scholarly journals Hubungan Pengetahuan Perawat Tentang Hais (Healthcare Associated Infections) dengan Kepatuhan Hand Hygiene di Ruang Rawat Inap RSUD Encik Mariyam Tahun 2020

2021 ◽  
Vol 2 (1) ◽  
pp. 118-126
Author(s):  
SARAH

ABSTRAK Hand hygiene merupakan teknik dasar yang penting dalam pencegahan HAIs namun tingkat kepatuhan perawat dalam melakukan hand hygiene masih rendah. Tujuan penelitian ini adalah mengetahui hubungan pengetahuan perawat tentang HAIs dengan kepatuhan hand hygiene di ruang rawat inap RSUD Encik Mariyam tahun 2020. Penelitian ini menggunakan desain deskriptif korelasional dan pendekatan cross-sectional. Metode sampling yang digunakan adalah total sampling dengan besar sample 32 orang perawat di ruang rawat inap RSUD Encik Mariyam. Data penelitian dikumpulkan melalui metode observasi oleh peneliti dan pengisian kuesioner oleh responden. Data hasil penelitian dianalisa dengan uji Somers’ D. Hasil analisa univariat didapatkan gambaran pengetahuan perawat tentang HAIs pada kategori sedang (53.1%) dan gambaran kepatuhan hand hygiene pada kategori dilakukan dengan baik (71.9%). Hasil analisa bivariate didapatkan  p value= 0.007 sehingga dapat disimpulkan ada hubungan yang signifikan antara pengetahuan perawat tentang HAIs dengan kepatuhan hand hygiene di ruang rawat inap RSUD Encik Mariyam tahun 2020. Berdasarkan hasil penelitian ini diharapkan agar meningkatkan pengetahuan perawat tentang HAIs dan manajemennya melalui seminar / sosialisasi dan pelatihan guna meningkatkan kesadaran perawat akan pentingnya pencegahan HAIs dengan hal-hal sederhana seperti hand hygiene.

2009 ◽  
Vol 30 (9) ◽  
pp. 830-839 ◽  
Author(s):  
Yves Longtin ◽  
Hugo Sax ◽  
Benedetta Allegranzi ◽  
Stéphane Hugonnet ◽  
Didier Pittet

Background.Research suggests that patients could improve healthcare workers' compliance with hand hygiene recommendations by reminding them to cleanse their hands.Objective.To assess patients' perceptions of a patient-participation program to improve healthcare workers' compliance with hand hygiene.Design.Cross-sectional survey of patient knowledge and perceptions of healthcare-associated infections, hand hygiene, and patient participation, defined as the active involvement of patients in various aspects of their health care.Setting.Large Swiss teaching hospital.Results.Of 194 patients who participated, most responded that they would not feel comfortable asking a nurse (148 respondents [76%]) or a physician (150 [77%]) to perform hand hygiene, and 57 (29%) believed that this would help prevent healthcare-associated infections. In contrast, an explicit invitation from a healthcare worker to ask about hand hygiene doubled the intention to ask a nurse (from 34% to 83% of respondents; P < .001) and to ask a physician (from 30% to 78%; P < .001). In multivariate analysis, being nonreligious, having an expansive personality, being concerned about healthcare-associated infections, and believing that patient participation would prevent healthcare-associated infections were associated with the intention to ask a nurse or a physician to perform hand hygiene (P < .05). Being of Jewish, Eastern Orthodox, or Buddhist faith was associated also with increased intention to ask a nurse (P < .05), compared with being of Christian faith.Conclusions.This study identifies several sociodemographic characteristics associated with the intention to ask nurses and physicians about hand hygiene and underscores the importance of a direct invitation from healthcare workers to increase patient participation and foster patient empowerment. These findings could guide the development of future hand hygiene-promotion strategies.


