Hospital facilities, occupational safety environment and self-efficacy as predictors of healthcare-associated infections prevention and control compliance in nurses of inpatient care units
DOI:
https://doi.org/10.53638/phpma.2018.v6.i2.p04Keywords:
Healthcare-associated infections, hospitals, facilities, occupational safety environment, self-efficacyAbstract
Background and purpose: The implementation of healthcareassociated infections (HAIs) prevention and control program in hospitals remains sub-optimal. The present study aims to determine the relationships between nurse’s self-efficacy, hospital’s occupational safety environment, and the availability of facilities, with the compliance on HAIs prevention and control in hospital inpatient care units.
Methods: Cross-sectional survey was conducted with 128 nurses selected using systematic random sampling at Buleleng District Hospital’s inpatient care units. Data collection was conducted in March 2018 using self-administered questionnaires. The questionnaire consisted of five sections including characteristics of respondents, HAIs prevention and control practices, self-efficacy, occupational safety environment and the availability of facilities. Bivariate analysis was conducted to calculate the Pearson correlation coefficients between variables. Multivariate analysis was performed with multiple linear regressions to examine self-efficacy, occupational safety environment and availability of facilities as predictors of the compliance on HAIs prevention and control.
Results: The study shows that 56.2% of nurses reported good compliance on HAIs prevention and control practices. Bivariate analysis shows a significant correlation between HAIs prevention and control compliance scores and self-efficacy (r=0.45; p=0.00), occupational safety environment (r=0.53; p=0.00), and the availability of facilities (r=0.65; p=0.00). Multivariate analysis shows that the availability of facilities is a significant predictor of HAIs prevention and control compliance (β=0.49; p<0.01) while self-efficacy and the occupational safety environment are also found to be significant predictors, although with lower standardized coefficients: β=0.16 (p=0.03) and β=0.17 (p=0.04), respectively.
Conclusion: The significant predictors of compliance on HAIs prevention and control are availability of facilities, self efficacy and hospital’s occupational safety environment. This study highlights the importance of optimizing the availability of facilities, improving the occupational safety environment, and enhancing nurses’ self-efficacy in order to reduce the incidence of HAIs in hospitals.
References
World Health Organization. Prevention of hospital-acquired infections: A Practical Guide 2nd Edition. 2002; 1–64.
Lardo S, Prasetyo B, Purwaamidjaja DB. Infection control risk assessment (ICRA). Cermin Dunia Kedokteran. 2016; 43(3): 215–9.
Centers for Disease Control and Prevention. Types of healthcare-associated infections. 2014. (serial online), [cited 2018 Sept. 02]. Available from: https://www.cdc.gov/HAIs/infectiontypes.html.
Office of Disease Prevention and Health Promotion. Healthcare-associated infections. 2014. (serial online), [cited 2018 Sept. 02]. Available from: https://www.healthypeople.gov/2020/topics-objectives/topic/healthcareassociatedinfection.
Centers for Disease Control and Prevention. Preventing healthcare-associated infections. 2015. (serial online), [cited 2018 Sept. 01]. Available from: https://www.cdc.gov/HAIs/prevent/prevention.html.
Magill SS, Edwards JR, Bamberg W, Beldavs ZG, Dumyati G, Kainer MA, et al. Multistate point-prevalence survey of health care-associated infections. New England Journal of Medicine. 2014; 370(13): 1198–1208.
Mitchell BG, Shaban RZ, MacBeth D, Wood CJ, Russo PL. The burden of healthcare-associated infection in Australian hospitals: a systematic review of the literature. Infection, Disease, and Health. 2017; 22(3): 117–28.
Shahida SM, Islam A, Dey BR, Islam F, Venkatesh K, Goodman A. Hospital acquired infections in low and middle income countries: root cause analysis and the development of infection control practices in Bangladesh. Open Journal of Obstetrics and Gynecology. 2016; 6(1): 28–39.
Ling ML, Apisarnthanarak A, Madriaga G. The burden of healthcare-associated infections in Southeast Asia: A systematic literature review and meta-analysis. Clinical Infectious Diseases. 2015; 60(11): 1690–1699.
Satiti A. Analisis penerapan standard precaution dalam pencegahan dan pengendalian HAIs di RSUD RAA Soewondo Pati [Analysis of standard precaution implementation in the prevention and control of HAIs at RAA Sowondo Pati Hospital]. Jurnal Kesehatan Masyarakat. 2017; 5 (1): 40-49.
