Factors Associated with Nurse Compliance in the Application of Standard Precautions to Infection Prevention

Abraham Steven Yotlely, Riski Fitryasari, Eka Mishbahatul M.Has

= http://dx.doi.org/10.20473/fmnj.v2i1.12575
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Abstract


Introduction: Standard precaution to prevent infection is applied in patient treatment in the health service facility to prevent the cross of infection has established prior to patient diagnosis, laboratory examination, and after patient diagnosis. The aim of this research was to analyze some factors related to nursing compliance in the application of standard precaution in the X Regional Public Hospital.

Method: Research used correlational design by using the cross-sectional method. The populations of this research were all nurses who worked in the UGD and the X hospital treatment room. The samples were used 90 respondents of 116 nurses who were sampled by using stratified random sampling. The dependent variable was nursing compliance. Meanwhile, the independent variables were an individual factor (knowledge and perception of risk), occupational factor (resistance of standard precaution application and workload), and organizational factor (safety climate, information and training, and facility availability). Instruments used questioner and observation. Then they were analyzed by using logistic regression test with significant rate <0.05.

Result: There was a significant relationship between knowledge (0=0.014), information and training (p=0.023) with nurse compliance in the application of Standard Precautions.

Conclusion: The increase of knowledge, information, and training effect to nurse compliance in the application of standard precautions, so it is needed management support in increasing knowledge, information, and training about standard precautions.


Keywords


standard precaution; individual factor; occupational factor; organizational factor; compliance

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References


Aung, S. S., Nursalam, N., & Dewi, Y. S. (2017). Factors Affecting The Compliance Of Myanmar Nurses In Performing Standard Precautions. Jurnal Ners, 12(1), 1. https://doi.org/10.20473/jn.v12i1.2294

Brevidelli, M. M., & Cianciarullo, T. I. (2009). Fatores psicossociais e organizacionais na adesão às precauções-padrão. Revista de Saúde Pública, 43(6), 907–916. https://doi.org/10.1590/S0034-89102009005000065

Camacho-Ortiz, A., Díaz-Rodríguez, X., Rodríguez-López, J. M., Martínez-Palomares, M., Palomares-De La Rosa, A., & Garza-Gonzalez, E. (2013). A 5-year surveillance of occupational exposure to bloodborne pathogens in a university teaching hospital in Monterrey, Mexico. American Journal of Infection Control, 41(9), e85–e88. https://doi.org/10.1016/j.ajic.2013.01.008

Carayon, P., & Gurses, A. P. (2008). Nursing Workload and Patient Safety—A Human Factors Engineering Perspective. Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Agency for Healthcare Research and Quality (US). Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/21328758

Center for Disease Control and Prevention. (2007). Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings.

DeJoy, D. M. (1996). Theoretical Models of Health Behavior and Workplace Self-Protective Behavior. Joumal of Safety Research (Vol. 27). Retrieved from http://158.132.155.107/posh97/private/behavioral-safety/theoretical-models-dejoy.pdf

DeJoy, D. M., Murphy, L. R., & Gershon, R. M. (1995). The influence of employee, job/task, and organizational factors on adherence to universal precautions among nurses. International Journal of Industrial Ergonomics, 16(1), 43–55. https://doi.org/10.1016/0169-8141(94)00075-E

DeJoy, D. M., Searcy, C. A., Murphy, L. R., & Gershon, R. R. (2000). Behavioral-diagnostic analysis of compliance with universal precautions among nurses. Journal of Occupational Health Psychology, 5(1), 127–41. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/10658891

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. https://doi.org/10.1186/1472-6955-10-1

Eljedi, A., & Dalo, S. (2014). Compliance with the national palestinian infection prevention and control protocol at governmental paediatric hospitals in gaza governorates. Sultan Qaboos University Medical Journal, 14(3), e375-81. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/25097774

Feyer, A.-M., & Williamson, A. (1998). Occupational Injury: Risk, Prevention and Intervention. Unaited Kingdom: Taylor & Francis e-Library.

