A., & Lenjebo, T. L. (2022). Pressure Injury Prevention Practice and Associated Factors among Nurses at Wolaita Sodo University Teaching and Referral Hospital, South Ethiopia: A Cross-Sectional Study. BMJ Open, 12(3), 1–7. https://doi.org/10.1136/bmjopen-2020-047687
Borojeny, L. A., Albatineh, A. N., Dehkordi, A. H., & Gheshlagh, R. G. (2020). The Incidence of Pressure Ulcers and its Associations in Different Wards of the Hospital : A Systematic Review and Meta Analysis. International Journal of Preventive Medicine, 11(171), 1–7. https://doi.org/10.4103/ijpvm.ijpvm_182_19
Ebi, W. E., Hirko, G. F., & Mijena, D. A. (2019). Nurse’s Knowledge to Pressure Ulcer Prevention in Public Hospitals in Wollega : A Cross-Sectional Stydy Design. BMC Nursing, 18(20), 1–12. https://doi.org/10.1186/s12912-019-0346-y
Fulbrook, P., Lovegrove, J., Hay, K., & Coyer, F. (2023). State-Wide Prevalence of Pressure Injury in Intensive Care versus Acute General Patients : A Five-Year Analysis. Journal of Clinical Nursing, 32, 4947-4961. https://doi.org/10.1111/jocn.16687
Galleryzki, A., Hariyati, R.T., Afriani, T., & Rahman, L.O. (2021). Hubungan Sikap Keselamatan dengan Implementasi Sasaran Keselamatan Pasien oleh Perawat di Rumah Sakit. Jurnal Kepemimpinan dan Manajemen Keperawatan., 4(1), 1–12. https://doi.org/http://dx.doi.org/10.32584/jkmk.v4i1.855
Hansen, C. A., Martins Pacheco, N. M. M., Özkil, A. G., & Zimmermann, M. (2021). What is Successful Prototyping? Insights from Novice Designers’ Self-Evaluation of Prototyping Success. International Conference on Engineering Design (ICED21), 1, 3431–3440. https://doi.org/10.1017/pds.2021.604
Kementerian Kesehatan. (2019). PMK RI Nomor 25 Tahun 2019 tentang Penerapan Manajemen Risiko Terintegrasi di Lingkungan Kementerian Kesehatan. http://hukor.kemkes.go.id/uploads/produk_hukum/PMK_No__25_Th_2019_ttg_Penerapan_Manajemen_Risiko_Terintegrasi_di_Lingkungan_KEMENKES. pdf
Kottner, J., Cuddigan, J., Carville, K., Balzer, K., Berlowitz, D., Law, S., Litchford, M., Mitchell, P., Moore, Z., Pittman, J., Sigaudo-Roussel, D., Yee, C. Y., & Haesler, E. (2019). Prevention and Treatment of Pressure Ulcers/Injuries: The Protocol for the Second Update of the International Clinical Practice Guideline 2019. Journal of Tissue Viability, 28(2), 51–58. https://doi.org/10.1016/j.jtv.2019.01.001
Lasminiasih, L., Saputra, G. E., Utomo, R. B., & Wiseno, E. (2022). Using Prototyping Method for Analysis and Design of Information Systems for Student Registration in Sekolah Master. International Journal Science and Technology, 1(2), 19–29. https://journal.admi.or.id/index.php/IJST/article/view/140/158
Li, Z., Lin, F., Thalib, L., & Chaboyer W. (2020). Global Prevalence and Incidence of Pressure Injuries in Hospitalised Adult Patients: A Systematic Review and Meta-Analysis. International Journal of Nursing Studies. 105. https://doi.org/10.1016/j.ijnurstu.2020.103546
Li, Z., Marshall, A. P., Lin, F., Ding, Y., & Chaboyer, W. (2022). Registered Nurse’ Approach to Pressure Injury Prevention : A Descriptive Qualitative Study. Journal of Advanced Nursing, 78(8), 2575–2585. https://doi.org/10.1111/jan.15218
Masyitha, K., Haryanto, H., Puspita, D., Suriadi, S., & Usman, U. (2020). Pressure Ulcers Related to Medical Device in Intensive Care in Indonesia: A Prospective Study. Enfermeria Clinica, 30(S3), 87–91. https://doi.org/10.1016/j.enfcli.2020.01.006
Padula, W. V., & Delarmente, B. A. (2019). The National Cost of Hospital-Acquired Pressure Injuries in the United States. International Wound Journal, 16(3), 634–640. https://doi.org/10.1111/iwj.13071
Pittman, J., Otts, J. A., Riley, B., & Mulekar, M. S. (2022). Pressure Injury Prevention and Management. Journal of Wound, Ostomy & Continence Nursing, 49(5), 416–427. https://doi.org/10.1097/won.0000000000000906
Purnomo, D. (2017). Model Prototyping pada Pengembangan Sistem Informasi. J I M P - Jurnal Informatika Merdeka Pasuruan, 2(2), 54–61. https://doi.org/10.37438/jimp.v2i2.67
Sardo, P. M. G., Teixeira, J. P. F., Machado, A. M. S. F., Oliveira, B. F., & Alves, I. M. (2023). A Systematic Review of Prevalence and Incidence of Pressure Ulcers/Injuries in Hospital Emergency Services. Journal of Tissue Viability, 32(2), 179–187. https://doi.org/10.1016/j.jtv.2023.02.001
Sathiyamas, J., Rungroungdouyboon, B., Muengtaweepongsa, S., & Khammak, U. (2023). Developing a Repositioning-Assisted Device for the Prevention of Pressure Ulcers for Bedridden Patients : A Pilot Study. Thai Journal of Nursing and Midwifery Practice, 9(2). https://he02.tci-thaijo.org/index.php/apnj/article/view/258866
Trisnaningtyas, W., Retnaningsih, R., & Rochana, N. (2021). Effects and Interventions of Pressure Injury Prevention Bundles of Care in Critically III Patients: A Systematic Review. Nurse Media Journal of Nursing, 11(2), 154–176. https://doi.org/10.14710/NMJN.V11I2.28881
Vecin, N. M., & Gater, D. R. (2022). Pressure Injuries and Management after Spinal Cord Injury. Journal of Personalized Medicine, 12(7), 1–27. https://doi.org/10.3390/jpm12071130
Wu, Z., Song, B., Liu, Y., Zhai, Y., Chen, S., & Lin, F. (2023). Barriers and Facilitators to Pressure Injury Prevention in Hospitals : A Mixed Methods Systematic Review. Journal of Tissue Viability, 32(3), 355-364. https://doi.org/10.1016/j.jtv.2023.04.009
