scholarly journals Practices of Midwives in the Use of Personal Protective Equipment when Aid Labor during the COVID-19 Pandemic

2021 ◽  
Vol 1 (2) ◽  
pp. 173-179
Author(s):  
Shinta Novelia ◽  
Rosmawati Lubis ◽  
Reni Murniati ◽  
Bunga Tiara Carolin

Background: In the era of the COVID-19 pandemic, the use of personal protective equipment (PPE) is very important to reduce the risk of transmitting infectious diseases to medical personnel because it can prevent contact with pathogens. This shows that midwives as first-line managers of pregnancy, childbirth and postpartum cases must be vigilant by wearing complete Personal Protection Equipment (PPE) so that there is no transmission of the virus from the patient to the midwife. Objective: To determine the analysis of midwives' practices in using PPE when assisting labor during the COVID-19 pandemic at the Banten Regional General Hospital 2020-2021. Methodology: A quantitative analytic study using a cross sectional approach. The sample in this study was 102 respondents with purposive sampling technique. Data were analyzed using SPSS with Chi Square, which previously tested the validity and reliability. Results: The use of PPE in midwives in Banten Hospital obtained an average value of 84.3. Based on age, the average value was 53.9. Based on the length of service, the average score was 96.1. Based on education, the average score is 55.9. The results of the chi-square test showed that all independent variables had no relationship with the use of PPE including knowledge (p = 0.323), attitude (p = 0.665), availability of PPE (p = 0.740), and supervision (p = 0.603). Conclusions and Suggestions: The use of PPE in midwives has no relationship with knowledge, attitudes, availability of PPE and supervision. There is a need for socialization about the importance of using PPE to midwives in order to maintain the quality of expected care services. There is a need for an K3 unit in Banten Hospital which is one of the authorities. There needs to be special attention from the Hospital Management regarding the supervision of the use of PPE in midwives.

2021 ◽  
Vol 1 (3) ◽  
pp. 198-201
Author(s):  
Shinta Novelia ◽  
Rosmawati Lubis ◽  
Erma Sulistiyorini

Background: Perineum wound care is one of the factors to prevent infection during the puerperium. Because the perineum is a difficult area to keep dry and clean. Care and observation are needed during the puerperium to ensure that the perineum is healed by taking care of the perineum properly and correctly. During the Covid-19 pandemic, postpartum maternal visits to health facilities were very limited because it was to avoid transmitting infectious diseases to postpartum mothers.   Objective: To determine the knowledge of the post-partum women about the practice of perineal wounds during the Covid-19 pandemic at the Banjar Health Centre in 2021.   Methodology: this descriptive study used a cross sectional approach. The sample in this study was 102 respondents with accidental sampling technique. Data were analyzed using SPSS with Chi Square, which previously tested the validity and reliability.   Results: The practice of treating perineum wounds in the working area of the Banjar Health Centre obtained an average score of 73.5. Based on the knowledge obtained an average value of 89.2. The results of the Chi Square test showed that all independent variables had a relationship with perineum wound care practices, including knowledge (p = 0.001).   Conclusions and Suggestions: The practice of perineum wounds care in postpartum women has a relationship with the women’s level of knowledge. Postpartum women can expand their knowledge about wound care in the perineum during the puerperium through mass and electronic media and counseling provided by health personnel.       


2019 ◽  
Vol 5 (2) ◽  
pp. 8
Author(s):  
Ivan Iqbal Baidowi ◽  
Yunita Armiyanti ◽  
Zahrah Febianti ◽  
Yudha Nurdian ◽  
Bagus Hermansyah

This study aimed to investigate the correlation between the use of Personal Protective Equipment (PPE) and the status of Soil-Transmitted Helminths infection in the workers of Kaliputih plantation in Jember Regency. The research method applied was Analytic observational with a Cross-sectional approach. The population, as well as the sample, were all workers of Kaliputih Plantation, Sumber Bulus Village, Ledokombo District, Jember Regency, by the total of 63 people. The sampling technique was the Total sampling. Laboratory analysis on faecal samples of respondents were conducted at the Parasitology Laboratory, Faculty of Medicine, University of Jember. Furthermore, the research data were analyzed using Chi-Square analysis or Fisher’s Exact Test. The results demonstrated that the prevalence of STH infection in Kaliputih Plantation workers was 25%. This figure was supported by the good awareness of the use of Personal Protective Equipment (PPE) of workers (91.67%). In addition, the Soil-Transmitted Helminths species that infested the plantation workers were Ascaris lumbricoides, found in 6 people (16.67%), and Hookworm, found in 3 people (8.33%). Finally, the result of Chi-square analysis showed a significance value of <0.05. Therefore, it can be concluded that the use of PPE in Kaliputih plantation workers had a significant correlation with the STH infection status. Keywords: Correlation, PPE, Soil-Transmitted Helminths Infection


