Determinants of Nurses’ Professional Compliance with Standards of Care for Low Birth Weight Infants: A Multicenter Study

Erni Juniartati (Jurusan Keperawatan Singkawang, Poltekkes Kemenkes Pontianak, Indonesia)
Marsia (Jurusan Keperawatan Singkawang, Poltekkes Kemenkes Pontianak, Indonesia)
Finta Isti Kundari (Poltekkes kemenkes Semarang Prodi Kebidanan Purwokerto, Indonesia)
Diki Retno Yulianti (Poltekkes Kemenkes Malang Prodi Kebidanan Kediri, Indonesia)
Suhariyanto (Poltekkes Kemenkes Malang Prodi Kebidanan Kediri, Indonesia)

ARMADA : Jurnal Penelitian Multidisiplin
Vol. 4 No. 9 (2026): ARMADA : Jurnal Penelitian Multidisplin, September 2026

Low birth weight infants (LBWIs) have a high risk of complications and therefore require consistent and standardised care. Nurses’ adherence to LBWI care standards plays an important role in maintaining service quality and patient safety. This study aimed to identify factors associated with nurses’ adherence to LBWI care standards and determine the dominant factor in a multicentre setting. This quantitative analytical observational study used a cross-sectional design involving nurses providing care for LBWIs. Data were collected using a respondent characteristics questionnaire and an adherence checklist, then analysed using bivariate analysis and multiple linear regression. The results showed that the mean age of respondents was 38.53 ± 8.57 years, length of employment was 14.87 ± 8.86 years, and adherence score was 25.43 ± 2.05. Age, length of employment, and clinical career level (PK/BP) were significantly associated with adherence (p=0.001), while education and LBWI training were not significant. Clinical career level was the dominant factor influencing adherence (B=1.472; p=0.005), with the model explaining 65.5% of adherence score variation (Adjusted R²=0.655). Strengthening clinical career pathways, competency assessment, supervision, and continuous evaluation are required to improve consistent implementation of LBWI care standards.