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All Journal Journal of Tropical Life Science : International Journal of Theoretical, Experimental, and Applied Life Sciences JURNAL PROMOSI KESEHATAN INDONESIA Jurnal Kesehatan Masyarakat Berkala Ilmu Kesehatan Kulit dan Kelamin Jurnal Plastik Rekonstruksi World Nutrition Journal Yumary: Jurnal Pengabdian kepada Masyarakat Cendana Medical Journal Jurnal Pengabdian Masyarakat Bidang Sains dan Teknologi Berita Kedokteran Masyarakat Jurnal Media Tropika: Jurnal Pengabdian Kepada Masyarakat Jurnal Pengabdian Masyarakat dan Riset Pendidikan Jurnal Kedokteran Meditek Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Ika Febianti Buntoro
Universitas Nusa Cendana
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Journal : Jurnal Plastik Rekonstruksi

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Issues and Challenges in Implementing Braden Scale to Assess Pressure Injury Risk: A Participatory Action Research in South-Eastern Indonesia Buntoro, Ika Febianti; Datusanantyo, Robertus Arian; Koamesah, Sangguana M. J.; Wijaya, R. Pasifikus Christa; Handoyo, Nicholas Edwin
Jurnal Plastik Rekonstruksi Vol. 12 No. 1 (2025): (2025): Jurnal Plastik Rekonstruksi
Publisher : The Lingkar Studi Bedah Plastik Foundation and is affiliated with the Department of Plastic Surgery, Faculty of Medicine, Universitas Indonesia.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14228/jprjournal.v12i1.386

Abstract

Background: Pressure injury (PI) is chronic wound over bony prominence that should be managed to avoid morbidity and increased costs. Braden scale (BS) has been used worldwide for almost forty years as PI's standard risk assessment tool. This study aimed to identify issues among nurses regarding the implementation of the PI risk assessment tool in a referral hospital in rural Indonesia.Methods: We performed two cycles of participatory action research (PAR) to initiate the BS implementation and to establish follow-ups accordingly in inpatient units. The PAR ensured the active roles of the 12 nurses and midwives who initially implemented the tool. The transcribed focused-group discussion (FGD) recordings were analysed following six steps of thematic analysis.Results: There were three main themes emerged. The themes were the nurses' understanding of the need for PI risk assessment, the increasing workload when implementing PI risk assessment, and the importance of the primary nurse role. The themes reflects the need for nurse practitioners to further implement the tool by seeking confirmation from the primary nurse's group. The ease and trialability of the BS enhanced the nurses' compliance with the new tool. The nurse manager and leader needed to concentrate on perceived innovation attributes to implement the PI risk assessment tool further.Conclusion: The PAR cycles have recruited early adopters and suggested implementing BS to assess PI risk. The role of hospital managers and leaders in ensuring continuity of implementation is crucial.
Co-Authors Angi, Stevanii Isabella Artawan, I Made Ayal, Viany Y Bako, Yunri Anggelina Bessie, Vinsensius Apolonaris Bili, Maria Lusia Bela Christina Olly Lada Christina Olly Lada Come, Yansensius Febrianto Ray Conrad L. H. Folamauk Damanik, Efrisca M. Br. Damanik, Efrisca Meliyiuta Boru Datusanantyo, Robertus Arian Dedy, Maria Agnes Etty Deri Riskiyanti Tallo Manafe Diamanta, Agatha D.S. Dwita Anastasia Deo E D, Maria Agnes Elli Arsita Etty Dedy, Maria Agnes Folamauk, Conrad Liab Hendricson Ghawa, Ewaldina Yulsiana Dija Halena Meldy Asa Handoyo, Nicholas E. Herjuni Oematan Herman Pieter Louis Wungouw Hutasoit, Regina Hutasoit, Regina Marvina I Made Artawan Idawati Trisno Indriarini, Desi Iswaningsih, Iswaningsih Jannah, Ike Nur Safitri Miftahul Kareri, Dyah Gita Rambu Koamesah, Sangguana M. J. Koamesah, Sangguana Marthen Jacobus Kresnawati Wahyu Setiono lada, christina olly Legoh, Dickson Alan Lestari, Ni Putu Widaria Atik Liana, Debora Shinta Lidia, Kartini Listyawati Nurina Mariani, Antonia Matulessy, Giovanni Kathlix immanuel Muhajirin Dean Mukin, Yohanes Matius Demo Muntasir, Muntasir Nicholas Edwin Handoyo Nurina, Rr. Listyawati Pakan, Prisca D. Pellokila, Nindy Bethinia Priambada, Ignasius Bima PRISCA DEVIANI PAKAN Putra Milian, Galang Umbu Awang Putu Dinda Pramesti Rahel Rara Woda Rahel Rara Woda Rusnah, Fauziyah Nadira Riani Sagita, Sidarta Setianingrum, Elisabeth Levina Sari Stefanovic, Claudio Tanof, Verentika Putri Tanto, Ayu Cyntia Turupadang, Welem Wijaya, R. Pasifikus Christa William Lie Woda, Rahel Rara Yesenia Belliani Dju