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Implementation of Five Moments and Six Steps Hand Hygiene Among Nurses in Two Hospitals in South Sulawesi Province Prayuda, Maesar; Tombong, Andi Baso
Media Keperawatan Indonesia Vol 7, No 2 (2024)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/mki.7.2.2024.104-113

Abstract

Hand hygiene is a simple step that is most effective to prevent patients from HAIs in hospitals. Therefore, its practice must be implemented by healthcare providers continuously. Its compliance among nurses must always be monitored to optimise safe health care and services, protecting providers and patients during hospitalization. This study aims to identify the implementation of five moment's and six step's hand hygiene by nurses in the inpatient rooms of two hospitals with different ownership status in the South Sulawesi Province. The study used a descriptive quantitative method with an observational approach. This study used a quota sample of 76 nurses and used the WHO adaptation of the Hand Hygiene Compliance (KKT) observation sheet. The study found that the implementation of five moment's hand hygiene by nurses at Hospitals A and B accounted for 15.2% and 8.8%, respectively, and the implementation of six step's hand hygiene was 9.9% and 7%. Hand hygiene compliance by inpatient nurses at Hospital A and Hospital B is in the non-compliant category, not in accordance with WHO recommendations, which are ≥85%. Further research is recommended to focus on factors related to compliance in implementing hand hygiene in hospitals as well as research in developing programs to improve hand hygiene compliance for nurses in health care facilities.
Kepatuhan Kebersihan Tangan Perawat dalam Pelaksanaan Tindakan Keperawatan  di Ruang Rawat Inap Rumah Sakit Tombong, Andi Baso; Prayuda, Maesar
Window of Nursing Journal Vol. 6 No. 2 (2025)
Publisher : Pusat Kajian dan Pengelola Jurnal FKM UMI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/won.v6i2.2827

Abstract

Hand hygiene compliance is a fundamental aspect of nursing practice and plays a critical role in preventing healthcare-associated infections (HAIs). Though literature highlight the importance of hand hygiene compliance, previous studies have not analyzed hand hygiene compliance based on nursing intervention type, especially in Indonesia. This study aims to assess the level of hand hygiene compliance among nurses at a hospital in South Sulawesi Province, based on nursing procedures outlined in the Ministry of Health Regulation No. 04 of 2022 on Technical Guidelines for Nursing Functional Positions. A descriptive quantitative design with an observational approach was employed. The study involved 57 nurses selected through quota sampling. Data were collected using a WHO-adapted hand hygiene observation sheet, documenting hand hygiene opportunities and corresponding nursing actions across three shifts: morning, afternoon, and night. Descriptive statistics, including frequencies and percentages, were used for analysis. Findings revealed that overall hand hygiene compliance among nurses was 61.30%, falling below the WHO standard of ≥85%. Notably, compliance was highest during wound care procedures, with rates ranging from 58.33% to 100%. However, adherence remained inconsistent across other nursing actions. The study concludes that while hand hygiene compliance is relatively high during wound care, consistent adherence should have been implemented across all nursing activities. This adherence aims to minimize infection risks, enhance patient safety, and ensure the delivery of high-quality nursing care.