Case Study of Implementation of Adverse Event Prevention Program: Decubitus Ulcer in Bedrest Patient with Stroke in the ICU Room with S.S.K.I.N Approach

Rizky Lukman Saputra; Anisah Ardiana; Kholid Rosyidi M.N; Yudho Tri Handoko

doi:10.29238/caring.v13i1.1871

Article

Case Study of Implementation of Adverse Event Prevention Program: Decubitus Ulcer in Bedrest Patient with Stroke in the ICU Room with S.S.K.I.N Approach

Rizky Lukman Saputra Fakultas Keperawatan UNEJ, Indonesia Correspondence rizkylukman4@gmail.com

Anisah Ardiana Departement Of Nursing Management, Faculty of Nursing, University of Jember, Jember, Indonesia, Indonesia Correspondence anisah.psik@unej.ac.id

Kholid Rosyidi M.N Departement Of Nursing Management, Faculty of Nursing, University of Jember, Jember, Indonesia, Indonesia Correspondence kholidrosyidi.psik@unej.ac.id

Yudho Tri Handoko Bondowoso District Health Office, Bondowoso, Indonesia, Indonesia Correspondence yudhohandoko800@gmail.com

Abstract

Patient safety is one of the aspects of providing excellent service for patients in hospitals, especially in the ICU. One method of managing patient safety is to prevent pressure ulcers in the ICU. The aim of this study is to explain the management of pressure ulcer prevention in the ICU for bedridden stroke patients using an intervention approach with form chart media. The research method used in this study is a case study design that includes assessment processes, data analysis, diagnostic rehabilitation, intervention, implementation, and evaluation. We collected data through observation, interviews, and physical examinations. We carried out the intervention in two shifts. We measured the risk of pressure ulcers using the Braden scale, provided health education to the family, and ensured the nurse correctly filled out the form. The obstacle to increasing the number of nurses is the workload and the feeling that human resources are still insufficient. There are no signs of pressure sores on the patient's back. In the implementation of the pressure ulcer prevention program using the skin approach, family involvement is necessary to ensure the program continues without adding to the workload of nurses in the ICU. Conclusion: Modifications to the formchart and family involvement in the program are necessary for the implementation of the pressure ulcer prevention program using formchart media in the ICU.

Keywords :

