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All Journal e-Journal Pustaka Kesehatan Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) Jurnal Kesehatan Masyarakat (IKESMA) UNEJ e-Proceeding Nurse and Health: Jurnal Keperawatan Jurnal Kreativitas PKM Jurnal Keperawatan Suaka Insan Jurnal Ners Jurnal Aisyah : Jurnal Ilmu Kesehatan BIMIKI (Berkala Ilmiah Mahasiswa Ilmu Keperawatan Indonesia) Indonesian Journal of Global Health research Babali Nursing Research Jurnal Promotif Preventif Jurnal Kesehatan Tambusai MAHESA : Malahayati Health Student Journal PROFESSIONAL HEALTH JOURNAL Nursing and Health Sciences Journal (NHSJ) An Idea Health Journal Journal of Applied Nursing and Health Nursing Information Journal D Nursing and Health Journal (DNHJ) Indonesian Community Journal Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) Jurnal Keperawatan Jurnal Kesehatan Komunitas Indonesia Health and Technology Journal (HTECHJ) Journal Of Health Innovation And Community Services Journal of Community Empowerment for Multidisciplinary (JCEMTY) Journal Of Bionursing JI-KES (Jurnal Ilmu Kesehatan)
Dodi Wijaya
Faculty Of Nursing, Universitas Jember
Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Computer Science & IT Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Library & Information Science Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary Other

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Effectiveness of Implementing a Reminder Control Information System Using the SKEDit Program for Diarrhea Patients: Efektifitas Penerapan Sistem Informasi Reminder Control Menggunakan Program SKEDit Pada Pasien Diare Muhamad Hasan Basri; Agus Meriroja; Muhamad Zulfatul A’la; Dodi Wijaya
Journal of Community Empowerment for Multidisciplinary (JCEMTY) Vol. 3 No. 1 (2025): May 2025
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/jcemty.v3i1.278

Abstract

Diarrhea is one of the main causes of death in the world. Environmental cleanliness, sanitation and access to clean water are still factors that trigger diarrhea, especially in developing countries such as Indonesia. Diarrhea can attack anyone at any time, both adults and children. This Community Service aims to determine the effectiveness of using the control reminder information system for diarrhea patients in increasing repeat visits at the Mayang Community Health Center. The implementation method is carried out by providing health education by providing information about diarrhea through posters, sending health education videos and Control message reminders using the SKEDit Application Program. Evaluation before health education was carried out using SKEDit, customer satisfaction was 67.8% and after health education was carried out using SKEDit, it was 80.1%. Meanwhile, the rate of repeat visits for diarrhea patients after receiving a control reminder increased by 70%. Based on the results of observations, it shows that this Community Service activity is able to increase customer satisfaction and increase repeat visits of diarrhea patients at the Mayang Community Health Center.
Effectiveness, Benefits, Determinants, and Limitations of Early Mobilization After General Anesthesia: A Scoping Review Dermawan, Candra; Rondhianto, Rondhianto; Wijaya, Dodi
Journal of Applied Nursing and Health Vol. 8 No. 2 (2026): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v8i2.698

