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Analytics

Astrid Komala Dewi; Catherine Hermawan Salim; Ribka Sabarina Panjaitan

Jurnal Pengabdian Sosial 2025 Lembaga Pengembangan Kinerja Dosen

Balance is a crucial component in maintaining independence in the elderly and preventing the risk of falls. Decreased balance function with aging can increase the incidence of falls, impacting the elderly's quality of life. This activity aims to screen balance in the elderly using the One Leg Standing Test (OLST) as a simple measurement tool to assess static balance. The activity was conducted in the elderly community in RT 05/RW 08, Karang Anyar Village, Central Jakarta. The test was conducted by asking participants to stand on one leg, and a time was determined until they lost their balance. The screening results showed variations in balance ability, with some elderly still in the good category, while others showed a decline in balance ability and were at risk of falls. These findings demonstrate the importance of balance training programs, muscle strengthening, and fall prevention education for the elderly. This screening activity is expected to form the basis for planning further health interventions to improve the safety and quality of life of the elderly in the community.

Catherine Hermawan Salim; Astrid Komala Dewi; Ribka Sabarina Panjaitan; Wirya Limala Putra; Kayla Salina +1 more

Jurnal Pengabdian Sosial 2025 Lembaga Pengembangan Kinerja Dosen

Balance disorders are among the most common functional problems experienced by older adults and significantly increase the risk of falls, disability, and reduced quality of life. Early screening and health promotion efforts are essential in preventing these complications. This community service program aimed to introduce and implement the Fukuda Stepping Test as a simple, low-cost, and effective method for promotive and preventive assessment of balance impairment among elderly individuals in the community. The activity involved health education on balance maintenance, demonstration of the test procedure, and direct assessment of participants, followed by individualized feedback and recommendations for balance exercises. The results showed that the Fukuda Stepping Test was well-received, easy to perform, and successfully identified elderly individuals with potential vestibular asymmetry or dynamic balance deficits. Furthermore, the program increased participants’ awareness regarding fall prevention and encouraged adoption of regular balance training. This initiative highlights the importance of accessible physiotherapy-based screening tools in community settings and underscores the role of physiotherapists in promoting healthy aging and reducing fall risk among older adults.

Nayla Azkia; Muh Abdurrouf; Retno Issroviatiningrum

Jurnal Ilmu Kesehatan 2025 Lembaga Pengembangan Kinerja Dosen

Patient safety is a crucial aspect of hospital service quality, with one of the main indicators being the prevention of fall risks. Fall risks among patients often lead to serious injuries and impact the quality of care, making preventive measures essential. Nurses play a central role in implementing these preventive actions. However, the level of nurse compliance in following preventive procedures is often influenced by work motivation. This study aims to analyze the relationship between work motivation and nurse compliance in implementing fall risk prevention at the Sultan Agung Islamic Hospital in Banjarbaru. This quantitative study used a cross-sectional design, involving 97 inpatient nurses as respondents. The instruments used in this study included a 20-item Likert scale questionnaire to measure motivation and an observation sheet with 10 items to assess nurse compliance in applying fall risk prevention procedures. The data collected were analyzed using the Somers’ D test to determine the strength and direction of the relationship between the two variables. The results showed that the majority of nurses had high motivation (92.8%) and high compliance (90.7%) in implementing the prevention procedures. The Somers’ D test revealed a significant relationship between work motivation and nurse compliance in fall risk prevention (p = 0.003; d = 0.866), indicating that higher work motivation leads to higher compliance. The conclusion of this study is that work motivation is closely related to nurse compliance in fall risk prevention. Therefore, enhancing work motivation should be an important strategy for hospital management in developing a better patient safety culture.

