Skip to main content Skip to main navigation menu Skip to site footer
Articles
VIEWS: 996
Published: 2016-07-17

Memutus Rantai Infeksi melalui Fungsi Pengorganisasian Kepala Ruang Rawat

Faculty of Nursing Universitas Indonesia
Fakultas Ilmu Keperawatan Universitas Indonesia
Fakultas Ilmu Keperawatan Universitas Indonesia
fungsi manajemen pencegahan dan pengendalian infeksi peran kepemimpinan perilaku perawat rantai infeksi

Abstract

Perawat berperan penting sebagai pemutus rantai infeksi untuk menurunkan angka kejadian infeksi yang didapat di rumah sakit (HAIs). Penelitian deskriptif korelatif ini bertujuan untuk mendapatkan gambaran pengaruh karakteristik, peran kepemimpinan, dan fungsi manajemen kepala ruang terhadap perilaku perawat dalam memutus rantai infeksi. Penelitian pada 130 perawat menunjukkan faktor yang mempengaruhi perilaku perawat   dalam memutus rantai infeksi adalah peran interpersonal (p=0,001; OR=7,07; 95% CI ,.25;22,2), peran pengambilan keputusan (p=0,004; OR=4,7; 95% CI 1,7;13.0), dan fungsi pengorganisasian (p=0,001; OR=21,46; 95% CI 7,2;63,9). Faktor yang paling mempengaruhi perilaku perawat dalam memutus rantai infeksi adalah fungsi pengorganisasian (p=0,001; OR=0,047; 95% CI 0,016;0,139). Kepala ruang berperan sebagai role model untuk meningkatkan pengetahuan dan keterampilan perawat untuk berperilaku baik  dalam upaya pencegahan dan pengendalian infeksi di rumah sakit.


Abstract

 

Break the Chain Infection by Organization Function Head Ward. Nurses have an important role to break the chain of infection in decreasing Healthcare Associated Infections (HAIs) in hospital. The aim of this descriptive of correlation research is to get the description of characteristic, role of leadership, and the function of head nurse management toward nurse’s behavior in breaking the chain of infection. This research involves 130 nurses showed that the influencing factors of nurse’s behavior (through the quesionnare) in breaking the chain of infection are the interpersonal role (p=0,001, OR=7,07, 95% CI 2,25;22.2), the decision maker role (p=0,004, OR=4,7, 95% CI 1,7;13,0), and the organizing function (p=0,001, OR=21,46, 95% CI 7,2;63,9). The result showed that the dominant factors of the nurse’s behavior in breaking the chain of infection is organizing factors of the head nurse (p=0,001, OR=0,047, 95% CI 0,016;0,139).  Head nurse is a role model in increasing the knowledge and skill of nurse to behave well in order to prevent and control the infection in hospital.

 

Keywords: leadership role, management function, nurse’s behavior, prevention and infection control, the chain of infection