Abstract

Background: Early mobilization after general anesthesia is a key component of Enhanced Recovery After Surgery (ERAS) programs that improves postoperative recovery. However, evidence on its effectiveness, limitations, and implementation remains inconsistent across surgical settings. Therefore, this scoping review aimed to map and synthesize the available evidence on the effectiveness, benefits, limitations, and factors influencing the implementation of early mobilization after general anesthesia. Methods: This scoping review followed the Arksey and O'Malley methodological framework and was reported in accordance with the PRISMA-ScR guidelines. Literature searches were conducted in Scopus, PubMed, ScienceDirect, and SpringerLink databases for studies published between 2022 and 2026. A total of 312 records were initially identified. Following duplicate removal, studies underwent title, abstract, and full-text screening based on predefined inclusion and exclusion criteria. Eligible studies included primary research articles involving adult patients undergoing general anesthesia and evaluating early mobilization in perioperative or postoperative settings, whereas review articles, editorials, case reports, and studies unrelated to early mobilization or general anesthesia were excluded. Data were systematically charted using a standardized extraction form, and findings were synthesized using thematic analysis to identify key themes related to effectiveness, benefits, determinants, and limitations of early mobilization. Results: From 312 records initially identified, 250 studies remained after duplicate removal and underwent title and abstract screening. Following full-text assessment, 12 studies met the inclusion criteria and were included in the final synthesis. Thematic synthesis generated four major themes: (1) clinical effectiveness of early mobilization, including improvements in physical function, pain reduction, shortened length of stay, and decreased postoperative complications; (2) physiological and pharmacological determinants influencing mobilization readiness; (3) neurocognitive determinants affecting patients’ ability to participate safely in mobilization; and (4) organizational and healthcare system factors influencing implementation. The review also identified important literature gaps, including the lack of a standardized operational definition of early mobilization, substantial heterogeneity in intervention timing and outcome measures, and limited evidence regarding long-term recovery outcomes. Conclusion: This scoping review suggests that early mobilization after general anesthesia improves postoperative outcomes, including ADL, pain, LOS, and complications. However, evidence remains limited by indirect findings and variability across studies. Future research should evaluate standardized interventions and long-term outcomes in diverse healthcare settings.
Analysis of the Health Service Quality and Service Innovation of Dokter Muter on Patient Satisfaction Amellia Reikatiffany; Sugiyanta Sugiyanta; Dodi Wijaya
Indonesian Journal of Global Health Research Vol 7 No 2 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i2.5379

Abstract

Dokter Muter (Near by Doctors and other health workers through integrated services) is an innovation of the Lumajang District Health, Population Control and Family Planning Office (Dinkes P2KB). This innovation aims to bring access to health services closer to remote or geographically challenging areas. The purpose of this study was to determine the effect of health service quality and the Doctor Muter service innovation on patient satisfaction in Lumajang District. The population of this study were patients who had received or were receiving Dokter Muter services in 25 health centers. The data collection method was a questionnaire using Likert scale. This study used a cross-sectional design with proportional stratified random sampling technique. The number of samples in this study was 384 respondents. Data analysis was done using path analysis. Based on the results of the study, it is known that the path coefficient value of service quality on patient satisfaction β = 0.234 is positive with a p-value of 0.000, so that service quality has an influence on patient satisfaction. The path coefficient value of Dokter Muter’s service innovation on patient satisfaction β = 0.639 is positive with a p-value of 0.000, so Dokter Muter's service innovation has an influence on patient satisfaction. The R-squared value for the patient satisfaction variable is 0.707, which means that 70.7 percent of the patient satisfaction variable is influenced by Dokter Muter's service quality and service innovation, and the remaining 29.3 percent is influenced by constructs outside the model.
Measurement of Spiritual Care Competence: A Literature Review Wahyu Kurniasih; Dodi Wijaya; Anisah Ardiana
Indonesian Journal of Global Health Research Vol 7 No 3 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i3.6074

Abstract

The measurement of spiritual care competence is a crucial aspect of healthcare, particularly in nursing and mental health settings, where holistic care is emphasized to achieve well-being for patients, especially those with terminal conditions. However, determining the appropriate instrument to measure spiritual care competence in nurses is not an easy task. This study aims to identify the most suitable instruments for measuring spiritual care competence in nurses in Indonesia. The method used in this study is a literature review. The keywords used to search for relevant journals are "Nurse" AND "Competence" AND "Spiritual Care." The researcher utilized the Scopus, ScienceDirect, PubMed, and ProQuest databases. The journals included in the review are limited to those published in the last five years over the period from 2020 to 2024 and written in English. Initially, 2,301 journal articles were identified; following a screening and elimination process, 12 articles were selected as suitable for inclusion in this research. This study identified 2,301 journals, which were subsequently filtered for duplicates, irrelevant content, and interventions, resulting in 12 relevant journals. The review found that the instruments used to measure nurses' competence in spiritual care included the Spiritual Care Competence Scale (SCCS), the Spirituality and Spiritual Care Assessment Scale (SSCAS), the Spiritual Care Rating Scale (SSCRS), and the Spiritual Care-Giving Scale (SCGS). This review indicates that the variation in the use of instruments to measure nurses' competence in providing spiritual care is due to differences in respondent characteristics, as well as variations in beliefs and cultures.
Transition Readiness Among Pre-licensure Nursing Students Entering Clinical Practice: A Systematic Review Sujarwanto; Dodi Wijaya; Anisah Ardiana
Jurnal Kesehatan Komunitas Indonesia Vol 6 No 2: August 2026
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jkki.v6i2.788

