The Effect of Clinical Supervision Using The 4S Model on Risk of Patient Harm Resulting from Falls Assesment
Abstract
Background: Reducing the risk of patients falling is an important part of the six goals for hospital patient safety as stipulated in Minister of Health Regulation No. 11 of 2017. The implementation of this fall risk assessment is also influenced by several supporting factors and several inhibiting factors. factors that can support the implementation of this assessment are related to the existence of motivation among colleagues and complete facilities and infrastructure. This is different from the inhibiting factors in the implementation of a fall risk assessment, namely leadership and management factors, namely supervision.
Aims: The aim of this study was to see the Effect of Clinical Supervision Using the 4S Model (Structure, Skill, Support, Sustainability) on Risk of Patient arm Resulting from Patient Fall Assessment at the UPTD Puskesmas Mersam in 2021.
Methods: This research is quantitative research with pre-experimental method. The research design used a one group pretest-posttest design. The population in this study were all nurses on duty at the Mersam Health Center UPTD inpatient unit, totaling 16 nurses.
Results: The results of the univariate analysis showed that the majority (81.2%) of the implementing nurses were not good at implementing the patient fall risk assessment before being given the 4S model supervision intervention, more than half (68.8%) of the implementing nurses were good at implementing the patient fall risk assessment after given the 4S model supervision intervention. The results of the bivariate analysis showed that there was a significant effect of clinical supervision using the 4S model on Risk of Patient arm Resulting from Patient Fall Assessment at the UPTD Puskesmas Mersam in 2021 (P-Values 0.005).
Conclusion: There was a significant effect of clinical supervision using the 4S model on Risk of Patient arm Resulting from Patient Fall Assessment.
Suggestion: It is hoped that the Health Office and the Community Health Center will develop a work program to train all HRHK, especially nurses working in inpatient departments regarding how to assess the risk of falling patients. Then, it is also suggested that the Batang Hari Jambi District Health Office should compile regulations for all Puskesmas to implement routine, systematic and scheduled supervision with the 4S model.
