Hubungan Tingkat Pengetahuan Dan Beban Kerja Perawat Dengan Kepatuhan Pelaksanaan Universal Precaution Di Ruang Tindakan Uptd Puskesmas Nambo Desa Lumbe Kecamatan Nambo
Abstract
Universal precaution (UP) is a standard practice of infection prevention against the transmission of pathogens through blood and bodily fluids, which must be implemented by all healthcare workers. This practice encompasses hand hygiene, the use of personal protective equipment (PPE), proper medical waste disposal, as well as sterilization and disinfection of medical instruments. Compliance with UP among nurses is influenced by multiple factors, including knowledge level and workload. This study aimed to examine the relationship between nurses' knowledge level and workload with compliance in implementing universal precautions in the Treatment Room of UPTD Puskesmas Nambo, Lumbe Village, Nambo District. This study employed an observational analytic design with a cross-sectional approach, conducted from November 12 to December 12, 2025. A total of 40 respondents were recruited using a total sampling technique. Data were analyzed using the Chi-Square test. The results indicated a statistically significant relationship between nurses' knowledge level and compliance with universal precaution implementation (ρ = 0.000; α = 0.05), as well as between workload and compliance (ρ = 0.008; α = 0.05). These findings conclude that both knowledge level and workload are significantly associated with nurses' compliance in implementing universal precautions in the Treatment Room of UPTD Puskesmas Nambo
References
Al-Qur’an dan Terjemahannya. (n.d.). Kementerian Agama Republik Indonesia.
Alshammari, F., Cruz, J. P., Alquwez, N., & Almazan, J. (2022). Nurses’ knowledge and compliance with infection prevention and control practices. Journal of Infection and Public Health, 15(3), 307–313. https://doi.org/10.1016/j.jiph.2022.01.006
Centers for Disease Control and Prevention. (2022). Guideline for isolation precautions: Preventing transmission of infectious agents in healthcare settings. CDC.
Hafsah, U., & Safitri, M. E. (2022). Buku ajar manajemen kontrol dan kualitas pelayanan kebidanan (M. Nasrudin, Ed.). Penerbit NEM.
Handayani, R. (2019). Hubungan komunikasi terapeutik perawat yang dipersepsikan [Skripsi, tidak dipublikasikan].
Handayani, S., Putri, R. A., & Wahyuni, T. (2021). Factors associated with nurses’ compliance toward standard precautions. Journal of Nursing Practice, 4(2), 115–123.
Hariyati, T. (2014). Perencanaan, pengembangan, dan utilisasi tenaga keperawatan. Rajawali Press.
Hasanah, R., & Maharani, C. (2022). Faktor-faktor yang berhubungan dengan kinerja perawat. Indonesian Journal of Public Health and Nutrition, 2(1), 75–82.
Hasyim, M. R. (2019). Faktor-faktor yang mempengaruhi kepuasan pasien rawat jalan dalam pelayanan kesehatan dasar di Puskesmas Kassi-Kassi Kecamatan Rappocini Kota Makassar [Skripsi, Universitas Islam Negeri Alauddin Makassar].
Ismail, N., & Hartati, S. (2019). Metodologi penelitian sosial. Media Sahabat Cendikia.
Kahar, A. W., Palu, B., & Raodhah, S. (2017). Pengaruh persepsi mutu pelayanan kebidanan terhadap kepuasan pasien rawat inap di RSUD Barru Sulawesi Selatan. Public Health Science, 9(2), 124–126.
Kartika, I. R. (2022). Ilmu keperawatan dasar (sistem dan mutu pelayanan keperawatan) (A. Munandar, Ed.). CV. DOTPLUS Publisher.
Kurniawan, D., Susanti, R., & Prasetyo, A. (2020). Organizational factors affecting nurses’ compliance with universal precautions. Jurnal Keperawatan Indonesia, 23(2), 98–106. https://doi.org/10.7454/jki.v23i2.1123
Kurniawati, N., Husna, A. R., & Marini, G. (2015). Hubungan beban kerja perawat dengan kepatuhan pelaksanaan universal precaution di Instalasi Gawat Darurat (IGD) RSUD Dr. Moch. Soewandhie Surabaya [Skripsi, Universitas Muhammadiyah Surabaya].
Moyo, P., Chimhini, G., & Mukora-Mutseyekwa, F. (2020). Knowledge–practice gap in infection prevention among nurses in low-resource settings. BMC Nursing, 19, 56. https://doi.org/10.1186/s12912-020-00442-9
Ngula, M. O. (2019). Faktor-faktor yang berhubungan dengan kepuasan pasien rawat jalan di RSUD Abdul Wahab Sjahranie Samarinda [Karya tulis ilmiah, Politeknik Kesehatan Kemenkes Kalimantan Timur].
Notoatmodjo, S. (2018). Promosi kesehatan dan perilaku kesehatan. Rineka Cipta.
Notoatmodjo, S. (2021). Promosi kesehatan dan perilaku kesehatan (Edisi revisi). Rineka Cipta.
Nurfitriani, Paradilla, M., Niartiningsih, A., Takwa, M., & Nur, N. H. (2024). Patient experience: Teori dan praktik. Uwais Inspirasi Indonesia.
Panduan Penulisan Skripsi ITKeS Muhammadiyah Sidrap. (2025). ITKeS Muhammadiyah Sidrap.
Potter, P. A., & Perry, A. G. (2021). Fundamentals of nursing (10th ed.). Elsevier.
Potter, P. A., Perry, A. G., Stockert, P., & Hall, A. (2021). Fundamentals of nursing (10th ed.). Elsevier.
Putri, R. A., & Handayani, S. (2022). Hubungan masa kerja dan pengetahuan perawat dengan kepatuhan penerapan kewaspadaan standar. Jurnal Keperawatan Indonesia, 25(1), 45–53.
Rahmawati, L., Sari, D., & Yuliana. (2020). Knowledge and compliance of nurses in infection prevention. Jurnal Ilmu Keperawatan, 8(1), 45–53.
Rekam Medik Puskesmas Nambo. (2025). Data internal UPTD Puskesmas Nambo.
Rosenstock, I. M., Strecher, V. J., & Becker, M. H. (2019). Social learning theory and the Health Belief Model. Health Education Quarterly.
Rosenstock, I. M., Strecher, V. J., & Becker, M. H. (2021). Health belief model and preventive health behavior. Health Education & Behavior, 48(2), 140–147.
Setiawan, R., Lestari, D., & Hidayat, A. (2020). Faktor-faktor yang memengaruhi kepatuhan perawat dalam pencegahan infeksi. Jurnal Manajemen Keperawatan, 6(1), 45–53.
Sugiyono. (2019). Metode penelitian kuantitatif, kualitatif, dan R&D. Alfabeta.
World Health Organization. (2023). Guidelines on infection prevention and control. WHO.
Zhang, Y., Wang, C., & Liu, J. (2021). Factors influencing nurses’ compliance with infection control practices. International Journal of Nursing Studies, 115, 103853. https://doi.org/10.1016/j.ijnurstu.2020.103853