Sapardi VS. Analisis pelaksanaan manajemen pencegahan dan pengendalian healthcare associated infections di RSI Ibnu Sina [Analysis on the implementation of HAIs prevention and control management at Ibnu Sina Hospital]. Jurnal Endurance. 2018; 3(2): 358–366.
Nurani RRS. Gambaran kepatuhan hand hygiene pada perawat hemodialisis di RSU Haji Surabaya [Compliance on hand hygiene practice among hemodialysis nurses at Surabaya Haji Hospital]. Surabaya: Universitas Airlangga; 2017; 218–230.
Kartika Y. Faktor sumber daya manusia dan komitmen manajemen yang mempengaruhi surveillance infeksi nosokomial di Rumah Sakit Paru Batu [Human resources and management commitment which influence surveillance of nosocomial infections at Batu Lung Hospital]. Malang: Universitas Brawijaya; 2015; 28(2): 181–185.
Paparang FS. Analisis penerapan pencegahan dan pengendalian infeksi di Poli Gigi RSUD Tobelo Kabupaten Halmahera Utara [Analysis of infections prevention and control at Dental Polyclinic, Tobelo Hospital, North Halmahera Regency]. Manado: Universitas Sam Ratulangi. 2018; 1–17.
Putri APS. Bundle prevention form filling completeness of surgical site infection (SSI) on sectio caesarean patients. Jurnal Berkala Epidemiologi. 2017; 5(1):13.
Buleleng District Hospital. Data kejadian HAIs di RSUD Kabupaten Buleleng Tahun 2016 [Data on the prevalence of HAIs at Buleleng District Hospital 2016]. 2016.
Sari D. Infection control risk assessment (ICRA) di Instalasi Bedah Central RS PKU Muhammadiyah Gamping (tesis) [Infection control risk assessment (ICRA) at the Central Surgery Unit PKU Muhammadiyah Gamping Hospital (thesis)]. Yogyakarta: Universitas Muhammadiyah; 2016; 1–15.
Rahwan A. Manajemen perawatan pasien total care dan kejadian infeksi nosokomial di ruang ICU RSUD Masohi tahun 2016 [Management of total care patients and the incidence of nosocomial infections at the ICU Masohi Hospital 2016]. 2017; 2(3): 319–324.
Ministry of Health of Indonesia. Peraturan Menteri Kesehatan Nomor 27 Tahun 2017 tentang Pedoman Pencegahan dan Pengendalian Infeksi di Fasilitas Pelayanan Kesehatan [Health Ministry Act No. 27, 2017 on the Guidelines of Infections Prevention and Control at Health Services]. 2017; 1–172.
De Wandel D, Maes L, Labeau S, Vereecken C, Blot S. Behavioral determinants of hand hygiene compliance in intensive care units. American Journal of Critical Care. 2010; 19(3): 230–9.
Rotti G. Pelaksanaan pencegahan dan pengendalian infeksi di ruang rawat inap Rumah Sakit Umum Pusat Prof. R.D Kandou Manado [The implementation of infections prevention and control at inpatient ward, Prof. R.D Kandou Hospital in Manado]. JST Kesehatan; 2014; 4(1): 69–77.
Amaliah N. Pengembangan kinerja perawat terhadap pencegahan infeksi flebitis di rumah sakit [Development of nurses work performance towards the flebitis infection prevention in a hospital]. Caring Nursing Journal. 2017; 1(2): 69–78.
Ernawati E. Penerapan hand hygiene perawat di ruang rawat inap rumah sakit [Hand hygiene practice of nurses at a hospital inpatient ward]. Jurnal Kedokteran Brawijaya. 2014; 28(1): 89–94.
Tan A, Olivo J. Assessing healthcare associated infections and hand hygiene perceptions amongst healthcare professionals clinical nurse specialist. International Journal of Caring Sciences. 2015; 8(1): 108–115.
Luo Y, He GP, Zhou JW, Luo Y. Factors impacting compliance with standard precautions in nursing, China. International Journal of Infectious Diseases. 2010; 14(12): e1106–14.
Lantu J. Analisis penerapan standard precautions oleh perawat di Rumah Sakit Bhayangkara TK III Manado [Analysis on the standard precautions implementation in nurses at Manado Bhayangkara Hospital]. Manado: Universitas Sam Ratulangi; 2015; 98–106.