Abstract

The theory-practice gap frequently triggers transition shock among pre-licensure nursing students. This study aims to identify, evaluate, and synthesize recent literature regarding the readiness level of professional nursing students transitioning to clinical practice. This systematic review adhered to the PRISMA protocol and searched PubMed, ScienceDirect, and Google Scholar for studies published over the last five years. Selection followed the PICOS framework, and methodological quality was appraised using the Joanna Briggs Institute (JBI) Checklist. Twelve articles from eight countries were analyzed. Quantitative findings indicate that practice readiness levels range from moderate to high, with mean scores averaging 63.5% to 75.4% of maximum capacity. However, significant variations exist, heavily influenced by healthcare contexts and educational cultures. Results confirm that readiness is multidimensional, integrating clinical skills, intrapersonal factors, teamwork, and professionalism. Limitations include a reliance on self-reported measures and the absence of a singular standardized assessment tool. Ultimately, these findings can directly inform nursing curriculum redesigns and the establishment of robust hospital-university partnership models, highlighting the critical need for structured pre-clinical orientations and integrated nurse residency programs to mitigate transition shock.
Strategi Meningkatkan Kepatuhan Perawat Terhadap Penerapan Bundle Cauti di Rumah Sakit Nining Wahyuni; Dodi Wijaya; Anisa Ardiana
MAHESA : Malahayati Health Student Journal Vol 6, No 1 (2026): Volume 6 Nomor 1 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i1.20134

