Correlation of Nurse Compliance to the Implementation of Hand Hygiene at Undata General Hospital, City of Palu, Indonesia

Abstract

Nosocomial infection or currently better known as Health-Care Associated Infections (HAIs) is the most important cause of hospitalized mortality and morbidity. The hands of health workers are the most common carriers of microorganisms from one patient to another and from the contaminated environment to the patient. Hand hygiene is the most important measure in preventive measures because it is more effective and has low cost. The purpose of this research was to analyze the correlation of behavior determinant with compliance of nurse hand hygiene at Ward Room of Undata Palu Hospital, Indonesia. This research used cross sectional design study with observational method, interview, and questionnaires. Data on compliance of hand hygiene obtained through direct observation with questionnaires and interviews to nurses at ward room of Undata Palu General Hospital. This research conducted from July to August 2017 at ward room of Undata Palu Hospital, City of Palu, Central Sulawesi, Indonesia. There was a significant correlation between high predisposing factors, enabling factors, and reinforcing factors for implementation of hand hygiene (p < 0.05). Continued efforts to understand and improve hand hygiene compliance among hospital workers, including monitoring success after implementation of identified initiatives to promote recommended practice are essential to help reduce the impact of the spread of hospital infections particularly beneficial to the health of patients in the hospital who are at high risk.