Articles

Evaluation of Prevention of Patients at Risk of Falls in Nurses in Inpatient Department: A Qualitative Case Study

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Patient safety is an essential component of quality health services. However, patient care still has shortcomings, especially in patient safety incidents such as patients being injured due to falls. This study aimed to evaluate the implementation of prevention for patients at risk of falling in nurses in the inpatient department in a hospital setting. This qualitative research with a case study approach was conducted from February to April 2024 in a government hospital in Lampung, Indonesia. A total of 20 informants consisting of 10 implementing nurses as the primary informants, one head of nursing, one secretary of the Committee for Improving Quality and Patient Safety, five heads of inpatient rooms, and three patients at risk of falling as supporting informants were recruited purposively. In-depth interviews, Focus Group Discussions, and observations were conducted for data collection. Thematic analysis was used for data analysis. The implementation of prevention of patients at risk of falling in nurses in the inpatient department has been employed in the form of providing facilities, facilities, and completeness of the assessment form for patients at risk of falling, and the existence of standard operational procedures on prevention of patients at risk of falling. However, some of the available facilities are damaged and must be repaired. In addition, some nurses still need to learn how to conduct a fall risk assessment. It is recommended that the director and hospital management immediately improve facilities to support the implementation of fall risk prevention and that there be regular training for all nurses related to filling out fall risk assessments in the hospital.

Relationship between Family Burden, Stigma, Stress, Social Support, Family Acceptance, and Family’s Ability in Caregivers of Patients with Schizophrenia

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The family’s ability as a caregiver for schizophrenic patients is very necessary because it can affect the success of the treatment process provided. This article aims to determine the relationship between family burden, stigma, stress, social support, family acceptance and family’s ability in caregivers of patients with schizophrenia. This study used a quantitative method with a cross-sectional study design. The study was conducted at the outpatient polyclinic at Teuku Umar General Hospital with a total sample of 98 family members of schizophrenic patients. The results of this study indicate that family burden, stress, stigma, and acceptance are related to the family’s ability to provide care to schizophrenic patients (p = 0.0001 < 0.05). Only the social support variable has no relation with the family’s ability to provide care to schizophrenic patients (p = 0.145 > 0.05). The lack of a relationship between the social support variable and family’s ability is consistent with the stigma variable’s results, which indicates a negative stigma from the community towards the family, so social support becomes unnecessary. This study concludes that families can better care for schizophrenic patients when their burden, stress level, and stigma are reduced or lower. The greater a family accepts schizophrenia patients, the greater their ability to care for them.