scholarly journals Pengembangan Supervisi Refleksi “Gibbs” untuk Peningkatan Kepatuhan Kebersihan Tangan Petugas Kesehatan

2020 ◽  
Vol 3 (1) ◽  
pp. 22
Author(s):  
Muhammad Fandizal ◽  
Hanny Handiyani
Keyword(s):  
Hand Hygiene ◽  
Health Workers ◽  
Sample Selection ◽  
Fish Bone ◽  
Direct Supervision ◽  
Management Function ◽  
Kurt Lewin ◽  
Hygiene Compliance ◽  
Indirect Supervision ◽  
Nursing Manager

Supervision is an actuating part of the management function to achieve the goals of the organization. Supervision of hand hygiene compliance 94 health workers conducted by infection, prevention, & control link nurse (IPCLN) using direct supervision methods. The purpose of developing indirect supervision is because direct supervision is not effective to be carried out, so the development of supervision reflection "Gibbs Reflective Cycle" to assess the compliance of nurses in doing hand hygiene. The method used is the Pilot Study involving internal and external reform agents. Sample selection using purposive sampling as many as 30 respondents consisting of nurses, doctors, and caregivers. The implementation of the study concluded that the compliance of officers in performing hand hygiene was 72.33%, and then Fish Bone analysis was conducted to determine the main problem. The problem was solved by developing the organization using the Kurt Lewin method and using plan, do, check and action (PDCA). The program is carried out by making manuals and operational procedures standard (OPS) for the supervision of reflection. The recommendation given is to propose a draft reflection supervision manual and the OPS that has been prepared should be endorsed by the President Director and disseminating information to the Nursing Manager, the head of the room, and / IPCLN.

scholarly journals Description of Hand Hygiene’s Compliance on Nurse of Hemodialysis at Haji Hospital Surabaya

2017 ◽  
Vol 5 (2) ◽  
pp. 240
Author(s):  
Rr Rizqi Saphira Nurani ◽  
Atik Choirul Hidajah
Keyword(s):  
Hand Hygiene ◽  
General Hospital ◽  
Hand Hygiene Compliance ◽  
Health Workers ◽  
Data Retrieval ◽  
Improve Hand Hygiene ◽  
Descriptive Research ◽  
Hemodialysis Unit ◽  
Audit Form ◽  
Hygiene Compliance

Thousands patients around the world die every day because of infections when they get treatment. This is because the transmission of microbacteria from the hands of health workers. Hand hygiene is the most important aspect to prevent the transmission of microbacteria and preventing HAIs. Hand hygiene awareness of health workers is a fundamental behavior to prevent cross-infection. The purpose of this study was to evaluate the hand hygiene compliance of nurse in Unit Hemodialysis of Hajj General Hospital Surabaya. Type of this research is descriptive research and observations by using a qualitative approach. Data retrieval on the research is an interview with nurse and audit hand hygiene. Research instrument using a questionnaire of hand hygiene and BSI knowledge, and hand hygiene audit form made by WHO. The population in this research was all nurses in Hemodialysis Unit General Hospital Surabaya Hajj that add up to 11 people. The results of this research obtained that compliance with hand hygiene Unit Hemodialysis nurse is 35%. The compliance were still less and has not reached the standards established by the PPI Hajj General Hospital Surabaya that is 100% and still has not reach compliance standards of WHO that is 40%. Hand hygiene compliance was low caused by the low participation of PPI base training and the lack of availability of hand hygiene facility in the Hemodialysis Unit General Hospital Surabaya Hajj. Advice from research were conducting on job training about how to perform hand hygiene and improve hand hygiene facilities in Hemodialysis Units. Keywords: hand hygiene, compliance, nurse

scholarly journals Healthcare Workers Knowledge, Attitude, and Availability of Facilities Toward Compliance Hand Hygiene

2019 ◽  
Vol 1 (1) ◽  
pp. 13-20
Author(s):  
Richa Noprianty ◽  
Gendis Kintan Dwi Thahara
Keyword(s):  
Hand Hygiene ◽  
Healthcare Workers ◽  
Sampling Method ◽  
Compliance Rate ◽  
Sample Selection ◽  
The United States ◽  
Cross Sectional ◽  
Knowledge And Attitude ◽  
Hygiene Compliance ◽  
Healthcare Associated