2019 ◽  
Vol 7 (2) ◽  
pp. 88-95
Author(s):  
Haris Basuni ◽  
Chriswardani Suryawati ◽  
Sri Achadi Nugraheni

Healthcare Associated Infections/HAIs merupakan persoalan serius di fasilitas kesehatan yang bisa menjadi penyebab kematian pasien dan bertambahnya hari rawat. Universal precaution dirancang di rumah sakit sebagai langkah awal untuk tindakan pencegahan HAIs. Tujuan penelitian ini adalah untuk mengetahui faktor-faktor yang mempengaruhi Praktik Perawat dalam pelaksanaan unversal precaution pencegahan infeksi di RSUD Brebes.Jenis penelitian observasional kuantitatif dengan pendekatan cross sectional. Jumlah sampel 130 perawat, teknik pengambilan sampel dalam penelitian ini menggunakan non probability sampling dengan prosedur convenient/judgement sampling. Pengumpulan data menggunakan kuesioner dan lembar observasi. Analisis data dengan program SPSS menggunakan korelasi rank spearman dan regresi logistik metode enter.Hasil penelitian menunjukkan pengetahuan perawat sebagian besar baik 70,8%, sikap perawat sebagian besar baik 58,5%, praktik perawat sebagian besar baik 50,8%. Uji hubungan rank spearman menunjukkan adanya hubungan antara pengetahuan dan sikap dengan praktik perawat dalam pelaksanaan universal precaution dengan nilai p-value < 0,05. Analisis multivariat regresi logistik menunjukkan pengetahuan dengan nilai rho 5,351 dan sikap dengan nilai rho 6,835 secara bersama-sama berpengaruh terhadap Praktik Perawat dalam pelaksanaan universal precaution. Saran untuk meningkatkan praktik perawat dalam pelaksanaan universal precaution perlu dilakukan  usaha untuk meningkatkan pengetahuan dan sikap perawat dengan cara mengadakan pelatihan .


2021 ◽  
Vol 1 (1) ◽  
pp. 63-72
Author(s):  
M Ricko Gunawan ◽  
M Arifki Zainaro ◽  
Eka Novita Sari

ABSTRACT: RELATIONSHIP OF HANDWASHING COMPLIANCE AND NURSE PPE USE WITH RISK OF HEALTHCARE ASSOCIATED INFECTIONS (HAIS) DURING THE COVID-19 PANDEMIC AT RSUD MAYJEN H.M. RYACUDU NORTH LAMPUNG Introduction: Infection is the invasion of the body by a pathogen or microorganism, which can cause disease or tissue damage. A hospital infection or hospital-acquired infection (HOIS) or healthcare-associated infection (HAIS) is an infection acquired during a patient's hospital stay, provided that the incubation period of the disease has not occurred at the time of admission. Objective: It is known that there is a relationship between handwashing compliance and the use of PPE for nurses with the risk of healthcare-associated infections (HAIS) during the COVID-19 pandemic at the Mayjend. H.M Ryacudu Hospital, North Lampung in 2021. Methods : The type of research used in this study is related to the descriptive nature with a cross sectional research design. The subjects of this study were all obstetrical, pediatric (perinatal and NICU) nurses, operating rooms and internal medicine at Mayjend.H.M Ryacudu Hospital, North Lampung. The number of samples used as many as 60 respondents.Results: The statistical test of nurses' compliance with the chi-square in handwashing obtained a p-value of 0.033 where the p-value < (0.033 < 0.05) then Ha, and the Odds Ration value was accepted at 0.314. By using the chi-square statistical test for nurses who use PPE, the p-value is 0.241, so the p-value < (0.241 > 0.05) and Ho is rejected, and the Odds ration value is 0.519.Conclusion: There is a relationship between handwashing compliance with the risk of health-related infections (HAIS), and there is no relationship between the use of PPE by nurses and the risk of healthcare-associated infections (HAIS) at the Mayjend H.M Ryacudu Hospital, North Lampung. Keywords: Compliance with handwashing, use of APD, HAIS      INTISARI : HUBUNGAN KEPATUHAN CUCI TANGAN DAN PENGGUNAAN APD PERAWAT DENGAN RESIKO KEJADIAN HEALTHCARE ASSOCIATED INFECTIONS (HAIS) PADA MASA PANDEMI COVID-19 DI RSUD MAYJEND. H.M. RYACUDU LAMPUNG UTARA Pendahuluan : Infeksi adalah invasi tubuh oleh patogen atau mikroorganisme, yang dapat menyebabkan penyakit atau kerusakan jaringan. Infeksi rumah sakit atau infeksi yang didapat di rumah sakit (HOIS) atau infeksi terkait perawatan kesehatan (HAIS) adalah infeksi yang diperoleh selama pasien dirawat di rumah sakit, asalkan masa inkubasi penyakit belum berlangsung pada saat masuk. Tujuan : Diketahui hubungan kepatuhan cuci tangan dan penggunaan APD perawat dengan resiko kejadian healthcare associated infections (HAIS) pada masa pandemi covid-19 di RSUD Mayjend.H.M Ryacudu Lampung Utara.Metode : Jenis penelitian yang digunakan dalam penelitian ini berkaitan dengan sifat deskriptif dengan desain penelitian cross sectional. Subyek penelitian ini adalah seluruh perawat obstetri, anak (perinatal dan NICU), kamar operasi dan penyakit dalam di RSUD Mayjend.H.M Ryacudu Lampung Utara. Jumlah sample yang dipakai sebanyak 60 responden.Hasil : Uji statistik kepatuhan perawat terhadap chi-square dalam cuci tangan diperoleh nilai p sebesar 0,033 dimana nilai p < α (0,033 < 0,05) kemudian Ha, dan nilai Oods Ration diterima sebesar 0,314. Dengan menggunakan uji statistik chi-square perawat yang menggunakan APD didapatkan nilai p-value 0,241, sehingga nilai p-value < α (0,241 > 0,05) dan Ho ditolak, serta nilai Oods ration sebesar 0,519.Kesimpulan : Memiliki hubungan antara kepatuhan cuci tangan dengan risiko infeksi terkait kesehatan (HAIS), serta tidak ada hubungan antara penggunaan APD oleh perawat dengan risiko healthcare associated infections (HAIS) pada RSUD mayjend H.M Ryacudu Lampung Utara. Kata Kunci : Kepatuhan cuci tangan, penggunaan APD, HAIS


