scholarly journals Hubungan Supervisi dan Motivasi Dengan Kepatuhan Perawat Mencuci Tangan Di RSUD

2019 ◽  
Vol 2 (1) ◽  
pp. 28
Author(s):  
Danuarsa Parwa ◽  
Menik Sri Krisnawati ◽  
Emy Darma Yanti
Keyword(s):  
Hand Hygiene ◽  
Hand Hygiene Compliance ◽  
Hand Washing ◽  
P Value ◽  
Cross Sectional ◽  
Motivation Factors ◽  
Hand Wash ◽  
Cross Sectional Design ◽  
Hygiene Compliance ◽  
Health Care Associated Infection

Health-care Associated Infection (HAIs) is a serious health problem and impact the country's economic burden. The efforts of hand wash is to prevent HAIs. Head of Space supervision and nurse’s motivation factors are affect hand washing compliance that remain poor among nurses. This research was conducted to determine the relationship between Head of Space supervision and nurse’s motivation with hand washing compliance in RSUD Y in 2018. This research was descriptive correlation with cross sectional design. The samples were 33 associate nurse through total sampling. The data was collected by questionnare and observation sheet. This research showed there is relationship between Head of Space supervision with hand washing compliance (p-value = 0.014, r = 0.423) and there is relationship between nurse’s motivation with hand hygiene compliance (p- value = 0.012, r = 0.433). This research concluded were Head of Space supervision by doing bad will decreased hand hygiene compliance and if nurse’s motivation increases will increased hand hygiene compliance among nurses in X room RSUD

scholarly journals GAMBARAN KEPATUHAN TENAGA KESEHATAN DALAM MENERAPKAN HAND HYGIENE DI RAWAT INAP RSUP PROF. Dr. R D. KANDOU MANADO

e-CliniC ◽  
2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Citra Prasilya Karuru ◽  
Theresia Isye Mogi ◽  
Lidwina Sengkey
Keyword(s):  
Hand Hygiene ◽  
Hand Hygiene Compliance ◽  
Health Workers ◽  
Compliance Rate ◽  
Cross Sectional ◽  
Route Of Transmission ◽  
Health Care Associated Infections ◽  
Cross Sectional Design ◽  
Hygiene Compliance

Abstract: Hands are the main route of transmission of germs during patient care. Nosocomial infection transmission can occur due to poor sanitation. Hand hygiene of health workers is very helpful in preventing the transmission of harmful germs and health care-associated infections. However, health workers still have less attention about the role of hand hygiene. This study aimed to determine the doctors and nurses’ compliance rate in implementing hand hygiene in Prof. Dr. R.D. Kandou Hospital Manado. This was an observational study with a cross-sectional design. Samples were specialist doctors, residents, and nurses in IRINA A, E, and F. The general compliance rate of hand hygiene was 5,2%. Based on the profession, the hand hygiene compliance rate of doctors was 2.4% (n=21) and of nurses 6.6% (n=113). Based on the monitored time, the compliance rate before entering rooms was 3.02% (n=39) and after entering rooms 7.35% (n=95). Conclusion: Hand hygiene compliance rate among health workers was still low.Keywords: health workers, hand hygiene compliance rate Abstrak: Tangan merupakan jalur utama penularan kuman selama perawatan pasien. Penularan infeksi nosokomial bisa terjadi akibat sanitasi yang kurang. Kebersihan tangan tenaga kesehatan sangat membantu pencegahan penularan kuman berbahaya dan mencegah infeksi terkait perawatan kesehatan. Namun, pentingnya penerapan hand hygiene masih kurang mendapat perhatian oleh tenaga kesehatan. Penelitian ini bertujuan untuk melihat gambaran kepatuhan tenaga kesehatan yakni tenaga dokter dan perawat dalam menerapkan hand hygiene di ruang rawat inap RSUP Prof. Dr. R. D. Kandou Manado. Metode penelitian yang digunakan ialah observasional dengan desain potong lintang. Sampel meliputi dokter spesialis, dokter residen, dan perawat. Angka kepatuhan keseluruhan ialah 5,2%. Berdasarkan kelompok pekerjaan, angka kepatuhan dokter 2,4% (n=21) dan perawat 6,6% (n=113). Dari dua indikasi yang diamati, angka kepatuhan sebelum masuk ruangan 3,02% (n=39) dan setelah keluar ruangan 7,35% (n=95). Simpulan: Tingkat kepatuhan hand hygiene tenaga kesehatan masih rendah.Kata kunci: tenaga kesehatan, tingkat kepatuhan hand hygiene

