scholarly journals The Compliance of Hospital Nurse in the Prevention of Urinary Tract Infection in Surabaya, Indonesia

2021 ◽  
Vol 9 (1) ◽  
pp. 18
Author(s):  
Ainun Azizah Ramdhani ◽  
Nur Annisha Karunia Latief ◽  
Fariani Syahrul ◽  
Dwiono Mudjianto

Background: Catheter-Associated Urinary Tract Infection (CAUTI) is one of the most common infections in the hospital. In order to prevent and control CAUTI incidence, nurses are required to implement bundles of prevention. However, the lack of nurses’ compliance behavior in implementing the CAUTI bundle prevention was found. Objective: This study analyzes the nurse’s compliance behavior in implementing CAUTI prevention using the Theory of Planned Behavior (TPB) approach. Methods: This study was an analytical descriptive study with a cross-sectional design. Nurses who work in ICU, ICCU, HCU, and in-patient unit of the hospital were set as study population and taken as samples using simple random sampling. Background factors (age, education, knowledge, employment duration, career levels), attitudes, subjective norms, Perceived Behavior Control (PBC), and intention were determined as independent variables. In contrast, nurses’ compliance behavior in CAUTI prevention bundle implementation was determined as the dependent variable. Data were collected using a questionnaire and analyzed using logistic regression with a significance level of α < 0.05. Results: Among 111 nurses, most of them are in the age of 26-45 years (80.1%), has worked as a nurse for 8-13 years (29.7%), reach career level at Clinical Nurse 3 (51.4%), and have good knowledge about CAUTI prevention bundle (83.8%). The employment duration and career levels are background factors that correlate the most to the TPB factors. The nurses’ compliance behavior is influenced by attitude, subjective norm, PBC, and intention (P Value= 0.000). Multivariate analysis shows that intention is associated with nurses’ compliance behavior and increases nurses’ commitment to implement CAUTI prevention bundle (P Value= 0.033, OR= 6.46). Conclusion: The intention simultaneously influences the nurses’ compliance behavior.

2019 ◽  
Vol 6 (1) ◽  
pp. 1
Author(s):  
Maria Karolina Selano ◽  
Ranis Nyadin Panjaitan ◽  
Sofyan Budi Raharjo

ABSTRAKKepatuhan adalah perilaku positif yang diperlihatkan seseorang saat mengarah ke tujuan terapeutik yang ditentukan bersama. Kejadian ISK merupakan 40% dari seluruh infeksi nosokomial dan 80% infeksi saluran kemih terjadi sesudah instrumentasi, terutama oleh kateterisasi. Pelaksanaan pencegahan infeksi nosokomial oleh perawat berkaitan dengan kepatuhan. Penelitian ini bertujuan untuk mengetahui hubungan kepatuhan perawat dalam menjalankan standar prosedur operasional perawatan kateter dengan angka kejadian infeksi saluran kemih. Desain penelitian yang digunakan deskriptif analitik dengan pendekatan cross sectional. Tehnik pengambilan sampel menggunakan proportional simple random sampling dengan jumlah sampel sebanyak 51 responden. Alat ukur menggunakan lembar observasi. Analisis data menggunakan uji alternatif fisher’s exact test.Kejadian ISK adalah 11 (21,6%) pasien, sementara pasien yang tidak mengalami ISK adalah sebanyak 40 responden (78,4%). Tingkat kepatuhan SPO perawatan kateter tinggi sebanyak 12  responden (23,5%), tingkat kepatuhan SPO perawatan kateter sedang sebanyak 39 responden (64,7%). Hasil uji fisher didapatkan p value = 0,048 (<0,05). Dari hasil penelitian didapatkan adanya hubungan yang signifikan antara kepatuhan perawat dalam menjalankan standar prosedur operasional perawatan kateter dengan angka kejadian infeksi saluran kemih. Kata Kunci : Kepatuhan perawat, SPO, perawatan kateter, ISK. ABSTRACTCompliance is defined as the positive action done by someone to achieve a desired theuraphetic result which has been designated together. Urinary tract infection cases account for 40% of nosocomical infection figure and 80% of the urinary tract infection occur after instrumentation, especially catheterization. The implementation of nosocomical infection prevention done by the nurses depends on their compliance towards the procedure. This research aims to find out the relationship between the nurses’ compliance towards the standard operational procedure of catheter treatment with the figure of urinary tract infection cases. This research utilizes the descriptive analysis research design coupled with cross sectional approach. The researchers use proportional simple random sampling as the sampling method; the number of samples is 51 respondents. To get and measure the responses, the researchers use observation sheet. The data obtained is then analyzed with the fisher’s exact test alternative test.Urinary tract infection cases happen in 11 patients (21.6%) while the other 40 patients (78.4%) do not have such infection. The number of nurses who highly comply towards the standard operational procedure of catheter treatment is 12 (23.5%) and nurses who show mediocre compliance towards the standard operational procedure are 39 (76,5%). The fisher’s test comes out the p value to be 0.048 (<0.05). The research found out that there is a significant correlation between the nurses’ compliance in carrying out the standard operational procedure of catheter treatment with the number of urinary tract infection cases. Keywords: Nurses’ compliance, Standard Operational Procedure, catheter treatment, urinary tract infection.


