The Influence of Health Workers’ Knowledge, Attitudes and Compliance on Implementation of Standard Precautions in Hospital-Acquired Infections Prevention at X Hospital Bantul
DOI:
https://doi.org/10.14738/abr.61.4142Keywords:
Knowledge, Attitude, Compliance, Standard Precautions, Hospital-Acquired Infections,Abstract
Prevention of infection is a form of efforts to maintain patient safety in health services in hospitals. However, the large number of health workers with low knowledge, inappropriate attitudes and non-adherence in the implementation of standard precautions makes increase the number of infections acquired in hospitals. This was an observational analytic study with cross-sectional design. Knowing the knowledge, attitudes and compliance to 99 health workers consisting of nurses and midwives in the inpatient room, intensive care unit and delivery room of X Hospital Bantul during July to August 2017. Data analysis using multiple logistic regression. There are three things that are assessed are knowledge, attitude and obedience. All aspects are assessed to have an effect on the application of standard precautions where compliance is the most influential factor in the application of standard precautions in the prevention of hospital-acquired infections.
References
Kementerian Kesehatan RI. (2006). Pedoman Penyelenggaraan Keselamatan Pasien di Rumah Sakit. Jakarta: Departemen Kesehatan RI.
Suryawati, C., Dharminto, & Shaluhiyah, Z. (2006). Penyusunan Indikator Kepuasan Pasien Rawat Inap Rumah Sakit di Provinsi Jawa Tengah. Jurnal Manajemen Pelayanan Kesehatan, 9(4), 177–184. https://doi.org/10.9774/jmk.13.1.61-75
Undang-Undang Republik Indonesia. (2009). Undang-Undang Republik Indonesia Nomor 44 Tahun 2009 Tentang Rumah Sakit. Jakarta: Undang-Undang Dasar Negara Republik Indonesia Tahun 1945.
Ocran, I., & Tagoe, D. N. A. (2014). Knowledge and Attitude of Healthcare Workers and Patients on Healthcare Associated Infections in a Regional Hospital in Ghana. Asian Pacific Journal of Tropical Disease, 4(2), 135–139. https://doi.org/10.1016/S2222-1808(14)60330-3
WHO. (2011). The Burden of Health Care-Associated Infection Worldwide: A Summary. World Health Organization, 3. Retrieved from http://www.who.int/gpsc/country_work/summary_20100430_en.pdf
Ott, E., Saathoff, S., Graf, K., Schwab, F., & Chaberny, I. F. (2013). The Prevalence of Nosocomial and Community Acquired Infections in a University Hospital. Deutsches Arzteblatt International, 110(31–32), 533–540. https://doi.org/10.3238/arztebl.2013.0533
Departemen Kesehatan RI. (2008). Pedoman Pencegahan dan Pengendlian Infeksi di Rumah Sakit dan Fasilitas Pelayanan Kesehatan Lainnya. https://doi.org/10.1017/CBO9781107415324.004
Septiari, B. B. (2012). Infeksi Nosokomial. Yogyakarta: Nuha Medika.
Kemenkes. (2009). Undang-undang Republik Indonesia No. 36 Tahun 2009 Tentang Kesehatan. Undang-Undang Republik Indonesia, 1–48. https://doi.org/10.1017/CBO9781107415324.004
Ghadamgahi, F., Zighaimat, F., Ebadi, A., & Houshmand, A. (2011). Knowledge, Attitude and Self-Efficacy of Nursing Staffs in Hospital Infections Control. Journal of Military Medicine, 13(3), 167–172.
Efstathiou, G., Papastavrou, E., Raftopoulos, V., & Merkouris, A. (2011). Factors Influencing Nurses’ Compliance with Standard Precautions in Order to Avoid Occupational Exposure to Microorganisms: A Focus Group Study. BMC Nursing, 10(1), 1. https://doi.org/10.1186/1472-695 5-10-1
Hamid, A. Y. (2008). Buku Ajar Riset Keperawatan: Konsep, Etika, Instrumentasi Ed 2. Jakarta: Penerbit Buku Kedokteran EGC.
WHO. (2006). Standard Precautions in Health Care Key Elements at a Glance. World Health Organization, 1–2.
Butvidas, E. A. (2005). Good Practice in Infection Prevention and Control: Guidance for Nursing Staff. Royal College of Nursing, 20. Retrieved from http://www.wales.nhs.uk/sites3/Documents/739/RCNinfectioncontrol.doc.pdf
Kang, J., Cho, J., Kim, Y., Kim, D. H., Lee, J., Park, H. K., Lee, E. N. (2009). Hospital Nurses’ Knowledge and Compliance on Multidrug-Resistant Organism Infection Control Guideline. Journal of Korean Academy of Nursing, 39(2), 186–197. https://doi.org/http://dx.doi.org/10.4040/jkan.2009.39.2.186
Fahmi, I. (2012). Gambaran Pengetahuan Perawat Tentang Kewaspadaan Standart. Universitas Indonesia.
Earl, C. E. (2010). Thai Nursing Students’ Knowledge and Health Beliefs about AIDS and use of Universal Precautions: a Cross-Sectional Descriptive Research Study. AAOHN Journal: Official Journal of the American Association of Occupational Health Nurses, 58(8), 331–334. https://doi.org/10.3928/08910162-20100716-01
Habni, Y. (2009). Perilaku Perawat Dalam Pencegahan Infeksi Nosokomial di Ruang Rindu A, Rindu B, ICU, IGD, Rawat Jalan di Rumah Sakit Umum Pusat Haji Adam Malik Medan. USU Repository. Universitas Sumatera Utara.
Wahid, I. (2007). Promosi Kesehatan. Yogyakarta: Graha Ilmu.
Maja, T. M. M., & Motshudi, M. J. (2009). Precautions used by Occupational Health Nursing Students during Clinical Placements. Curationis, 32(1), 14–9. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/20225748
Anupam, K., & Taneja, D. K. (2010). Health Care Workers and Universal Precautions: Perceptions and Determinants of Non-Compliance. Indian Journal of Community Medicine, 35(4), 526–528. https://doi.org/10.4103/ 0970-0218.74373
Machfoedz & Eko. (2007). Pendidikan Kesehatan Bagian dari Promosi Kesehatan Masyarakat. Yogyakarta: Fitramaya.
Henderson, D. K. (2001). Raising the Bar: The Need for Standardizing the Use of “Standard Precautions” as a Primary Intervention to Prevent Occupational Exposures to Bloodborne Pathogens. Infection Control and Hospital Epidemiology, 22(2), 70–72. https://doi.org/10.1086/501866
McGovern, P. M., Vesley, D., Kochevar, L., Gershon, R. R. M., Rhame, F. S., & Anderson, E. (2000). Factors Affecting Universal Precautions Compliance. Journal of Business and Psychology, 15(1), 149–161. https://doi.org/10.1023/A:1007727104284
Sahara, A. (2011). Faktor-faktor yang Berhubungan dengan Kepatuhan Perawat dalam Penerapan Kewaspadaan Universal/Kewaspadaan Standar di Rumah Sakit Palang Merah Indonesia Bogor Tahun 2011. Universitas Indonesia