2021 ◽  
Vol 11 (10) ◽  
pp. 260-266
Author(s):  
Harshita Hemant Sisodiya ◽  
Sneha Hemant Sisodiya ◽  
Nikhil Jaykumar Gandhi

Introduction: Hand hygiene is the first line of defense and a cost-effective method for reducing healthcare-associated infections (HCAIs) and antibiotic resistance. It is essential for healthcare professionals to have adequate knowledge regarding hand hygiene. Ensuring proper education of trainees is required as they are the healthcare providers of the future. Aim: To assess the impediments that both medical and dental trainees face in performing effective hand hygiene. Materials and Methods: The study questionnaire based on WHO’s concepts of "Five Moments for Hand Hygiene" and “Six Steps of Hand Hygiene” was sent to 225 participants from 2nd & 3rd MBBS and BDS courses. Associations between variables of interest were tested using the chi-square (χ2) test. Statistical analysis was carried out using the Statistical Package for the Social Sciences version 17. The p-value <0.05 was considered statistically significant. Results: Total 184 (81.9%) students from medical and 41(18.2%) from dental stream participated, 118 out of 225 were females and 107 were males. Out of 225, 175 (77.8%) participants used soap and water, 32 (14.2%) used hand rub. Also 98 out of 225 (43.6%) participants think that because of workload the steps of handwashing were missed. The various facilities like access to water, wash basin, soap, hand-rub, facilities for drying hands required for hand hygiene may be lacking as per 31.6% participants. It was noticed that 96 out of 225 (42.7%) use hand rub for less than 10 seconds duration, 86 (38.2%) for 11-20 seconds, 30 (13.3%) for 21-30 seconds while only 13(5.8%) used hand-rub for than 30 seconds. For performing handwash, 141 out of 225 (62.7%) used cloth towel, 62(27.6%) used paper-towel and 22(9.8%) used dryer for drying hands. 205 out of 225 (91.1%) participants think increasing the frequency of training and audits will help in improving the hand hygiene. Conclusion: Formal training in of hand hygiene needs to be incorporated in teaching at the undergraduate level which would ensure adequate and appropriate utilization of resources. Provision of adequate hand hygiene supplies, particularly soap and facilities for drying hands needs to be ensured. Key words: Healthcare associated infections, Hand rub, Hand wash, Undergraduate students.