Patient Safety Management Ulcus Decubitus ICU SSKIN Bedrest

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References

Bakar, N., Shohor, N. A., Ab Latif, R., Abdul Wahab, S. M., Zaki, M. A. A., & Md Kasim, M. (2022). The Effects of SSKIN Care Bundle on Nurses’ Practice in Prevention of Pressure Ulcer. International Journal of Academic Research in Business and Social Sciences, 12(7), 958–968. https://doi.org/10.6007/ijarbss/v12-i7/14325
Braden, B., & Bergstrom, N. (1988). The Braden Scale for Predicting Pressure Sore Risk. In Nursing Research (Vol. 37). https://doi.org/10.1097/00006199-198809000-00014
Dwi Sulistyowatia, Yoani M. V. B. Atyb, & Angela M. Gatumc. (2020). HUBUNGAN SELF EFFICACYDENGAN PERILAKU SELF CARE(DENGAN PENDEKATAN TEORI OREM)PASIEN STROKE DI POLI SARAF RSUD Prof. Dr. W.Z.JOHANNES KUPANG. CHM-K Applied Scientific Journal, 3(3), 70–75.
Frivold, G., Ågård, A. S., Jensen, H. I., Åkerman, E., Fossum, M., Alfheim, H. B., … Lind, R. (2022). Family involvement in the intensive care unit in four Nordic countries. Nursing in Critical Care, 27(3), 450–459. https://doi.org/10.1111/nicc.12702
Gunawan, A. H. (2016). Analisis Kebutuhan Tenaga Perawat Unit Pelayanan Intensif Berdasarkan Beban Kerja dan Kompetensi di Unit Pelayanan Intensif Rumah Sakit Dr Oen Solo Baru Tahun 2015. Jurnal Administrasi Rumah Sakit Indonesia, 2(2), 98–114. https://doi.org/10.7454/arsi.v2i2.2192
HPERCCI. (2023). About Himpunan Perawat Critical Care Indonesia. Retrieved July 5, 2023, from https://www.hipercci.org/
Jafari, M., Nassehi, A., Rafiei, H., Taqavi, S., Karimi, Y., Bardsiri, T. I., & Bellón, J. A. (2021). Pressure Injury Prevention Knowledge among Family Caregivers of Patients Needing Home Care. Home Healthcare Now, 39(4), 203–210. https://doi.org/10.1097/NHH.0000000000000975
Kemenkes RI. (2011). Peraturan Menteri Kesehatan RI tentang Keselamatan Pasien Rumah Sakit. In Permenkes, RI. Retrieved from http://www.ainfo.inia.uy/digital/bitstream/item/7130/1/LUZARDO-BUIATRIA-2017.pdf
Kemenkes RI. (2023). Kombinasi Massage Alih Baring Cegah Dekubitus. Retrieved July 5, 2023, from https://yankes.kemkes.go.id/view_artikel/2096/kombinasi-massage-alih-baring-cegah-dekubitus
Mardiyaningsih, E. (2018). Penerapan Model Keperawatan Self Care Orem Pada Asuhan Keperawatan Ibu Hamil Yang Mengalami Kontraksi Dini. Jurnal Ilmu Keperawatan Maternitas, 1(1), 1–6. Retrieved from https://jurnal.unimus.ac.id/index.php/JKMat/article/view/4009
Martyastuti, N. E., Isrofah, I., & Janah, K. (2019). Hubungan Beban Kerja Dengan Tingkat Stres Perawat Ruang Intensive Care Unit dan Instalasi Gawat Darurat. Jurnal Kepemimpinan Dan Manajemen Keperawatan, 2(1), 9. https://doi.org/10.32584/jkmk.v2i1.266
Miraj, S., Pourafzali, S., Ahmadabadi, Z. V., & Raflei, Z. (2020). Effect of Olive Oil in Preventing the Development of Pressure Ulcer Grade One in Intensive Care Unit Patients. International Journal of Preventive Medicine, 8, 1–5. https://doi.org/10.4103/ijpvm.IJPVM
National Pressure Ulcer Advisory Panel, E. P. U. A. P. & P. P. P. I. A. (2019). Prevention and Treatment of Pressure Ulcers. Retrieved from internationalguideline.com
Pondi, M., Fauzan, S., & Yulanda, N. A. (2020). Gambaran Kualitas Pelayanan Keperawatan Dan Pemenuhan Kebutuhan Keluarga Pasien Di Icu: Literature Review. Tanjungpura Journal of Nursing Practice and Education, 2(2). https://doi.org/10.26418/tjnpe.v2i2.45666
Prastiwi, F., & Lestari, S. P. (2021). Tinjauan Literatur EFEKTIFITAS MINYAK ZAITUN DALAM PENCEGAHAN ULKUS DEKUBITUS. Majalah Kesehatan, 8(4), 233–241.
Rafiei, H., Vanaki, Z., Mohammadi, E., & Hosseinzadeh, K. (2021). The Role of Family Caregivers in Pressure Injury Prevention Guidelines: A Scoping Review. Home Healthcare Now, 39(5), 253–260. https://doi.org/10.1097/NHH.0000000000001000
Rahayu, S. F. (2018). Pengalaman Perawat dalam Mencegah Dekubitus di Ruang ICU (Intensive Care Unit) Rumah Sakit Umum Daerah Ulin Banjarmasin. Dinamika Kesehatan, 9(1), 713–727. Retrieved from http://journals.sagepub.com/doi/10.1177/1120700020921110%0Ahttps://doi.org/10.1016/j.reuma.2018.06.001%0Ahttps://doi.org/10.1016/j.arth.2018.03.044%0Ahttps://reader.elsevier.com/reader/sd/pii/S1063458420300078?token=C039B8B13922A2079230DC9AF11A333E295FCD8
Rahmawati, A., & Vellyana, D. (2022). Hubungan Beban Kerja Dengan Tingkat Stress Perawat. Healthcare Nursing Journal, 4(2), 374–379. Retrieved from https://e-jurnal.iphorr.com/index.php/mhc/article/view/2021-04-09%0Ahttps://e-jurnal.iphorr.com/index.php/mhc/article/download/2021-04-09/181
Rizki Amelia, A., Puspita Halim, I., Baharuddin, A., Aril Ahri, R., Semmaila, B., & Aulia Yusuf, R. (2022). Hubungan Beban Kerja Perawat dengan Kejadian Tidak Diharapkan. Jurnal Keperawatan, 14(S2), 499–512. Retrieved from http://journal.stikeskendal.ac.id/index.php/Keperawatan
Sari, D. M., Chandra Widjanantie, S., Poerwandari, D., Florence, A., Paulus, S., Tedjasukmana, D., … Pustaka, T. (2022). Mobilisasi Dini di Intensive Care Unit (ICU). J Indon Med Assoc, 72(1), 44–55.
Shahin, E., Dassen, T., & Halfens, R. (2008). Pressure ulcer prevalence and incidence in intensive care patients: a literature review. Nursing in Critical Care, 2(13), 7–79.
Taha, A. . (2014). Impact of A Designed Skin Care Bundle Protocol on Nurse's Knowledge.
Whitlock, J. (2013). SSKIN bundle: Preventing pressure damage across the healthcare community. British Journal of Community Nursing, 18(SUPPL. 9). https://doi.org/10.12968/bjcn.2013.18.Sup9.S32
Yustina, A., Setiawan, & Putra, I. B. (2021). Pengembangan Panduan Pencegahan Ulkus Dekubitus di Ruangan Intensive Care Unit (ICU). Journal Of Telenursing (JOTING), 3(1), 204–216.
Zhang, X., Zhu, N., Li, Z., Xie, X., Liu, T., & Ouyang, G. (2021). The global burden of decubitus ulcers from 1990 to 2019. In Scientific Reports (Vol. 11). https://doi.org/10.1038/s41598-021-01188-4

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How to Cite This

Rizky Lukman Saputra, Anisah Ardiana, Kholid Rosyidi M.N, & Yudho Tri Handoko. (2024). Case Study of Implementation of Adverse Event Prevention Program: Decubitus Ulcer in Bedrest Patient with Stroke in the ICU Room with S.S.K.I.N Approach. Caring : Jurnal Keperawatan, 13(1), 7–14. https://doi.org/10.29238/caring.v13i1.1871