Abstract

ABSTRACT Catheter-Associated Urinary Tract Infection (CAUTI) is one of the most common hospital-acquired infections. Nurse adherence to the implementation of the CAUTI Bundle is a key factor in preventing this infection. However, various barriers such as high workload, lack of training, and insufficient organizational support often hinder optimal protocol implementation. The aim of this literature review is to identify the most effective strategies for improving nurse adherence to the implementation of the CAUTI Bundle. A literature review approach was used by analyzing 12 articles discussing strategies to improve adherence to the CAUTI Bundle. Data sources were obtained from PubMed, Scopus, and Google Scholar between 2015 and 2024. Literature selection was carried out using the PRISMA method, and data were analyzed using thematic synthesis to identify the most effective strategies. The analysis showed that multifaceted strategies were more effective than single interventions in improving nurse adherence to the CAUTI Bundle. Key strategies that proved effective included: empowering nurses in clinical decision-making, such as granting nurses the authority to remove unnecessary catheters, which improved adherence and reduced CAUTI rates; data-driven monitoring and adherence audits, enabling early detection of non-adherence and successfully reducing CAUTI incidence over five years; hands-on training and clinical simulations, which enhanced nurses' skills in applying nosocomial infection protocols, though their effectiveness may decrease without continuous monitoring systems; and evidence-based policies and regulations, which help establish adherence standards but are more effective when supported by training and technology-based monitoring systems. This literature review emphasizes that the most effective strategy to improve nurse adherence to the CAUTI Bundle is a multifaceted approach, including nurse empowerment, data-driven monitoring, hands-on training, and policy-based regulations. Policy-based approaches alone are insufficient without supporting strategies to sustain adherence over time. Therefore, hospitals and healthcare institutions are recommended to adopt comprehensive evidence-based strategies in efforts to prevent nosocomial infections and enhance patient safety. Keywords: CAUTI Bundle Implementation, Nurse Adherence, Nosocomial Infections, Data-Driven Monitoring, Patient Safety.  ABSTRAK Infeksi Saluran Kemih terkait Kateter (Catheter-Associated Urinary Tract Infection/CAUTI) merupakan salah satu infeksi nosokomial yang paling sering terjadi di rumah sakit. Kepatuhan perawat terhadap penerapan Bundle CAUTI menjadi faktor utama dalam mencegah infeksi ini. Namun, berbagai hambatan seperti beban kerja tinggi, kurangnya pelatihan, serta minimnya dukungan organisasi sering kali menghambat penerapan protokol pencegahan yang optimal. Tujuan dari tinjauan literatur ini adalah untuk mengidentifikasi strategi yang paling efektif dalam meningkatkan kepatuhan perawat terhadap penerapan Bundle CAUTI. Pendekatan tinjauan literatur digunakan dengan menganalisis 12 artikel yang membahas strategi peningkatan kepatuhan terhadap Bundle CAUTI. Sumber data diperoleh dari PubMed, Scopus, dan Google Scholar dalam rentang 2015–2024. Seleksi literatur dilakukan menggunakan metode PRISMA, dan data dianalisis dengan pendekatan sintesis tematik untuk mengidentifikasi strategi yang paling efektif. Hasil analisis menunjukkan bahwa strategi multifaset lebih efektif dibandingkan pendekatan tunggal dalam meningkatkan kepatuhan perawat terhadap penerapan Bundle CAUTI. Strategi utama yang terbukti efektif meliputi: pemberdayaan perawat dalam pengambilan keputusan klinis, seperti pemberian wewenang kepada perawat untuk melepas kateter yang tidak diperlukan, yang terbukti meningkatkan kepatuhan dan menurunkan angka CAUTI; monitoring berbasis data dan audit kepatuhan, yang memungkinkan deteksi dini terhadap ketidakpatuhan dan berhasil mengurangi insiden CAUTI dalam lima tahun; pelatihan hands-on dan simulasi klinis, yang meningkatkan keterampilan perawat dalam menerapkan protokol infeksi nosokomial, meskipun efektivitasnya dapat menurun tanpa sistem monitoring yang berkelanjutan; serta kebijakan dan regulasi berbasis bukti, yang berperan dalam menetapkan standar kepatuhan, namun efektivitasnya meningkat jika didukung dengan pelatihan dan sistem monitoring berbasis teknologi. Tinjauan literatur ini menegaskan bahwa strategi yang paling efektif dalam meningkatkan kepatuhan perawat terhadap Bundle CAUTI adalah pendekatan multifaset yang mencakup pemberdayaan perawat, monitoring berbasis data, pelatihan hands-on, dan kebijakan berbasis regulasi. Pendekatan berbasis kebijakan saja tidak cukup tanpa strategi pendukung yang dapat meningkatkan kepatuhan secara berkelanjutan. Oleh karena itu, rumah sakit dan institusi kesehatan disarankan untuk mengadopsi strategi berbasis bukti yang komprehensif dalam upaya pencegahan infeksi nosokomial dan peningkatan keselamatan pasien. Kata Kunci: Penerapan Bundle CAUTI, Kepatuhan Perawat, Infeksi Nosokomial, Monitoring Berbasis Data, Keselamatan Pasien.
Analisis Faktor – Faktor Internal dan Eksternal Dalam Penerapan Bundle Vap di Ruang ICU Eni Yuriasti; Dodi Wijaya; Rondhianto Rondhianto
MAHESA : Malahayati Health Student Journal Vol 6, No 1 (2026): Volume 6 Nomor 1 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i1.20001