2020 ◽  
Vol 2 (1) ◽  
pp. 68-82
Author(s):  
M. Arifki Zainaro ◽  
Susi Anisia Laila

THE CORRELATIONS OF MOTIVATION AND ATTITUDE TO OBEDIENCE OF NURSE IN HAND HYGIENE IMPLEMENTATION IN WARDS OF DR. A. DADI TJOKRODIPO PUBLIC HOSPITAL IN BANDAR LAMPUNG IN 2019 Introduction: the hand hygiene behavior is one factor that has a big influence for preventing healthcare associated infection (HAIS) case in hospitals. The observation result to 10 nurses showed that 7 nurses (70%) did not wash their hands before doing treatments to patients, and 3 nurses (30%) did washing hands before doing treatments to patients. A pre-survey questionnaire result of motivation and attitude to 10 nurses showed that 7 nurses (70%) had low motivation and 3 nurses (30%) had moderate motivation. 6 nurses (60%) had good attitude to hand hygiene implementation and 4 nurses (40%) did not have good attitude to hand hygiene implementation.Objective: the objective of this research was to find out thecorrelations of motivation and attitude to obedience of nurse in hand hygiene implementation in wards of dr. A. Dadi Tjokrodipo public hospital in Bandar Lampung in 2019.Method: this was a quantitative research by using cross sectional approach. Subjects were 46 nurses in E1, E2, E3, E4 wards. This research was conducted in June 2019. Research variables were obedience of nurse, motivation, and attitude. Data were collected with questionnaires and analyzed by using univariate and bivariate analyses with chi square test.Result: the result showed that 23 respondents (0.0%) had low motivation for hand hygiene implementation, 24 respondents (52.2%) had good attitude to hand hygiene implementation, and 27 respondents (58.7%) were obedient to hand hygiene implementation. Chi square test derived p-value 0.017 <α 0.05 for motivation variable, 0.000 < 0.05 for attitude variable.Conclusion: there were correlations of motivation and attitude to obedience of nurse in hand hygiene implementation in wards of dr. A. Dadi Tjokrodipo public hospital in Bandar Lampung in 2019. The researcher expects motivation to be given for the nurses to improve their obedience in hand hygiene in wards of dr. A. Dadi Tjokrodipo public hospital in Bandar Lampung. Keywords      : Hand Hygiene, Motivation, Attitude, Obedience, Nurse INTISARI: HUBUNGAN MOTIVASI DAN SIKAP DENGAN KEPATUHAN PERAWAT DALAM PELAKSANAAN HAND HYGIENE DI RUANG RAWAT INAP RSUD DR. A. DADI TJOKRODIPO KOTA BANDAR LAMPUNG TAHUN 2019 Pendahuluan: Perilaku hand hygiene merupakan salah satu faktor yang mempunyai pengaruh besar terhadap pencegahan terjadinya Healthcare Associated Infection (HAIS)di rumah sakit.Hasil observasi pada 10 orang perawat, sebanyak 7 (70%) perawat tidak melakukan cuci tangan sebelum melakukan tindakan kepada pasien , sebanyak 3 perawat (30%) melakukan cuci tangan sebelum melakukan tindakan kepada pasien.  Sedangkan hasil prasurvey dengan memberikan kuisioner motivasi dan sikap terhadap 10 perawat yang sedang dinas, 7 orang (70%) dengan motivasi rendah dan 3 orang perawat (30%) dengan motivasi sedang, dengan pada kuisioner sikap didapat 6 orang (60%) memiliki sikap yang baik terhadap pelaksanaan hand hygiene, dan 4 orang (40%) memiliki sikap kurang baik dalam pelaksanaan hand hygiene.Tujuan:Diketahui hubungan motivasi dan sikap dengan kepatuhan perawat dalam pelaksanaan hand hygiene Di Ruang Rawat Inap RSUD Dr. A. Dadi Tjokrodipo Kota Bandar Lampung Tahun 2019.Metode: Jenis penelitian kuantitatif dengan pendekatan Crossecional. Sasaran dalam penelitian seluruh perawat di ruang rawat inap E1, E2, E3, E4 sebanyak 46 responden. Waktu penelitian akan dilaksanakan setelah proposal di setujui. Variabel penelitian yaitu kepatuhan perawat dalam pelaksanaan hand hygiene, motivasi, sikap. Pengumpulan data menggunakan kuesioner. Analisis data secara univariat dan bivariat (Chi square).Hasil: Sebagian besar responden memiliki motivasi hand hygiene lemah 23 responden (50,0%), sikap perawat dalam hand hygiene  baik sebanyak 24 responden (52,2%), kepatuhan perawat dalam hand hygiene patuh sebanyak 27 responden (58,7%). Hasil analisa data menggunakan uji chi square didapat nilai p-value = 0.004 (<0,05) variabel motivasi dengan kepatuhan perawat, nilai p-value = 0.000 (<0,05) variabel sikap dengan kepatuhan perawatKesimpulan: Terdapat hubungan motivasi dengan kepatuhan perawat, dan terdapat artinya adahubungan sikap dengan kepatuhan perawat dalam pelaksanaan hand hygiene di ruang rawat inap Rumah Sakit Umum Daerah Dr. A. Dadi Tjokrodipo Kota Bandar Lampung Tahun 2019. Saran diharapkan memberikan motivasi dengan meningkatkan kepatuhan mencuci tangan dalam hand hygiene five moment di ruang rawat inap RSUD Dr. A. Dadi Tjokrodipo Bandar Lampung. Kata Kunci             : Hand Hygiene, Motivasi, Sikap, Kepatuhan, Perawat