Failure to perform good hand hygiene is considered as an major cause of Healthcare Associated Infections (HAIs). From the WHO data, compliance rate of nurses hand hygiene activity at the United States is about 50%, Australia 65% while in Indonesia 47%. This study aims to determine healthcare workers knowledge, attitude, and availability of facilities toward that affect hand hygiene compliance. This research method is analytical descriptive with cross-sectional approach. The object of data collection is an healthcare workers (nurse, doctor, and pharmacy) at General Hospitalin West Java as many as 51 samples. Sample selection using stratified sampling method with research instrument in the form of questionnaire and observation sheet about knowledge and attitude to hand hygiene adopted from WHO. The results of this study that obtained in the group of nurse were 48.6% doing imperfect hand hygiene and group of doctor respectively 80.0% and pharmacy were 100.0%. In terms of nurses knowledge about hand hygiene is 59.5%, doctor80.0% and pharmacy 50.0%. In terms of attitudes about the implementation of hand hygiene, the nurses group is 48.6%, doctors respectively 40% and pharmacy 50.00% have a positive attitude. In terms of facilities is 40.5% nurses stated available, doctors 20% and pharmacy 0.00%. There was a significant relationship between hand hygiene with knowledge (p = 0,019), attitude (0.004) and hand hygiene facility (p = 0.040).   Keywords: attitude, hand hygiene, health care, knowledge

scholarly journals Risk Difference of Multidrug Resistance Organisms (MDROs) According to Risk Factor and Hand Hygiene Compliance

2015 ◽  
Vol 3 (3) ◽  
pp. 277
Author(s):  
Ajeng FS Kurniawati ◽  
Prijono Satyabakti ◽  
Novita Arbianti
Keyword(s):  
Multidrug Resistance ◽  
Length Of Stay ◽  
Hand Hygiene ◽  
Hand Hygiene Compliance ◽  
Health Workers ◽  
Risk Difference ◽  
Control Group ◽  
Treatment Unit ◽  
Hygiene Compliance

Nosocomial infections is still global public health problems. Along with the problems there are resistance bacterial problem to multiple classes of antibiotics, defined as multidrug resistance organisms (MDROs). Incidence rates of MDROs in ICU is higher than in other treatment unit. Rational antibiotic use and controlling the transmission of bacterial is important to avoid MDROs. The purpose of this study was to analyze Risk Differences of MDROs according to risk factors and hand hygiene compliance in ICU patients. This study used case control design with sample size was 20 patients for each case and control groups. Samples in cases group were patients infected by MDROs in ICU, while the samples in control group were patients in ICU didn’t infected by MDROs. The independent variable are long term use of antibiotic, length of stay, the use of ventilator, and hand hygiene compliance by health worker. Analyze data used OR (Odds Ratio) and RD (Risk Difference). The conclusion was that Risk Difference of MDROs infection by long term use of antibiotics (OR 10.23 95% CI 1.12 < OR < 93.35; RD = 0.47), length of stay (OR 7.36 95% CI 1.34<OR<40.55; RD = 0.44), the use of ventilator devices (OR 9.00 95% CI 1.64 < OR < 49.45; RD = 0.48) and hand hygiene compliance (OR 6.00 95% CI 1.46 < OR < 24.69; RD = 0.42). The conclusion was that maintaining hygiene before medical treatment, environment and health workers body should be implemented so can’t became a media for bacterial MDROs growth.Keywords: antibiotic,ventilator, length of stay, hand hygiene, MDROs

scholarly journals Utilization of Closed Circuit Television in Improving Nurse's Compliance on Hand Hygiene in Budhi Asih Hospital Jakarta

2020 ◽  
Vol 15 (2) ◽  
Author(s):  
Ahijrah Ramadhanti ◽  
Iwan Dwiprahasto ◽  
Hera Nirwati
Keyword(s):  
Hand Hygiene ◽  
Hand Hygiene Compliance ◽  
Health Workers ◽  
Individual Characteristics ◽  
Control Groups ◽  
Regression Test ◽  
Before And After ◽  
Health Care Associated Infections ◽  
Hygiene Compliance ◽  
And Control