Author(s):  
Samina Tarique ◽  
Abdul Hussain Shar ◽  
Syed Fiaz Hussain ◽  
Akhtar Ali

Background: Diabetics are four times more prone to develop Urinary tract infection when compared to healthy individuals, the proposed risk factors behind this increase in susceptibility in diabetics are autonomic neuropathy resulting in incomplete emptying of bladder and glucose in urine which serves as a medium for bacterial growth. The aims of our study are to identify the frequency of recurrent UTI and to document most common prevalent organisms involved in UTI in diabetic females in tertiary care hospital of Sukkur. Methodology: It was a cross sectional study conducted at Microbiology Department of Shah Abdul Latif University Khairpur from January to December 2020. The sample size n=54 was calculated by open epi software. Participants who contented inclusion criteria i.e., female patients of age >18 years with diabetes mellitus for more than 5 years who were presented in OPD with UTI along with history of three positive urine cultures in the previous 12 months or two episodes in the last six months were recruited by simple random sampling technique. The urine samples were collected in sterile containers and the growth of organisms was observed on nutrient agar and MacConkey agar plates. Results: There was no any significant difference among occurrence of bacteria between both the groups i.e . However, the most associated microbes with uncontrolled HbA1c profile were E. coli (p-value = 0.004) followed by Micrococcus lutes (p-value = 0.021) and Shigella (p-value = 0.001).  Table 1. Shows the frequency and percentages of bacteria associated with controlled and uncontrolled HbA1c levels. Conclusion: Most of the participants had uncontrolled diabetic profile i.e. HbA1c > 7, the prominent pathogen at our setting were E. Coli, Enterococcus species, Shigella species and Micrococcus lutes.


2017 ◽  
Vol 15 (2) ◽  
pp. 41-44 ◽  
Author(s):  
Tanuka Barua ◽  
Razia Sultana ◽  
Fazal Karim Babul ◽  
Shahed Iqbal ◽  
Jhulan Das Sharma ◽  
...  

