The Relationship of Individual, Psychological and Organizational Factors with Nurses' Hand Hygiene Adherence
Abstract
The background of low hand hygiene adherence is a problem where this is important to maintain the quality and safety of patients in hospitals. Individual factors, psychological factors and organizational factors influence adherence with five moments hand hygiene which is still low. The aim of this research was to identify factors related to nurses' adherence in implementing the five moments hand hygiene. The correlational analytical research method with a cross-sectional approach was carried out at RSUD Sumedang at November 2023 with samples of 123 nurses. The questionnaire used was based on Herzbergh's motivation theory and the Manchester Clinical Supervison Scale 26-item (MCSS-26). Univariate analysis with frequency distribution, bivariate test using Chi Square, and multivariate analysis with logistic regression. The results show that there is dominant influencing factors supervision (3.178), attitude (2.921) and knowledge (0.138). The conclusion of this research is that there is a relationship between individual factors, psychological factors and organizational factors on adherence with five moments hand hygiene . The dominant influencing factors are supervision, attitude and knowledge. Suggestions for increasing knowledge through education and training as well as regular feedback, giving rewards to increase motivation. Increased supervision through strengthening the functions of IPCLN and IPCN.
References
Abdella, N. M., Tefera, M. A., Eredie, A. E., Landers, T. F., Malefia, Y. D., & Alene, K. A. (2014). Hand hygiene compliance and associated factors among health care providers in Gondar University Hospital, Gondar, North West Ethiopia. BMC Public Health, 14(1). https://doi.org/10.1186/1471-2458-14-96
Allegranzi, B., Gayet-Ageron, A., Damani, N., Bengaly, L., McLaws, M. L., Moro, M. L., Memish, Z., Urroz, O., Richet, H., Storr, J., Donaldson, L., & Pittet, D. (2013). Global implementation of WHO’s multimodal strategy for improvement of hand hygiene: A quasi-experimental study. The Lancet Infectious Diseases, 13(10), 843–851. https://doi.org/10.1016/S1473-3099(13)70163-4
Amalia, R., Widagdo, L., & BM, S. (2016). Faktro-Faktor yang Berhubungan dengan Tingkat Kepatuhan Tenaga Kesehatan Melakukan Cuci Tangan (Studi Kasus Instalasi Rawat Inap Rajawali RSUP Dr. Kariadi Semarang). Jurnal Kesehatan Masyarakat, 4(3), 2356–3346. http://ejournal-s1.undip.ac.id/index.php/jkm
An, B., & Yang, S. J. (2020). The evaluation of a multimodal hand hygiene improvement strategy in Cambodian hospitals. Journal of Infection in Developing Countries, 14(9), 1047–1053. https://doi.org/10.3855/JIDC.13090
Anugrahwati, R., & Hakim, N. (2019). Faktor-Faktor Yang Mempengaruhi Kepatuhan Perawat Dalam Melakukan Hand Hygiene Five Moments Di Rs. Hermina Jatinegara. Jurnal Ilmiah Keperawatan Altruistik, 2(1), 41–48. https://doi.org/10.48079/vol2.iss1.28
Azis, A., & Parwati, T. (2013). Laporan hasil penelitian Cuci tangan sebagai faktor risiko kejadian ventilator associated pneumonia di RSUP Sanglah Denpasar tahun 2012. 120–125.
Damanik, S. M. (2012). Kepatuhan Hand Hygiene Di Rumah Sakit Immanuel Bandung. Students E-Journal, 1(1), 29. http://jurnal.unpad.ac.id/ejournal/article/view/683
Ece, Syahrul, R. R. (2021). Pengaruh PenggunaanAlcohol Based Handrub (ABHR) terhadap Tingkat Kepatuhan Hand Hygiene Petugas Kesehatan: A Systematic Review. 12(April), 192–196. https://doi.org/DOI: http://dx.doi.org/10.33846/sf12219
Fitriany, M. S., Farouk, H. H., & Taqwa, R. (2016). Perilaku Masyarakat dalam Pengelolaan Kesehatan Lingkungan (Studi di Desa Segiguk sebagai Salah Satu Desa Penyangga Kawasan HUtan Suaka Margasatwa Gunung Raya Ogan Komering Ulu Selatan). Jurnal Penelitian Sains, 18(1), 41–46.