2021 ◽  
Vol 7 (2) ◽  
pp. 67-74
Author(s):  
Eka Putri Hartuti ◽  
Dyah Suryani ◽  
Vebby Amellia Edwin ◽  
Maretalinia Maretalinia ◽  
Suyitno Suyitno

Background: As one of the vulnerable groups to be infected by COVID-19, healthcare workers are required to obey the hospital rules and protocols. However, it may remain challenging for them, especially related to the provision of using personal protective equipment.Objective: This study examined the obedience of medical personnel to personal protective equipment in preventing the transmission of COVID-19 at PKU Muhammadiyah Hospital Yogyakarta, Indonesia.Methods: This cross-sectional study examined 259 medical personnel (medical doctors, nurses, and midwives) in the hospital. Descriptive statistics, Chi-Square test, and multiple logistic regression were used for data analysis.Results: The majority of respondents were nurses (80.3%) and female (63.3%). Those who had a poor attitude would be three times more likely to have poor obedience to using personal protective equipment (Adj. OR: 2.81, 95% CI: 1.52 - 5.19). Sex, age, length of work, level of knowledge, level of motivation, and facility support were not correlated with obedience to using personal protective equipment.Conclusion: The finding reported that many medical personnel were not obedient to using personal protective equipment because their response to disease prevention was poor. The results can be used for further intervention and education or training programs for medical personnel.


2020 ◽  
Vol 5 (1) ◽  
pp. 1
Author(s):  
Melda Yenni ◽  
Ede Surya Darmawan

<p><em>Awareness of the benefits of using personal protective equipment (PPE) needs to be instilled in every workforce, because feeling uncomfortable (uncomfortable, hot, heavy, disturbed) is one reason why a worker does not use personal protective equipment (PPE). This study aims to look at the factors that influence workers in the use of Personal Protective Equipment (PPE) at PT. X This research is an analytic study with cross sectional approach. The study population was all workers at PT X while the study sample was workers at PT X as many as 77 workers. The sampling technique using purposive sampling technique based on inclusion criteria. The study was conducted in August to September 2017. The research instrument was a questionnaire. Data collection techniques with interviews. Data were analyzed using a statistical test that is chi square. The results showed that workers who are not compliant in usage are categorized as bad, that is 61.0%. Bivariate results indicate variables that influence workers in the use of PPE are supervision (p-value = 0.001). Variables that did not affect the behavior of PPE use were coworkers (p-value = 0.522) and punistment (p-value = 0.281). From the results above it can be concluded that the compliance of PPE usage in PT. X is influenced by supervision.</em></p><p> </p><p><em>Kesadaran akan manfaat penggunaan alat pelindung diri (APD) perlu ditanamkan pada setiap tenaga kerja, karena perasaan tidak nyaman (risih, panas, berat, terganggu) merupakan salah satu alasan mengapa seorang pekerja tidak menggunakan alat pelindung diri (APD). Penelitian ini bertujuan untuk melihat faktor yang mempengaruhi pekerja dalam pemakaian Alat Pelindung Diri (APD) pada PT. X .</em></p><p><em>Penelitian ini merupakan penelitian analitik dengan pendekatan potong lintang (cross sectional). Populasi penelitian adalah seluruh pekerja di PT X sedangkan sampel penelitian adalah pekerja di PT X sebanyak 77 pekerja. Teknik pengambilan sampel dengan mengunakan teknik purposive sampling berdasarakan kriteria inklusi. Penelitian dilakukan pada bulan Agustus sampai dengan September 2017. Instrumen penelitian adalah kuesioner. Teknik pengumpulan data dengan wawancar. Data dianalisis mengunakn uji statistik yaitu chi square.</em><em> </em><em>Hasil penelitian diperoleh bahwa pekerja yang tidak patuh dalam pemakain dikategorikan buruk  yaitu sebesar 61,0%. Hasil bivariat menunjukkan variabel yang mempengaruhi pekerja dalam pemakaian APD yaitu pengawasan (p-value=0,001). Variabel yang tidak mempengaruhi perilaku pemakaian APD adalah rekan kerja (p-value=0,522) dan punistment (p-value=0,281).</em><em> </em><em>Dari hasil diatas dapat disimpulkan bahwa kepatuhan pemakian APD di PT. X dipengaruhi oleh pengawasan.</em></p>


