Nurse Determinants of the Incidence of Nosocomial Infections in Hospitals

Maria Kurni Menga; Hartaty Hartaty

doi:10.35816/jiksh.v12i2.503

Authors

Maria Kurni Menga Program Studi Keperawatan Politeknik Sandi Karsa, Indonesia
Hartaty Hartaty Program Studi Keperawatan Politeknik Sandi Karsa, Indonesia

DOI:

https://doi.org/10.35816/jiksh.v12i2.503

Keywords:

cross infection, morbidity, hospitalization

Abstract

Nosocomial infections significantly affect the patient's health and can increase morbidity and mortality. The incidence of nosocomial diseases is still widely found, and nurse compliance in preventing and controlling infections is a significant factor in preventing nosocomial infections. The study aims to analyze the determinants of nurses on the incidence of nosocomial diseases. The study used qualitative methods with total sampling techniques. The results of statistical tests were obtained on the variables sex value p = 0.256, age value p = 1.000, nutritional status p = 0.710, and invasive action p = 1.000. It can be concluded that there is no influence of intrinsic factors (age, sex, and nutritional status) on nosocomial infections, and extrinsic factors that significantly affect the occurrence of nosocomial diseases are antibiotics. While what has no effect is the use of invasive measures. This needs serious attention from nurses because prevention of nosocomial infections will be beneficial in reducing the morbidity rate that occurs in hospitals. Prevention of nosocomial diseases in hospitals can be done by minimizing the administration of invasive measures, especially in patients, increasing special attention to patients who receive invasive procedures, and increasing personal hygiene efforts.

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References

[1] WHO, “Panduan Praktis Pencegahan Infeksi Nosokomial,” 2014.

[2] N. Abubakar, “Pengetahuan Dan Sikap Keluarga Pasien Rawat Inap Rumah Sakit Haji Surabaya Terhadap Pencegahan Infeksi Nosokomial,” J. Manaj. Kesehat. Yayasan RS.Dr. Soetomo, vol. 3, no. 2, p. 178, Oct. 2017, doi: 10.29241/jmk.v3i1.79.

[3] S. Herlambang and A. Murwani, “Cara mudah memahami manajemen kesehatan dan rumah sakit,” 2012, [Online]. Available: https://www.mendeley.com/catalogue/75e2dd07-9c28-3f3f-aaa0-0cfd773eaf64.

[4] T. Eriyani, I. Shalahuddin, and I. Maulana, “Pengaruh Mobilisasi Dini Terhadap Penyembuhan Luka Post Operasi Sectio Caesarea,” Media Inf., vol. 14, no. 2, pp. 182–190, Dec. 2018, doi: 10.37160/bmi.v14i2.213.

[5] A. A. Gea, “Enculturation Pengaruh Lingkungan Sosial terhadap Pembentukan Perilaku Budaya Individu,” Humaniora, vol. 2, no. 1, p. 139, Apr. 2011, doi: 10.21512/humaniora.v2i1.2966.

[6] D. Y. Dalimunthe, “Perilaku Perawat Dalam Pencegahan Infeksi Nosokomial di Ruang Asoka 1 Rsud Dr. Pirngadi Medan,” J. Ilm. PANNMED (Pharmacist, Anal. Nurse, Nutr. Midwifery, Environ. Dent., vol. 10, no. 1, pp. 135–138, Jan. 2019, doi: 10.36911/pannmed.v10i1.247.

[7] S. Suprapto, “Kepatuhan Perawat dalam Menggunakan Alat Pelindung Diri Dasar Apd (Handscoon dan Masker) Diruangan Ugd RSUD Pangkep,” J. Ilm. Kesehat. Sandi Husada, vol. 4, no. 2, pp. 1–10, 2016, [Online]. Available: https://www.neliti.com/publications/286114.

[8] D. K. Wulandari, N. R. Putri, L. Situmeang, R. Surahmat, S. Utama Yofa Anggriani, and M. R. E. Sinaga, “Manajemen Patient Safety Keperawatan.” Get Press, 2022, [Online]. Available: https://scholar.google.com/citations?view_op=view_citation&hl=id&user=Z98zJacAAAAJ.

