Factors Influencing Nurses’ Behavior in the Prevention of Nosocomial Infections in the Intensive Care Unit of RSUD Dr. M.M. Dunda Limboto
Abstract
Background: Nurses are health professionals who interact directly with patients and therefore play an essential role in preventing healthcare-associated and nosocomial infections, particularly in intensive care settings. This study examined the factors associated with nurses’ behavior in preventing nosocomial infections in the Intensive Care Unit (ICU) of RSUD Dr. M.M. Dunda Limboto. Methods: A quantitative correlational study with an observational approach was conducted in October–November 2025. The population comprised all 27 nurses working in the ICU, and total sampling was used. Data were collected using questionnaires and observation. The study assessed knowledge, compliance, workload, and nosocomial infection-prevention behavior. Univariate analysis was used to describe the variables, while bivariate analysis used the Pearson Chi-Square test with a 95% confidence level. Results: Most respondents had good knowledge (15; 55.6%), good compliance (18; 66.7%), good workload status (16; 59.3%), and good infection-prevention behavior (16; 59.3%). Knowledge was not significantly associated with infection-prevention behavior (p=0.096). In contrast, compliance was significantly associated with infection-prevention behavior (p=0.006), as was workload (p=0.045). Conclusion: Compliance showed the strongest statistical association among the three factors examined. Strengthening adherence to infection-prevention procedures, supported by continuing education, training, supervision, adequate facilities, and appropriate workload management, is recommended to improve the quality and safety of nursing care in the ICU.
References
- Adhy Purnawan, Frida Kasumawati, Riris Andriati, & Gerry Handika Putra. (2021). Faktor-Faktor Yang Berhubungan Dengan Kinerja Perawat Dalam Melaksanakan Pencegahan Infeksi Nosokomial Di Ruang Rawat Inap RSIA Vitalaya Kota Tangerang Selatan. MAP Midwifery and Public Health Journal, 1(1), 14–36.
- Aditya, R., Harahap, J., & Putra, C. (2020). Analisis implementasi hand hygiene dan perilaku tenaga kesehatan dalam pelaksanaannya di RSUD Dr. R.M. Djoelham Binjai. Journal Health & Science: Gorontalo Journal Health and Science Community, 4(2), 92–103. https://doi.org/10.35971/gojhes.v4i2.7835
- Agnes Silvia Marubun. (2018). Faktor-faktor yang mempengaruhi pencegahan infeksi nosokomial di ruangan ICU & rawat inap RSU Sari Mutiara Medan. Jurnal Online Keperawatan Indonesia, 1(2), 1–7.
- Ardina, R., Yusnita, Y., & Ariansyah, J. (2021). Faktor-faktor yang mempengaruhi perilaku perawat dalam pencegahan infeksi nosocomial oleh perawat di RSUD Kota Agung. Nursing News: Jurnal Ilmiah Keperawatan, 5(2), 86–101. https://doi.org/10.33366/nn.v5i2.2311
- Astuti, Y., Yuliwar, R., & Dewi, N. (2018). Hubungan tingkat pengetahuan dan sikap perawat dengan tingkat kepatuhan penggunaan alat pelindung diri di ruang ICU, IGD dan IRNA Imam Bonjol RSUD Kanjuruhan Kepanjen Kabupaten Malang. Jurnal Ilmiah Keperawatan, 3(3), 663–669.
- Chairani, R., Riza, S., & Putra, Y. (2022). Hubungan pengetahuan dan sikap pencegahan infeksi nosokomial dengan kepatuhan perawat dalam mencuci tangan di ruang rawat inap terpadu Rumah Sakit Umum Daerah Aceh Besar Tahun 2022. Journal of Healthcare Technology and Medicine, 8(2), 1293–1302.
- Gilks, C. F. (1987). Prevention and control of nosocomial infections. Parasitology Today, 3(6), 194. https://doi.org/10.1016/0169-4758(87)90183-9
- Global Report on Infection Prevention and Control 2024. (2024). Global report on infection prevention and control 2024. https://doi.org/10.2471/b09195
- Indrayadi, I., Oktavia, N. A., & Agustini, M. (2022). Perawat dan keselamatan pasien: Studi tinjauan literatur. Jurnal Kepemimpinan dan Manajemen Keperawatan, 5(1), 62–75. https://doi.org/10.32584/jkmk.v5i1.1465
- Lestari, S. A., & Nazaruddin. (2023). Faktor yang berpengaruh terhadap kejadian infeksi nosokomial pada petugas medis di RSUD Buton Utara. Miracle Journal of Public Health, 6(2), 172–183. https://doi.org/10.36566/mjph/Vol6.Iss2/329
- Mahardika, L. B., & Fanny, N. (2024). Hubungan pengetahuan dengan perilaku perawat ruang rawat inap dalam pencegahan infeksi nosokomial di Rumah Sakit PKU Muhammadiyah Sukoharjo. 156–173.
- Novelni, R., Sari, T. M., & Andila, F. (2023). Pola bakteri dan kepekaannya terhadap antibiotik pada hasil kultur pasien di intensive care unit RSUP Dr. M. Djamil Padang tahun 2018. Jurnal Penelitian Farmasi Indonesia, 12(1), 53–59. https://doi.org/10.51887/jpfi.v12i1.1758
- Prihatni, R. S., et al. (2024). Hubungan persepsi perawat dengan kepatuhan manajemen pencegahan dan pengendalian infeksi nosokomial di instalasi rawat intensif RSUD Bagas Waras Klaten. Universitas Kusuma Husada Surakarta, 1(1), 1–7.
- Puspita, E. H., Oktariani, M., & Rizqiea, N. S. (2020). Hubungan beban kerja perawat dengan pencegahan infeksi nosokomial di ruang rawat inap RSUD Simo Boyolali. Naskah Publikasi, 63, 1–15.
- Putri, S. A., Izzah, R., Putri, S., Apriningsih, Simanjorang, C., & Wasir, R. (2023). Kesadaran tenaga kesehatan dalam pencegahan infeksi nosokomial dengan perilaku mencuci tangan. Motorik: Jurnal Ilmu Kesehatan, 18(2), 65–74.
- Rahmasari, F. F., & Budiyani, K. (2024). Hubungan efikasi diri untuk melakukan hand hygiene dengan kepatuhan melakukan hand hygiene pada perawat di Yogyakarta. Prosiding Seminar Nasional Psikologi (SEMNAPSI). https://ejurnal.mercubuanayogya.ac.id/index.php/SEMNAPSI/article/view/4160
- Serly Agustina, & Murtiningsih. (2024). Faktor-faktor yang mempengaruhi ketaatan petugas kesehatan melakukan hand hygiene dalam mencegah infeksi nasokomial. Jurnal Kesehatan dan Pembangunan, 14(27), 206–218. https://doi.org/10.52047/jkp.v14i27.310
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