Analysis of the Implementation of Standard Precautions in Preventing Healthcare Associated Infections (HAI's) at Wampu Norita General Hospital
DOI:
https://doi.org/10.35451/jkg.v7i1.2234Keywords:
HAIs, Hand Hygiene, Standard Precautions, PPI, Facilities and infrastructureAbstract
Standard precautions are needed to implement the IPC program in hospitals. Implementation of Standard Precautions can be carried out because it is driven by the PPI Committee or Team. The PPI Committee or Team is formed based on needs, workload, and type of health service facilities. The eleven components of standard precautions can be implemented in every health service, especially in Indonesia which is trying to reduce HAIs. HAIs are known as nosocomial infections that occur in hospital patients, where infection has not occurred while the patient has been hospitalized for more than 48 hours. The large risk of infection in hospitals encourages the need to reduce the risk of infection through the PPI Program. A descriptive qualitative research method was chosen to obtain meaning from a number of individuals and social groups. The qualitative research process includes asking questions, collecting data, analyzing data, and interpreting the meaning of the data. The sample in this study was 8 informants, including Hospital Leaders, heads of Hospital Quality, Nurses in charge of the field, Daily Executive Officers, and Executive Nurses in service units. The results show that the PPI policy has been implemented well which includes the PPI Structure and Team, Infection Surveillance Manual, Standard Precautions and implementation of Hand Hygiene and PPE, as well as the budget. Meanwhile, the condition of facilities and infrastructure is not optimal, such as hand hygiene facilities and use of PPE, collection of HAI infection surveillance data, and training. Conclusion: The Standard Precautions Implementation Policy already exists and is based on Minister of Health Regulation No. 27 of 2017. The results of the Hand Hygiene and PPE compliance audit do not match the Quality Profile, facilities, and infrastructure are not optimal, namely below 100%, and stock in the premises is still limited
Downloads
References
Peraturan Menteri Kesehatan Republik Indonesia. Peraturan Menteri Kesehatan Republik Indonesia [Internet]. 2017 [cited 2024 Jul 24]. Available from: https://peraturan.bpk.go.id/Details/112075/permenkes-no-27-tahun-2017
Pradnyana Igana, Muliawan P. Determinan_Kepatuhan_Perawat_Dalam_Kewaspadaan Standar. Jurnal Harian Regional [Internet]. 2021 [cited 2024 Jul 24];8(1):43–54. Available from: https://jurnal.harianregional.com/ach/id-71627
Heriyati H, . H, Astuti A. Pencegahan dan Pengendalian Infeksi Nosokomial di Rumah Sakit. Jurnal Pendidikan Kesehatan. 2020 Apr 26;9(1):87.
Refnandes R, Illahi RR. Penerbit CV. Eureka Media Aksara [Internet]. Purbalingga; 2021 [cited 2024 Jul 24]. Available from: https://repository.penerbiteureka.com/media/publications/567005-pencegahan-dan-pengendalian-infeksi-di-f-f5220b05.pdf
World Health Organization. Guidelines on core components of infection prevention and control programmes at the national and acute health care facility level. [Internet]. 2016 [cited 2024 Jul 24]. 1–90 p. Available from: https://www.ncbi.nlm.nih.gov/books/NBK401773/
Suarmayasa I.N. Pola Kuman Pada Manset Sphygmomanometer: Studi Deskriptif di RSD MANGUSADA. Jurnal Riset Kesehatan Nasional [Internet]. 2023 [cited 2024 Jul 24];7(2):163–8. Available from: https://ejournal.itekes-bali.ac.id/jrkn
Gunawan MR, Zainaro MA, Sari EN. Hubungan Kepatuhan Cuci Tangan dan Penggunaan APD Perawat dengan Resiko Kejadian Healthcare Associated Infections (HAIS) pada Masa Pandemi Covid-19 di RSUD Mayjend. H.M. Ryacudu Lampung Utara. Malahayati Nursing Journal. 2021 Dec 31;1(1):63–72.
Sugiyono. Metode Penelitian Kualitatif. Vol. 2. Bandung: Alfabeta; 2020. 1–463 p.
Fauzia N, Ansyori A, Hariyanto T. Kepatuhan Standar Prosedur Operasional Hand Hygiene pada Perawat di Ruang Rawat Inap Rumah Sakit. Jurnal Kedokteran Brawijaya. 2014 Aug 3;28(1):95–8.
Agusti YK, Suryoputro A, Kusumastuti W, Administrasi MB, Kesehatan K, Masyarakat K, et al. Analisis Pelaksanaan Manajemen Komite Pencegahan Dan Pengendalian Healthcare Associated Infections di RSUD Tugurejo Provinsi Jawa Tengah. 2019.
Sulistyorini E, Maesaroh S, Sabngatun S. Implementasi Pencegahan Dan Pengendalian Infeksi (PPI) Pada Praktik Mandiri Bidan (PMB) Dalam Pelayanan Kesehatan Reproduksi Pada Masa Pandemi Covid-19. Jurnal Kebidanan Indonesia. 2021 Jul 16;12(2).
Irawati T, Ratnaningsih T, Zakiyah A. Hubungan Supervisi dan Motivasi Terhadap Tindakan dalam Pencegahan Infeksi Melalui Penggunaan APD dan Hand Hygiene. JURNAL EDUNursing [Internet]. 2022;6(1). Available from: http://journal.unipdu.ac.id
Rahmatilah S, . A, . J. Pengaruh Perilaku dan Kepatuhan Perawat Terhadap Penggunaan Alat Pelindung Diri dalam Pencegahan Infeksi Nosokomial di Ruang Rawat Inap RSUD Dr. R. M DJOELHAM BINJAI TAHUN 2020. Journal of Healthcare Technology and Medicine. 2020 Dec 11;6(2):1142.
Wulandari S, Suminar E. Faktor-faktor yang Berhubungan dengan Kepatuhan Perawat dalam Melakukan Hand Hygiene di Rumah Sakit PKU Muhammadiyah Sekapuk. Indonesian Journal of Professional Nursing. 2022 Dec 27;3(2):85.
Dewi S, Riu M, Alfiat N, Stikes T, Manado M, Pandu J. Perilaku Dan Ketersediaan Fasilitas Rumah Sakit Dengan Kepatuhan Perawat Melakukan Hand Hygiene [Internet]. 2021. Available from: http://journal.stikeskendal.ac.id/index.php/Keperawatan
Hadi S, Sastrawan S, Zuhro R. Analisis Tingkat Pengetahuan, Sikap, Motivasi dan Kompleksitas Tugas dengan Kewaspadaan Standar di Rumah Sakit. JISIP (Jurnal Ilmu Sosial dan Pendidikan). 2021 Nov 3;5(4).
Wibowo Suwandi E, Setiyani Widaristuti Y. Hubungan Faktor-Faktor dengan Tingkat Kepuasan Pasien Rawat Inap di Rumah Sakit Permata Bunda, Purwodadi. Vol. 8, | Indonesia Jurnal Perawat. 2023
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Loym Ristumerry Sitanggang, Felix Kasim, Reni Aprinawaty Sirait
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright in each article is the property of the Author.