Ghorbanmovahhed, S., Shahbazi, S., Gilani, N., Ostadi, A., Shabanloei, R., & Gholizadeh, L. (2023). Effectiveness of implementing of an infection control link nurse program to improve compliance with standard precautions and hand hygiene among nurses: a quasi-experimental study. BMC Medical Education, 23(1), 1–12. https://doi.org/10.1186/s12909-023-04208-1
Gibson, Ivancevich, Donnelly, I. (2015). Organisasi (Agus darma (ed.); kelima). Gelora aksara pratama.
Hapsari, A. P., Wahyuni, C. U., & Mudjianto, D. (2018). Pengetahuan Petugas Surveilans Tentang Identifikasi Healthcare-Associated Infections di Surabaya. Jurnal Berkala Epidemiologi, 6(2), 130. https://doi.org/10.20473/jbe.v6i2.2018.
Harun, M. G. D., Anwar, M. M. U., Sumon, S. A., Mohona, T. M., Hassan, M. Z., Rahman, A., Abdullah, S. A. H. M., Islam, M. S., Oakley, L. P., Malpiedi, P., Kaydos-Daniels, S. C., & Styczynski, A. R. (2023). Hand hygiene compliance and associated factors among healthcare workers in selected tertiary-care hospitals in Bangladesh. Journal of Hospital Infection, 139, 220–227. https://doi.org/10.1016/j.jhin.2023.07.012
Idris, H. (2022). Hand Hygiene Panduan Bagi Petugas kesehatan.
Kemenkes RI. (2017). Peraturan Menteri Kesehatan RI No 27 Tahun 2017 Tentang Pedoman Pencegahan Dan Pengendalian Infeksi Di Fasilitas Pelayanan Kesehatan. In Peraturan Menteri Kesehatan Republik Indonesia Nomor 27 Tahun 2017 T (Issue 857).
Komariah Abdulah, Andi Indahwaty Sidin, S. A. P. (2016). Hubungan Pengetahuan, motivasi, dan Supervisi Dengan Kinerja Pencegahan Dan Pengendalian Infeksi Nasokomial Di RSUD Haji Makasar. 1, 165–175.
Lailawidar. (2022). Health Workers Compliance Towards Infection Prevention and Control in Indonesia. International Journal of Nursing Education, 14(1), 88–98. https://doi.org/10.37506/ijone.v14i1.17756
Mangkunegara, A. P. (2019). Manajemen Sumber Daya Manusia Perusahaan. Remaja Rosdakarya.
Notoatmodjo. (2014). Ilmu Perilaku Kesehatan. Rineka cipta Jakarta.
Nurahmani. (2018). Faktor Yang mempengaruhi Perawat Dalam Melakukan Hand Hygiene Sebelum dan sesudah Melakukan Tindakan Di RS Cut Meutia Langsa.
Nursalam. (2013). Manajemen Keperawatan : Aplikasi dalam Praktek Keperawatan profesional.
Parwa, D., Krisnawati, M. S., & Yanti, E. D. (2019). Hubungan Supervisi dan Motivasi Dengan Kepatuhan Perawat Mencuci Tangan Di RSUD. Jurnal Kepemimpinan Dan Manajemen Keperawatan, 2(1), 28. https://doi.org/10.32584/jkmk.v2i1.281
Pratiwi, I. H., Khotimah, H., & Supriyadi, B. (2020). Supervisi Berbasis Akamedik kepada Petugas Kesehatan dalam Kepatuhan Mencuci Tangan. Coping: Community of Publishing in Nursing, Vol 8 No 1 (2020): April 2020, 17–24. https://ojs.unud.ac.id/index.php/coping/article/view/58978/34603
Risti, R., & Dewi, K. (2017). Faktor Determinan Kepatuhan Perawat Dslsm Melakukan Cuci TangN Di RSUD Ade Muhammad Djoen Sintang. http://openjurnal.unmuhpnk.ac.id/index.php/JKMK?page=index
Rofli, M. (2021). Teori dan Falsafah Keperawatan. Paper Knowledge. Toward a Media History of Documents, 5(2), 40–51.
Copyright (c) 2024 Indonesian Journal of Global Health Research

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.