Velia Nur Fauziah; Muh Abdurrouf; Retno Issroviatiningrum

Jurnal Ilmu Kesehatan 2025 Lembaga Pengembangan Kinerja Dosen

This study explains the analysis of the relationship between nurses' knowledge and compliance in implementing fall risk prevention in the inpatient ward of RSI Sultan Agung Banjarbaru. Fall risk is one of the most common patient safety incidents in hospitals, with significant impacts on the physical, psychological, and financial conditions of patients. Data from RSI Sultan Agung Banjarbaru in 2024 recorded three fall incidents, while a preliminary survey showed that 40% of nurses had insufficient knowledge of fall risk prevention and 60% were not compliant with existing preventive procedures. This study aims to determine the relationship between nurses' knowledge and compliance in reducing patient fall risk. The study design used a quantitative approach with a cross-sectional method, involving 97 nurses selected through simple random sampling. The instruments used were questionnaires designed to measure nurses' knowledge and compliance. Data were analyzed using Somers’ D test. The results showed that the majority of nurses had good knowledge (87.6%) and high compliance (90.7%). Additionally, a very strong and significant relationship was found between nurses' knowledge and compliance in implementing fall risk prevention (Somers’ D = 0.844; p = 0.000). This indicates that good knowledge of fall risk prevention procedures is strongly related to nurses' compliance in applying preventive measures. Therefore, it is essential for hospitals to provide ongoing education and training to enhance patient safety. With improved knowledge and compliance among nurses, fall risks are expected to be minimized, and patient safety can be better maintained.

Khairun Nisak; Nopi Nur Khasanah; Kurnia Wijayanti

Jurnal Kesehatan dan Kedokteran 2025 Lembaga Pengembangan Kinerja Dosen

Patient safety is one of the main components in determining the quality of hospital services. Every hospital is required to minimize incidents that may harm patients. Among various patient safety incidents, falls in children rank second after medication errors, making them a serious issue that requires attention. This study aims to evaluate the relationship between nurses’ motivation and compliance in conducting fall risk assessments with the incidence of falls among pediatric patients in the inpatient ward of QIM Hospital Batang. This study employed a descriptive quantitative design with a correlational approach. A total of 44 nurses who met the inclusion criteria were recruited as respondents. Research instruments included a motivation questionnaire, an observation sheet on compliance, and records of patient fall incidents. Data were analyzed using the Spearman Rank test to measure the strength of the relationship between variables. The findings showed that most respondents (84.1%) had a high level of motivation, and all nurses (100%) demonstrated full compliance in performing fall risk assessments according to standard operating procedures. During the study period, no cases of pediatric falls were reported in the inpatient ward, indicating the effectiveness of fall risk assessment implementation. Statistical analysis produced a p-value of 0.011, indicating a significant relationship between motivation and nurses’ compliance. These findings emphasize that work motivation plays an important role in maintaining nurses’ consistency in adhering to safety procedures. Motivation can be enhanced through managerial support, continuous training, and the establishment of a strong patient safety culture, thereby reducing the risk of falls and improving the overall quality of healthcare services.

Nabilla Anna Chressia; Rizki Yeni Wulandari; Surmiasih Surmiasih

DIAGNOSA: Jurnal Ilmu Kesehatan dan Keperawatan 2025 International Forum of Researchers and Lecturers

WHO (2020) found that in various hospitals around the world the incidence of patient falls per year ranged from 3.2 - 16.6% or 700,000 -1,000,000 in the United States, England, Denmark and Australia. Data in Indonesia recorded 34 cases of patient falls or equivalent to 14% of fall incidents in hospitals in Indonesia, data from Bhayangkara Hospital has a high prevalence of fall risk, reaching 10.07% or around 1,975 people, especially in the hemodialysis room. One of the unexpected events is the incident of a patient falling, caused by various things, this is also related to the knowledge of nurses in preventing the risk of falls in patients. Objective: To find out efforts to improve nurses' knowledge in preventing the risk of falls in the HD room at Bhayangkara Hospital, Lampung Province.The data collection method carried out on August 20, 2024 was through interviews, documentation studies, and observations. From the pre-survey data, it was found that nurses' knowledge was lacking because there were still incidents of patients falling in the hemodialysis room. The results of the Nursing Management problems found were that the prevention of the risk of falling in patients in the HD room of the Bhayangkara Lampung Hospital was not optimal, the number of nurses in the HD room itself was 19 nurses, 11 of whom had undergone training. The activity plan carried out was education about the importance of nurses' knowledge in optimally preventing the risk of falling in patients. The implementation of the activity was carried out on December 14, 2024 by means of education on the prevention of the risk of falling in patients with a Morse fall scale assessment. After education was carried out on the risk of falling in patients in the HD room of the Bhayangkara Lampung Hospital, the results showed an increase in nurses' knowledge about the risk of falling, as evidenced by the pre-test results of 50-70% and the post-test results of 70-90. It is hoped that with the increase in nurses' knowledge, they can optimize the prevention of the risk of falling in the HD room. So that it can make the quality of nurse services to patients more optimal.  

