Nurses' Performance in Preventing Healthcare Associated Infections at Murni Teguh Memorial Hospital in 2017

摘要

High mortality and morbidity due to Healthcare Associated Infections (HAI's) is one of the public health problem. Healthcare associated infections incidence at Murni Teguh Memorial Hospital is still high, such as the incidence of urinary tract infection that reach 14.7 percentile and the Incidence of phlebitis reaches 6.8 percentile in certain month. The nurses' performance in preventing healthcare associated infections was not optimized. According to the audit result on December, the nurses' performance in hand hygiene is only 74,4 percent. The study aimed to analyze the individual factors (ability, working experience and demography), organizational factors (facilities and Infrastructures and supervision) and psychological factors (attitude, motivation and willingness to learn) which influenced the nurses' performance in preventing healthcare associated infections. This study was a survey. The population were 215 nurses and the sample was 56 nurses in inpatient wards at Murni Teguh Memorial Hospital. The data were collected by using questionnaires and observation. The univariate and bivariate data were analyzed using Chi-Square test, while the multivariate data were analyzed using multiple linear regression test. The results showed that the education level, the facilities and infrastructures and the supervision were the determinant factors that influenced the nurses' performance in preventing healthcare associated infections. The supervision factor was the most dominant factor with a coefficient of 0.419. The nurses' performance in preventing healthcare associated infections can be optimized by the efforts of management commitment to conduct the internal and external training, ongoing monitoring and supervision and support the facilities and infrastructures as well as human resource as needed.