The Compliance of Hospital Nurse in the Prevention of Urinary Tract Infection in Surabaya, Indonesia
Background: Catheter-Associated Urinary Tract Infection (CAUTI) is one of the most common infections in the hospital. In order to prevent and control CAUTI incidence, nurses are required to implement bundles of prevention. However, the lack of nurses’ compliance behavior in implementing the CAUTI bundle prevention was found. Objective: This study analyzes the nurse’s compliance behavior in implementing CAUTI prevention using the Theory of Planned Behavior (TPB) approach. Methods: This study was an analytical descriptive study with a cross-sectional design. Nurses who work in ICU, ICCU, HCU, and in-patient unit of the hospital were set as study population and taken as samples using simple random sampling. Background factors (age, education, knowledge, employment duration, career levels), attitudes, subjective norms, Perceived Behavior Control (PBC), and intention were determined as independent variables. In contrast, nurses’ compliance behavior in CAUTI prevention bundle implementation was determined as the dependent variable. Data were collected using a questionnaire and analyzed using logistic regression with a significance level of α < 0.05. Results: Among 111 nurses, most of them are in the age of 26-45 years (80.1%), has worked as a nurse for 8-13 years (29.7%), reach career level at Clinical Nurse 3 (51.4%), and have good knowledge about CAUTI prevention bundle (83.8%). The employment duration and career levels are background factors that correlate the most to the TPB factors. The nurses’ compliance behavior is influenced by attitude, subjective norm, PBC, and intention (P Value= 0.000). Multivariate analysis shows that intention is associated with nurses’ compliance behavior and increases nurses’ commitment to implement CAUTI prevention bundle (P Value= 0.033, OR= 6.46). Conclusion: The intention simultaneously influences the nurses’ compliance behavior.
Adiningsih, L. Y., Nopiyani, N. M. S. and Wirawan, I. M. A. (2018) ‘Hospital facilities, occupational safety environment and self-efficacy as predictors of healthcare-associated infections prevention and control compliance in nurses of inpatient care units’, Public Health and Preventive Medicine Archive, 6(2), p. 93. doi: 10.15562/phpma.v6i2.96.
Ahsan, A. et al. (2018) ‘Analysis of Nursing Behavior Factors in Documentation of Nursing Care in Emergency Unit Using Theory of Planned Behavior’, International Journal of Indonesian National Nurses
Association (IJINNA), 1(1), pp. 64–79. doi: 10.32944/ijinna.v1i1.20.
Ajzen, I. (2012) ‘The Theory of Planned Behavior’, in Van Lange, P. A. M., Kruglanski, A. W., and Higgens, E. T. (eds) Theories of Social Psychology. 1st edn. London: SAGE Publications Ltd, p. 583. doi: 10.4135/9781446249222.n46.
Al-Mousa, H. H. et al. (2016) ‘Device-associated infection rates, bacterial resistance, length of stay, and mortality in Kuwait: International Nosocomial Infection Consortium findings’, American Journal of Infection Control, 44(4), pp. 444–449. doi: 10.1016/j.ajic.2015.10.031.
Anggi, A., Wijaya, D. W. and Ramayani, O. R. (2019) ‘Risk factors for catheter-associated urinary tract infection and uropathogen bacterial profile in the intensive care unit in hospitals in Medan, Indonesia’, Open Access Macedonian Journal of Medical Sciences, 7(20), pp. 3488–3492. doi: 10.3889/oamjms.2019.684.
Balozi, M. A., Othman, S. Z. and Isa, M. F. M. (2018) ‘Mediating effects of subjective norms on the relationship between career advancement and job characteristics and knowledge sharing behavior among Tanzanian healthcare professionals’, Gadjah Mada International Journal of Business, 20(2), pp. 187–203. doi: 10.22146/gamaijb.23740.
Best, J. T. et al. (2018) ‘The Impact of Scripted Pain Education on Patient Satisfaction in Outpatient Abdominal Surgery Patients’, Journal of Perianesthesia Nursing, 33(4), pp. 453–460. doi: 10.1016/j.jopan.2016.02.014.
CDC (2010) ‘Frequently Asked Questions about Catheter-associated Urinary Tract Infections’.
Fritsch, P. F. et al. (2019) ‘Reinforcing a Catheter-Associated Urinary Tract Infection (CAUTI) Bundle Compliance Decreases Overall Catheter Days and CAUTIs’, American Journal of Infection Control, 47(6), p. S22. doi: 10.1016/j.ajic.2019.04.035.
Gagnon, M. P. et al. (2015) ‘Applying the Theory of Planned Behaviour to understand nurse intention to follow recommendations related to a preventive clinical practice’, Journal of Research in Nursing, 20(7), pp. 582–593. doi: 10.1177/1744987115611715.
Haile, T. G., Engeda, E. H. and 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. doi: 10.1155/2017/2050635.
Haque, M. et al. (2018) ‘Health Care-Associated Infections: An Overview’, Infection and Drug Resistance, 11, pp. 2321–2333.
Institute of Medicine (US) Committee on the Long-Run Macroeconomic Effects of the Aging U.S. Population (2012) ‘Aging, Productivity, and Innovation’, in Aging and the Macroeconomy: Long-term Implications of An Older Population. Washington D.C.: National Academies Press, pp. 106–121. doi: 10.5860/choice.50-5701.