HUBUNGAN MOTIVASI DENGAN KEPATUHAN PERAWAT DALAM PRAKTIK KEBERSIHAN TANGAN DI RUANG BEDAH RSUD KABUPATEN INDRAMAYU

2018 ◽  
Vol 5 (2) ◽  
pp. 81-88
Author(s):  
Muhammad Saefulloh ◽  
Heri Sugiarto ◽  
Suwanto Suwanto
Keyword(s):  
Hand Hygiene ◽  
Nosocomial Infection ◽  
Hand Hygiene Compliance ◽  
P Value ◽  
Hygiene Practice ◽  
Chi Square ◽  
Improve Hand Hygiene ◽  
Cross Sectional ◽  
High Motivation ◽  
Hygiene Compliance

ABSTRAK Menjaga kebersihan tangan merupakan upaya pencegahan infeksi nosokomial yang ditularkan melalui tangan. Penelitian ini bertujuan untuk mengetahui hubungan antara motivasi dengan kepatuhan perawat dalam praktik kebersihan tangan di ruang Bedah RSUD Indramayu Tahun 2017. Metode Penelitian ini merupakan penelitian survei analitik dengan pendekatan cross sectional. Sampel penelitian ini sebanyak 30 perawat yang bekerja di ruang Bedah RSUD Kabupaten Indramayu. Alat pengumpulan data menggunakan kuesioner. Berdasarkan hasil penelitian diketahui motivasi tinggi sebanyak 66,7%. Dan kepatuhan perawat dengan kategori patuh sebesar 90,0%. Hasil analisis bivariat menunjukan p-value sebesar 0,03 dan α = 0,05 yang berarti ada hubungan antara motivasi dengan kepatuhan perawat dalam praktik kebersihan tangan di ruang Bedah RSUD Kabupaten Indramayu tahun 2017 (p-value 0,03, α = 0,05). Saran dari penelitian ini adalah perawat dipaparkan untuk menjaga kebersihan tangan dan meningkatkan ketaatan kebersihan tangan untuk mengurangi infeksi nosokomial Kata Kunci : Kebersihan tangan, motivasi, kepatuhan ABSTRACT Keeping hand hygiene will prevent the nosocomial infection that is transmitted by hand. The objective of this study is to find the correlation between motivation towards nurses obedience in implementing hand hygiene at Surgery care room RSUD Kabupaten Indramayu year 2017. The study used correlation methode with Crossectional approach. The sample were 30 nurses in Surgery care room RSUD Kabupaten Indramayu. The instrument used questioner. The data was analized by Chi square. The correlation showed that high motivation is 66,7%. Nurse compliance in hand hygiene practice as much as 90,0%. Bivariate analize showed that there is a correlation between motivation towards nurse obedience in implementing hand hygiene at Surgery care room RSUD Kabupaten Indramayu should be 2017 (p-value 0.03, α = 0.05) Suggestion from this study are nurses exposed to maintain hand hygiene and improve hand hygiene compliance to reduce nosocomial infections. Keywords : Hand Hygiene, Motivation, Obedience.