Author(s):  
Gusti Permatasari ◽  
Gunung Setiadi ◽  
Arifin Arifin

Abstract: Relations Of Knowledge, Attitude And Comfort Of Personal Protective Equipment (PPE) In Las Electrical Workshop Subdistrict Central Amuntai Regency Hulu Sungai Utara 2016. Means work safety and health is one of the aspect protection of the labour to achieve optimal productivity. The means of the implementation of the safety and health of work, use of personal protection equipment (PPE) is a last choice in protecting the safety and health for workers of hazards potential. The results of a preliminary survey shows 60% on 10 workers of the las electrical workshop knowing the benefits and usefulness of the APD. The comfort factor of 80% felt less comfortable. The purpose of the study is to know the relations of knowledge, attitude and comfort with the use of personal protective equipment (PPE) in las electrical workshop Subdistrict Amuntai Central Regency Hulu Sungai Utara. The benefits of this research are as information materials and evaluation to find out the factors that affect its relationship with workers wearing of personal protection equipment (PPE). The research method used analytic survey with cross sectional design. Population of research to 40 people.Data analysis used X2 (Chi-Square). The results showed : (1) knowledge (p=0,000), (2) attitude (p=0,025), comfort (p = 0.002). The results showed that there is a relationship of knowledge, attitude and comfort with the use of personal protective equipment (PPE) in las electrical workshop Subdistrict Central Amuntai Regency Hulu Sungai Utara. An increase in oversight activities of las electrical workshops of workers so that workers work safely as wearing the of personal protective equipment (PPE) when working. Keywords: PPE; knowledge; attitude; comfort


2021 ◽  
Vol 21 (1) ◽  
pp. 20-25
Author(s):  
Ekorini Listiowati ◽  
Fitria Eka Rianti

Tuberculosis (TB) prevalence in Indonesia occupies the 2nd position globally; therefore, it is necessary to prevent TB transmission, including the use of Personal Protective Equipment (PPE) in high-risk individuals. This study aims to determine the relationship between nurses' knowledge and behavior in using PPE to prevent TB transmission in hospitals. This study used a cross-sectional design, with the research subjects of all nurses in the isolation room and the TB polyclinic in a private hospital (X) in Yogyakarta. The study was attended by 38 nurses, with a total sampling technique. Data were obtained using a questionnaire. The data analysis employed descriptive statistical tests and chi-square. This study’s results indicated that most nurses had good knowledge (31 people; 81.6%) and good behavior (32 people; 84.2%). Chi-square analysis revealed a significant relationship between knowledge and nurses' behavior in using PPE (p = 0.000). It was concluded that there was a significant relationship between knowledge and nurses' behavior in using PPE in the TB ward and polyclinic at Hospital X.


Author(s):  
Suryono ◽  
Bambang Wiseno ◽  
Fannidya Hamdani Zeho

The ongoing COVID-19 pandemic has had a very significant impact on every area of ​​the organization, especially the health sector, especially hospitals. One of the impacts experienced is the work pressure felt by hospital employees. This study aims to analyze the work pressure experienced by hospital employees during the covid-19 pandemic which was obtained from the type of work and stressor factors that influenced it. This type of research was quantitative with a cross sectional approach. The sample of this study was 120 employees at Hospital "X" in Indonesia. The sampling technique is probability sampling with random sampling method. Univariate analysis test was used to see the distribution of frequency and percentage of each variable and bivariate analysis with chi-square test to determine the relationship between variables (p value <0.05). It was found that the type of employee's work was significantly related to the employee's work pressure. Then an analysis of the level of work pressure is carried out with the influencing work pressure stressor. Based on the Spearman Correlation Test, a correlation value of 0.589 with a sig value of 0.000 means that the sig value is smaller than 0.05 (0.000 <0.05) indicating that there is a significant effect between stressor and work pressure at Hospital "X". The cause of high work pressure from this type of work is the demands of the organization in relation to the high role of tasks, especially medical personnel, which increases during the pandemic. Then the stressor factors that influence are role overload, role conflict and role ambiguity caused by the demands of the duties and roles of employees, poor communication, and lack of direct guidance from the leadership on the tasks and regulations given.


