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All Journal Jurnal Kesehatan (JK)
Siti Hutami
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.
Co-Authors Ari Sunari Azmi Sulintya Syahwa Florencia Eny Agustin Ratna Magdalena