<p><span>Health-care associated infections (HAIs) </span><span lang="SV">are infections</span><span>occur</span><span lang="IN">r</span><span>ing </span><span lang="EN-ID">in</span><span>hospitalized patients.</span><span lang="SV">The most effective way to prevent </span><span>HAIs</span><span lang="SV">is </span><span>through</span><span lang="SV">hand hygiene. However, hand hygiene compliance in health workers is still low. </span><span>This research aimed to </span><span lang="EN-ID">u</span><span>nderstand</span><span lang="EN-ID">the</span><span>association between CCTV</span><span lang="EN-ID">utilization</span><span>as </span><span lang="IN">a </span><span>reminder tool </span><span lang="EN-ID">in</span><span>improving the nurses</span><span lang="EN-ID">'</span><span lang="IN">hand hygiene compliance</span><span>in Budhi Asih</span><span lang="EN-ID">Hospital</span><span>Jakarta. The study </span><span lang="EN-ID">used a </span><span>quantitative</span><span lang="EN-ID">method by</span><span>a quas</span><span lang="EN-ID">i-</span><span>experimen</span><span lang="EN-ID">tal</span><span>approach. The 60 subjects </span><span lang="EN-ID">were</span><span>divided into two groups:</span><span lang="EN-ID">T</span><span>reatment and Control Groups based on their workplace. Quantitative data w</span><span lang="EN-ID">ere</span><span>obtained by filling</span><span lang="EN-ID">-</span><span>in a WHO-standardized questionnaire and observing each group before and after an intervention. </span><span lang="EN-ID">Data were </span><span>analyzed by univariate and bivariate analyses with chi</span><span lang="EN-ID">-</span><span>square test and multivariate analysis with logistic</span><span>regression test</span><span>. </span><span>Nurses' hand hygiene compliance through CCTV observation in Budhi Asih Hospital was 57%. The use of CCTV as reminder media significantly improved hand hygiene compliance (p = 0.002), compliance to 6 steps (p = 0.002) and compliance to the standard time of hand hygiene (p = 0.003). There was no significant correlation between individual characteristics (sex, age, education, working experience, and infection control training participation) with nurses' compliance on hand hygiene. The use of CCTV as reminder media significantly improved nurses' compliance to do hand hygiene.</span></p><p><em>Keywords</em><em>: </em><em>CCTV, Reminder, Hand Hygiene, Complience. </em></p><p><span><br /></span></p>

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

THE RESEARCH OF THE STATUS OF HAND HYGIENE COMPLIANCE AMONG STAFF IN ACTIVE ANTIPOOXICICURATOR DEPARTMENT IN LAM DONG II HOSPITAL IN 2019

2021 ◽  
Vol 62 (5) ◽  
Author(s):  
Nguyen Thi Huong ◽  
Tran Mai Anh ◽  
Tran Van Ngoc ◽  
Vu Thai Son ◽  
Tran Thi Thu Thuy
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Hand Hygiene ◽  
Health Workers ◽  
Compliance Rate ◽  
Hospital Patients ◽  
The Status ◽  
Hospital Acquired Pneumonia ◽  
Hygiene Compliance ◽  
Hospital Acquired

The research was carried out at Lam Dong II Hospital with a scale of 450 beds with the task of solving emergencies, providing medical examination and treatment for staff and people in 3 districts:Bao Loc, Da Huoai, and Di Linh. At the Intensive Care Unit - Anti-poison Department, Lam Dong II Hospital, patients have to undergo invasive procedures such as endotracheal intubation, mechanicalventilation, and the risk of hospital-acquired pneumonia is very high. To prevent people from risk, hand hygiene VST in patient care is a very important factor. The research analysis solves actual public health problems at Lam Dong II hospital with two main objectives: (1) Describe the current situation of routine hand hygiene of staff at the Intensive Care Unit - Anti-poison Department, Lam Dong II Hospital; (2) Proposing solutions to increase the hand hygiene rate among staff at the Intensive Care Unit - Anti-poison Department, Lam Dong II Hospital. Statistics show that the VST compliance rate of nurses at the Intensive Care Unit - Anti-poison Department is higher than that of doctors, nurses, the percentage of medical staff performing VSTwith quick hand sanitizer (71.8%) higher than the practice of washing hands with soap and water (28.2%), the survey results of 20 health workers showed that the knowledge about VST of the medicalstaff at the department meets the requirements of knowledge from 60% and above

scholarly journals Risk Difference of Multidrug Resistance Organisms (MDROs) According to Risk Factor and Hand Hygiene Compliance

