Perawat dan Keselamatan Pasien: Studi Tinjauan Literatur
DOI:
https://doi.org/10.32584/jkmk.v5i1.1465Keywords:
Perawat, Keselamatan pasienAbstract
Keselamatan pasien merupakan salah satu isu global, terutama saat keberadaan pasien di rumah sakit. Penerapan keselamatan pasien di rumah sakit memerlukan peran perawat sebagai tenaga kesehatan yang paling dominan dan langsung bertemu pasien selama 24 jam, oleh sebab itu perlu melihat sejauh mana peran perawat dalam mencegah insiden keselamatan pasien. Tujuan penelitian ini adalah mengidentifikasi hasil penelitian tentang penerapan keselamatan pasien oleh perawat di rumah sakit. Metode yang digunakan adalah literature review, menggunakan basis data elektronik diidentifikasi dari Pubmed, Google Scholar, Google and Grey literature (National Library of Indonesia) dengan kata kunci: keselamatan pasien, kepatuhan, penerapan keselamatan pasien oleh perawat. Kriteria inklusi dalam penelitian ini adalah implementasi keselamatan pasien yang dilakukan oleh perawat, rancangan penelitian adalah kualitatif dan kuantitatif, penelitian menggunakan metode kuantitatif atau kualitatif, makalah empiris berbahasa Inggris atau Indonesia yang dipublikasikan antara tahun 2018-2020. Artikel yang terjaring sebanyak sembilan makalah yang disintesis secara naratif. Hasil ditemukan empat makalah mengenai penerapan keselamatan pasien, satu makalah mengenai penggunaan surgical safety check list, dua makalah mengenai pengurangan risiko infeksi, satu makalah mengenai handover dan satu makalah mengenai pengurangan risiko jatuh. Hasil kajian pustakan ini menemukan berbagai inovasi yang dilakukan oleh perawat dalam menjalankan keselamatan pasien di rumah sakit. Inovasi ini dapat dijadikan acuan bagi rumah sakit sebagai inovasi dalam meningkatkan mutu pelayanan yang mengedepankan keselamatan pasien sebagai aspek kepuasan pasien selama di rumah sakit.References
Alhidayah, T, Susilaningsih, F. S., & ... (2018). Literature Review: Patient Safety Implementation By Nurse in Hospital. … on Heath Care …, 138.
Alhidayah, Taufik, Susilaningsih, F. S., & Somantri, I. (2020). Factors Related with Nurse Compliance in the Implementation of Patient Safety Indicators at Hospital. Jurnal Keperawatan Indonesia, 23(3), 170–183. https://doi.org/10.7454/jki.v23i3.975
Amadoru, S. D. S., Perera, K. Y. D., Amjed, D. M. M. L. A., Chaminda, J. L. P., & Kandamby, H. G. I. T. (2019). User related factors in implementation of WHO surgical safety checklist (SSC). Journal of the Ruhunu Clinical Society, 24(1), 32. https://doi.org/10.4038/jrcs.v24i1.65
Bargmann, A. L., & Brundrett, S. M. (2020). Implementation of a Multicomponent Fall Prevention Program: Contracting with Patients for FallSafety. Military Medicine, 185, 28–34. https://doi.org/10.1093/milmed/usz411
Beattie, M. (2001). A Guide to Infection Control in the Hospital. In Australian Infection Control (Vol. 6, Issue 3). https://doi.org/10.1071/hi01102
Canadian Nurse Association. (2019). Joint Positon Statement. Joint Position Statement Patient Safety CNA and CFNU.
Daniel, L., & N-Wilfong, D. (2014). Empowering interprofessional teams to perform effective handoffs through online hybrid simulation education. Critical Care Nursing Quarterly, 37(2), 225–229. https://doi.org/10.1097/CNQ.0000000000000023
Doucette, J. N. (2006). View from the cockpit. Nursing, 36(11), 50–53. https://doi.org/10.1097/00152193-200611000-00037
Dupree, E., Fritz-Campiz, A., & Musheno, D. (2014). A new approach to preventing falls with injuries. Journal of Nursing Care Quality, 29(2), 99–102. https://doi.org/10.1097/NCQ.0000000000000050
Ece, Syahrul, & Rachmawaty, R. (2018). Indonesian Journal of Nursing Research (IJNR)Persepsi Perawat Terhadap Fungsi Pengarahan Kepala Ruang tentang Kepatuhan dalam Menjalankan Hand Hygiene di Ruang Rawat Inap. Jurnal Ilmiah Keperawatan, 1(2).
