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"ABSTRAKNama : Mahardhika Setya NugrohoProgram Studi : Kajian Administrasi Rumah SakitJudul : Analisis Praktik Cuci Tangan Perawat Ciputra HospitalCitraGarden Jakarta Tahun 2017Praktik cuci tangan merupakan faktor kunci dalam menurunkan dan mencegahHealthCare Associated Infections HCAI . Rendahnya praktik cuci tangan padaperawat menyebabkan HCAI di Ciputra Hospital CitraGarden Jakarta masih cukuptinggi. Penelitian ini bertujuan mengidentifikasi variabel yang berpengaruh dalampraktik cuci tangan sesuai standar WHO di rumah sakit tersebut, menggunakan desainpotong lintang yang dilanjutkan dengan pendekatan kualitatif. Hasil penelitianmenunjukkan praktik cuci tangan sesuai standar WHO baik 88,6 dan pengetahuanmerupakan variabel yang paling dominan berkontribusi terhadap pelaksanaan praktikcuci tangan sesuai standar WHO. Disarankan untuk meningkatkan pengetahuandengan cara memberikan pelatihan yang spesifik terkait praktik cuci tangan.Kata Kunci : Praktik Cuci Tangan Perawat, HealthCare AssociatedInfections HCAI

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ABSTRACTName Mahardhika Setya NugrohoStudy Program Hospital Administration ProgramTitle Analysis of Hand Washing Practice Among Nurses at CiputraCitraGarden Hospital Jakarta in 2017.Hand washing practice is one of the key factors to decrease and prevent HealthCareAssociated Infections HCAI . Poor hand washing practice among nurses causingHCAI rates are still high. This study aimed to identify the variables that are correlatedwith WHO rsquo s hand washing practice at Ciputra CitraGarden Hospital Jakarta in 2017.The design of the study was cross sectional, using quantitative approach, thenfollowed by qualitative approach. The result showed that WHO rsquo s hand washingpractice was good 88,6 and ldquo Knowledge rdquo is the most dominant factor contributedto the implementation of WHO rsquo s hand washing practice. It is suggested to gain more ldquo Knowledge rdquo on how to give trainings, especially with regards to hand washingpractice.Keywords Hand washing practice among nurse, HealthCare Associated Infections HCAI ."

"Praktik cuci tangan merupakan faktor kunci dalam menurunkan dan mencegah infeksi terkait pelayanan kesehatan. Masih rendahnya praktik cuci tangan di kalangan petugas kesehatan menyebabkan angka infeksi di rumah sakit masih cukup tinggi. Penelitian ini bertujuan mengidentifikasi elemen yang menjadi penyebab masih rendahnya praktik cuci tangan enam langkah melalui pendekatan elemen strategi implementasi multimodal WHO di Unit Rawat Inap Rumah Sakit Mitra Medika Batanghari. Dengan pendekatan kualitatif, Hasil penelitian menunjukkan praktik cuci tangan enam langkah baik (89,6%) dan ketersediaan handrub berbahan dasar alkohol merupakan faktor yang paling dominan berkontribusi terhadap pelaksanaan praktik cuci tangan enam langkah.Kata Kunci : Praktik Cuci Tangan, Strategi Implementasi WHO, infeksi terkait pelayanan kesehatan.

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Hand washing practice is key factor to decrease and prevent of health-care assosiated infections. Poor of hand washing practice among healthcare workers causing hospital infection rates are still high. This study aimed to identify the elements that cause the low six-step of hand washing practice through the element of WHO multimodal strategy implementation approach in Mitra Medika Batanghari Hospital. The design was cross-sectional, used quantitative approach, continued by qualitative approach. The results showed that the six-step of hand-washing practice was good (89,6%) and availability of alcohol based handrub to be the most dominant factor contributed to the implementation of six steps of hand washing practice.Keywords: Hand washing practice, Implementation strategy WHO, Health-care assosiated infections."

