PENGEMBANGAN ELECTRONIC_PRESSURE INJURY ALARM (E_PIA) DALAM UPAYA PENINGKATAN PERILAKU PENCEGAHAN CEDERA TEKAN DI RUMAH SAKIT

Authors

  • Agus Setiyadi Universitas Indonesia
  • Enie Novieastari
  • Dewi Gayatri
  • Sri Purwaningsih

DOI:

https://doi.org/10.32584/jpi.v3i1.270

Keywords:

Cedera tekan, Diagram fishbon, e_PIA

Abstract

Angka insiden cedera tekan merupakan indikator mutu pelayanan keperawatan. Insiden cedera  tekan akan menunjukkan kualitas pelayanan suatu rumah sakit dan memberikan dampak terhadap pasien, keluarga dan petugas yang merawatnya. Tujuan penulisan untuk menganalisis faktor- faktor yang mempengaruhi terjadinya peningkatan angka insiden cedera tekan di rumah sakit. Metode yang dipakai menggunakan studi kasus analisis situasi dengan pendekatan diagram fishbone dengan mengelompokan kedalam 5 tools manajemen man, money, method, material, machine untuk mendapatkan akar masalah. Masalah utama yang didapatkan adalah belum optimalnya pelaksanaan pencegahan cedera tekan di rumah sakit. Hasil yang didapatkan adalah perlu dikembangkannya suatu teknologi sebagai inovasi alternatif. Berdasarkan hal tersebut dikembangkan inovasi yang disebut electronic_Pressure Injury Alarm (e_PIA). Inovasi e_PIA yang telah dikembangkan, perlu disempurnakan dan di uji lebih lanjut agar dapat diterapkan untuk membantu menurunkan angka insiden cedera tekan. Kata kunci: Cedera tekan, Diagram fishbone, e_PIA. Abstract Electronic_Pressure Injury Alarm (e_PIA) development in term of pressure injury’s preventions’s habit in hospital. It would give impact to quality of care for patient and their family.The purpose of this study was to analyze the factors that would increase the incidence of pressure injury in hospital. This case study analyze the situation in nursing ward using fishbone diagram which include 5 management tools (man, money, methods, method, material, and machine) to finds the main problem which is the implementation of pressure injury’s preventions in hospital was not optimal. This study found there was an urge to develop an alternative technology called electronic_Pressure Injury Alarm (e_PIA). The lattest develop of e_PIA still need to re-assure and re-test so it could be used to decrease the incidence of pressure injury. Keywords: Pressure injury, Fishbone diagram, e_PIA.

Author Biography

Agus Setiyadi, Universitas Indonesia

Management and leadership of nursing

References

Ackyord-Stolarz, S. (2014). Improving the prevention of pressure ulcers as a way to reduce health care expenditures. CMAJ, 186(10), 370–371.

Bowles, K., H., Dykes, P., & Demiris, G. (2015). The use of health information technology to improve care and outcomes for older adults. HHS Public Access, 8(1), 5–10. https://doi.org/10.3928/19404921-20121222-01.

Boyko, T. V, Longaker, M. T., & Yang, G. P. (2016). Review of the current management of pressure ulcers. Wound Healing Society, 0(0), 1–11. https://doi.org/10.1089/wound.2016.0697

Cho, I., Park, I., Kim, E., Lee, E., & Bates, D. W. (2013). Using EHR data to predict hospital-acquired pressure ulcers : A prospective study of a Bayesian Network model. International Journal of Medical Informatics, 1–9. https://doi.org/10.1016/j.ijmedinf.2013.06.012

Creehan, S. (2015). Building nursing unit staff champion programs to improve clinical outcomes. Nurse Leader, 13(4), 31–35. https://doi.org/10.1016/j.mnl.2015.06.001

Gill, E., C. (2015). Reducing hospital acquired pressure ulcers in intensive care. BMJ Quality Improvement Report, 1–5. https://doi.org/10.1136/bmjquality.u205599.w3015

Guest, J., F., Fuller, G., W., Vowden, P., & Vowden, K., R. (2018). Cohort study evaluating pressure ulcer management in clinical practice in the UK following initial presentation in the community : costs and outcomes. BMJ Open, 1–14. https://doi.org/10.1136/bmjopen-2018-021769

Heinrich, L., Schmitt, J., Eberlein-gonska, M., & Petzold, T. (2015). Pressure ulcer prevention - more than a problem of documentation ? An Evidence-based approach, 1(Suppl 1), 3–4. https://doi.org/10.1186/2056-5917-1-S1-A22

Kemenkes. RI (2016). Kamus indikator kinerja badan layanan umum unit pelaksana teknis vertikal. Jakarta: Ditjen Pelayanan Kesehatan.

Latimer, S., Gillespie, B. M., & Chaboyer, W. (2017). Predictors of pressure injury prevention strategies in at-risk medical patients : An Australian multi-centre study. Collegian, 24(2), 155–163. https://doi.org/10.1016/j.colegn.2015.11.005

Marsden, G., Jones, K., Neilson, J., Avital, L., Collier, M., & Stansby, G. (2015). A cost-effectiveness analysis of two different repositioning strategies for the prevention of pressure ulcers. Journal of Advances Nursing, 71(12), 2879–2885. https://doi.org/10.1111/jan.12753

NDNQI. (2010). NDNQI:Transforming data into quality care. American Nurses Association. retrieving from https://public.qualityforum.org/actionregistry/lists/ pada tanggal 8 Desember 2018.

Stephens, M., & Bartley, C. (2017). Understanding the association between pressure ulcers and sitting in adults what does it mean for me and my carers? Seating guidelines for people, carers and health & social care professionals. Journal of Tissue Viability. https://doi.org/10.1016/j.jtv.2017.09.004

Sulidah, & Susilowati. (2017). Pengaruh tindakan pencegahan terhadap kejadian dekubitus pada lansia imobilisasi. MEDISAINS: Jurnal Ilmiah Ilmu-Ilmu Kesehatan, 15(3), 161–172.

Whittenburg, L., & Meetim, A. (2016). Electronic nursing documentation: Patient care continuity using the clinical care Classification System (CCC). Studies in Health Technology and Informatics, 225, 13–17. https://doi.org/10.3233/978-1-61499-658-3-13

Downloads

Published

2019-05-25

How to Cite

Setiyadi, A., Novieastari, E., Gayatri, D., & Purwaningsih, S. (2019). PENGEMBANGAN ELECTRONIC_PRESSURE INJURY ALARM (E_PIA) DALAM UPAYA PENINGKATAN PERILAKU PENCEGAHAN CEDERA TEKAN DI RUMAH SAKIT. Jurnal Perawat Indonesia, 3(1), 28–35. https://doi.org/10.32584/jpi.v3i1.270

Issue

Section

Articles