Abstract

ABSTRACT Ventilator-Associated Pneumonia (VAP) is a common nosocomial infection in ICUs, contributing significantly to morbidity, mortality, and healthcare costs. Implementing VAP bundles has shown effectiveness in reducing VAP incidence, but its success depends on various internal and external factors. This study employed a literature review with a quantitative approach. Data were gathered from 27 relevant articles published between 2013 and 2023, selected from an initial 231 articles obtained through structured searches in Google Scholar, PubMed, Scopus, and ScienceDirect using Boolean keywords such as “Ventilator-Associated Pneumonia” AND “VAP bundle” AND “Compliance.” Analysis revealed that internal factors, including medical staff knowledge and competency, significantly affect compliance with VAP bundles. Challenges such as insufficient continuous training and limited resources were highlighted. External factors, such as regular audits, managerial support, and a conducive work environment, were identified as critical in supporting successful VAP bundle implementation. Addressing internal challenges through structured training programs and resource allocation is essential. Simultaneously, external support mechanisms like frequent audits and strong managerial backing are necessary to ensure sustained compliance with VAP bundles. An integrative approach that encompasses intensive training, routine audits, and reinforced institutional policies is vital for the effective implementation of VAP bundles, thereby improving ICU patient care quality. Keywords: Ventilator-Associated Pneumonia, VAP Bundle, Internal Factors, External Factors, Protocol Compliance, ICU.  ABSTRAK Ventilator-Associated Pneumonia (VAP) merupakan infeksi nosokomial yang umum terjadi di ruang ICU, yang berkontribusi secara signifikan terhadap morbiditas, mortalitas, dan biaya perawatan. Implementasi bundle VAP terbukti efektif dalam menurunkan angka kejadian VAP, namun keberhasilannya bergantung pada berbagai faktor internal dan eksternal. Penelitian ini menggunakan metode tinjauan literatur dengan pendekatan kuantitatif. Data dikumpulkan dari 27 artikel relevan yang diterbitkan antara tahun 2013 hingga 2023, diseleksi dari 231 artikel awal yang diperoleh melalui pencarian terstruktur di Google Scholar, PubMed, Scopus, dan ScienceDirect dengan kata kunci Boolean seperti “Ventilator-Associated Pneumonia” AND “VAP bundle” AND “Compliance.” Analisis menunjukkan bahwa faktor internal, termasuk pengetahuan dan kompetensi staf medis, secara signifikan memengaruhi kepatuhan terhadap bundle VAP. Hambatan seperti kurangnya pelatihan berkelanjutan dan keterbatasan sumber daya menjadi tantangan utama. Faktor eksternal seperti audit rutin, dukungan manajerial, dan lingkungan kerja yang kondusif diidentifikasi sebagai elemen penting dalam mendukung keberhasilan implementasi bundle VAP. Mengatasi tantangan internal melalui program pelatihan terstruktur dan penyediaan sumber daya sangat diperlukan. Di sisi lain, mekanisme dukungan eksternal seperti audit berkala dan dukungan manajerial yang kuat juga esensial untuk memastikan kepatuhan berkelanjutan terhadap bundle VAP. Pendekatan integratif yang mencakup pelatihan intensif, audit rutin, dan penguatan kebijakan institusional sangat penting untuk implementasi bundle VAP yang efektif, sehingga meningkatkan kualitas perawatan pasien di ruang ICU. Kata Kunci: Ventilator-Associated Pneumonia, Bundle VAP, Faktor Internal, Faktor Eksternal, Kepatuhan Protokol, ICU.
Optimizing community-based management of hypertension and diabetes mellitus through the SEHATI book innovation: Optimalisasi pengelolaan hipertensi dan diabetes melitus berbasis komunitas melalui buku SEHATI Sutriani Undariningsih; Evan Wahyuningsih; Dodi Wijaya; Rondhianto
Journal of Community Empowerment for Multidisciplinary (JCEMTY) Vol. 4 No. 1 (2026): May 2026
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/jcemty.v4i1.420