"Praktik cuci tangan merupakan faktor kunci dalam menurunkan dan mencegahinfeksi terkait pelayanan kesehatan. Masih rendahnya praktik cuci tangan dikalangan petugas kesehatan menyebabkan angka infeksi di rumah sakit masihcukup tinggi. Penelitian ini bertujuan mengidentifikasi elemen yang menjadipenyebab masih rendahnya praktik cuci tangan enam langkah melalui pendekatanelemen strategi implementasi multimodal WHO di RS Islam Siti Khadijah.Digunakan desain cross sectional dengan pendekatan kuantitatif dilanjutkanpendekatan kualitatif. Hasil penelitian menunjukkan praktik cuci tangan enamlangkah baik (61,9% ) dan ketersediaan air dan sabun merupakan faktor yangpaling dominan berkontribusi terhadap pelaksanaan praktik cuci tangan enamlangkah

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Hand washing practice is key factor to decrease and prevent of health-care

assosiated infections. Poor of hand washing practice among healthcare workers

causing hospital infection rates are still high. This study aimed to identify the

elements that cause the low six-step of hand washing practice through the element

of WHO multimodal strategy implementation approach in Siti Khadijah Islamic

Hospital, Palembang in 2016. The design was cross-sectional, used quantitative

approach, continued by qualitative approach. The results showed that the six-step

of hand-washing practice was good (61.9%) and availability of water and soap to

be the most dominant factor contributed to the implementation of six steps of

hand washing practice"

"Perilaku cuci tangan tenaga kesehatan secara signifikan dapat menurunkan infeksi terkait perawatan kesehatan (heaIthcare-acquired infections/HAIs) termasuk COVID-19, merupakan Iangkah yang efektif, Iebih mudah dan Iebih murah, namun banyak faktor yang mempengaruhinya sehingga kepatuhan cuci tangan tenaga kesehatan terutama perawat pada masa pandemi COVID-19 masih cukup rendah. Tujuan penelitian ini adaIah untuk menganaIisis faktor determinan apa saja yang mempengaruhi kepatuhan perilaku cuci tangan perawat pada masa pandemi COVID-19 di RSUD dr Agoesdjam Ketapang. Desain penelitian ini adalah cross sectional dengan pendekatan kualitatif. Tehnik sampling berupa total sampling dengan jumlah responden sebanyak 103 orang. Instrumen pengumpulan data primer berupa kuesioner yang disebarkan dengan aplikasi google-form, dan data sekunder berupa hasil observasi IPCLN. Analisis data menggunakan Chi-square test. Hasil analisis mendapatkan perawat yang patuh cuci tangan sebanyak 71,8%, sedangkan hasil observasi IPCLN 83,1% (kepatuhan sedang). Terdapat hubungan antara fasilitas kebersihan tangan (faktor pemungkin), kebijakan RS, dukungan kepala ruang, supervisor dan rekan kerja (faktor penguat), dan kepatuhan perilaku cuci tangan perawat (p<0,000). Tidak ada hubungan antara karakteristik perawat, pengetahuan serta akses informasi (faktor predisposisi) dan kepatuhan perilaku cuci tangan perawat di RSUD dr Agoesdjam Ketapang. Strategi promosi kesehatan yang tepat diperlukan untuk meningkatkan kepatuhan perilaku cuci tangan perawat.

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Health care handwashing behavior can significantly reduce health care-related infections (HAIs) incIuding Covid-19. It is an effective, easier and cheaper step, but many factors affect it so that the compIiance of hand washing heaIth workers during the Covid-19 pandemic is stiII quite low. The purpose of this study is to analyse what determinants factor that affect hand washing behavior compliance of nurses during the COVID-19 pandemic at dr Agoesdjam Ketapang Hospital. The study uses cross sectional design with a qualitative approach. The sampling technique used is total sampling with the number of respondents 103 people. The research instrument used is a questionnaire using google-form and IPCLN observation results. Data analysis using Chi-square test. The results of the analysis were obtained that nurses who obediently washed their hands are 71.8%, with IPCLN observation results of 83.1% (moderate compliance). There is a relationship between hand hygiene facility (the enabling factor) and hospital policy, room head support, supervisors and co-workers (the reinforcing factors) and nurse’s handwashing behavior compliance (p<0,000). There is no relationship between nurse characteristics, knowledge and access to information (the predisposing factors) and nurse’s handwashing behavior compliance at dr Agoesdjam Ketapang Hospital. Proper health promotion strategies are needed to improve compliance with nurses' handwashing behaviors. "

