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Azmi Sulintya Syahwa
Divisi Keperawatan Mayapada Hospital Bogor
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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HOURLY ROUNDING DAN PENCEGAHAN JATUH: KAJIAN EVIDENCE-BASED DALAM KONTEKS KEPERAWATAN Azmi Sulintya Syahwa; Ari Sunari; Siti Hutami; Florencia Eny Agustin; Ratna Magdalena
Jurnal Kesehatan Vol. 3 No. 6 (2025)
Publisher : CV. Adiba Aisha Amira

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Abstract

Falls are among the most frequent and serious incidents in healthcare facilities, leading to increased morbidity, mortality, length of stay, and healthcare costs. Preventing falls is therefore a major priority in patient safety. This review aimed to evaluate the effectiveness of hourly rounding (HR) as an evidence-based strategy to reduce fall rates. A narrative review was conducted across multiple quality improvement projects, quasi-experimental studies, and literature reviews that implemented HR using the 5Ps approach (pain, position, potty, possessions, pumps). Findings indicated that HR reduced fall rates by up to 55% in some studies, although not always with statistical significance. Consistent benefits included enhanced staff accountability, improved patient satisfaction, and a strengthened culture of safety. Limitations noted were small sample sizes, short implementation periods, and variability in staff adherence. Conclusion: HR is a proactive nursing strategy that contributes to safer care environments and has the potential to reduce patient falls. Further research is needed to assess long-term sustainability, larger sample sizes, and integration with multifactorial fall prevention strategies.
PENGARUH SUPERVISI KEPALA RUANG TERHADAP EFEKTIVITAS HANDOVER KEPERAWATAN DAN KESELAMATAN PASIEN : LITERAUR REVIEW Azmi Sulintya Syahwa; Erna Aryanti; Ari Sunari; Lusi Herawati; Dini Hadianingsih
Jurnal Kesehatan Vol. 3 No. 6 (2025)
Publisher : CV. Adiba Aisha Amira

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Abstract

Nursing handover is essential to ensure continuity of care and patient safety; however, it is often hindered by ineffective communication, low compliance, and lack of supervision. This review aims to examine the role of head nurse supervision and clinical supervision models in improving the quality of handovers based on SBAR/ISBAR. The methods applied include cross-sectional design, experimental pre–post test, literature review, as well as observation and interviews, with both quantitative statistical and qualitative thematic analyses. The findings show that supervision is significantly related to compliance and handover effectiveness, while the implementation of clinical supervision models enhances nurses’ self-efficacy, communication clarity, and handover skills. Monitoring and evaluation based on regulations and standard operating procedures (SOPs) also proved effective in improving service quality and reducing safety incidents. In conclusion, structured supervision plays a crucial role in optimizing nursing handover. Further research is recommended to explore the integration of digital technology into supervision and its impact on patient outcomes.
Co-Authors Ari Sunari Dini Hadianingsih Erna Aryanti Florencia Eny Agustin Lusi Herawati Ratna Magdalena Siti Hutami