Pengaruh Kelengkapan Handrub & Poster terhadap Kemauan Perawat untuk Berubah Terkait Hand Hygiene pada Rawat Inap RS Ananda Blitar

Bramantya Surya Pratama, Mulyatim Koeswo, Tita Hariyanti


Hospital-acquired infections (HAI) are infections that occur in healthcare while undergoing treatment procedures and medical treatment. HAI causes elongation of hospitalization, do harm to the patient and increases maintenance costs. The most effective way to limit the spread of HAI is to implement hand hygiene by the rules. The results of preliminary study in Ananda Hospital Srengat Blitar found that nosocomial infection rates is high (infusion phlebitis incident is 12.4%) and nurses hand hygiene compliance is low (hand hygiene compliance is 26%). The purpose of this study was to find the relationship between the completeness of handrub and posters on the nurses’s intention to change to perform hand hygiene correctly. The research method is use the design explanatory research with cross sectional approach. The results showed that the completeness of handrub clinically significant influence intention to change to perform hand hygiene (P = 0.000), while between the poster and the intention to change had effect but not significant (P = 0.128) and completeness of handrub and posters simultaneously significant effect on the intention to change (P = 0.000). This study can be concluded that the completeness of handrub and posters are a combination that can help to increase the nurse’s intention to change to perform hand hygiene than partially effect. 


intention to change, hand hygiene, nosocomial infections

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Akyol, A.D. 2007. ‘Hand hygiene among nurses in Turkey: opinions and practices’, Journal of clinical nursing, vol. 16, no. 3, pp. 431-7.

Allegranzi, B., Gayet-Ageron, A., Damani, N., Bengaly, L., McLaws, M.L., Moro, M.L., Memish, Z., Urroz, O., Richet, H., & Storr, J. 2013. ‘Global implementation of WHO’s multimodal strategy for improvement of hand hygiene: a quasi-experimental study’, The Lancet infectious diseases, vol. 13, no. 10, pp. 843-51.

Allegranzi, B., Sax, H., Bengaly, L., Riebet, H., Minta, D.K., Chraiti, M.N., Sokona, F.M., Gayet-Ageron, A., Bonnabry, P., & Pittet, D. 2010. ‘Successful implementation of the World Health Organization hand hygiene improvement strategy in a referral hospital in Mali, Africa’, Infection Control, vol. 31, no. 02, pp. 133-41.

Arfianti, D.R. 2010. Faktor-faktor yang bErhubungan dengan Tingkat Kepatuhan Cuci Tangan Perawat di RSI Sultan Agung Semarang, Undergraduate Thesis, Universitas Muhammadiyah Semarang.

Bischoff, W.E., Reynolds, T.M., Sessler, C.N., Edmond, M.B., & Wenzel, R.P. 2000. ‘Handwashing compliance by health care workers: the impact of introducing an accessible, alcohol-based hand antiseptic’, Archives of internal medicine, vol. 160, no. 7, pp. 1017-21.

Gaynes, R.P. 1997. ‘Surveillance of nosocomial infections: a fundamental ingredient for quality’, Infection control and hospital epidemiology, pp. 475-8.

Gosling, P.J. 2012. Scientist’s Guide To Poster Presentations, Springer Science & Business Media.

Hugonnet, S., Perneger, T.V., & Pittet, D. 2002. ‘Alcoholbased handrub improves compliance with hand hygiene in intensive care units’, Archives of internal medicine, vol. 162, no. 9, pp. 1037-43.

Lankford, M.G., Zembower, T.R., Trick, W.E., Hacek, D.M., Noskin, G.A., & Peterson, L.R. 2003. ‘Influence of role models and hospital design on the hand hygiene of health care workers’, Emerging infectious diseases, vol. 9, no. 2, p. 217.

Mahesa, D. 2010, Analisis Pengaruh Motivasi dan Kepuasan Kerja terhadap Kinerja Karyawan dengan Lama Kerja sebagai Variabel Moderating (Studi pada PT. Coca Cola Amatil Indonesia (Central Java), Universitas Diponegoro.

Petersen, M.H., Holm, M.O., Pedersen, S.S., Lassen, A.T., & Pedersen, C. 2010. ‘Incidence and prevalence of hospital-acquired infections in a cohort of patients admitted to medical departments’, Danish medical bulletin, vol. 57, no. 11, pp. A4210-A.

Picheansathian, W., Pearson, A., & Suchaxaya, P. 2008. ‘The Effectiveness of a Promotion Programme on Hand Hygiene Compliance and Nosocomial Infections in a Neonatal Intensive Care Unit’, International Journal of Nursing Practice, vol. 14, no. 4, pp. 315- 21.

Pittet, D., Allegranzi, B., & Boyce, J. 2009. ‘The World Health Organization Guidelines on Hand Hygiene in Health Care and Their Consensus Recommendations’, World Health, vol. 30, no. 7, pp. 611-22.

Pittet, D., Hugonnet, S., Harbarth, S., Mourouga, P., Sauvan, V., Touveneau, S., & Perneger, T.V. 2000. ‘Effectiveness of a hospital-wide programme to improve compliance with hand hygiene’, The Lancet, vol. 356, no. 9238, pp. 1307-12.

Robbins, S.P. 2003. ‘Perilaku Organisasi. (judul asli: Organizational Behavior Concept, Controversies, Applications 8th edition) Jilid 1’, Penerjemah Hadyana Pujaatmaka. Jakarta: PT. Prenhallindo.

Setiawati. 2009. Analisis faktor-Faktor yang Mempengaruhi Ketaatan Petugas Kesehatan Melakukan Hand Hygiene dalam Mencegah Infeksi Nosokomial, Universitas Indonesia.

Sherman, R.O. 2010. ‘How to create an effective poster presentation’, in American Nurse Today, vol. Volume 5, pp. 13-5.

Shoham, S., Donegan, N., & Shoham, G. 2010. ‘Personal Portable Alcohol Gel Dispensers: A Novel Approach for Improving Hand Hygiene Practices ‘, ed. WHC Department of Infection Control, Washington. Medonyx Incorporated, Toronto.

Sofyani, A. 2012. Persepsi Perawat Tentang Pemenuhan Pelaksanaan Hand Hygiene Perawat Di Intensive Care Unit (ICU) Rumah Sakit MH Thamrin Salemba Tahun 2012 Universitas Indonesia

Sukron 2013, Tingkat kepatuhan perawat dalam pelaksanaan five moment hand hygiene di instalasi ruang rawat inap C Rumah Sakit Umum Pusat Fatmawati, Undergraduate Thesis, Universitas Indonesia.

Van de Mortel, T., Bourke, R., McLoughlin, J., Nonu, M., & Reis, M. 2001. ‘Gender influences handwashing rates in the critical care unit’, American Journal of Infection Control, vol. 29, no. 6, pp. 395-9.

World Health Organization. 2014. ‘Evidence of hand hygiene to reduce transmission and infections by multi - drug resistant organisms in health - care settings’, ed. WHO.


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