Elhamid, E. A. A., Abdallah, N. E. E., & Elrahman, S. M. A. (2020). Nurses’ compliance to patient and environmental safety guidelines in critical care units. International Journal of Advanced Nursing Studies, 9(2), 61. https://doi.org/10.14419/ijans.v9i2.29726
Fashafsheh, I., Ayed, A., Eqtait, F., & Harazneh, L. (2015). Knowledge and Practice of Nursing Staff towards Infection Control Measures in the Palestinian Hospitals. 6(4), 79–91.
Flemming, D., & Hübner, U. (2013). How to improve change of shift handovers and collaborative grounding and what role does the electronic patient record system play? Results of a systematic literature review. International Journal of Medical Informatics, 82(7), 580–592. https://doi.org/10.1016/j.ijmedinf.2013.03.004
Ganz, D. a., Huang, C., Saliba, D., Shier, V., Berlowitz, D., VanDeusen Lukas, C., Pelczarski, K., Schoelles, K., Wallace, L. C., & Neumann, P. (2013). Preventing falls in hospitals: A toolkit for improving quality of care. Agency for Healthcare Research and Quality, AHRQ Publication No. 13-0015-EF. https://doi.org/AHRQ Publication No. 13-0015-EF
Gong, J., Ma, Y., An, Y., Yuan, Q., Li, Y., & Hu, J. (2021). The surgical safety checklist: a quantitative study on attitudes and barriers among gynecological surgery teams. BMC Health Services Research, 21(1), 1–9. https://doi.org/10.1186/s12913-021-07130-8
Griffiths, P., Renz, A., Hughes, J., & Rafferty, A. M. (2009). Impact of organisation and management factors on infection control in hospitals: a scoping review. Journal of Hospital Infection, 73(1), 1–14. https://doi.org/10.1016/j.jhin.2009.05.003
Gurgel, S. D. S., Ferreira, M. K. M., Sandoval, L. J. S., Araújo, P. R., Galvão, M. T. G., & Lima, F. E. T. (2017). Nursing competences in the prevention of falls in children in light of the galway consensus. Nursing Competences in the Prevention of Falls in Children in Light of the Galway Consensus, 26(4), 1–9. https://doi.org/10.1590/0104-070720170003140016
Hastuti, Y. D., Chasani, S., & Ardani, M. H. (2020). Vol . 5 No . 2 Nopember 2020 p-ISSN 2540-7937 e-ISSN 2541-464X FACTORS INFLUENCING NURSES ’ COMPLIANCE WITH PATIENT SAFETY POLICIES IN. 5(2).
Hayeh, P. A., & Esena, R. K. (2013). Infection Prevention and Control Practices among Health Workers at Ridge Regional Hospital in Accra Ghana. International Journal of Health Sciences and Research, 3(August), 47–55.
Hou, W. H., Kang, C. M., Ho, M. H., Kuo, J. M. C., Chen, H. L., & Chang, W. Y. (2017). Evaluation of an inpatient fall risk screening tool to identify the most critical fall risk factors in inpatients. Journal of Clinical Nursing, 26(5–6), 698–706. https://doi.org/10.1111/jocn.13510
Hughes, R. (2009). Patient Safety and Quality: An Evidence-Based Handbook for Nurses. AORN Journal, 90(4), 601–602. https://doi.org/10.1016/j.aorn.2009.09.014
Hutagaol, L., Suryani, Y., Rohayani, L., Setiawan, A., & Murtiningsih. (2021). Faktor-Faktor Yang Berhubungan Dengan Kepatuhan Perawat Dalam Pelaksanaan Sop Bundle Healthcare Associated Infections (HAIs) Di Ruang Rawat Inap Rumah Sakit Advent Bandung. Jurnal Nursing, 12(2), 3–4.
Idris, H. (2017). Dimension of Patient Safety Culture Dimensi Budaya Keselamatan Pasien. Jurnal Ilmu Kesehatan Masyarakat, 8(1), 1–9.
Indonesia, K. K. R. (2021). Profil Kesehatan Indonesia 2020. In Kementrian Kesehatan Republik Indonesia.
Joint Commission International. (2007). JCIA standars for hospitals 3rd edition.
Joint Commission International. (2008). Handoff Communications: Toolkit for Implementing the National Patient Safety Goal. Oak Brook, IL: Joint Commission Resources,.
