ABSTRAK

Nama : Wendy Primadhani

Program Studi : Kajian Administrasi Rumah Sakit

Judul : Faktor-faktor Yang Mempengaruhi Kepatuhan

Perawat Pelaksana Terhadap Pelaksanaan Program

Pengendalian dan Pencegahan Infeksi di RSUD

Banyuasin Tahun 2016

Penelitian ini bertujuan mendapatkan gambaran kepatuhan perawat

pelaksana di RSUD Banyuasin dalam pelaksanaan program pencegahan dan

pengendalian infeksi, meneliti hubungannya dengan faktor predisposisi, penguat

dan pemungkin dan juga perbedaan pengetahuan dan sikap serta persepsi

keperawatan.

Penelitian menggunakan metode campuran kuantitatif kualitatif dengan

rancangan cross sectional. Data primer melalui observasi langsung dan pengisian

kuesioner oleh perawat pelaksana. Faktor yang diukur adalah umur, lama kerja,

kebijakan, tim PPI, dukungan atasan, motivasi teman sekerja, insentif, komitmen

manajemen, pengetahuan, sikap, Standar Prosedur Operasional, sarana penunjang.

Analisis data menggunakan uji Chi Square dan regresi logistik.

Sampel penelitian sebanyak 30 responden, 16,7% perawat pelaksana

memiliki kepatuhan yang baik dalam pelaksanaan program pencegahan dan

pengendalian infeksi. Kesesuaian insentif merupakan faktor yang paling

berpengaruh. Komitmen manajemen dan pengetahuan merupakan faktor yang

berhubungan dengan kepatuhan perawat pelaksana. Saran untuk rumah sakit untuk

memberikan pelatihan mengenai kewaspadaan standar, pemberian reward bagi

perawat pelaksana yang giat melaksanakan PPI dan perubahan aturan

pemerintahan.

Kata Kunci : Program PPI, Kepatuhan perawat pelaksana

ABSTRACT

THE CONFORMANCE AMONG NURSING STAFF DUE TO

INFECTION PREVENTION PROGRAM IN BANYUASIN

HOSPITAL 2016

Wendy Primadhani1, Bachtiar A2

1 General Surgeon Department of Banyuasin Hospital, South Sumatera

2 Public Health Faculty , University of Indonesia

Background: Healthcare-associated infection (HCAI) is a major problem for patient safety

and its surveillance and prevention must be a first priority for settings and institutions

committed to making health care safer. Human behavior and infection prevention and

control are two areas that are linked.

Aims: This study analyze factors that influence conformance infection prevention program

among nursing staff.

Methods: A cross-sectional study using mix method explanatory sequential strategy to

nursing staff with simple random sampling undertaken in type C hospital in Banyuasin,

South Sumatera. Data was collected using questionnaire and focus group discussion to

respondent assessing factors that contribute to conformance among nursing staff and

continue with in depth interview to hospital management.

Results: About 30 nursing staff participated in the study, mean of age 29,50  5,355,

working experience 4,60  2,328. The majority of nursing staff had poor (under 85% cut

off point) conformance level (83,3%) using direct observation and the commitment of the

hospital management, salaries and knowledge influences the conformance level. From

focus group discussion shows that low salaries, lack of continuing education and

availability of prevention control material also affect the conformance nursing staff.

Conclusion: Our study results that poor conformance among nursing staff to infection

prevention program is influenced by knowledge, hospital management and low salaries.

The study alarms the needs to change the regent rule about salaries, hospital management

should training the nursing staff, and material availability that can improve the quality of

nursing staff.

Keyword : infection prevention programme, nursing staff conforman