Analysis Of The Relationship Between Hand Washing Knowledge, Facilities And Infrastructure, Work Motivation, And Workload On Hand Hygiene Compliance Among Healthcare Workers At Mitra Medika Batanghari Hospital

Efander Tampubolon, Grace Rumengan, Nurhayati Nurhayati, Ignatius Erik Sapta Yanuar

Abstract


This study aims to analyze the relationship between handwashing knowledge, facilities and infrastructure, work motivation, and workload on the hand hygiene compliance of medical personnel at Mitra Medika Batanghari Hospital. This research employs a quantitative design with a cross-sectional survey method. The study sample consists of 98 medical personnel selected through purposive sampling. The instruments used in this study include: a hand hygiene knowledge questionnaire developed by Sego Soy (2019) and replicated by Bestari et al. (2024) and J et al. (2022); a motivation questionnaire based on Herzberg’s theory, compiled by Suseno Miftahun Ni’mah (2019); the modified NASA-TLX (National Aeronautics and Space Administration Task Load Index) by Ariyaya (2021) to measure workload; the Hand Hygiene Self-Assessment Framework 2010 from the World Health Organization (2010) to assess facilities and infrastructure; and a hand hygiene compliance questionnaire developed by Rofiani (2019). The analysis results show that all studied variables have a significant relationship with the hand hygiene compliance of medical personnel. This study concludes that increasing knowledge, providing adequate facilities and infrastructure, and enhancing motivation can improve medical personnel's compliance with hand hygiene.

Full Text:

PDF

References


WHO. Global Patient Safety action Plan 2021–2030 : towards Zero Patient Harm in Health care. Geneva; 2021.

Lotfinejad N, Peters A, Tartari E, Fankhauser-Rodriguez C, Pires D, Pittet D. Hand hygiene in health care: 20 years of ongoing advances and perspectives. Lancet Infect Dis. 2021 Aug;21(8):e209–21.

Murni IK, Duke T, Kinney S, Daley AJ, Wirawan MT, Soenarto Y. Risk factors for healthcare-associated infection among children in a low-and middle-income country. BMC Infect Dis. 2022 Dec 26;22(1):406.

Diantoro SM, Ari F. Tradisional Literature Review : Kepatuhan Mencuci Tangan Perawat dengan Kejadian Infeksi Nosokomial. Borneo Studies and Research. 2021;2(3):1837-1844.

Efendy NF, Hutahaean S. HUBUNGAN BEBAN KERJA DAN STRES KERJA PERAWAT TERHADAP KEPATUHAN HAND HYGIENE MASA PANDEMI COVID-19. Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing). 2022 Feb 28;8(1):149–60.

Komite Pencegahan dan Pengendalian Infeksi (PPI) Rumah Sakit Mitra Medika Batanghari. Data Kepatuhan Hand Hygiene. 2024.

Rizki D, Maharani D, Lumadi SA, Fatmawati DN. Literature Review: Gambaran Pengetahuan, Kepatuhan, Teknik Cuci Tangan Dan Kejadian Infeksi Nosokomial. PROFESIONAL HEALTH JOURNAL [Internet]. 2023;4(2):20–30. Available from: https://www.ojsstikesbanyuwangi.com/index.php/PHJ

Ivziku D, Ferramosca FMP, Filomeno L, Gualandi R, De Maria M, Tartaglini D. Defining nursing workload predictors: A pilot study. J Nurs Manag. 2022 Mar 12;30(2):473–81.

Hellín Gil MF, Ruiz Hernández JA, Ibáñez-López FJ, Seva Llor AM, Roldán Valcárcel MD, Mikla M, et al. Relationship between Job Satisfaction and Workload of Nurses in Adult Inpatient Units. Int J Environ Res Public Health. 2022 Sep 16;19(18):11701.

Pakaya N, Umar F, Ishak A, Dulahu WY. OBEDIENCE FACTOR FOR OFFICERS TO WASH THEIR HANDS IN HEALTH FACILITIES. Journal Health and Science [Internet]. 2022;6(1). Available from: https://ejurnal.ung.ac.id/index.php/gojhes/index

Pabebang Y, Valentina Saalino, Luseber Sedo. Hubungan Beban Kerja dan Motivasi Perawat dengan Kepatuhan Pelaksanaan Hand Hygiene pada Perawat di Unit Interna dan Bedah RS Elim Rantepao Kabupaten Toraja Utara Tahun 2021. Jurnal Ilmiah Kesehatan Promotif [Internet]. 2022;(1). Available from: https://journal.stikestanatoraja.ac.id

Bouzid M, Cumming O, Hunter PR. What is the impact of water sanitation and hygiene in healthcare facilities on care seeking behaviour and patient satisfaction? A systematic review of the evidence from low-income and middleincome countries. BMJ Glob Health. 2018 Nov 1;3(3).

Fidell LS, Tabachnick BG, Fidell LS. Using Multivariate Statistics (5th Edition). Pearson. 2006.

