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Standard precautions are one of the principles of infection prevention and control efforts with the aim of preventing disease transmission in the environment around health care facilities. This study aims to determine the factors associated with the standard vigilance behavior of Tanjung Priok Class I Port Health Office officers in 2023 based on the theory of the Health Belief Model. This study used a cross sectional study design. A sample of 140 officers was taken by simple random sampling. Data collection by means of respondents filling out the questionnaire themselves. Univariate, bivariate (Chi Square), and multivariate (multiple logistic regression) analyzes were performed in this study. The results showed that Tanjung Priok Class I Port Health Office Officers had good standard precautionary behavior. The individual perception factor associated with standard vigilance behavior is self-efficacy. The modifying factor associated with standard vigilance behavior is training. Self-efficacy is the most dominant factor associated with standard vigilance behavior of officers, officers who have low self-efficacy are 4.07 times more likely to have less standard vigilance behavior than officers with high self-efficacy (OR= 4.07 95% CI 1.788 - 9.286). For this reason, the Ministry of Health and the Tanjung Priok Class I Port Health Office can work together to make efforts to increase the self-efficacy of officers through the implementation of intensive and comprehensive training programs for officers so that the implementation of standard precautionary behaviors can be maximized. Keywords: Standard precautions, behavior, officers, Class I Tanjung Priok Port Health Office.
ABSTRAK Latar Belakang: Perawat mempunyai risiko terinfeksi virus yang ditularkan melalui darah seperti virus HIV/AIDS, Hepatitis B dan Hepatitis C. Penularan dapat dicegah dengan penerapan prinsip kewaspadaan universal.Tujuan : Diketahuinya gambaran praktik kewaspadaan universal oleh perawat di RSUD Karawang dan hubungannya dengan faktor predisposisi, faktor pemungkin dan faktor penguat. Metode Penelitian: Penelitian deskriptif analitik dengan metode potong lintang yang dilaksanakan pada bulan Juni-Juli 2013. Data diperoleh dari 77 responden melalui self administered questionnaires dan observasi. Hasil : Penelitian menunjukkan hanya 44,2% responden yang melakukan praktik kewaspadaan universal dengan baik. Dari hasil uji chi square, variabel yang secara signifikan berhubungan dengan praktik kewaspadaan universal adalah pengetahuan (p = 0,045) dan pengawasan atasan (p = 0,011) serta dukungan teman sekerja (p = 0,037). Variabel yang tidak berhubungan adalah adalah pendidikan, lama masa kerja, sikap, ketersediaan SOP, ketersediaan fasilitas dan pelatihan. Kesimpulan : Faktor yang paling berhubungan dengan praktik kewaspadaan universal adalah pengawasan atasan. Responden yang mendapatkan pengawasan atasan mempunyai peluang lebih dari 3 kali untuk melakukan praktik kewaspadaan universal dibandingkan yang tidak mendapatkan pengawasan atasan.
ABSTRACT Background : The nurse has a risk to be invected by the virus that is infected blood borne pathogens through the blood such as the virus of HIV/AIDS, Hepatitis B and Hepatitis C. The infection can be prevented by the principle of Universal Precautions. Objective: Knowledgeable overview of the practice of universal precautions by nurses in RSUD Karawang and the associated with predisposition factor, enabling factors and reinforcing factors. Methods: The research uses the analytic descriptive with a crosssectional method which is held on June-July 2013. The data is obtained from 77 respondents through self administered questionnaires and observation. Results: Result of research shows only 44.2% of respondents who practice universal precautions as well. From the results of the chi square test, the variables that were significantly associated with the practice of universal precautions is knowledge (p = 0.045) and control superiors (p = 0.011) as well as the support of co-workers (p = 0.037). Variables are unrelated is education, length of service, attitude, availability of SOP, availability of facilities and training. Conclusions: Factors most associated with the practice of universal precautions is superior supervision. Respondents who have a chance of getting control superiors more than 3 times to practice universal precautions than not getting control superiors.