Jun, J., Kovner, C. T. and Stimpfel, A. W. (2016) ‘Barriers and facilitators of nurses’ use of clinical practice guidelines: An integrative review’, International Journal of Nursing Studies, 60, pp. 54–68. doi: 10.1016/j.ijnurstu.2016.03.006.
Kan, M. P. H., Fabrigar, L. R. and Fishbein, M. (2017) ‘Encyclopedia of Personality and Individual Differences’, Encyclopedia of Personality and Individual Differences, pp. 1–8. doi: 10.1007/978-3-319-28099-8.
Kausuhe, J. et al. (2017) ‘Hubungan Pemasangan Kateter Urine dengan Kejadian Infeksi Saluran Kemih di RSU GMIM Pancaran Kasih Manado’, e-Journal Keperawatan, 5(2).
Kemenkes RI (2017) Peraturan Menteri Kesehatan Republik Indonesia Nomor 27 Tahun 2017 tentang Pedoman Pencegahan dan Pengendalian Infeksi di Fasilitas Pelayanan Kesehatan. Jakarta.
Kusnanto, K. et al. (2020) ‘Theory of Planned Behavior Development Model to Compliance Behavior in Vap Prevention at ICU’, Jurnal Keperawatan Soedirman, 15(1). doi: 10.20884/1.jks.2020.15.1.1044.
Menkes RI (2017) ‘Peraturan Menteri Kesehatan Republik Indonesia Nomor 40 Tahun 2017 Tentang Pengembangan Jenjang Karir Profesional Perawat Klinis’.
NIH (2012) Theory at a Glance A guide For Health Promotion Practice. 2nd edn. Marryland: National Intitute of Health.
Nursalam, N. et al. (2019) ‘Analysis of factors on reward system in the hospital’, Indian Journal of Public Health Research and Development, 10(1), pp. 490–494. doi: 10.5958/0976-5506.2019.00096.2.
Nyirenda, M. and Mukwato, P. (2016) ‘Job satisfaction and attitudes towards nursing care among nurses working at Mzuzu Central Hospital in Mzuzu, Malawi’, Malawi Medical Journal, 28(4), pp. 159–166.
Park, S. and Lee, T. (2016) ‘Predicting Patient Safety Behaviors of Nurses in Inter-Hospital Transfer’, Journal of Korean Academy of Nursing Administration, 22(3), p. 230. doi: 10.11111/jkana.2016.22.3.230.
Perdana, M., Haryani, H. and Aulawi, K. (2017) ‘Hubungan Pelaksanaan Perawatan Indwelling Kateter dengan Kejadian Infeksi Saluran Kemih’, Jurnal keperawatan Klinis dan Komunitas, 01(01), pp. 17–27.
Price, B. (2015) ‘Understanding Attitudes and Their Effects on Nursing Practice’, Nursing Standard, 30(15), pp. 50–57.
Sari, E. W. and Satyabakti, P. (2015) ‘Perbedaan risiko infeksi nosokomial saluran kemih berdasarkan kateterisasi urin, umur, dan diabetes melitus’, Jurnal Berkala Epidemiologi, 3(2), p. 206.
WHO (2010) Health Care-Associated Infections: Fact Sheet. Geneva. doi: 10.1007/s00238-013-0923-3.
WHO (2018) Advanced Infection Prevention and Control Training Prevention of Catheter-associated Urinary Tract Infection (CAUTI). Geneva.
Winasih, R., Nursalam, N. and Kurniawati, N. D. (2015) ‘Cultural Organization and Quality of Nursing Work Life on Nurses Performance and Job Satisfaction in Dr. Soetomo Hospital, Surabaya’, Jurnal
NERS, 10(2), p. 332. doi: 10.20473/jn.v10i22015.332-342.
Zúñiga, F. et al. (2015) ‘Are Staffing, Work Environment, Work Stressors, and Rationing of Care Related to Care Workers’ Perception of Quality of Care? A Cross-Sectional Study’, Journal of the American Medical Directors Association, 16(10), pp. 860–866. doi: 10.1016/j.jamda.2015.04.012.
In order to be accepted and published by Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education, Author(s) who submit an article should complete all the review process. The copyright of received articles assigned to the Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education,and Department of Health Promotion and Behavior Science, Universitas Airlangga as publishers of the journal. The intended copyright includes the rights to publish articles in various forms (including reprints).
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education's website. Authors are allowed to use their works for any purposes deemed necessary without written permission from Jurnal Promkes: The Indonesian Journal of Health Promotion and Health EducationS and/or Department of Health Promotion and Behavior Science, Universitas Airlangga with an acknowledgement of initial publication in this journal.
The Editorial Team of Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education and Department of Health Promotion and Behavior Sciences strive to ensure that no errors occur in the articles that have been published, both data errors and statements in the article.
Users of this website will be licensed to use materials from this website following the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License. No fees charged. Please use the materials accordingly.
Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
NonCommercial — You may not use the material for commercial purposes.
ShareAlike — If you remix, transform, or build upon the material, you must distribute your contributions under the same license as the original.