"Indonesia masih memiliki prevalensi kasus infeksi parasit usus pada anak yang tinggi karena berbagai faktor seperti iklim dan suhu yang mendukung perkembangan parasit hingga sosioekonomi yang rendah. Anak-anak di TPA Bantar Gebang memiliki risiko lebih besar untuk terinfeksi oleh karena sanitasi lingkungan yang buruk sehingga menjaga kebersihan diri menjadi hal yang penting. Tujuan penelitian ini adalah untuk melihat hubungan antara angka infeksi parasit usus pada anak-anak di Bantar Gebang dan kebiasaan mencuci tangan yang termasuk pola hidup yang sehat. Desain penelitian yang digunakan adalah cross-sectional. Pengambilan data dari 100 subjek penelitian dilakukan pada Mei 2012. Data diolah dengan program SPSS 21.0 dengan uji Fisher. Hasil penelitian menunjukkan angka infeksi parasit usus pada anak-anak di TPA Bantar Gebang adalah 80% dengan parasit penyebab infeksi terbanyak adalah Blastocystis hominis (59%). Berdasarkan hasil perhitungan data, tidak ditemukan hubungan yang bermakna antara angka infeksi parasit usus dengan kebiasaan mencuci tangan sebelum makan dan sesudah buang air besar. Perlu dilakukan upaya untuk mengurangi angka infeksi melalui penyuluhan pola hidup bersih dan sehat oleh petugas kesehatan dan perbaikan sistem pengolahan sampah oleh pemerintah setempat.

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Indonesia still has high prevalence of intestinal parasitic infections in children due to various factors such as climate and temperature which supports the development of parasites, to low socioeconomic class. Children in TPA Bantar Gebang have a greater risk for infection because of poor environmental sanitation, so that maintaining personal hygiene is important. The purpose of this study is to determine the relationship between the prevalence of intestinal parasitic infections in children in Bantar Gebang and the habit of washing hands as one of hygiene practices. The study design was cross sectional. The data was collected from 100 subjects in May 2012. The data was then processed with SPSS 21.0 program with Fisher test.

The results showed that intestinal parasite infection rates in children in TPA Bantar Gebang was 80% with the highest rate of infection caused by Blastocystis hominis (59%). Based on calculations, we found no significant association between the prevalence of intestinal parasitic infections and washing hands before eating and after defecation. Efforts should be made to reduce the number of infections through counseling about clean and healthy lifestyle by health workers and improvement of waste management system by the local government."

"Latar Belakang :Infeksi Saluran Pernafasan Akut ISPA merupakan salah satu dari penyakit nosokomial Healthcare Acquired Infections HAIs , namun seringkali para petugas medis hanya menggunakan masker dalam rangka mencegah ISPA. Petugas kesehatan diharuskan untuk melakukan kewaspadaan standar kepada seluruh pasien.

Metode :Penelitian ini menggunakan desain kohort retrospektif yang dilakukan di RS. S pada bulan Desember 2016. Sampel terbagi menjadi dua kelompok, masing-masing kelompok yang patuh cuci tangan dan kelompok yang tidak patuh cuci tangan. Angka kejadian ISPA dipantau selama 3 bulan pada masing-masing kelompok. Variabel yang diteliti adalah kepatuhan cuci tangan, pekerja yang bertugas di area berisiko tinggi, umur, masa kerja, jenis kelamin, status gizi, profesi pekerjaan, dan kebiasaan merokok.

Hasil :Dari total 429 sampel, didapatkan 39 kejadian ISPA 9,1 . Faktor umur, masa kerja, jenis kelamin, status gizi, kebiasaan merokok tidak berpengaruh terhadap insiden ISPA. Karyawan yang bekerja di area berisiko tinggi berpengaruh terhadap kejadian ISPA p = 0,021, RR 0,38, 95 IK 0,165 ndash; 0,866 . Pekerjaan sebagai penunjang medis p = 0,043, RR 8,53, 95 IK 1,073 ndash; 67,946 dan dokter umum p = 0,037, RR 9,86, 95 IK 1,150 ndash; 84,562 memiliki pengaruh terhadap insiden ISPA.

