The Compliance of Hospital Nurse in the Prevention of Urinary Tract Infection in Surabaya, Indonesia
Open Access
- 30 March 2021
- journal article
- Published by Universitas Airlangga in Jurnal PROMKES
- Vol. 9 (1), 18-27
- https://doi.org/10.20473/jpk.v9.i1.2021.18-27
Abstract
Background: Catheter-Associated Urinary Tract Infection (CAUTI) is one of the most common infections in the hospital. In order to prevent and control CAUTI incidence, nurses are required to implement bundles of prevention. However, the lack of nurses’ compliance behavior in implementing the CAUTI bundle prevention was found. Objective: This study analyzes the nurse’s compliance behavior in implementing CAUTI prevention using the Theory of Planned Behavior (TPB) approach. Methods: This study was an analytical descriptive study with a cross-sectional design. Nurses who work in ICU, ICCU, HCU, and in-patient unit of the hospital were set as study population and taken as samples using simple random sampling. Background factors (age, education, knowledge, employment duration, career levels), attitudes, subjective norms, Perceived Behavior Control (PBC), and intention were determined as independent variables. In contrast, nurses’ compliance behavior in CAUTI prevention bundle implementation was determined as the dependent variable. Data were collected using a questionnaire and analyzed using logistic regression with a significance level of α < 0.05. Results: Among 111 nurses, most of them are in the age of 26-45 years (80.1%), has worked as a nurse for 8-13 years (29.7%), reach career level at Clinical Nurse 3 (51.4%), and have good knowledge about CAUTI prevention bundle (83.8%). The employment duration and career levels are background factors that correlate the most to the TPB factors. The nurses’ compliance behavior is influenced by attitude, subjective norm, PBC, and intention (P Value= 0.000). Multivariate analysis shows that intention is associated with nurses’ compliance behavior and increases nurses’ commitment to implement CAUTI prevention bundle (P Value= 0.033, OR= 6.46). Conclusion: The intention simultaneously influences the nurses’ compliance behavior.Keywords
This publication has 23 references indexed in Scilit:
- Device-associated infection rates, bacterial resistance, length of stay, and mortality in Kuwait: International Nosocomial Infection Consortium findingsAmerican Journal of Infection Control, 2016
- Barriers and facilitators of nurses’ use of clinical practice guidelines: An integrative reviewInternational Journal of Nursing Studies, 2016
- Encyclopedia of Personality and Individual DifferencesPublished by Springer Science and Business Media LLC ,2016
- Predicting Patient Safety Behaviors of Nurses in Inter-Hospital TransferJournal of Korean Academy of Nursing Administration, 2016
- Understanding attitudes and their effects on nursing practice.Nursing Standard, 2015
- Applying the Theory of Planned Behaviour to understand nurse intention to follow recommendations related to a preventive clinical practiceJournal of Research in Nursing, 2015
- Are Staffing, Work Environment, Work Stressors, and Rationing of Care Related to Care Workers' Perception of Quality of Care? A Cross-Sectional StudyJournal of the American Medical Directors Association, 2015
- Abductor digiti minimi muscle flap in reconstruction of diabetic foot ulcers: A case seriesEuropean Journal of Plastic Surgery, 2014
- Aging and the macroeconomy: long-term implications of an older populationChoice Reviews Online, 2013
- Self-Categorization TheoryPublished by SAGE Publications ,2012