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"The risk of accidents and disease transmission when working at hospitals is quite high, especially in Indonesia. This study aimed to analyze the relationship model between the Occupational Safety and Health (OSH) climate and behavior intention in OSH performance to prevent needlestick injuries (NSI) based on a theory of planned behavior. A mixed approach using qualitative and quantitative methods was applied. Data were obtained from Structural Equation Model questionnaires, observation, and documentation, and interviews were analyzed qualitatively. The population was 1,042 nurses at Dr. Sardjito General Hospital in Yogyakarta. The sample consisted of 289 respondents determined by purposive random sampling with an accuracy level of 5%. The OSH climate consisted of attitude, norm, and perceived behavioral control effect on safety intention. An indirect OSH climate can influence safety performance, but it must be followed by intention. Intention directly affects safety performance in the form of behavior to implement NSI prevention procedures. Attitudes toward risk, attitudes toward leader commitment as role models, group norms, and beliefs in the ability to perform safety and health procedures determine the safety climate that leads to the intention for safe and healthy behavior in OSH performance."

"Melek kesehatan sangat penting bagi keselamatan perawat. Laporan angka cedera jarum suntik pada perawat hingga saat ini masih tinggi, salah satunya karena rendahnya melek kesehatan perawat. Upaya mengoptimalkan melek kesehatan dan pencegahan cedera jarum suntik perawat dapat dilakukan melalui pengarahan. Pengarahan dapat dilakukan melalui berbagai cara yang inovatif melalui program internalisasi hasil evaluasi belajar perawat Pin Hebat . Tujuan pre-eksperiment ini untuk menguji pengaruh Pin Hebat terhadap melek kesehatan dan pencegahan cedera jarum suntik perawat. Penelitian ini menggunakan uji independent t-tes dan Mann U Whitney dengan sampel 88 perawat untuk melek kesehatan dan 102 tindakan pencegahan cedera jarum suntik. Hasil penelitian menunjukkan bahwa ada perbedaan yang bermakna pada melek kesehatan perawat pelaksana p=0,001 , dan ada perbedaan yang bermakna juga pada pelaksanaan pencegahan cedera jarum suntik perawat pelaksana p=0,014 setelah diterapkan pengarahan menggunakan Pin Hebat. Pengarahan kepala ruang menggunakan Pin Hebat memberi dampak pada melek kesehatan sebesar 27 dan pencegahan cedera jarum suntik perawat sebesar 31 . Dukungan dan kerjasama semua pihak terutama manajemen rumah sakit diperlukan untuk penetapan kebijakan pelaksanaan pengarahan menggunakan Pin Hebat oleh kepala ruang di rumah sakit secara berkelanjutan. ......Health literacy is a essential part of nurse safety. Report number of needlestick injuries in nurses up to now still high, one of them due to the low of nurses health literacy. Attempts to optimize the health literacy and prevention of needlestick injuries in nurses can be done through the direction. Directing can be executed by doing several innovative ways such as a program internalization study evaluation nurses Pin Hebat. The goal of pre experiment is to test the Pin Hebat influence on health literacy and prevention of needlestick injury nurses. This research uses the independent t test and Mann U Whitney tests with samples 88 nurses for health literacy and 102 precaution of injured needlestick. The results showed that there was a meaningful difference in implementing nurse health literacy p 0.001, and there was also a meaningful difference on the implementation of the prevention of needle injury of nurses p 0,014 after applying the direction using a Pin Hebat. Directing of head nurse using Pin Hebat give impact on health literacy of 27 and the prevention of nurse injury to syringe of 31. The support and cooperation of all parties is needed especially for hospital management toward the implementation of the directing policy using Pin Hebat by head nurse in the hospital sustainably."

"Kewaspadaan Universal/Standar direkomendasikan untuk mencegah pajanan penyakit infeksi lewat darah seperti HIV, Virus Hepatitis B, dan Virus Hepatitis C di pelayanan kesehatan. Di RS PMI Bogor, kepatuhan penerapan Kewaspadaan Universal/Standar diantara perawat dan bidan adalah rendah, dilihat dari kasus kecelakaan tertusuk jarum suntik yang terjadi diantara perawat tahun 2009-2011, masing-masing 6, 4, dan 8 kasus. Penelitian ini bersifat deskriptif dengan menggunakan rancangan cross sectional. Sebanyak 100 self administered questionnaires disebarkan dan hanya 82 kuesioner lengkap yang kembali. Tujuan penelitian ini adalah untuk mengetahui gambaran tingkat kepatuhan perawat dan bidan dalam penerapan Kewaspadaan Universal/Standar dan faktor ? faktor yang berhubungan. Dalam penelitian ini, hanya 52,4 % perawat dan bidan yang memiliki tingkat kepatuhan yang baik. Dari hasil uji chi square, variabel yang secara signifikan berhubungan dengan kepatuhan penerapan Kewaspadaan Universal/Standar adalah iklim keselamatan kerja dan pelatihan dan ketersediaan APD. Peneliti menyarankan diadakan pelatihan dan sosialisasi SOP dan kebijakan terkait kewaspadaan universal.Universal/Standard Precautions are recommended to prevent blood-borne infections (e.g. HIV, HBV, and HCV) exposure in health care setting. Compliance with Universal/Standard Precautions among nurses and midwives is suboptimal at PMI Hospital, Bogor. It was showed from needle stick injury cases occurred among nurses each of 6, 4, and 8 cases in 2009 ? 2011. This research is descriptive using cross sectional design. A total of 100 self administered questionnaires were distributed to nurses and midwives, and 82 completed questionnaires were returned. The purpose of this study is to find out compliance rate with Universal/Standard Precautions among nurses and midwives and factors related. In this research, only 52.4 % nurses and midwives who had a high compliance rate. Based on chi square test, safety climate and training and availability of PPE were significantly associated with compliance to Universal/Standard Precautions. The researcher suggests establishing the training and socializing SOP and policy related to Universal/Standard Precautions"