2015 ◽  
Vol 3 (3) ◽  
pp. 277
Author(s):  
Ajeng FS Kurniawati ◽  
Prijono Satyabakti ◽  
Novita Arbianti
Keyword(s):  
Multidrug Resistance ◽  
Length Of Stay ◽  
Hand Hygiene ◽  
Hand Hygiene Compliance ◽  
Health Workers ◽  
Risk Difference ◽  
Control Group ◽  
Treatment Unit ◽  
Hygiene Compliance

ABSTRACTNosocomial infections is still global public health problems. Along with the problems there are resistance bacterial problem to multiple classes of antibiotics, defined as multidrug resistance organisms (MDROs). Incidence rates of MDROs in ICU is higher than in other treatment unit. Rational antibiotic use and controlling the transmission of bacterial is important to avoid MDROs. The purpose of this study was to analyze Risk Differences of MDROs according to risk factors and hand hygiene compliance in ICU patients. This study used case control design with sample size was 20 patients for each case and control groups. Samples in cases group were patients infected by MDROs in ICU, while the samples in control group were patients in ICU didn’t infected by MDROs. The independent variable are long term use of antibiotic, length of stay, the use of ventilator, and hand hygiene compliance by health worker. Analyze data used OR (Odds Ratio) and RD (Risk Difference). The conclusion was that Risk Difference of MDROs infection by long term use of antibiotics (OR 10.23 95% CI 1.12 < OR < 93.35; RD = 0.47), length of stay (OR 7.36 95% CI 1.34<OR<40.55; RD = 0.44), the use of ventilator devices (OR 9.00 95% CI 1.64 < OR < 49.45; RD = 0.48) and hand hygiene compliance (OR 6.00 95% CI 1.46 < OR < 24.69; RD = 0.42). The conclusion was that maintaining hygiene before medical treatment, environment and health workers body should be implemented so can’t became a media for bacterial MDROs growth.Keywords: antibiotic,ventilator, length of stay, hand hygiene, MDROs

scholarly journals Factors Related to Nurse Compliance in The Implementation of Universal Precaution in The Inpatient Room One of Private Hospital in Yogyakarta

2021 ◽  
Vol 10 (2) ◽  
pp. 177-188
Author(s):  
Siti Kurnia Widi Hastuti ◽  
Annisa Intan Fadilla ◽  
Selly Apriansyah
Keyword(s):  
Hand Hygiene ◽  
Nosocomial Infections ◽  
Private Hospital ◽  
Health Workers ◽  
Compliance Rate ◽  
Sampling Technique ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Hygiene Compliance

Transmission of nosocomial infections from person to person must be prevented by always maintaining hand hygiene after carrying out inspection activities and interaction activities in hospitals, one of them by doing hand hygiene. Awareness of the importance of hand hygiene in health workers is needed in efforts to prevent nosocomial infections. The hand hygiene compliance rate obtained at One of Private Hospital in Yogyakarta is 80%. Awareness of the importance of the implementation of hand hygiene does not yet exist or has not emerged in the nurse itself, while it is very important in addition to protecting himself from the transmission of infection and can reduce the risk and spread of nosocomial infections in the hospital. This study uses an observational analytic method with a cross-sectional design. The sampling technique uses proportional random sampling, with the number of samples studied as many as 89 people. The research data were analyzed using the chi-square test. The p-value of 0.040 (p 0.05) indicates that there is a relationship between knowledge and nurse compliance in the implementation of hand hygiene. A p-value of 1.00 (p 0.05) indicates that there is no relationship between attitude and nurse compliance in the implementation of hand hygiene. P-value of 0.425 (p 0.05) indicates that there is no relationship between motivation and nurse compliance in the implementation of hand hygiene

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