2019 ◽  
Vol 20 (6) ◽  
pp. 289-296
Author(s):  
Emmanuel O Irek ◽  
Alhaji A Aliyu ◽  
Tukur Dahiru ◽  
Temitope O Obadare ◽  
Aaron O Aboderin

Introduction: Healthcare-associated infections (HAIs) are threats in healthcare settings contributing to increased morbidity, mortality and antimicrobial resistance worldwide. Hand hygiene (HH) is the simplest and most important single intervention to reduce HAIs. Aims/objectives: This study sought to determine rates of HAIs as well as compliance of HH among healthcare workers (HCWs) in Obafemi Awolowo University Teaching Hospitals Complex (OAUTHC). Methods: A cross-sectional study was conducted among 227 HCWs (59 doctors, 129 nurses and 39 ward attendants) selected by multistage sampling across 10 hospital wards. Electronic interviewer-administered questionnaire, HH compliance checklist and point prevalence of HAI were done using World Health Organization and Centers for Disease Control and Prevention toolkits, respectively. Results: Only 20.33% (n = 12) of doctors, 3.88% (n = 5) of nurses and 2.56% (n = 1) of ward attendants had good knowledge of HH (χ2 = 22.22, P value = 0.01). Among doctors, 11.86% (n = 7), 6.98% (n = 9) of nurses and 2.56% (n = 1) of ward attendants had positive perception towards HH (χ2 = 7.87, P value = 0.25). Of the 174 opportunities for HH observed, compliance rates were 42.37%, 55.81% and 68.97% among doctors, nurses and ward attendants, respectively. Point prevalence of HAI was 16.38%. Discussion: Good knowledge and positive perception about HH were uncommon among doctors, nurses and ward attendants. However, ward attendants had the highest compliance to HH. There was a high prevalence of HAIs in this institution.


2021 ◽  
Vol 4 (1) ◽  
Author(s):  
Fitria Noviana ◽  
Endang Pertiwiwati ◽  
Ichsan Rizany

