ABSTRAK

Sumardi. 2019. Faktor-Faktor yang Mempengaruhi Kepatuhan Five Moments Hand

Hygiene pada Perawat di Ruang 17 RS Malang. Tugas Akhir.
Program Studi S1 Ilmu Keperawatan, Stikes Maharani Malang.
Pembimbing : (1) Ns. Wiwik Agustina,S.Kep,M.Biomed (2) Ns. Sih
Ageng Lumadi, M.Kep

Lima momen cuci tangan (five moments hand hygiene) merupakan salah satu
upaya pencegahan infeksi yang harus diterapkan oleh perawat di lingkungan kerja.
Kepatuhan perawat dalam menerapkan five moments hand hygiene dipengaruhi
oleh beberapa faktor. Penelitian ini bertujuan untuk menganalisis pengaruh
motivasi, fasilitas dan supervisi terhadap kepatuhan perawat dalam menerapkan five
moments hand hygiene. Penelitian ini menggunakan metode Kuantitatif dengan
pendekatan Cross-Sectional. Populasi dalam penelitian ini adalah seluruh perawat
di ruang 17 RS Malang yang berjumlah 20 orang, dimana seluruhnya dijadikan
sampel penelitian. Data dikumpulkan dengan menggunakan kuesioner dan
dianalisis dengan Regresi Logistik. Hasil penelitian menunjukkan bahwa sebagian
besar perawat kurang patuh dalam menerapkan five moments hand hygiene, yakni
sebanyak 11 responden (55%). Hasil analisis Regresi Logistik menunjukkan p-
value pada variabel motivasi, fasilitas dan supervisi masing-masing adalah 0,044,
0,044 dan 0,041 (< α 0,05). Selain itu, nilai Exp(B) tertinggi diperoleh pada variabel
supervisi (81,015). Dengan demikian, dapat disimpulkan bahwa motivasi, fasilitas
dan supervisi memiliki pengaruh yang signifikan terhadap penerapan five moments
hand hygiene di ruang 17 RS Malang, dengan variabel dominan yaitu supervisi.
Sehingga, disarankan bagi manajemen rumah sakit untuk lebih aktif melakukan
supervisi. Selain itu, kelengkapan fasilitas serta pelatihan PPI juga perlu
diperhatikan agar perawat semakin termotivasi untuk menerapkan five moments
hand hygiene secara disiplin.

Kata kunci: Five moments hand hygiene, Kepatuhan perawat, RS Malang.

 ABSTRACT

Sumardi. 2019. Determining Factors of The Implementation of Five Moments Hand

Hygiene (Study in Nurses at The Hospital of Malang.
Undergraduate Thesis. Undergraduate Program of Nursing Sciences,
Maharani School of Health Sciences Malang. Supervisors: (1) Ns.
Wiwik Agustina,S.Kep,M.Biomed (2) Ns. Sih Ageng Lumadi,
M.Kep

Five moments hand hygiene is a program to prevent infection that must be

implemented by nurses in the work environment. Nurse obedience in implementing
the five moments hand hygiene is influenced by several factors. This study aimed
to analyze the effect of motivation, facilities and supervision on nurse obedience in
implementing the five moments hand hygiene. This research used Quantitative
method with a Cross-Sectional approach. The population were all nurses in room
17 at Hospital of Malang, by the total of 20 respondents, where all of them were
used as research sample. Primary data were collected using questionnaire and then
analyzed using Logistic Regression anlysis. Based on the results, it was found that
the majority of nurses were less obedient in implementing the five moments hand
hygiene (11 respondents/55%). The result of the Logistic Regression analysis
demonstrated p-value of motivation variable, facilities and supervision were 0.044,
0.044 and 0.041 (<α 0.05), respectively. In addition, the highest value of Exp (B)
was obtained from the supervision variable (81,015). Therefore, it can be concluded
that motivation, facilities and supervision had a significant effect on the
implementation of five moments hand hygiene of nurses of Room 17 at the RSSA
Malang, with supervison as the most dominant variable. The management of the
hospital is suggested to be more active in providing the supervison toward the
nurses. In addition, facility and the training for infection prevention and control are
also crucial to be implemented so that the nurses can be more motivated and
disciplined to implement the five moments hand hygiene.

Keywords: Five moments hand hygiene, Nurses obedience, RS Malang.