Faktor Yang Berhubungan Dengan Kepatuhan Perawat Dalam Penerapan Kewaspadaan Standar Pencegahan Infeksi

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

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


Pendahuluan: kewaspadaan standar untuk pencegahan infeksi diterapkan dalam perawatan pasien difasilitas pelayanan kesehatan untuk mencegah infeksi silang sebelum pasien didiagnosis, pemeriksaan laboratorium serta setelah pasien didiagnosis. Penelitian ini bertujuan menganalisa faktor yang berhubungan dengan kepatuhan perawat dalam penerapan kewaspadaan standar di RSUD X.

Metode: penelitian menggunakan desain korelasional dengan metode cross sectional. Populasi adalah semua perawat yang bekerja di UGD dan ruang perawatan RSUD X. Jumlah sampel yang digunakan sebanyak 90 responden dari 116 perawat yang diambil menggunakan stratified random sampling. Variabel dependen yaitu kepatuhan perawat, variabel independen yaitu faktor individu (pengetahuan, persepsi tentang resiko), faktor pekerjaan (hambatan penerapan kewaspadaan standar, beban kerja) dan faktor organisasi (iklim keselamatan, informasi dan pelatihan, ketersediaan sarana dan fasilitas). Instrumen menggunakan kuesioner dan lembar observasi kemudian dianalisis menggunakan uji regresi logistik dengan nilai signifikan < 0,05.

Hasil: ada hubungan yang signifikan antara pengetahuan (p=0,014), informasi dan pelatihan (p=0,023) dengan kepatuhan perawat dalam penerapan kewaspadaan standar.

Kesimpulan: peningkatan pengetahuan, informasi dan pelatihan berpengatuh terhadap kepatuhan perawat dalam penerapan kewaspadaan standar sehingga diperlukan dukungan manajemen dalam meningkatkan pengetahuan, infomasi dan pelatihan tentang kewaspadaan standar.


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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