Kartini, Y., & Khoirot, R. (2017). The Correlation Between The Nurse’s Knowledge, Attitude, And The Implementation Of Patient Safety In The In-Patient Ward Of Rumah Sakit Islam Surabaya. Proceeding of Surabaya International Health Conference.
Katsulis, Z., Ergai, A., Leung, W. Y., Schenkel, L., Rai, A., Adelman, J., Benneyan, J., Bates, D. W., & Dykes, P. C. (2016). Iterative user centered design for development of a patient-centered fall prevention toolkit. Applied Ergonomics, 56, 117–126. https://doi.org/10.1016/j.apergo.2016.03.011
Kementerian Kesehatan Republik Indonesia. (2017). Peraturan Menteri Kesehatan Republik Indonesia Nomor 11 Tahun 2017 tentang Keselamatan Pasien.
Khudeir, H. (2017). Barriers in Palliative Care: Means to Integrate It into Health Care Mainstream. Journal of Education and Practice, 8(3), 175–179.
Koleva, S. I. (2020). A literature review exploring common factors contributing to Never Events in surgery. Journal of Perioperative Practice, 30(9), 256–264. https://doi.org/10.1177/1750458919886182
Komisi Akreditasi Rumah Sakit (KARS). (2018). Instrumen Survei Standar Nasional Akreditasi Rumah Sakit. In Kementerian Kesehatan Republik Indonesia (Vol. 1, Issue 1, pp. 1–697).
Krismanto, J., & Jenie, I. M. (2021). Evaluasi Penggunaan Surgical Safety Checklist Terhadap Kematian Pasien Setelah Laparotomi Darurat Di Kamar Operasi. Journal of Telenursing (JOTING), 3(Vol 3 No 2 (2021): Journal of Telenursing (JOTING)), 390–400.
Lerdal, A., Sigurdsen, L. W., Hammerstad, H., Granheim, T. I., & Gay, C. L. (2018). Associations between patient symptoms and falls in an acute care hospital: A cross-sectional study. Journal of Clinical Nursing, 27(9–10), 1826–1835. https://doi.org/10.1111/jocn.14364
Levett-Jones, T., Andersen, P., Bogossian, F., Cooper, S., Guinea, S., Hopmans, R., McKenna, L., Pich, J., Reid-Searl, K., & Seaton, P. (2020). A cross-sectional survey of nursing students’ patient safety knowledge. Nurse Education Today, 88, 104372. https://doi.org/10.1016/j.nedt.2020.104372
Liberati, A., Altman, D. G., Tetzlaff, J., Mulrow, C., Gotzsche, P. C., Ioannidis, J. P. A., Clarke, M., Devereaux, P. J., Kleijnen, J., & Moher, D. (2009). The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: explanation and elaboration. Bmj, 339(jul21 1), b2700–b2700. https://doi.org/10.1136/bmj.b2700
Luzia, M. de F., Argenta, C., Almeida, M. de A., & Lucena, A. de F. (2018). Conceptual definitions of indicators for the nursing outcome “Knowledge: Fall Prevention.” Revista Brasileira de Enfermagem, 71(2), 431–439. https://doi.org/10.1590/0034-7167-2016-0686
Mahmud, N. A., & Sahib, H. A. (2011). Precautions in Azady Teaching Hospital in the City of Kirkuk. 24(1), 52–58.
Marthoenis, ., & Mutiawati R, E. (2020). The Implementation of Patient Safety by Nurses at Inpatient Rooms of Community Health Centers. April, 136–140. https://doi.org/10.5220/0008395501360140
Massey, D., Chaboyer, W., & Anderson, V. (2017). What factors influence ward nurses’ recognition of and response to patient deterioration? An integrative review of the literature. Nursing Open, 4(1), 6–23. https://doi.org/10.1002/nop2.53
McKechnie, D., Pryor, J., & Fisher, M. J. (2016). Predicting falls: considerations for screening tool selection vs. screening tool development. Journal of Advanced Nursing, 72(9), 2238–2250. https://doi.org/10.1111/jan.12977
Mentis, H. M., Chellali, A., Manser, K., Cao, C. G. L., & Schwaitzberg, S. D. (2016). A systematic review of the effect of distraction on surgeon performance: directions for operating room policy and surgical training. Surgical Endoscopy, 30(5), 1713–1724. https://doi.org/10.1007/s00464-015-4443-z
Merten, H., Van Galen, L. S., & Wagner, C. (2017). Safe handover. BMJ (Online), 359, 1–5. https://doi.org/10.1136/bmj.j4328
Miake-Lye, I. M., Hempel, S., Ganz, D. A., & Shekelle, P. G. (2013). Inpatient fall prevention programs as a patient safety strategy: A systematic review. Annals of Internal Medicine, 158, 390–396. https://doi.org/10.7326/0003-4819-158-5-201303051-00005
Nuari, N. A., & Susanto, S. (2020). Implementation of surgical patient safety by nurses in hospital. Proceedings of the International Conference on Industrial Engineering and Operations Management, 59, 2960–2968.