[9] Y. Puspasari, “Hubungan Pengetahuan, Sikap Dengan Praktik Perawat Dalam Pencegahan Infeksi Nosokomial Diruang Rawat Inap Rumah Sakit Islam Kendal,” FIKkeS, vol. 8, no. 1, 2015, [Online]. Available: https://jurnal.unimus.ac.id/index.php/FIKkeS/article/view/1899.

[10] M. Sumaryati, “Pengaruh Tingkat Pengetahuan Perawat Dengan Perilaku Pencegahan Infeksi Nosokomial Pada Diruang Perawatan Rs Tajuddin Chalik Makassar,” J. Ilm. Kesehat. Sandi Husada, vol. 6, no. 2 SE-Articles, Dec. 2017, doi: 10.35816/jiskh.v6i2.202.

[11] H. Damanik, “Hubungan Pengetahuan Perawat Tentang Infeksi Nosokomial Dengan Tindakan Pencegahannya Pada Pasien Pascabedah di Ruang Rawat Inap Rumah Sakit Imelda Medan,” J. Ilm. Keperawatan Imelda, vol. 4, no. 1, pp. 38–45, Mar. 2018, doi: 10.52943/jikeperawatan.v4i1.282.

[12] E. Octaviani and R. Fauzi, “Analisis Faktor yang Berhubungan dengan Kepatuhan Mencuci Tangan pada Tenaga Kesehatan di RS Hermina Galaxy Bekasi,” J. Kedokt. dan Kesehat., vol. 16, no. 1, pp. 12–20, 2020, [Online]. Available: http://repository.umj.ac.id/id/eprint/1136.

[13] M. Mita, M. A. Maulana, S. Sukarni, and Y. Pramana, “Analisis Perilaku Perawat Dalam Pengendalian dan Pencegahan Health Care Associated Infections (HAIs),” J. Ilm. Kesehat. Sandi Husada, vol. 11, no. 2 SE-Articles, pp. 431–436, Dec. 2022, doi: 10.35816/jiskh.v11i2.805.

[14] S. Suprapto, “Nurse Compliance in Implementing Post Op Wound Care Standard Operating Procedures,” Media Keperawatan Indonesia., vol. 4, no. 1, p. 16, Feb. 2021, doi: 10.26714/mki.4.1.2021.16-21.

[15] E. R. Sazkiah, “Determinan Epidemiologi Infeksi Nosokomial Pada Pasien Rawat Inap Rumah Sakit Umum Pusat Haji Adam Malik Medan.” Universitas Islam Negeri Sumatera Utara, 2021, [Online]. Available: http://repository.uinsu.ac.id/11563/.

[16] J. Wang et al., “Analysis of factors influencing hospital-acquired infection in postoperative patients with intracranial aneurysm,” BMC Neurol., vol. 19, no. 1, p. 332, Dec. 2019, doi: 10.1186/s12883-019-1565-2.

[17] E. Mynaříková, D. Jarošová, E. Janíková, I. Plevová, A. Polanská, and R. Zeleníková, “Occurrence of hospital-acquired infections about missed nursing care: a literature review,” Cent. Eur. J. Nurs. Midwifery, vol. 11, no. 1, pp. 43–49, Mar. 2020, doi: 10.15452/cejnm.2020.11.0007.

[18] A. Recio-Saucedo et al., “What impact does nursing care leave undone have on patient outcomes? Review of the literature,” J. Clin. Nurs., vol. 27, no. 11–12, pp. 2248–2259, Jun. 2018, doi: 10.1111/jocn.14058.

[19] B. C. Knepper, A. M. Miller, and H. L. Young, “Impact of an automated hand hygiene monitoring system combined with a performance improvement intervention on hospital-acquired infections,” Infect. Control Hosp. Epidemiol., vol. 41, no. 8, pp. 931–937, Aug. 2020, doi: 10.1017/ice.2020.182.

[20] L. Wang, K.-H. Zhou, W. Chen, Y. Yu, and S.-F. Feng, “Epidemiology and risk factors for nosocomial infection in the respiratory intensive care unit of a teaching hospital in China: A prospective surveillance during 2013 and 2015,” BMC Infect. Dis., vol. 19, no. 1, p. 145, Dec. 2019, doi: 10.1186/s12879-019-3772-2.