Background: Urinary Tract Infection (UTI) is a common infection in nephrotic syndrome and have a propensity for long term renal damage. It may be an important cause of poor steroid response. The objective is to study the frequency and etiological organisms of urinary tract infection in idiopathic nephrotic syndrome children.Methods: This Comparative cross-sectional study was conducted in the Pediatric ward of Chittagong Medical College Hospital, Chittagong from 01.01.2009 to 31.12.2009. 52 nephrotic syndrome children diagnosed by serum albumin, serum cholesterol and 24 hours total urinary protein or protein creatinin index were included. After elaborate clinical evaluation, urine for R/M/E and C/S was done in all patients. Data regarding pyuria, hematuria, etiological organisms were analyzed by statistical method.Results: UTI was found in 30.8% nephrotic children and in majority cases (68.8%) they were asymptomatic. Male female ratio among UTI patients was 1:1. Mean serum cholesterol in nephrotic syndrome with UTI was higher than that of children without UTI (418.94 mg/dl vs 352.03 mg/dl, p value < 0.05).Pyuria had poor association with definite UTI (p value > 0.05). E-coli was the commonest organism isolated in urine culture followed by klebsiella.Conclusion: UTI is one of the most common infections in nephrotic syndrome and may be asymptomatic. It should be screened in every nephrotic child routinely.Chatt Maa Shi Hosp Med Coll J; Vol.15 (2); Jul 2016; Page 41-44


2017 ◽  
Vol 5 (2) ◽  
pp. 150-158
Author(s):  
Ghuzala Anwar ◽  
Ghalib Nawaz ◽  
Muhammad Afzal ◽  
Iram Majeed ◽  
Ali Waqas

Nursing is an art science and an essential health care profession in which the skilled knowledgeable persons are committed to provide care to  sick peoples and strive for the, protection and promotion of health and prevention against diseases and helps to minimize the risk and risk related injuries. Urinary tract infections are very common infection in the hospital settings almost responsible for 40% nosocomial infections. All the urinray tract infection is expected that approximately more than 70% infection reported because of indewelling cathters.Objectives: To assess the perceptions of nurses regarding indwelling urinary catheter and its care. To assess the practices of nurses to prevent the indwelling catheter related urinary tract infection. Methodology: Descriptive cross sectional design and data was collected through a five point Likert scale questioner. Study population was the nursing staff from the Jinnah hospital Lahore.  Sample size was 184 nurses from all indoor departments of the Jinnah Hospital Lahore. Results: The findings show that the practice and perceptions scores of the registered nurses’ in the study group are insignificant with age, qualification and experience (i.e., p-value > 0.05) with the evidence-based guidelines for prevention of catheter associated urinary tract infection. Results of study indicated insignificant relationship between registered nurses’ practice and perceptions regarding the indwelling urinary catheter associated infection.Int. J. Appl. Sci. Biotechnol. Vol 5(2): 150-158


2020 ◽  
Vol 9 (1) ◽  
pp. 78-82
Author(s):  
LINDA WIDYA NINGRUM

Accuracy Code Diagnosis is the accuracy of the diagnosis code based on ICD-10 by the coding officer on the medical record document by examining the results of the diagnosis written by doctors and medical personnel. This type of research is observational analytic with cross sectional approach. In this study the population used was inpatient medical record documents with a diagnosis of urinary tract infection as many as 229. The sample used was 146 by using a simple random sampling technique. The percentage of accuracy of the diagnosis code of urinary tract infection in inpatient medical record documents at Sebelas Maret University Hospital was 129 (88,36%) documents and 17 (11,64%) inaccuracies of documents. The percentage of completeness of medical information from 146 documents studied was 78 (53,42%) documents while the incomplete category was 68 (46,58%) documents. The results of calculations using SPSS with the Chi Square statistical test results are 4.459 while the value of p = 0,035 with an error level of 0,05 so that the value of p 0,05. The conclusion is corelatin the completeness of medical information with the accuracy of the urinary tract infection diagnosis code is rejected.