Abstract

Non-communicable diseases (NCDs), particularly hypertension and diabetes mellitus, remain major contributors to morbidity and mortality in Indonesia. Suboptimal patient engagement and poor adherence to therapy continue to hinder effective NCD management at the primary care level. This community-based intervention aimed to enhance patients’ knowledge, treatment adherence, and self-management through the use of a print-based educational tool, the SEHATI book. The program was implemented over a one-week period at Tanjung Karang Primary Health Center, Mataram City, involving 17 participants, including healthcare providers, community health cadres, and patients with hypertension and diabetes. The intervention consisted of group education sessions, simulation activities, cadre-led home visits, and pre- and post-intervention assessments. The results demonstrated a substantial improvement in participants’ knowledge, increasing from 52% to 89%, and medication adherence, rising from 61% to 90%. Qualitative findings indicated that the SEHATI book facilitated self-monitoring practices and enhanced patient motivation. Additionally, health cadres reported that the tool strengthened their capacity as community educators. This community-based approach, particularly through the active involvement of health cadres, proved effective in promoting patient engagement, especially in settings with limited access to digital health resources. The intervention is consistent with the Health Belief Model, as it enhances perceived benefits and self-efficacy among patients. Overall, the SEHATI book represents a practical, scalable, and contextually appropriate educational strategy for sustainable NCD management in primary healthcare settings.
Optimization of the primary nursing care model to improve the quality of nursing services: Optimalisasi implementasi model asuhan keperawatan profesional metode primer dalam peningkatan mutu pelayanan keperawatan Linda, Baiq; Mardiati; Dodi Wijaya; Dewa, Dewa Gede Sanjaya Putra
Journal of Community Empowerment for Multidisciplinary (JCEMTY) Vol. 4 No. 1 (2026): May 2026
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/jcemty.v4i1.472

Abstract

The Professional Nursing Care Model (PNCM) using the primary method emphasizes patient-centered care by assigning one primary nurse with full responsibility for managing comprehensive nursing services throughout a patient’s hospitalization. However, its implementation in inpatient units has not been fully optimal, as reflected in issues related to continuity of care, unclear role distribution, and the absence of standardized operational guidelines. This community service initiative aimed to optimize the implementation of the PNCM–Primary Method to enhance the quality of nursing services in inpatient settings. The program was conducted through several stages, including situational analysis, development and implementation of standardized operational procedures (SOPs), structured role assignment for primary nurses, and continuous training and mentoring. Evaluation methods included direct observation, feedback from nursing staff, and audits of nursing documentation. The results indicated notable improvements in the continuity and coordination of care, increased accuracy and completeness of nursing documentation, and higher patient satisfaction levels. Nurses also demonstrated improved understanding of their roles, stronger accountability, and more effective communication within interprofessional teams. Additionally, the establishment of clear guidelines supported consistency in care delivery. In conclusion, optimizing the PNCM–Primary Method effectively improved the quality of nursing services, strengthened professional responsibility, and promoted a more patient-centered approach. This model is recommended for sustained implementation across inpatient units as part of ongoing quality improvement and accreditation readiness efforts.
Behavioral Determinants of Infection Control: Evaluating Hand Hygiene Knowledge and Motivation in Critical Care Nurses Citra Fiona Lutfi Nafisatunisa; Kholid Rosyidi Muhammad Nur; Dodi Wijaya; Masmuhul Khoir
Health and Technology Journal (HTechJ) Vol. 4 No. 4 (2026): August 2026
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v4i4.620