Flebitis adalah Healthcare Associated Infections yang dialami oleh pasien selama 3x24 jam dengan munculnya tanda gejala selama dirawat dirumah sakit. Salah satu faktor yang berpengaruh dalam pencegahan flebitis yaitu pengetahuan perawat dan pengawasan dari supervisor berhubungan erat terhadap keselamatan pasien di ruang rawat inapagar dapat meningkatkan mutu pelayanan keperawatan. Tujuan penelitian untuk mengetahui hubungan fungsi pengawasan supervisor dengan pengetahuan perawat dalam pencegahan flebitis di Ruang Rawat Inap Rumah Sakit Daerah Idaman Kota Banjarbaru. Metode penelitian non-eksperimen dengan cross sectional. Teknik yang digunakan yaitu probability sampling dengan stratified random sampling. Sampel penelitian 81 perawat pelaksana di Rumah Sakit Daerah Idaman Kota Banjarbaru. Pengambilan data menggunakan 3 instrumen berupa kuesioner data demografi, fungsi pengawasan supervisor,dan pengetahuan perawat dalam pencegahan flebitis. Analisis data menggunakan korelasi spearman. Hasil penelitian menggambarkan fungsi pengawasan supervisor didapatkan nilai median  sebesar 32,00 (75% dari nilai tertinggi) dan nilai median pengetahuan perawat dalam pencegahan flebitis sebesar 13,00 (72,2 dari nilai tertinggi). Hasil analisis didapatkan adanya hubungan yang positif antara fungsi pengawasan supervisor dengan pengetahuan perawat dalam pencegahan flebitis di ruang rawat inap RSD Idaman Kota Banjarbaru (p value=0,00002). Fungsi pengawasan supervisor yang baik dan sesuai dengan tujuan yang ingin dicapai dapat menghasilkan perawat dengan pengetahuan yang baik dan saling berkesinambungan dengan pencegahan terhadap flebitis.


Author(s):  
Gita Ayuningtyas ◽  
Nita Ekawati ◽  
Rahma Puspitasari

Infeksi nosokomial mengacu pada infeksi yang terjadi ketika pasien dirawat di rumah sakit atau fasilitas medis lain, dan infeksi ini tidak tersedia saat masuk. Setiap pasien rumah sakit berisiko terkena infeksi yang didapat di rumah sakit. Keluarga pasien dapat menjadi perantara yang dapat menyebarkan infeksi. Cuci tangan merupakan cara efektif untuk memutus rantai infeksi. Kesalahan untuk melakukan cuci tangan dengan benar dapat dianggap sebagai penyebab utama terjadinya infeksi nosokomial di sarana kesehatan. Pemberian edukasi cuci tangan kepada keluarga pasien harus dilakukan oleh seluruh civitas rumah sakit. Peningkatan pemahaman keluarga pasien tentang cuci tanagn enam tahap dapat berpengaruh terhadap perilaku mencuci tangan. Penelitian ini bertujuan untuk mengetahui impak pendidikan cuci tangan terhadap konduite mencuci tangan enam tahap pada famili pasien. Metode penelitian memakai ancangan kuantitatif dengan memakai pola cross sectional yang dilakukan kepada 198 responden memakai kuesioner dan observasi. Hasil penelitian didapatkan mayoritas usia responden 36-45 tahun (41%), jenis kelamin wanita 110 (56%), pendidikan pada jenjang SMA sebanyak 77 (39%), dan pengalaman terhadap edukasi cuci tangan menyatakan 90% responden pernah terpapar. Dari uji chi-square dapat disimpulkan bahwa pendidikan cuci tangan berpengaruh signifikan terhadap perilaku cuci tangan enam tahap keluarga pasien (p value = 0,046). Saran yang dapat diberikan yaitu perawat perlu meningkatkan pemberian edukasi cuci tangan enam tahap pada keluarga pasien secara konsisten dan berkesinambungan


2018 ◽  
Vol 1 (1) ◽  
pp. 12
Author(s):  
Menik Kustriyani ◽  
Ivana Probo Kaeksi ◽  
Tamrin Tamrin

Joint Commission International ( JCI ) required the achievement of 100% five moment hand hygiene for the nurses who have provided care to patients. The adherence of five moments hand hygiene has been done to reduce the incidence of nosocomial infections. The adherence of five moments hand hygiene has been determined by inside and outside factors, and one of the inside factors is the motivation. The research is a qualitative research with cross sectional approach. The number of sample is 153 nurses with the proportionate random sampling technique at the Public Hospital of Loekmono Hadi Kudus. The research instruments used the questionaire and observation sheet. The research showed the result of Rank Spearman test p value = 0,000 with r value = 0.296, positive correlation means that the higher the nurse motivation, the higher the nurse aderence of five moment hand hygiene.


Sign in / Sign up

Export Citation Format

Share Document