Addressing Hand Hygiene Compliance in a Low-Resource Neonatal Intensive Care Unit: a Quality Improvement Project

2018 ◽  
Vol 8 (5) ◽  
pp. 408-413 ◽  
Author(s):  
Arunava Biswas ◽  
Sangeeta Das Bhattacharya ◽  
Arun Kumarendu Singh ◽  
Mallika Saha
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Hand Hygiene ◽  
Neonatal Intensive Care Unit ◽  
Conceptual Framework ◽  
Neonatal Intensive Care ◽  
Hand Hygiene Compliance ◽  
Hand Washing ◽  
Root Cause ◽  
Hygiene Compliance

Abstract Objective Our goal for this study was to quantify healthcare provider compliance with hand hygiene protocols and develop a conceptual framework for increasing hand hygiene compliance in a low-resource neonatal intensive care unit. Materials and Methods We developed a 3-phase intervention that involved departmental discussion, audit, and follow-up action. A 4-month unobtrusive audit during night and day shifts was performed. The audit results were presented, and a conceptual framework of barriers to and solutions for increasing hand hygiene compliance was developed collectively. Results A total of 1308 hand hygiene opportunities were observed. Among 1227 planned patient contacts, hand-washing events (707 [58.6%]), hand rub events (442 [36%]), and missed hand hygiene (78 [6.4%]) events were observed. The missed hand hygiene rate was 20% during resuscitation. Missed hand hygiene opportunities occurred 3.2 times (95% confidence interval, 1.9–5.3 times) more often during resuscitation procedures than during planned contact and 6.14 times (95% confidence interval, 2.36–16.01 times) more often when providers moved between patients. Structural and process determinants of hand hygiene noncompliance were identified through a root-cause analysis in which all members of the neonatal intensive care unit team participated. The mean hand-washing duration was 40 seconds. In 83% of cases, drying hands after washing was neglected. Hand recontamination after hand-washing was seen in 77% of the cases. Washing up to elbow level was observed in 27% of hand-wash events. After departmental review of the study results, hand rubs were placed at each bassinet to address these missed opportunities. Conclusions Hand hygiene was suboptimal during resuscitation procedures and between patient contacts. We developed a conceptual framework for improving hand hygiene through a root-cause analysis.

scholarly journals Hand hygiene compliance in the intensive care unit of the Onderstepoort Veterinary Academic Hospital.

2019 ◽  
Author(s):  
Dikeledi Carol Sebola ◽  
Charlie Boucher ◽  
Caroline Maslo ◽  
Daniel Nenene Qekwana
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Hand Hygiene ◽  
Healthcare Workers ◽  
Hand Hygiene Compliance ◽  
Infection Prevention And Control ◽  
Patient Contact ◽  
Academic Hospital ◽  
Hand Wash ◽  
Hygiene Compliance

Abstract Hand hygiene compliance remains the cornerstone of infection prevention and control (IPC) in healthcare facilities. However, there is a paucity of information on the level of IPC in veterinary health care facilities in South Africa. Therefore, this study evaluated hand hygiene compliance of healthcare workers and visitors in the intensive care unit (ICU) at the Onderstepoort Veterinary Academic Hospital (OVAH). Method: A cross-sectional study was conducted among healthcare workers (HCWs) and visitors in the ICU using the infection control assessment tool (ICAT) as stipulated by the South African National Department of Health. Direct observations using the “five hand hygiene moments” criteria as set out by the World helath Organisation were also recorded. The level of compliance and a 95% confidence interval were calculated for all variables. Results: Individual bottles of alcohol-based hand-rub solution and hand-wash basins with running water, soap dispensers, and paper towels were easily accessible and available at all times in the ICU. In total, 296 observations consisting of 734 hand hygiene opportunities were recorded. Hand hygiene compliance was also evaluated during invasive (51.4%) and non-invasive (48.6%) procedures. The overall hand hygiene compliance was 24.3% (178/734). In between patients, most HCWs did not sanitize stethoscopes, leashes, and cellular phones used. Additionally, the majority of HCWs wore jewellery below the elbows. The most common method of hand hygiene was hand-rub (58.4%), followed by hand-wash (41.6%). Nurses had a higher (44%) level of compliance compared to students (22%) and clinicians (15%). Compliance was also higher after body fluid exposure (42%) compared to after patient contact (32%), before patient contact (19%), after contact with patient surroundings (16%), and before an aseptic procedure (15%). Conclusion: Hand hygiene compliance in this study was low, raising concerns of potential transmission of hospital-acquired infections and zoonoses in the ICU. Therefore, it is essential that educational programs be developed to address the low level of hand hygiene in this study.