References

  1. Arnold, E.C., & Boggs, K.U. (2007). Interpersonal relationships: Professional communication skills for nurses. Fifth Edition. Saunders Elsevier
  2. Bartley, J & Russell (2003). Are health care facilities safe for patient care? Healthcare Purchasing News.
  3. Cason, CL., Tyner, T, Sue, S, & Broome, l (2007). Nurses' implementation of guidelines for ventilator-associated pneumonia from the center for disease control and prevetion. American journal of critical care. Diperoleh dari http://ajcc.aacnjournals.org/content/16/1/28.long
  4. CDC (2010). Handhygiene infection control. http://www.cdc.gov/ handhygiene/
  5. Chalmers, C., & Straub,. (2006). Standard principles for preventing and controlling infection. Nursing Standard. ProQuest Nursing & Allied Health Source. doi: 10.7748/ns2006.02.20.23.57.c4071
  6. Chen, H.C., Beck, S.L., & Amos, L.K. (2005). Leadership styles and nursing faculty job satisfaction in taiwan. Journal of Nursing Scholarship. doi: 10.1111/j.1547-5069.2005.00064.x
  7. Cherry, B & Jacob, S.R (2011) Contemporary Nursing; Issues, trends and management. St. Louis Missouri. Elsevier
  8. Cusack, & Smith, M. (2010). Power Inequalities in the Assessment of Nursing Competency Within the Workplace: Implications for Nursing Management. The Journal of Continuing Education in Nursing · Vol 41, No 9. doi:10.3928/00220124-0100601-07
  9. Craven, R.F., & Hirnle, C.J. (2007) Fundamentals of nursing human health and function. Fifth edition. Philadelphia: Lippincot Williams & Wilkins Inc
  10. Efstathiou, G., Papastavrou, E., Raftopoulos, V., & Merkouris, A. (2011) Factors influencing nurses’ compliance with standard precautions in order to avoid occupational exposure to microorganisms: A focus group study. BMC Nursing. Diperoleh dari http://bmcnurs.biomedcentral.com/articles/10.1186/1472-6955-10-1
  11. Gillies, D.A. (2006) Manajemen keperawatan: suatu pendekatan sistem (Penerjemah: D. Sukmana & R.W Sukmana). Jakarta: WB. Saunders Company
  12. Ellis et al., (2006) Staffing for safety: A synthesis of the evidence on nurse staffing and patient safety. Ottawa. Ontario
  13. Hogg, M.A & Vaughan, G.M. (2002). Social Pschology. Third Edition. Pearson Education. Prentice Hall
  14. Joint Comission International. (2011). Accreditation standard for hospital. 4th Edition. Oarkbrook Terrace-Illinois: Department of Publication Joint Comission Resources
  15. Kagan, I, Ovadia, KL, & Kaneti, T (2009). Perceived knowledge of blood borne pathogens and avoidance of contact with infected patient. Journal of Nursing Scholarship. doi: 10.1111/j.1547-5069.2009.01246.x
  16. Kementerian Kesehatan RI. (2011). Pedoman pelaksanaan pencegahan dan pengendalian infeksi di rumah sakit dan fasilitas pelayanan kesehatan lainnya. Jakarta
  17. Marquis, BL & Huston, CJ. (2010). Kepemimpinan dan manajemen keperawatan: Teori & aplikasi (Penerjemah: S. Widyawati) 4th ed. Philadelphia: Lippincot Williams & Wilkins Inc
  18. Rivai, V. & Mulyadi, D. (2010) Kepemimpinan dan perilaku organisasi. Jakarta: PT. Raja Grafindo Persada
  19. Rochlen, A.B., Good, G.E, & Carver, T.A. (2009). Predictors of gender-related barriers, work, and life satisfaction among men in nursing. Journal of American Psychological Association doi: 10.1037/a0013291
  20. Robbins, S.P. (2003). Organizational behavior, Tenth Edition. New Jersey: Person Education Inc
  21. Sellgren, S., Ekval., & Tomson, G. (2006). Leadership styles in nursing management: preferred and perceived. Volume 14
  22. Siagian, S.P. (2010). Teori dan praktek kepemimpinan. Jakarta: Rineka Cipta
  23. Swansburg, R.C., & Swansburg, J.R (2002). Introductory management and leadership for nurses. 2nd Edition. Toronto: Jones and Barlett Publisher
  24. Venturato, L & Drew, L. (2010). Beyond ‘doingâ€: Supporting clinical leadership and nursing practice in aged care through innovative models of care. Journal Contemporary Nurse. Vol 35 Issue 2. doi: http://dx.doi.org/10.5172/conu.2010.35.2.157
  25. WHO. (2002). Prevention of Hospital-Acquired Infections A Practical Guide 2nd edition. Departement of Communicable Disease, Surveilance and Response.Page 61-62. USA. Diperoleh dari http://apps.who.int/medicinedocs/documents/s16355e/s16355e.pdf
  26. Zahavy, A.D (2008).Workplace Health Friendliness: A Cross-Level Model for Predicting Workers’ Health. Journal of Occupational Health Psychology. Vol. 13, No. 3, 197–213. doi: 10.1037/1076-8998.13.3.197

How to Cite

Dewi, F., Handiyani, H., & Kuntarti, K. (2016). Memutus Rantai Infeksi melalui Fungsi Pengorganisasian Kepala Ruang Rawat. Jurnal Keperawatan Indonesia, 19(2), 107–115. https://doi.org/10.7454/jki.v19i2.465