DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20192804

Factors associated with the level of compliance of nurses in universal precaution application

Liena Sofiana, Suci Musvita Ayu, Dewik Sundari

Abstract


Background: The highest prevalence of surgical wound infections in NurHidayah Hospital occurred in 2014 which is at 2.80%. This was because nurses’ compliance in using PPE and hand washing was still low and the culture for reporting needle puncture events had not been implemented so that the number of nurses who were punctured was still unknown. Meanwhile, the lowest prevalence of surgical wound infections occurred in 2016 amounting to 0.76%, this happened because the compliance of nurses in using PPE was quite high and the incidence of needle puncture reached 0 (zero) but compliance in hand washing was still low.

Methods: This study was a quantitative study with an observational analytic method with a cross sectional design. The variables in this study were knowledge, attitudes, working period, training and nurse compliance in the application of universal precaution with the number of respondents 46 nurses. The research instruments used were questionnaires and observation sheets. The data analysis was conducted using chi square test and fisher test.

Results: Factor associated with the level of nurse compliance in universal university application was attitudes (0.000), while factors not related to the level of nurse compliance in the application of universal precaution include knowledge (0.124), years of service (0.657) and training (0.098).

Conclusions: There is a relationship between attitudes and levels of nurse compliance in implementing universal precaution in NurHidayah Hospital. There is no relationship between knowledge, work and training with the level of nurse compliance in the application of universal precaution at NurHidayah Hospital.


Keywords


Knowledge, Attitudes, Working period, Training, Level of nurse compliance, Universal precaution

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References


Ministry of Health of the Republic of Indonesia. Regulation of the Minister of Health of the Republic of Indonesia Number 27 of 2017 concerning Prevention of Infection Control Guidelines in Health Service Facilities. Jakarta: Ministry of Health of the Republic of Indonesia; 2017;1–167. Available from: http://ditjenpp.kemenkumham.go.id/arsip/bn/2017/bn857-2017.pdf.

World Health Organization. Prevention of hospital-acquired infections - A practical guide. Ducel G, Fabry J, Nicolle L (eds). World Health Organization. World Health Organization Department of Communicable Disease, Surveillance and Response; 2002;1–64. Available from: http://apps.who.int/medicinedocs/documents/s16355e/s16355e.pdf.

Sugiyatno, Trismiana E, Novikasari L, Isnaini UCA. Self Protection with Compliance with Nurses in the Implementation of Universal Precautions at Bhayangkara Bandar Lampung Hospital in 2014. J Kesehat Holistik. 2014;8(2):82–8.

Efstathiou G, Papastavrou E, Raftopoulos V, Merkouris A. Factors Influencing Nurses’ Compliance with Standard Precautions in Order to Avoid Occupational Exposure to Microorganisms : A Focus Group Study. BMC Nurs. 2011;10(1):1–12.

Gultom A, Umboh JM, Polii B. Factors Associated with Universal Precaution by Nurses in the Inpatient Room of Internal Medicine (Irina C) RSUP. Prof. Dr. R.D. Kandau Manado. Paradigma. 2016;4(3):29–42.

Puspasari Y. Relationship between Knowledge, Attitude and Practice of Nurses in the Prevention of Nosocomial Infection in the Inpatient Room of Kendal Islamic Hospital. FIKkes J Keperawatan. 2015;8(1):23–43.

Marbun AS. Factors Affecting Prevention of Nosocomial Infection in the ICU Room and inpatient 3rd Floor of Sari Mutiara Hospital Medan. J Online Keperwatan Indones. 2018;1(2):10–6.

Tawas GBS, Abeng TD, Manoppo C. Factors Associated with the Application of Universal Precaution by Nurses in the Surgical Inpatient Room (IRINA A) RSUP Prof. Dr. R. D. Kandau Manado. Community Health (Bristol). 2016;1(4):27–40.

Notoatmodjo S. Health Behavior Sciences. Jakarta: Rineka Cipta; 2010.

Riyanto DA. Factors Affecting Nurse Compliance in the Use of Personal Protective Equipment at Sari Asih Serang Hospital, Banten Province. J Kesehat “Caring Enthusiasm”. 2016;1(5):81–9.

Nursalam. Nursing Management: Applications in Professional Nursing Practices. Jakarta: Salemba Medika; 2011.

Saifudin AB. National reference book for Maternal and Neonatal Health Services, Prints to X. Jakarta: Yayasan bina pustaka sarwono prawirahardj; 2007.

Noviana N. Universal Precaution: Understanding Health Workers Against HIV/AIDS Prevention. J Kesehat Reproduksi. 2017;8(2):143–51.

Hayulita S. Application of universal precaution: nurse’s clean hand washing based on workload and motivation. Afiyah. 2017;IV(2):44–7.

Loi MA, Wagey F, Tamurang M. Factors Associated with the Implementation of Universal Precaution by Nurses in the Obstetric and Obstetric Inpatient Room of RSUP Prof. Dr. R. Kandau Manado. Paradigma. 2016;4(3):1–10.