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All Journal Indonesian Journal of Global Health Research
Kusnadi Kusnadi
Bendan Regional General Hospital

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Nurses’ Experiences in Implementing Fall Risk Prevention Procedures in Inpatient Units Nonik Eka Martyastuti; Anik Indriono; Kusnadi Kusnadi
Indonesian Journal of Global Health Research Vol. 8 No. 4 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i4.1970

Abstract

Patient falls remain among the most frequent preventable adverse events in hospitals, posing challenges to patient safety in inpatient care. Preliminary observations at RSUD Bendan Pekalongan revealed inconsistent initial assessments, incomplete patient and family education, and facility limitations that weakened fall prevention practices. This descriptive qualitative study explored nurses’ experiences in implementing fall risk prevention procedures in inpatient units. Five purposively selected participants, including nursing management, patient safety committee members, head nurses, and staff nurses, provided data through in depth interviews, observations, and document reviews. Thematic analysis identified two main themes: institutional guidance for fall risk identification and practical implementation of prevention measures. Nurses reported using patient identification protocols, the Morse Fall Scale, risk labels, side rails, environmental checks, and patient family education. However, implementation was inconsistent due to workload pressures, uneven knowledge and training, limited patient family engagement, and damaged facilities. Although structural procedures exist, process fidelity remains suboptimal.
Co-Authors Anik Indriono