Author(s):  
Yogi Adiputro

Introduction: Clinical laboratories are a kind of workplace that must be designed in strict compliance with occupational health and safety standards to create a safe work environment. Fatal work accidents can inflict injuries caused by improper use of equipment, poisoning due to chemical substances in clinical laboratories, and transmission of dangerous diseases. Methods: This is an observational research with a cross sectional approach. The population of this study was 15 health analysts in the X Regional Clinical Laboratory of East Java. The research used total sampling method, carried out from July to September 2018. The dependent variable is the use of PPE and the independent variables are the lack of control and the basic causes. Data were analyzed using Chi square and Spearman correlation tests. Results: 53.3% of the employees of X Regional Clinical Laboratory of East Java use PPE accordingly. There is a strong relationship between knowledge and the use of PPE (r= 0.607). There is a strong correlation between the motivation and the use of PPE (r= 0.600). There is a strong relationship between the availability of PPE and the use of PPE (r = 0.756). Conclusion: There is a strong relationship between knowledge, motivation, and availability of PPE with the use of PPE.Keywords: knowledge, motivation, personal protective equipment


2021 ◽  
Vol 10 (1) ◽  
pp. 108-115
Author(s):  
Yurike Septianingrum ◽  
Andikawati Fitriasari ◽  
Erika Martining Wardani

Background: During the Covid-19 outbreak, health workers, especially nurses, are vulnerable to potential psychological symptoms such as anxiety, which can prevent nurses from carrying out their role as caregivers in health services (Lai et al., 2020; Shanafelt et al., 2020). Objectives: The purpose of this study is to analyze the factors that can influence the anxiety of nurses in playing the role of caregiver during the Covid-19 pandemic. Methods: This is a cross-sectional study with a population of all nurses who met the inclusion criteria as much as 105 nurses. The research sample was selected through stratified random sampling and obtained 84 nurses. This research was conducted at RSI Jemursari Surabaya from June until September 2020. The research instruments used in this study were the demographic observation sheet, knowledge questionnaire, and the Hamilton Anxiety Rank Scale (HARS). Data analysis used Pearson chi-square test and multivariate logistic regression. Results: The results of the Pearson Chi-square test showed that of all the factors studied, only age (p = 0.004), availability of personal protective equipment (p = 0.002), and knowledge (p = 0.017) influenced nurses' anxiety. The results of the analysis using multivariate logistic regression test showed that the factor that most influenced nurses' anxiety was the availability of personal protective equipment (p = 0.001; OR = -3.062). Conclusion: Younger nurses, inadequate personal protective equipment, and less knowledgeable nurses were at high risk for more severe anxiety. Regular observation of the psychological condition of nurses and the fulfillment of the need for personal protective equipment is needed to prevent increased anxiety in nurses.   Keywords: Nurse, anxiety, Covid-19, caregiver.


2020 ◽  
Vol 2020 ◽  
pp. 1-10
Author(s):  
M. A. Alao ◽  
A. O. Durodola ◽  
O. R. Ibrahim ◽  
O. A. Asinobi

Background. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a highly infectious disease with a potential for healthcare workers (HCWs) getting infected due to inadequate protection while attending to patients. Effective use of personal protective equipment (PPE) is key to mitigating the spread of SARS-CoV-2 infection in healthcare settings. Hence, there is a need to understand HCWs’ use of PPE in resource-limited settings and how closely the currently recommended guidelines for PPE are followed. This study assessed the HCWs’ knowledge about, attitudes towards, beliefs on, and use of PPE to prevent SARS-CoV-2 infection in a resource-limited setting. Methods. This cross-sectional study was conducted in April 2020 in Southwest and Northwest Nigeria. The selection of participants was performed via the snowball sampling technique using a 33-item, web-based, self-administered questionnaire via a social media network. We obtained relevant sociodemographic data and information on participants’ occupations and knowledge about, attitudes towards, beliefs on, and use of PPE. We analysed the data using SPSS version 23.0 for Windows (IBM, Armonk, New York, USA). A p values <0.05 were considered statistically significant. Results. A total of 290 subjects responded to the questionnaire, and 18 (6.2%) were excluded because of incomplete data. The mean age of the respondents was 32.3 ± 9.9 years. There were 116 males (42.6%). The majority of the respondents were medical doctors (114, 41.9%), followed by nurses and clinical students. Of the 272 respondents in this survey, only 70 (25.7%) had adequate knowledge about PPE. Of the respondents who presumed they had adequate knowledge about donning and doffing PPE, 94 (56%) were incorrect. The predictors of good knowledge were ages younger than 45 years (p=0.046) and practice location (p=0.009). Conclusion. This study showed that HCWs’ knowledge about, attitudes towards, and beliefs on PPE and their PPE skill in practice in Nigeria were remarkably poor. There is an urgent need for nationwide practical training on PPE use to curtail the spread of SARS-CoV-2 infection among HCWs.


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