[21] F. Herawati and L. Irawati, “Terapi antibiotik pada infeksi nosokomial,” Rasional, vol. 9, no. 2, 2014.

[22] I. Sugiarseh, “Perilaku Perawat Terhadap Kejadian Infeksi Nosokomial Phlebitis Di Rumah Sakit Adi Husada Kapasari Surabaya.” UNIVERSITAS AIRLANGGA, 2009.

[23] S. Suprapto, “Nurse Compliance in Implementing Post Op Wound Care Standard Operating Procedures,” Media Keperawatan Indonesia., vol. 4, no. 1, p. 16, Feb. 2021, doi: 10.26714/mki.4.1.2021.16-21.

[24] S. Suprapto, “Nurse Compliance using Basic Personal Protective Equipment in Providing Health Services Nursing Actions,” Int. J. Med. Public Heal., vol. 10, no. 3, pp. 119–121, Sep. 2020, doi: 10.5530/ijmedph.2020.3.25.

[25] R. R. K. Dewi, “Faktor determinan kepatuhan perawat dalam melakukan praktik cuci tangan di RSUD Ade Muhammad Djoen Sintang,” J. Kesmas (Kesehatan Masyarakat) Khatulistiwa, vol. 4, no. 4, pp. 232–237, 2019.

[26] N. Niken Dwipayana, R. Kamaluddin, and A. Imam Hidayat, “Hubungan Pengetahuan dengan Kepatuhan Penerapan Perilaku Pencegahan Infeksi pada Keluarga Pasien di Ruang Rawat Inap RSUD Dr. R. Goeteng Taroenadibrata,” J. Bionursing, vol. 3, no. 3, pp. 223–229, Oct. 2021, doi: 10.20884/1.bion.2021.3.3.119.

[27] N. D. Sumaningrum, “Faktor yang berhubungan dengan kepatuhan perawat mencuci tangan handrub pada saat pemasangan infus di Rumah Sakit X di Jawa Timur.” UNIVERSITAS AIRLANGGA, 2015.

[28] H. Ather, A. Khan, and S. Shabnum, “Knowledge and Compliance Toward Standard Precaution Among Health Care Workers at Bahria International Hospital Lahore, Pakistan,” Int. J. Soc. Sci. Manag., vol. 7, no. 1, pp. 17–20, Jan. 2020, doi: 10.3126/ijssm.v7i1.27406.

[29] A. Anggeraeni, H. K, N. Nordianiwati, and C. T. Lumintang, “Nurses’ Attitudes and Behaviors Towards Nosocomial Infection Prevention,” J. Edukasi Ilm. Kesehat., vol. 1, no. 1, pp. 37–42, Apr. 2023, doi: 10.61099/junedik.v1i1.11.

[30] S. Antonio, R. Anggraeni, and N. B. Noor, “Determinan pencegahan infeksi nosokomial di ruang rawat inap rumah sakit stella maris makassar,” Penelit. tidak dipublikasikan. Bagian Manaj. Rumah Sakit Fak. Kesehat. Masy. Univ. Hasanuddin diaksesmelalui http//repository. unhas. ac. Id/handle/1, vol. 23456789, p. 10654, 2017.

[31] R. Romiko, “Analisis Kepatuhan Perawat Terhadap Pencegahan Dan Pengendalian Infeksi Di Rumah Sakit Muhammadiyah Palembang,” Masker Med., vol. 8, no. 1, pp. 201–215, 2020.

[32] N. Yulianti, H. Malini, and S. Muharni, “Analisis Faktor Yang Mempengaruhi Peran Perawat Dalam Pencegahan Medication Error Diruang Rawat Inap Rumah Sakit Awal Bros Batam,” NERS J. Keperawatan, vol. 15, no. 2, pp. 130–139, 2019.

[33] Y. Dewi, C. Windiyaningsih, and A. Azis, “Determinan Yang Berpengaruh Terhadap Kejadian Infeksi Pada Pasien Sectio Caesaria Di Rumah Sakit Hermina Bekasi Periode 2021-2022,” J. Manaj. dan Adm. Rumah Sakit Indones., vol. 7, no. 2, pp. 173–182, 2023.