Gershon, R. R. M., Vlahov, D., Felknor, S. A., Vesley, D., Johnson, P. C., Delcios, G. L., & Murphy, L. R. (1995). Compliance with universal precautions among health care workers at three regional hospitals. AJIC: American Journal of Infection Control, 23(4), 225–236. https://doi.org/10.1016/0196-6553(95)90067-5

Hahn, S. E., & Murphy, L. R. (2008). A short scale for measuring safety climate. Safety Science, 46(7), 1047–1066. https://doi.org/10.1016/j.ssci.2007.06.002

Haile, T. G., Engeda, E. H., & Abdo, A. A. (2017). Compliance with Standard Precautions and Associated Factors among Healthcare Workers in Gondar University Comprehensive Specialized Hospital, Northwest Ethiopia. Journal of Environmental and Public Health, 2017, 2050635. https://doi.org/10.1155/2017/2050635

Henderson, D. K. (2012). Management of Needlestick Injuries: a House Officer Who has a Needlestick. JAMA, 307(1), 75. https://doi.org/10.1001/jama.2011.1828

Hinkin, J., & Cutter, J. (2014). How do university education and clinical experience influence pre-registration nursing students’ infection control practice? A descriptive, cross sectional survey. Nurse Education Today, 34(2), 196–201. https://doi.org/10.1016/J.NEDT.2013.09.005

Karmon, S. L., Mehta, S. A., Brehm, A., Dzurenko, J., & Phillips, M. (2013). Evaluation of bloodborne pathogen exposures at an urban hospital. American Journal of Infection Control, 41(2), 185–6. https://doi.org/10.1016/j.ajic.2012.02.024

Kementerian Kesehatan RI. (2008). Keputusan Menteri Kesehatan RI Tentang Standar Pelayanan Minimal Rumah Sakit, 69–73.

Kementerian Kesehatan RI. (2010). Standar Kesehatan dan Keselamatan Kerja Di Rumah Sakit. Jakarta.

Kementerian Kesehatan RI. (2017). Peraturan Menteri Kesehatan Nomor 27 Tahun 2017 tentang Pedoman Pencegahan Dan Pengendalian Infeksi Di Fasilitas Pelayanan Kesehatan, 1–172. Retrieved from http://hukor.kemkes.go.id/uploads/produk_hukum/PMK_No._27_ttg_Pedoman_Pencegahan_dan_Pengendalian_Infeksi_di_FASYANKES_.pdf

Kermode, M., Jolley, D., Langkham, B., Thomas, M. S., Holmes, W., & Gifford, S. M. (2005). Compliance with Universal/Standard Precautions among health care workers in rural north India. American Journal of Infection Control, 33(1), 27–33.

https://doi.org/10.1016/j.ajic.2004.07.014

Luo, Y., He, G.-P., Zhou, J.-W., & Luo, Y. (2010). Factors impacting compliance with standard precautions in nursing, China. International Journal of Infectious Diseases, 14(12), e1106–e1114. https://doi.org/10.1016/J.IJID.2009.03.037

Machfoedz, I., & Suryani, E. (2007). Pendidikan Kesehatan Bagian dari Promosi Kesehatan Masyarakat. Yogyakarta: Fitramaya.

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

Notoatmodjo, S. (2010). Ilmu Perilaku Kesehatan. Jakarta: Rineka Cipta.

Pereira, F. M. V., Malaguti-Toffano, S. E., Silva, A. M. da, Canini, S. R. M. da S., Gir, E., Pereira, F. M. V., … Gir, E. (2013). Adesão às precauções-padrão por profissionais de enfermagem que atuam em terapia intensiva em um hospital universitário. Revista Da Escola de Enfermagem Da USP, 47(3), 686–693. https://doi.org/10.1590/S0080-623420130000300023

Porto, J. S., & Marziale, M. H. P. (2016). Motivos e consequências da baixa adesão às precauções padrão pela equipe de enfermagem. Revista Gaúcha de Enfermagem, 37(2). https://doi.org/10.1590/1983-1447.2016.02.57395

Sahara, A. (2011). Faktor-Faktor Yang Berhubungan Dengan Perawat dan Bidan Dalam Penerapan Kewaspadaan Universal/Kewaspadaan Standar di Rumah Sakit Palang Merah Indonesia Bogor Tahun 2011. Jakarta.

Smet, B. (1994). Psikologi Kesehatan. Jakarta: PT Gasindo.

Thoha, M. (2007). Perilaku Organisasi Konsep Dasar dan Aplikasinya (1st ed.). Jakarta: PT. Raja Grafindo Persada.

Yuliana, C. (2012). Kepatuhan Perawat Terhadap Kewaspadaan Standar Di RSKO Jakarta. Universitas Indonesia.


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