Relationship between Attitude and Adherence Hand Hygiene Practices among Nurses in Patient District Hospital of Semarang

Abstract

Introduction: Nurses has responsibility in prevention and control of infection in hospitals. Hand hygiene practices, a way to prevent of infection in hospital, but so many factors can influence adherence of hand hygiene practices. Attitude may influence of adherence of hand hygiene practices. Aim: Aim of study was to measure of attitude and hand hygiene behavior among of the nurses. Methods: This study used an observational analytic with study of cross-sectional method. Aim research were to study of relationship between attitude and adherence hand hygiene practice among nurses In-patient Unit District Hospital Semarang. Number of samples were 107 nurses on duty at In-patient Unit of the District Hospital Semarang. The data collected by filling a questionnaire of attitude and observation of hand hygiene practices. The data of demography, level of attitude and level of adherence hand hygiene described by distribution of frequencies analysis, and Spearman Rank Test used to analyze a relationship between attitude and adherence of hand hygiene practice. Results: Attitude of nurses to hand hygiene showed 75,7% positive, and compliance level to hand hygiene practice were showed 63,6%. Relationship analysis between attitude and adherence of hand hygiene practice among nurses done by correlate analyzed with Spearman Rank Test. The results of bivariate analysis r2 0.269 indicated correlated between attitude and adherence hand hygiene, probability result p=0.005 (<0,05) indicated significant relationship between attitudes and adherence of hand hygiene practice among nurses acquired by Spearman Rank Test. Discussion: Attitude may influence adherence of the hand hygiene practice among nurses. Confirmed analysis that good attitude, may increase of adherence of hand hygiene practices. To improving adherence hand hygiene, not only influence by attitude, also influence by rule and procedure and must be same perception about importantly of hand hygiene practice can be prevented of cross infection in hospital.