Sahara A. Faktor–faktor yang berhubungan dengan kepatuhan perawat dan bidan dalam penerapan kewaspadaan universal/kewaspadaan standar di Rumah Sakit Palang Merah Indonesia Bogor [Factors associated with compliance of nurses and midwives in the universal/standard precautions implementation at the Bogor Indonesia Red Cross Hospital]. Jakarta: Universitas Indonesia; 2011:1-156.
Purnomo R. Analisis faktor-faktor yang berhubungan dengan ketergantungan perawat terhadap penerapan kewaspadaan standar di Rumah Sakit Umum Banyumas [Analysis of factors associated with nurses compliance on standard precaution implementation at the Banyumas General Hospital]. Jurnal Keperawatan dan Kesehatan. 2016; (1): 41–45.
Rotinsulu R. Hubungan antara pengetahuan, ketersediaan sarana, dan motivasi dengan kepatuhan penerapan kewaspadaan standar oleh dokter gigi di Poliklinik Gigi dan Mulut Rumah Sakit Kota Manado [Association between knowledge, facilities and motivation with compliance on standard precautions implementation among dentists at Dental Polyclinic Manado Hospital]. Manado: Universitas Sam Ratulangi; 2017; 64–80.
Runtu L. Faktor-faktor yang berhubungan dengan perilaku perawat dalam penerapan universal precautions [Factors associated with implementation of universal precautions among nurses]. Juiperdo. 2013; 2(1).
Bady A. Analisis kinerja perawat dalam pengendalian infeksi nosokomial di IRNA I RSUP dr.Sardjito [Work analysis of nurses in nosocomial infection control at an inpatient ward dr. Sardjito Hospital]. Working Paper Series. 2007; (8).
Atmadja L. Analisis perilaku perawat dalam pencegahan infeksi nosokomial di ruang rawat inap RSUD X Jakarta (tesis) [Analysis on the nosocomial infection prevention among nurses at inpatient ward of Hospital X Jakarta (thesis)]. Depok: Universitas Indonesia; 2012:1-203.
Buleleng District Hospital. Dialog interaktif dengan tokoh masyarakat & stakeholder terkait peningkatan mutu pelayanan di RSUD Kabupaten Buleleng (Interactive dialogue with community stakeholders on increasing the service quality at Buleleng District Hospital]. 2018.
Buleleng District Hospital. Data statistik RSUD Kabupaten Buleleng [Statistics of Buleleng District Hospital]. 2018.
Buleleng Statistics Office. Buku statistik infrastruktur daerah [Statistics book of local infrastructures]. 2017: 1-174.
Fauzi N, Ahsan, Azzuhri M. Pengaruh faktor individu, organisasi dan perilaku terhadap kepatuhan perawat dalam melaksanakan hand hygiene di ruang rawat inap Rumah Sakit Tk. II dr. Soepraoen Malang [The influence of individual, organisation and behavior factors to the compliance of nurses on hang hygiene practice at an inpatient ward dr. Soepraoen Hospital, Malang]. Jurnal Aplikasi Manajemen. 2015; 13(4): 566–74.
Van der Bijl JJ, Shortridge-Baggett LM. The theory and measurement of the self-efficacy construct. Scholarly Inquiry for Nursing Practice. 2001; 15(13): 189–207.
Schneider B, Ehrhart MG, Macey WH. Organizational climate and culture. Annual Review of Psychology; 2013;64(1):361–388.
Ministry of Health of Indonesia. Persyaratan teknis bangunan dan prasarana rumah sakit [Technical requirements on hospitals’ building and facilities]. 2016; 1–211.
Octavia C. Analisis kemampuan perawat dalam pencegahan dan pengendalian infeksi nosokomial di Rumah Sakit Umum Mitra Medika Medan (tesis) [Analysis of nurses’ competencies in nosocomial infections prevention and control at Mitra Medika Hospital, Medan (thesis)]. Universitas Sumatera Utara; 2016: 1-127.
Al’amri M. Analisis implementasi pencegahan dan pengendalian infeksi di RSU Anutapura Palu (tesis) [Analysis on the infections prevention and control at Anutapura Hospital, Palu (thesis)]. Makassar: Universitas Hasanuddin; 2017: 1-141.
Adhiwijaya A. Pelaksanaan pencegahan dan pengendalian infeksi dalam peningkatan mutu pelayanan di RSUD Labuang Baji (tesis) [Implementation of infections prevention and control in increasing the service quality at Labuang Baji Hospital (thesis)]. Makassar: Universitas Hasanuddin; 2017: 1-160.
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