ANALISIS KEPATUHAN PERAWAT TERHADAP PENCEGAHAN DAN PENGENDALIAN INFEKSI DI RUMAH SAKIT MUHAMMADIYAH PALEMBANG

Abstract

Latar Belakang: Infeksi nosokomial sangat berpengaruh terhadap kondisi kesehatan pasien secara menyeluruh dan dapat meningkatkan morbiditas serta mortalitas. Kejadian infeksi nosokomial di Rumah Sakit Muhammadiyah Palembang masih banyak ditemukan, kepatuhan perawat dalam mencegah dan mengendalikan infeksi merupakan faktor yang sangat penting dalam pencegahan terjadinya infeksi nosokomial. Tujuan Penelitian: untuk menganalisis kepatuhan perawat terhadap pencegahan dan pengendalian infeksi di Rumah Sakit Muhammadiyah Palembang serta determinanya. Metode Penelitian: Jenis penelitian ini adalah penelitian kualitatif dengan pendekatan interaktif. Sumber informan sebanyak tiga orang perawat pelaksana, tiga orang kepala ruang, dan satu orang perawat PPIRS. Pengumpulan data melalui wawancara mendalam, studi dokumentasi dan observasi. Analisis diuraikan dalam bentuk deskriptif dan naratif. Hasil: hasil penelitian menunjukkan bahwa delapan kemampuan perawat dalam melakukan pencegahan dan pengendalian infeksi nosokomial belum sesuai dengan aturan menurut WHO. Determinan dalam pelaksanaannya antara lain pendidikan perawat, lama bekerja, tempat tugas, kebutuhan SDM dan alat pendukung, kenyamanan terhadap fasilitas pendukung, pelatihan/sosialisasi, monitoring dan evaluasi serta koordinasi antar unit. Kesimpulan: kemampuan perawat dalam pencegahan dan pengendalian infeksi nosokomial di RSMP masih belum optimal dan banyak hambatan dalam pelaksanaannya. Manajemen rumah sakit dan Tim PPI disarankan melakukan penyegaran kembali materi tentang PPI dan melakukan monitoring terhadap penerapan SPO PPI. Background: Nosocomial infection is very influential on a patient's overall health condition and can increase morbidity and mortality. The incidence of nosocomial infections in Muhammadiyah Hospital Palembang is still widely found, nurses' adherence in preventing and controlling infections is a very important factor in preventing nosocomial infections. Research Objectives: to analyze nurses' adherence to infection prevention and control at Palembang Muhammadiyah Hospital and its determinants. Research Methods: This type of research is a qualitative research with an interactive approach. Informants were as many as three associate nurses, three head nurses, and one Infection Prevention Control Nurse (IPCN). Data collection through in-depth interviews, documentation studies and observations. The analysis is described in descriptive and narrative form. Results: The results showed that eight nurses' ability to prevent and control nosocomial infections was not in accordance with WHO regulations. Determinants in its implementation include nurse education, length of work, place of assignment, human resource needs and supporting tools, comfort of supporting facilities, training, monitoring and evaluation as well as coordination among units. Conclusion: the ability of nurses in the prevention and control of nosocomial infections in RSMP is still not optimal and there are many obstacles in their implementation. Hospital management and the IPC Team are advised to re-refresh the material on IPC and to monitor the implementation of IPC standard operational procedures.

Keywords

• kepatuhan
• perawat
• ppi
• infeksi nosokomial