Abstract

Strict adherence to the World Health Organization's Five Moments for Hand Hygiene is critical for preventing healthcare-associated infections, especially in High Care Units where vulnerable patients face elevated risks. This study aimed to evaluate the knowledge, attitudes, and motivation regarding hand hygiene protocols among intensive care nurses. A quantitative descriptive design with a case study approach was utilized at the high care unit. Researchers selected participants through specific inclusion and exclusion criteria to ensure appropriate representation. A validated structured questionnaire measured cognitive understanding, psychological dispositions, and internal drive concerning the five moments and six-step handwashing procedures. Quantitative analysis revealed a significant disparity between psychological readiness and technical comprehension among the clinical staff. Sixty percent of nursing personnel demonstrated poor knowledge of standard handwashing protocols and critical moments of transmission. All respondents exhibited universally positive attitudes and strong intrinsic motivation toward infection prevention practices. A critical gap exists between nurses' favorable psychological dispositions and their actual cognitive grasp of evidence-based hygiene guidelines. Hospital administrators must implement targeted educational interventions and robust supervisory frameworks to bridge this cognitive deficit. Translating high motivation and positive attitudes into consistent clinical execution requires continuous professional development. Ultimately, structural support and ongoing evaluation remain essential to elevate patient safety outcomes in intensive care environments.
Co-Authors Achmad Sigit Agus Meriroja Agus Meriroja Agustinha Soares Ahmad Rifai Ailsa Ayu Fadhilla Aldri Frinaldi Alfid Tri Afandi Alwan Wijaya Amellia Reikatiffany Aminah, Dewi Anggia Astuti Anisa Ardiana Anisah Ardiana Anisah Ardiana Anisah Ardiana Anisah Ardiana Ardho Yuwono Wisnugati Ardiana, Anisa Arif Candra Artha Aziz Putra Adhitama Bagus Setyo Prabowo Bratajaya, Ika Mardiyah Cahyani, Nurul Eko Chandra Aji Wijaya Chandra Aji Wijaya, Chandra Aji Chandra, Eka Yufi Septriana Citra Fiona Lutfi Nafisatunisa Cucik Fariasih Denny Rifki Dermawan, Candra Desy Listyaningrum Dewa Ayu Dwi Chandra Yadnya Sari Dewa, Dewa Gede Sanjaya Putra Dewi Aminah Diafani, Riris Diana Rochma Dicky Endrian Kurniawan Dinda Rizky Amalia Dwi Yoga Setyorini Eka Yufi Septriana Candra Eni Yuriasti Erti Ikhtiarini Dewi Essy Sonontiko Essy Sonontiko Sayekti Evan Wahyuningsih Fariasih, Cucik Faridayanti, Erny Feri Ekaprasetia Gigih Permana Kusuma Putra Grace Pakilaran Gunarto, Sugito Tri Gunawan, Arif Candra Hadi Prayitno, Hadi Hanny Handiyani Hanny Rasni Hartini Mansyur Ika Mardiyah Bratajaya Ika Rachmawati Indah Fatimatus Zahro Indri Safitri, Resti Kusnul Kotimah Kusnul Kotimah, Kusnul Linda, Baiq Lulu Dewanti Lulu Dewanti Mardiati Masmuhul Khoir Muhamad Hasan Basri Muhamad Hasan Basri Muhamad Zulfatul A’la Muhammad Nur, Kholid Rosyidi Murni Herawaty Sitanggang Murni Hermawaty Sitanggang Nguyen, Tuan Van Ningrum, Teysya Dwi Nining Wahyuni Nur Yuliani Nur Yuliani Nurfika Asmaningrum Nurfika Asmaningrum Nurfika Asmaningrum Nurfika Asmaningrum Nurfika Asmaningrum Nurfika Asmaningrum Nurul Arifah Pradika Ghozi Syamsir Pramesti Arnetha Indriyanti Pravita Dwi Ariyani Rahmawati, Iis Reni Reni Indrayani Restanto, Didik Pudji Resti Indri Safitri Retno Purwandari Retno Utami Ria Aridya Liarucha Rizeki Dwi Fibriansari Rondhianto Rondhianto Sari, Maya Mustika Satriawan, Handi Dwi Shobrina Rifatul Ula SISWOYO Sitanggang, Murni Hermawaty Sitorus, Ratna Sofia Rosa Dewi Sonontiko Sayekti, Essy Sugito Tri Gunarto Sugiyanta Sugiyanta Suhari Sujarwanto Suparman Suparman Sutriani Undariningsih Syamsiar, Pradika Ghozi Sya’roni, Sya’roni Tantut Susanto Wahyu Kurniasih Yennike Tri Herawati Yennike Tri Herawati Yulia Kurniawati Yuliah Ernawati Yulianingsih Yunita Selly Santoso Yuriasti, Eni Yuriasti, Nining Wahyuni Zainal Abidin Zainal Abidin Zuhrotul Rofiqoh