Kesimpulan dan saran.Pekerja yang bertugas di area berisiko tinggi memiliki pengaruh terhadap kejadian ISPA p = 0,021, IK95 0,165 ndash; 0,866 , dan dapat mengurangi risiko terkena ISPA hingga 62,1 . Pencegahan ISPA harus dilakukan sesuai dengan cara transmisi penyakit, yaitu dengan melakukan kewaspadaan standar sesuai dengan jenis penyakit.

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Background Acute Respiratory Infections ARI is one of nosochomial infection included in Healthcare Acquired Infections HAIs , most of the health care workers only uses mask as preventive measure. Health care workers should do the standard precautions to all the patients.

Methods A retrospective cohort study was done on a hospital during December 2016. The population was divided into 2 groups. Group 1 was those who perfectly washed their hands, and group 2 was those who did not perfectly washed their hands, and will be looked 3 months forward to see the incidens of ARI. The variables analyzed were the complience of hand washing, workers at high risk services, age, work hour, gender, nutritional status, profession and smoking habit.

Results From 429 subjects in this study, there were 39 incidence of ARI 9.1 . Age, work hour, gender, nutritional status and smoking habit had no effect towards the incidence of ARI. Workers at high risk services had effects towards the incidence of ARI p value 0.021, RR 0.38, CI95 0,165 ndash 0,866 .The profession of medical support p value 0.043, RR 8.53, CI95 1,073 ndash 67,946 and general practitioner p value 0.037, RR 9.86, CI95 1,150 ndash 84,562 were more prone to ARI.

Conclusion and recommendation Workers at high risk services had effect towards the incidence of ARI. Prevention against ARI had to be done as how the diseases were transmitted. By increasing the standard precautions awareness of medical personal to a certain diseases."

"ABSTRAKNama : Edison SahputaProgram Studi : Kajian Administrasi Rumah SakitJudul : Analisis Penerapan Praktik Cuci Tangan Perawat diRuang Rawat Inap RSUD Kemayoran Jakarta SebagaiSalah Satu Syarat Akreditasi Rumah Sakit Tahun 2017Akreditasi rumah sakit adalah untuk keselamatan pasien dengan menilai praktikcuci tangan pada kelompok kerja Pencegahan Pegendalian Infeksi PPI versiKARS 2012. Tujuan penelitian ini adalah untuk melihat praktik cuci tangan yangdilakukan perawat di ruang rawat inap RSUD Kemayoran sehari-hari yangmerupakan salah satu syarat akreditasi rumah sakit. Metode yang dilakukan adalahpenelitian kuantitatif-kualitatif mixed method . Desain penelitian kuantitatifsecara cross sectional dan data kualitatif diperoleh dengan pengamatan langsungdan wawancara mendalam. Hasil praktik cuci tangan perawat sebesar 58,3 .Variabel usia, ruang kerja, pengingat di tempat kerja, media belajar, ketersediaansarung tangan, telusur kars dan sikap ada hubungan Praktik cuci tangan, p Value

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ABSTRACTName Edison SahputaStudy Program Hospital Administration StudyTitle Analysis of Implementation of Nurse Hand WashingPractices at Inpatient Room of RSUD KemayoranJakarta As One of the Accreditation Terms of Hospitalin 2017Hospital accreditation is for patient safety by assessing handwashing practices inworking group of Infection Prevention and Control IPC version 2012. Thepurpose of this research is to see the practice of handwashing done by nurses inKemayoran Hospital ward everyday which is one of the requirements of hospitalaccreditation. The method used is quantitative qualitative research mixedmethod . Quantitative research design is cross sectional and qualitative data isobtained by direct observation and in depth interview. The result of nurse handwashing practice was 58,3 . Age variables, workspace, workplace reminders,learning media, availability of gloves, search kars and relationship attitudesHandwashing Practice, p Value "