Analysis of Compliance with the Use of Personal Protective Equipment (PPE) among Healthcare Workers in the Emergency Department of Lirik Primary Health Care Center
DOI:
https://doi.org/10.35451/tpkakc23Keywords:
Personal Protective Equipment, Compliance, Occupational Health and Safety, Healthcare Workers, Emergency DepartmentAbstract
The Emergency Department (ED) is a healthcare service area with a high risk of exposure to biological hazards, making the proper use of Personal Protective Equipment (PPE) in accordance with Occupational Health and Safety (OHS) standards essential for healthcare workers. However, non-compliance with PPE use is still frequently observed in primary healthcare facilities. This study aimed to analyze the level of healthcare workers’ compliance with PPE use in the Emergency Department of Lirik Primary Health Care Center, Indragiri Hulu Regency, in 2025. This study was conducted as a residency activity using a descriptive observational design with a risk analysis approach. The study population consisted of all healthcare workers in the Emergency Department of Lirik Primary Health Care Center. The main informant was the ED coordinator, while supporting informants included OHS officers and other healthcare workers. Data were collected through direct observation, in-depth interviews, and document reviews of standard operating procedures (SOPs) and OHS reports. The variables analyzed included the level of PPE compliance and factors contributing to non-compliance. Data analysis employed a fishbone diagram to identify root causes and the Urgency, Seriousness, and Growth (USG) method to determine problem priorities. The results showed that PPE compliance among healthcare workers in the Emergency Department had not yet reached an optimal level. This condition was influenced by behavioral factors, limited availability of OHS educational materials, inadequate supervision, and insufficient availability of PPE at service points. In conclusion, improving PPE compliance requires integrated interventions, including strengthening SOP implementation, providing continuous training, ensuring adequate PPE availability, and conducting routine supervision to support healthcare worker safety and the quality of emergency services.
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[1] Amimr, R., Widyaningsih, T., & Rahmawati, D. (2023). Peran Puskesmas dalam meningkatkan kualitas pelayanan kesehatan masyarakat di Indonesia. Jurnal Kesehatan Masyarakat Nusantara, 12(4), 221–230. https://doi.org/10.31227/jkmn.2023.12.4.221
[2] Amimr, A., Sari, P., & Herwansyah, H. (2023). Defining the integration of primary health services: Perspectives from leaders of Puskesmas.
[3] Indah, S., Prasetyo, A., & Lestari, F. (2022). Optimalisasi peran Puskesmas dalam pencegahan penyakit tidak menular di komunitas. Jurnal Administrasi dan Kebijakan Kesehatan, 9(2), 134–145. https://doi.org/10.21009/jakk.2022.09.2.134
[4] Rinasih, E. (2023). Puskesmas sebagai fasilitas kesehatan tingkat pertama dalam pelaksanaan program Jaminan Kesehatan Nasional (JKN). Jurnal Kebijakan dan Manajemen Pelayanan Kesehatan, 11(3), 176–186. https://doi.org/10.32734/jkmph.v11i3.176
[5] Ratri Larasati, N., & Jiu, P. (2024). Transformasi digital pelayanan kesehatan melalui e-Puskesmas di era Revolusi Industri 4.0. Jurnal Transformasi Digital Kesehatan, 3(1), 45–57. https://doi.org/10.31227/jtdk.2024.3.1.45
[6] Pradana, “Implementasi Keselamatan dan Kesehatan Kerja di Puskesmas,” Jurnal Administrasi Kesehatan, vol. 11, no. 1, pp. 55–63, 2024.
[7] Fajrinmuha, et al., “Personal Protective Equipment and Occupational Safety in Healthcare,” Journal of Occupational Health, vol. 64, no. 4, pp. 210–218, 2022.
[8] Kementerian Kesehatan Republik Indonesia, Keputusan Menteri Kesehatan tentang Standar APD di Fasilitas Pelayanan Kesehatan, Jakarta, 2020.
[9] Wen, et al., “Effectiveness of PPE Use in Preventing Cross-Contamination,” BMC Health Services Research, vol. 23, pp. 1–9, 2023.
[10] Liu, et al., “Professional Responsibility and PPE Compliance among Healthcare Workers,” Journal of Patient Safety, vol. 20, no. 1, pp. 33–40, 2024.
[11] Hussain, et al., “Impact of PPE Training on Healthcare Worker Preparedness,” International Journal of Disaster Risk Reduction, vol. 92, pp. 1–8, 2023.
[12] Kim, S. H., Park, Y. J., & Lee, D. H. (2024). Factors influencing inconsistent use of personal protective equipment among healthcare workers during patient handling. BMC Health Services Research, 24(5), 1–12. https://doi.org/10.1186/s12913-024-09021-7
[13] Hor, Y. T. (2024). Emergency department challenges in PPE utilization during rapid response situations. International Journal of Infection Control and Prevention, 15(3), 201–214. https://doi.org/10.1177/ijicp.2024.15.3.201
[14] Ramdani, A., Putri, N., & Hidayat, M. (2023). Kepatuhan tenaga kesehatan terhadap penggunaan alat pelindung diri di fasilitas pelayanan primer Indonesia. Jurnal Kesehatan Masyarakat Nasional, 18(4), 305–317. https://doi.org/10.21109/kesmas.v18i4.54
[15] Formosa Publisher, “Occupational Safety Monitoring and Non-Punitive Reporting Systems in Healthcare Facilities,” Health Safety Review, vol. 8, no. 1, pp. 30–38, 2024.
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