Nugroho, S. H. P., & Widiyanto, P. (2020). The Implementation of Patient Safety by Nurses Based on Work Design. JMMR (Jurnal Medicoeticolegal Dan Manajemen Rumah Sakit), 9(3), 248–256. https://doi.org/10.18196/jmmr.93136
Oktopia, P. W., Erianti, S., & Indra, R. L. (2021). Hubungan Motivasi Dengan Tingkat Kepatuhan Perawat Dalam Melaksanakan Handover Di Ruang Rawat Inap. Jurnal Medika Hutama, 02.
Oliveira, R. M., Leitão, I. M. T. de A., Silva, L. M. S. da, Figueiredo, S. V., Sampaio, R. L., & Gondim, M. M. (2014). Strategies for promoting patient safety: from the identification of the risks to the evidence-based practices. Escola Anna Nery - Revista de Enfermagem, 18(1), 122–129. https://doi.org/10.5935/1414-8145.20140018
Papaconstantinou, H. T., Smythe, W. R., Reznik, S. I., Sibbitt, S., & Wehbe-Janek, H. (2013). Surgical safety checklist and operating room efficiency: Results from a large multispecialty tertiary care hospital. American Journal of Surgery, 206(6), 853–860. https://doi.org/10.1016/j.amjsurg.2013.08.016
Pasa, T. S., Magnago, T. S. B. D. S., Urbanetto, J. D. S., Baratto, M. A. M., Morais, B. X., & Carollo, J. B. (2017). Risk assessment and incidence of falls in adult hospitalized patients. Revista Latino-Americana de Enfermagem, 25. https://doi.org/10.1590/1518-8345.1551.2862
Quigley, P. A., & White, S. V. (2013). Hospital-based fall program measurement and improvement in high reliability organizations. Online J Issues Nurs.
Raka, L. (2010). Prevention and control of hospital-related infections in low and middle. Open Infectious Diseases Journal, 4(SPEC. ISSUE 1), 125–131. https://doi.org/10.2174/1874279301004020125
Raymond, M., & Harrison, M. C. (2014). The structured communication tool SBAR (Situation, Background, Assessment and Recommendation) improves communication in neonatology. South African Medical Journal, 104(12), 850–852. https://doi.org/10.7196/SAMJ.8684
Reis, G. A. X. dos, Hayakawa, L. Y., Murassaki, A. C. Y., Matsuda, L. M., Gabriel, C. S., & Oliveira, M. L. F. de. (2017). Nurse manager perceptions of patient safety strategy implementation TT - Implantacion de las estrategias de seguridad del paciente: percepciones de enfermeros gestores TT - Implantação das estratégias de segurança do paciente: percepções de enfermeiros . Texto & Contexto Enferm, 26(2), e00340016–e00340016.
Roussel, L., Swansburg, R. J., & Swansburg, R. C. (2008). Management and leadership for nurse administrators. (M. J. and B. P. Sudbury (ed.)).
Sandrawati, J., Supriyanto, S., & R, T. N. (2013). Rekomendasi Untuk Meningkatkan Kepatuhan Penerapan Surgical Safety Checklist Di Kamar Bedah. Buletin Penelitian Sistem Kesehatan, 17(1), 71–79.
Scholz, R., Hönning, A., Seifert, J., Spranger, N., & Stengel, D. (2019). Effectiveness of architectural separation of septic and aseptic operating theatres for improving process quality and patient outcomes: A systematic review. Systematic Reviews, 8(1), 1–6. https://doi.org/10.1186/s13643-018-0937-9
Simana, A. G., & Brito, M. J. M. (2016). Changes in nursing practice to improve patient safety. 37, 1–9.