scholarly journals Assessment of correlates of hand hygiene compliance among final year medical students: a cross-sectional study in the Netherlands

BMJ Open ◽  
2020 ◽  
Vol 10 (2) ◽  
pp. e029484
Author(s):  
Vicki Erasmus ◽  
Suzie Otto ◽  
Emmely De Roos ◽  
Rianne van Eijsden ◽  
Margreet C Vos ◽  
...  
Keyword(s):  
Risk Perception ◽  
Medical Students ◽  
The Netherlands ◽  
Hand Hygiene ◽  
Self Efficacy ◽  
Hand Hygiene Compliance ◽  
Secondary Outcome ◽  
Factual Knowledge ◽  
Cross Sectional ◽  
Hygiene Compliance

ObjectivesTo identify the factors that influence the hand hygiene compliance of final year medical students, using a theoretical behavioural framework.DesignCross-sectional survey assessing self-reported compliance and its behavioural correlates.SettingInternships of medical students in the Netherlands.Participants322 medical students of the Erasmus Medical Center were recruited over a period of 12 months during the Public Health internship, which is the final compulsory internship after an 18-month rotation schedule in all major specialities.Primary and secondary outcome measuresBehavioural factors influencing compliance to hand hygiene guidelines were measured by means of a questionnaire based on the Theory of Planned Behaviour and Social Ecological Models. Multiple linear regression analysis was used to identify the effect of including attitudes, social norms, self-efficacy, knowledge, risk perception and habit on hand hygiene compliance.ResultsWe included 313 students in the analysis (response rate 97%). The behavioural model explained 40% of the variance in self-reported compliance (adjusted R2=0.40). Hand hygiene compliance was strongly influenced by attitudes (perceived outcomes of preventive actions), self-efficacy (perception of the ability to perform hand hygiene at the clinical ward) and habit, but was not associated with knowledge and risk perception.ConclusionsTargeting medical students’ behaviour should focus on the empowerment of these juniors and provide them with evidence on the health benefits of prevention, rather than increasing their factual knowledge of procedures. Clinical teaching environments could help them form good patient safety habits during this vital phase of their career.

scholarly journals Hand hygiene compliance among healthcare workers in Ghana’s health care institutions: An observational study

2020 ◽  
Vol 25 (5) ◽  
pp. 177-186
Author(s):  
Aaron Asibi Abuosi ◽  
Samuel Kaba Akoriyea ◽  
Gloria Ntow-Kummi ◽  
Joseph Akanuwe ◽  
Patience Aseweh Abor ◽  
...  
Keyword(s):  
Health Care ◽  
Observational Study ◽  
Hand Hygiene ◽  
Outcome Measures ◽  
Healthcare Workers ◽  
Hand Hygiene Compliance ◽  
Hand Washing ◽  
Job Aids ◽  
The Mean ◽  
Hygiene Compliance

Objective To assess hand hygiene compliance in selected primary hospitals in Ghana. Design A cross-sectional health facility-based observational study was conducted in primary health care facilities in five regions in Ghana. A total of 546 healthcare workers including doctors, nurses, midwives and laboratory personnel from 106 health facilities participated in the study. Main outcome measures The main outcome measures included availability of hand hygiene materials and alcohol job aids; compliance with moments of hand hygiene; and compliance with steps in hygienic hand washing. These were assessed using descriptive statistics. Results The mean availability of hand hygiene material and alcohol job aids was 75% and 71% respectively. This was described as moderately high, but less desirable. The mean hand hygiene compliance with moments of hand hygiene was 51%, which was also described asmoderately high, but less desirable. It was observed that, generally, hand hygiene was performed after procedures than before. However, the mean compliance with steps in hygienic hand washing was 86%, which was described as high and desirable. Conclusion Healthcare workers are generally competent in performance of hygienic hand washing. However, this does not seem to influence compliance with moments of hand hygiene. Efforts must therefore be made to translate the competence of healthcare workers in hygienic hand washing into willingness to comply with moments of hand hygiene, especially contact with patients.