Rahayu S, Susilaningsih FS, Komariah M. THE LEVEL OF COMPLIANCE OF HEALTHCARE WORKERS IN PERFORMING HAND HYGIENE: A LITERATURE REVIEW. Journal of Nursing Care. 2021 Feb 12;4(1).

Haloho HDB, Theresia SIM, Rahayu MH. Hubungan Tingkat Pengetahuan Perawat Tentang Cuci Tangan dengan Kepatuhan Five Moment Cuci Tangan pada Perawat di Rumah Sakit Panti Rini Yogyakarta. Jurnal Keperawatan Florence Nightingale. 2023 Dec 29;6(2):33–8.

Chairani R, Riza S, Putra Y. 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 Healtcare Technology and Medicine. 2022;8(2):2615–109.

Athifah Amelia R, Hadi P, Sri Lestari E. Kepatuhan cuci tangan petugas rawat inap di Rumah Sakit Nasional Diponegoro Semarang. Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) [Internet]. 2020;9(3):301-312. Available from: http://ejournal3.undip.ac.id/index.php/medico

Arsabani FN, Hadianti NPN. Hubungan Ketersediaan Sumber Daya, Kepemimpinan, Lama Kerja, dan Persepsi dengan Kepatuhan Mencuci Tangan Lima Momen di Rumah Sakit Islam Surabaya. Jurnal Keperawatan Muhammadiyah. 2019 Jun 30;4(1).

Sari LS, Kurniawati TP, Wardoyo EH, Lestari R. Pelatihan Teknik Cuci Tangan (WHO, 2009) Pada Pegawai Di Rumah Sakit Universitas Mataram. In: Prosiding PEPADU. LPPM Universitas Mataram; 2019.

Sitorus E, Prabawati D. HUBUNGAN TINGKAT PENGETAHUAN DAN MOTIVASI PERAWAT DENGAN TINGKAT KEPATUHAN DAN KETEPATAN DALAM MELAKUKAN FIVE MOMENT HAND HYGINE. Jurnal Ilmiah Kesehatan Keperawatan. 2021 Jun 28;17(1):32.

Rofiani R. Hubungan Antara Motivasi Dengan Kepatuhan Perawat Melakukan Hand Hygiene Di Rsi Sultan Agung Semarang. [Semarang]: Universitas Islam Sultan Agung; 2019.

Zheng S, Yang Q, Wang X, Zhang X, Zhou Q. Capability, Opportunity, Motivation, and Hand Hygiene Behavior in Healthcare Workers: A Structural Equation Modeling. Psychol Res Behav Manag. 2022 Aug;Volume 15:2219–28.

Chang NCN, Schweizer ML, Reisinger HS, Jones M, Chrischilles E, Chorazy M, et al. The impact of workload on hand hygiene compliance: Is 100% compliance achievable? Infect Control Hosp Epidemiol. 2022 Sep 14;43(9):1259–61.

Fitriah Efendy N, Hutahean S. HUBUNGAN BEBAN KERJA DAN STRES KERJA PERAWAT TERHADAP KEPATUHAN HAND HYGIENE MASA PANDEMI COVID-19. Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing). 2022;8.

Pabebang Y, Saalino V,, Sedo L. Hubungan Beban Kerja dan Motivasi Perawat dengan Kepatuhan Pelaksanaan Hand Hygiene pada Perawat di Unit Interna dan Bedah RS Elim Rantepao Kabupaten Toraja Utara Tahun 2021. Jurnal Ilmiah Kesehatan Promotif [Internet]. 2022;7(1):39-52. Available from: https://journal.stikestanatoraja.ac.id

Ross-Walker C, Rogers-Clark C, Pearce S. A systematic review of Registered Nurses; experiences of the influence of workplace culture and climatic factors on nursing workloads. JBI Libr Syst Rev. 2012;10(49):3080–145.

Sinaga ADP, Maria Lousiana. “Hubungan Pengetahuan, Motivasi dan Beban Kerja Dengan Praktik Perawat Kewaspadaan Universal: Cuci Tangan Bersih Dalam Upaya Risiko Pencegahan (HAIs) Healthcare Associated Infection.” Carolus Journal of Nursing. 2022;4(2):178-192.

D’Alleva A, Coco A, Pelusi G, Gatti C, Bussotti P, Lazzari D, et al. Impact of Work Motivation on Occupational Health in Healthcare Workers. Healthcare. 2023 Nov 28;11(23):3056.

Rostami F, Babaei-Pouya A, Teimori-Boghsani G, Jahangirimehr A, Mehri Z, Feiz-Arefi M. Mental Workload and Job Satisfaction in Healthcare Workers: The Moderating Role of Job Control. Front Public Health. 2021 Sep 3;9.




DOI: https://doi.org/10.52643/joaf.v4i1.7225

Refbacks

  • There are currently no refbacks.


Copyright (c) 2025 Journal of Ageing And Family

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.