Ega Oktavia; Munaya Fauziah

Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebidanan 2025 Asosiasi Riset Ilmu Kesehatan Indonesia

Millions of workers die or are injured every year. The telecommunications sector, including internet access installation, faces high hazards such as heights and electricity. Job Safety Analysis (JSA) is a crucial tool for identifying hazards and controlling risks. This study aims to determine the description of JSA implementation in outdoor internet access installation survey work at Biznet Cirendeu in 2025. This descriptive observational qualitative research uses in-depth interviews with key informants (HSE Officer) and main informants (field technicians), direct observation with a checklist, and internal JSA document review. Source and method triangulation are used for data validity. Identified potential hazards include fall risks, electric shock, ergonomic injuries, and contact with sharp objects. The likelihood of incidents is generally small to moderate, but the severity can vary from mild to fatal. Risk control has been applied through PPE and administrative controls, but there are still challenges in compliance and optimization of engineering/substitution controls. The implementation of JSA at Biznet Cirendeu has followed the stages of risk identification, assessment, and control, but requires strengthening worker compliance and developing higher controls. It is recommended to improve PPE/SOP supervision, optimize engineering/substitution controls, update JSA documents, and strengthen OHS culture.

Aulya Wahyu Ismayanti; Dyah Wiji Puspita Sari; Retno Issroviatiningrum

Jurnal Ilmu Keperawatan dan Kebidanan 2025 Asosiasi Riset Ilmu Kesehatan Indonesia

Supervision is part of the directing function carried out by supervisors to improve nurse performance. Falls result in injuries such as broken bones or bleeding and can cause death. This is because nurses' lack of optimal compliance with the implementation of fall risk prevention SOP can increase the incidence of patients falling while being treated. One of the incidents of falls comes from not yet optimal SOP planning in an institution. The purpose of this research is to analyze the relationship between head of room supervision and the implementation of fall risk prevention SOP at the Sultan Agung Islamic Hospital.This research is a quantitative research with a cross-sectional approach. Data collection was carried out using questionnaires and observation sheets. The research sample consisted of 50 respondents. This research uses a total sampling technique and is processed statistically with the correlation test used in this research is the spearman rank test.The results of the spearman rank test on the room head supervision data with the implementation of fall risk prevention SOP obtained a p value of 0.000 (<0.05). For further research, it is recommended to expand the scope of research by involving more respondents and hospital institutions in order to obtain more generalizable results.

Astrid Komala Dewi; Catherine Hermawan Salim; Yurita Milintina

Jurnal Pengabdian dan Perubahan Sosial 2025 Lembaga Pengembangan Kinerja Dosen

The risk of falls in the community in Kapuk Cengkareng Village, especially the elderly, is a health problem that can have a serious impact on quality of life. Balance examination and education are important preventive measures in reducing the risk of falls. This study aims to analyze the effectiveness of balance examinations using the Single Leg Stance (SLS) and Time Up and Go (TUG) methods and provide appropriate education to improve postural stability. The method used in this study involved balance tests with SLS and TUG in community groups with various age ranges. The data obtained were analyzed to see the relationship between balance test results and fall risk factors. In addition, balance education interventions were carried out including physical exercise and fall prevention strategies. There were 30 Respondents Involved in This Activity after the Task was completed The success measurement method was used to evaluate the pre- and Post-Test methods and N-Gain with a value of 0.9 indicating that the strength or category in this study was at a High Level. The calculation results showed a 70% increase from the Pre-test and Post-test results. This shows that respondents experienced positive changes after participating in the activity and that the Technique used could significantly improve the Results. The results showed that individuals with low scores on the SLS and longer travel times on the TUG had a higher risk of falling. The balance education provided was shown to improve balance ability and public awareness of fall risk factors. Thus, balance examination using the SLS and TUG methods and balance education can be an effective strategy in preventing the risk of falling in the community.