scholarly journals Hand hygiene compliance among rural healthcare workers of Nepal

2018 ◽  
Vol 5 (1) ◽  
pp. 90-95
Author(s):  
Ajay Kumar Rajbhandari ◽  
Reshu Agrawal Sagtani ◽  
Kedar Prasad Baral
Keyword(s):  
Health Care ◽  
Hand Hygiene ◽  
Healthcare Workers ◽  
Compliance Rate ◽  
Hand Washing ◽  
World Health ◽  
Cross Sectional ◽  
Hygiene Compliance ◽  
Health Organization ◽  
Healthcare Associated

Introductions: Transmission of healthcare associated infections through contaminated hands of healthcare workers are common. This study was designed to explore the existing compliance of hand hygiene among the healthcare workers workings in different level of health care centers of Makwanpur district of Nepal. Methods: This was a cross sectional observational study conducted in Makwanpur district, Nepal, during 2015. Healthcare workers from nine healthcare centers were selected randomly for the study. Standard observation checklists and World Health Organization guidelines on hand hygiene were used to assess the compliance of hand hygiene during patient care. Results: There were 74 participants. Overall compliance for hand washing was 24.25% (range 19.63 to 45.56). Complete steps of hand washing were performed by 38.3% of health care workers. The factors associated for noncompliance were lack of time (29.3%), example set by seniors (20%), absence or inadequate institution protocol (20%) and unfavourable health care setting (> 20%). Conclusions: Overall hand washing compliance rate amongst the healthcare workers in rural health facilities of Nepal were low (24.25%).

scholarly journals An evaluation of the effectiveness of nursing students' hand hygiene compliance: A cross-sectional study

2018 ◽  
Vol 65 ◽  
pp. 218-224 ◽  
Author(s):  
Emine Öncü ◽  
Sümbüle Köksoy Vayısoğlu ◽  
Diğdem Lafcı ◽  
Ebru Yıldız
Keyword(s):  
Nursing Students ◽  
Hand Hygiene ◽  
Hand Hygiene Compliance ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Hygiene Compliance

scholarly journals HUBUNGAN PENGETAHUAN DENGAN PERSEPSI KEPATUHAN HAND HYGIENE MAHASISWA PROGRAM STUDI NERS UNIVERSITAS ‘AISYIYAH YOGYAKARTA

2019 ◽  
Vol 8 (1) ◽  
pp. 39-45
Author(s):  
Rosiana Nur Imallah
Keyword(s):  
Hand Hygiene ◽  
Hand Hygiene Compliance ◽  
Student Nurses ◽  
Sampling Technique ◽  
P Value ◽  
Successful Implementation ◽  
Hygiene Compliance ◽  
Healthcare Associated ◽  
Nurse Students ◽  
And Control

Background: The fifth goal of patient safety establishing hand hygiene as one effective way to prevent and control Healthcare Associated Infections (HAIs). Of the efforts to support the successful implementation of hand hygiene is the obedience, knowledge and perceptions of nurse students who are practicing in  hospitals. Objective: The purpose of this study was to determine the association of knowledge with the perception of hand hygiene compliance of ners students of Aisyiyah University Yogyakarta. Methods: The study design was descriptive correlational. The sample in this study were 40 nurse students of ‘Aisyiyah University Yogyakarta 2017/2018 academic year by purposive sampling technique. The instrument in this study used a questionnaire, then analyzed with Kendal Tau. Results: The association between knowledge and perception toward hand hygiene compliance was not significant (p= 0.611 (> 0.05). p value > 0.05 indicates no relationship between knowledge level and perception of hand hygiene compliance. Conclusion: There is no association between knowledge and perception of hand hygiene compliance of ners students of 'Aisyiyah University Yogyakarta. The suggestion in this study is to prepare students to behave obediently to do hand hygiene through the learning process in the classroom. Keywords: Hand hygiene, knowledge, perception, student Nurses

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