2021 ◽  
Vol 2 (1) ◽  
Author(s):  
Taqi Mohammed Jwad Taher ◽  
Firas Turki Rashed Sarray ◽  
Ammar Shimal Shwekh ◽  
Tariq Kuraidi Mareedh ◽  
Hasanain Faisal Ghazi

  Introduction: Urinary tract infection is a very prevalent disease among humans and it is highly presented among patients with diabetes mellitus. The main aim of the current study was to find out the commonest bacterial organisms causing urinary tract infection among a sample of diabetic and non-diabetic patients in Al-Kut city, Iraq. Methods: A cross-sectional study was conducted among 100 conveniently sampled patients suffering from urinary tract infections and attending Al-Karama Teaching hospital laboratory for urine culture between October and December 2019 were included in the study. The patients were consented to answer a special questionnaire containing data like patients' age, gender, and disease status (diabetic or non-diabetic). Results: From the 100 participated patients there were 29 (29%) with diabetes and the remaining 71(71%) from the sample were non-diabetics. The females represent the majority of the sample (67%) while males represented only (33%). The most common identified bacteria from this sample were Staphylococcus aureus (48%), Escherichia coli (24%), Klebsiella pneumoniae (17%), Enterococcus species (5%), and Pseudomonas aeruginosa (2%). The study result shows a significant association of being diabetic or not >0.001, 0.038with age and gender of the patients (p-value) respectively. While this association was non-significant when considering the type of bacteria between the two . While this association was non-significant when considering the groups (P-value=0.056).type of bacteria between the two groups (P-value=0.056). Conclusion: The urinary tract infection is frequently presented among young non-diabetic females and near half of the urine cultures showed the Staphylococcus aureus bacteria as the commonest cause of infection among them.


2021 ◽  
Vol 15 (11) ◽  
pp. 3129-3131
Author(s):  
Fartash Sarwar ◽  
Raheel Sheikh ◽  
Arooj Zahra ◽  
Kashif Iqbal ◽  
Bilal Habeeb ◽  
...  

Objective: To determine frequency of fungal infection of urinary tract in patients with liver cirrhosis Design & duration: This is a cross sectional study. This study was completed in duration of six months. Setting: Study was conducted in Margalla Hospital Gulshan Colony PMO, Taxila. Patients & Methods: Patients admitted in study hospital with liver cirrhosis having child class A, B and C were evaluated for fungal urinary tract infection, belonging to any gender, having age above 40 years. All data was documented and analyzed using SPSS software version-20 and means, frequencies, standard deviation and p-value were calculated. Results presented in the form of tables and graphs. Results: Total 400 cases were evaluated for fungal urinary tract infection having liver cirrhosis admitted in study hospital in given duration of study. Fungal cause of UTI was found in 260 cases including 29.3% male and 70.7% female cases. While other causes were found in 140 cases. According to child classification out of 260 cases with fungal UTI, 11 cases were in class B and 249 cases were in class-C while no case belonged to class-A. Most of the cases (42%) with UTI were in age interval of 40-50 years. Duration of CLD was 2-4 years in most of the cases (30%). Conclusion: Fungal cause of urinary tract infection is very common among patients with liver cirrhosis and older age as these cases have week immunity Key words: Liver cirrhosis, chronic liver disease, urinary tract infection, fungal infection, immunocompromised


Author(s):  
Ulva Noviana

Sibling rivalry is the natural jealousy or dislike feeling of a children to a new child in the family. Preliminary study result obtained 6 (60%) children have sibling rivalry. The purpose of the study was to analyze the relationship of parent role in anticipatory guidance sibling rivalry and emotional intelligence with sibling rivalry incident in preschooler. The design of this research is correlational analytic with cross sectional approach. The independent variable is the parent role in the anticipatory guidance sibling rivalry and emotional intelligence, while the dependent variable is sibling rivalry. The unit of analysis of this study is preschool children who have younger siblings, and the source of information is parents, the sample of 37 children with simple random sampling technique. The data collected from these three research variables used questionnaires. The statistical test using spearman rank with α (0,05). The result of the statistical test shows the value of p value with the alpha significance level α (0,05), mean value of p value < α, so H0 is rejected and H1 accepted, it means there is relation of parent role in anticipatory guidance sibling rivalry and emotional intelligence with incident sibling rivalry preschooler. The results of this study is expected parents can perform its role in anticipatory sibling rivalry and improve the emotional intelligence of children to avoid sibling rivalry between siblings


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