Solet, D. J., Norvell, J. M., Rutan, G. H., & Frankel, R. M. (2005). Lost in translation: Challenges and opportunities in physician-to-physician communication during patient handoffs. Academic Medicine, 80(12), 1094–1099. https://doi.org/10.1097/00001888-200512000-00005
Staggers, N., & Blaz, J. W. (2013). Research on nursing handoffs for medical and surgical settings: An integrative review. Journal of Advanced Nursing, 69(2), 247–262. https://doi.org/10.1111/j.1365-2648.2012.06087.x
Storesund, A., Haugen, A. S., Flaatten, H., Nortvedt, M. W., Eide, G. E., Boermeester, M. A., Sevdalis, N., Tveiten, Ø., Mahesparan, R., Hjallen, B. M., Fevang, J. M., Størksen, C. H., Thornhill, H. F., Sjøen, G. H., Kolseth, S. M., Haaverstad, R., Sandli, O. K., & Søfteland, E. (2020). Clinical Efficacy of Combined Surgical Patient Safety System and the World Health Organization’s Checklists in Surgery: A Nonrandomized Clinical Trial. JAMA Surgery, 155(7), 562–570. https://doi.org/10.1001/jamasurg.2020.0989
Suchitra, J. B., & Lakshmidevi, N. (2009). Hospital-acquired infections: Are prevention strategies matching incidence rates? Healthcare Infection, 14(1), 21–25. https://doi.org/10.1071/HI09001
Suliburk, J. W., Buck, Q. M., Pirko, C. J., Massarweh, N. N., Barshes, N. R., Singh, H., & Rosengart, T. K. (2019). Analysis of Human Performance Deficiencies Associated with Surgical Adverse Events. JAMA Network Open, 2(7), 1–12. https://doi.org/10.1001/jamanetworkopen.2019.8067
Suryani, L., Kurniawan, R., & Perdani, A. L. (2021). Factors Associated with the Implementation of Patient Safety at X Hospital, Karawang, Indonesia. KnE Life Sciences, 2021, 624–629. https://doi.org/10.18502/kls.v6i1.8660
Sydnor, E. R. M., & Perl, T. M. (2011). Hospital epidemiology and infection control in acute-care settings. Clinical Microbiology Reviews, 24(1), 141–173. https://doi.org/10.1128/CMR.00027-10
Tirivanhu, C. (2014). Barriers to infection prevention and control (IPC) practice among nurses at Bindura Provincial Hospital, Zimbabwe. IOSR Journal of Nursing and Health Science, 3(1), 69–73. https://doi.org/10.9790/1959-03146973
Tostes, M. F. do P., & Galvão, C. M. (2019). Implementation process of the surgical safety checklist: Integrative review. Revista Latino-Americana de Enfermagem, 27. https://doi.org/10.1590/1518-8345.2921.3104
Twibell, R. S., Siela, D., Sproat, T., & Coers, G. (2015). Percetions related to Falls and Fall Prevention among HosPitalized adults. 24(5), 78–85.
Utami, A. N. T., Sulaksmono, M., & Triyono, E. A. (2012). Implementation of Safety Work for Nurse in Handling Hiv/Aids Patients. Folia Medica Indonesiana, 48(1), 32–36.
Vaismoradi, M., Tella, S., Logan, P. A., Khakurel, J., & Vizcaya-Moreno, F. (2020). Nurses’ adherence to patient safety principles: A systematic review. International Journal of Environmental Research and Public Health, 17(6), 1–15. https://doi.org/10.3390/ijerph17062028
WHO. (2019). Patient Safety Fact File: Patient Safety and Risk Management Service Delivery and Safety. World Health Organization, REPORT, 10.
Woodhall, L. J., Vertacnik, L., & McLaughlin, M. (2008). Implementation of the SBAR Communication Technique in a Tertiary Center. Journal of Emergency Nursing, 34(4), 314–317. https://doi.org/10.1016/j.jen.2007.07.007
World Health Organization. (2009). WHO Guidelines for Safe Surgery. https://doi.org/10.6224/JN.58.3.12
World Health Organization. (2010). WHO best practices for injections and related procedures toolkit. Safe Injection Global Network (SIGN), 1–51.
World Health Organization. (2016). Health Care Without Avoidable Infection. The Critical Role of Infection Prevention and Control. WHO.
Zegers, M., de Bruijne, M. C., de Keizer, B., Merten, H., Groenewegen, P. P., van der Wal, G., & Wagner, C. (2011). The incidence, root-causes, and outcomes of adverse events in surgical units: Implication for potential prevention strategies. Patient Safety in Surgery, 5(1), 1–11. https://doi.org/10.1186/1754-9493-5-13
Zhao (Lucy), Y., & Kim, H. (2015). Older Adult Inpatient Falls in Acute Care Hospitals. Journal of Gerontological Nursing, 41(7), 29–43.
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