The Association between Nurse Characteristics, Supervision, and Nurse Compliance at Madani Hospital in Medan, North Sumatera
Abstract
Background: The disease pain scale related to the health service in Madani Hospital was more than 1.5% in 2017. Nurse compliance with standard precaution has been proved to reduce the incidence of diseases related to health services. This study aimed to analyze characteristics and normative, formative and restorative supervision which influence the level of nurse compliance with standard precaution.
Subjects and Method: This was an analytic observational study with a cross-sectional design. The study was conducted at Madani hospital in Medan, North Sumatera. A sample of 89 nurses in inpatient wards was selected by total sampling. The dependent variable was nurse compliance. The independent variables were nurse characteristics, normative, formative, and restorative supervisions. The data were collected by questionnaire and analyzed by multiple logistic regression.
Results: The level of nurse compliance with standar precaution was good (66.3%). Nurse compliance with standar precaution increased with gender (OR= 4.71; 95% CI= 1.14 to 19.85; p= 0.032), normative supervision (OR= 6.00; 95% CI= 19.74 to 1.83; p= 0.001), and restorative supervision (OR= 25.23; 95% CI=2.90 to 219.35; p= 0.001).
Conclusion: Gender and the implementation of normative and restorative supervision will increase the level of nurse compliance with standard precaution.
Keywords: Nurses compliance, normative, formative, restorative supervision
Correspondence: Astri Nurhandini. Department of Hospital Administration, Universitas Sumatera Utara. Email: nurhandiniastri@gmail.com. Mobile: 08116099983.
Journal of Health Policy and Management (2019), 4(3): 170-175
https://doi.org/10.26911/thejhpm.2019.04.03.04
References
Clarke S, Glendon AI (2015). Human Safety and Risk Management: A Psychological Perspective. 3 edn, CRC Press, Inc., Boca Raton, FL, USA.
Handiyani H, Allenidekania, Eryando T (2004). Hubungan peran dan fungsi manajemen kepala ruangan dengan keberhasilan pelaksanaan program pengendalian infeksi nosokomial. Jurnal Keperawatan Indonesia. 8(2): 54-61. http://dx.doi.org/10.7454/jki.v8i2.148.
Herpan, Wardani Y (2013). Analisis kinerja perawat dalam pengendalian infeksi nosokomial di RSU PKU Muhammadiyah Bantul Yogyakarta. Jurnal Kesehatan Masyarakat. 6(3): 175-189. http://dx.doi.org/10.12928/kesmas.v6i3.1053
Kemenkes (2010). Peraturan menteri kesehatan nomor 411 tahun 2010 tentang laboratorium klinik.pdf
Kustoro BD (2010). Pengaruh kekohesifan, gaya kepemimpinan dan budaya kerja terhadap efektivitas organisasi. Jurnal Pendidikan dan Kebudayaan 16: 325. http://dx.doi.org/10.24832/jpnk.v16i3.465
Lam SC (2017). Compliance with Standard Precautions Scale (CSPS): Fact sheet. Research Gate. http://dx.doi.org/10.13140/RG.2.2.25361.43363.
Nursalam (2011). Manajemen Keperawatan: Aplikasi dalam Praktik Keperawatan Profesional Edisi 3. Salemba Medika, Jakarta.
PiaiMorais TH, Orlandi FS, de Figueiredo RM (2015). Factors influencing adherence to standard precautions among nursing professionals in psychiatric hospitals. Revista da Escola de Enfermagem. 49(3): 473-480. http://dx.doi.org/10.1590/S0080623420150000300016.
World Health Organization (2017). The burden of health care-associated infection worldwide.
