Publication Search

Nosocomial infections, such as Surgical Site Infections (SSI), phlebitis, and Urinary Tract Infections (UTI), continue to challenge hospital service quality, including at Dharmais Cancer Hospital. The performance of Infection Prevention and Control Link Nurses (IPCLNs), key in executing the Infection Prevention and Control (IPC) program, remains suboptimal, with delays in reporting, inaccurate surveillance documentation, and weak coordination with the IPCN team. This study aims to analyze the effect of training and work motivation on IPCLN performance, with supervision as a moderating variable that strengthens the relationship. Using a quantitative approach, the study employed multiple linear regression and moderated regression analysis (MRA) on data from 43 IPCLNs selected through total sampling. A structured, valid, and reliable questionnaire was used for data collection. The results showed that training, motivation, and supervision had a significant effect on IPCLN performance. Training and motivation had a positive impact, while supervision not only had a direct effect but also moderated the relationship between training, motivation, and performance. These findings emphasize the importance of structured training, motivation enhancement, and sustainable supervision to improve the IPC program's effectiveness. The practical implication is the need for integrated managerial strategies to strengthen the role of IPCLNs in reducing infection risks and improving hospital service quality.

Phlebitis is one of the most common complications that occur as a result of intravenous infusion, especially in pediatric patients. This condition is characterized by inflammation of the vein wall, which can cause pain, redness, and swelling around the puncture site. The high incidence of phlebitis in children requires serious attention because it can prolong hospitalization, increase healthcare costs, and reduce the overall quality of care. This study aimed to identify the factors associated with the occurrence of phlebitis in pediatric patients at RSUI Harapan Anda, Tegal City. This research employed a correlational analytic design with a cross-sectional approach. The sample consisted of 46 pediatric patients undergoing intravenous therapy in the inpatient ward, selected using purposive sampling. The research instrument was an observation sheet that included independent variables such as age, chronic illness, duration of infusion, infusion site, type of infusion fluid, and nurses’ skills. The dependent variable was the incidence of phlebitis. Data were analyzed using the chi-square test to determine the relationships between variables. The results showed that most patients were in the toddler age group (1–3 years), had chronic illnesses, underwent infusion for more than 72 hours, had high-risk puncture sites, used hypotonic fluids, and were treated by nurses with insufficient skills. Statistical analysis revealed significant associations between all independent variables and the occurrence of phlebitis. These findings highlight the importance of improving nurses’ competence through continuous training, strict monitoring of infusion duration and fluid type, as well as special attention to high-risk pediatric patients. Such efforts are expected to reduce the incidence of phlebitis and improve the quality of nursing care in hospitals.

Intravenous (IV) insertion is a common nursing procedure in hospital settings, requiring strict adherence to Standard Operating Procedures (SOPs) to minimize complications such as nosocomial infections and phlebitis. However, many nurses fail to fully comply with SOPs, increasing patient safety risks. Several factors, including individual aspects such such as age, gender, educational level, and work experience are suspected to influence compliance. This study aims to examine the relationship between nurses’ characteristics and their compliance with IV insertion SOPs at Sultan Agung Islamic Hospital, Semarang. This research employed a quantitative analytical design with a cross-sectional approach. The study involved 30 nurses selected through purposive sampling. Data were obtained using a questionnaire for demographic characteristics and an observation checklist to assess SOP compliance. The data were analyzed using the Chi-Square test with a significance level of 0.05. The findings indicated that most nurses demonstrated moderate compliance (50%) or high compliance (50%), with no respondents classified as non-compliant. Statistical analysis revealed no significant relationship between age (p=0.705), gender (p=1.000), educational level (p=0.189), or years of experience (p=1.000) and IV insertion SOP compliance. These findings suggest that individual characteristics are not the primary determinants of compliance. Future research should explore other contributing factors such as hospital work environment, supervision, and patient safety culture to enhance IV insertion adherence.

Nosocomial infections are a serious problem that often occurs in hospitals and can have a negative impact on patient safety. The role of nurses, especially in inpatient rooms, is very important in preventing these infections. Preliminary studies found 0.34% of HAIs in hospitals, 0.00% of urinary tract infections, 0.86% of Phlebitis, 0.00% of Ventilator Associated Pneumonia. The aim of this study was to determine the relationship between knowledge and behavior of nurses regarding the prevention of nosocomial infections.This type of research is quantitative research with a cross sectional approach. Data collection was carried out through questionnaires. This population is all nurses in the Inpatient Room at PKU Muhammadiyah Sukoharjo Hospital. The sample for this research was 42 respondents who were selected using the total data saturated sampling technique used, namely univariate and bivariate analysis (Spearman rho test).The results of the univariate analysis research showed that the nosocomial infection prevention process variable, nurse knowledge was in the good category at 100% and the nosocomial infection prevention process variable, nurse behavior was in the good category at 100%. The results of bivariate analysis using the Spearman's rho statistical test show that there is a p-value of 0.000, where this value is smaller than 0.05 with a coefficient value of 0.528. So it can be said that there is a relationship between knowledge and behavior of inpatient room nurses in preventing nosocomial infections at the PKU Muhammadiyah Sukoharjo hospital.In conclusion, there is a relationship between knowledge and behavior in preventing nosocomial infections at the PKU Muhammadiyah hospital. Suggestions: Increase counseling and training on preventing nosocomial infections for nurses and health workers and non-health workers at the PKU Muhammadiyah Sukoharjo Hospital.

Background:Hand hygiene is an effective step to break the chain of infection transmission, so that nosocomial incidence can be reduced. Infection prevention and control absolutely must be carried out by nurses, doctors and all people involved in patient care. Nurses' hand hygiene behavior is one of the factors that has a big influence on preventing nosocomial infections in hospitals. At Hospital X in 2014 the proportion of phlebitis incidents was 6.5%. Phlebitis is a nosocomial infection. The results of observations of four nurses who carried out medical procedures, one of them did not wash his hands before and after carrying out procedures on patients, while the other three had already washed their hands. Research Objective: To determine the relationship between nurses' knowledge and attitudes about infections nosocomial with hand hygiene behavior at Hospital Data analysis used the Chi-square test with a confidence level of 95% (α= 0.05). Research Results: Characteristics of nurses at Hospital 56.7%). Most of them were women, namely 25 nurses (83.3%). The most work period is 1-5 years (56.7%). The highest level of education was D3 nursing (93.3%). Good knowledge about nosocomial infections was 26 nurses (86.7%). Most of the attitudes were positive, namely 27 (90.0%) nurses.  Most of them had good hand hygiene behavior19 (63.3%). There is a relationship between nurses' knowledge about nosocomial infections and hand hygiene behavior with a p value of 0.012 (p<0.05). There is a relationship between nurses' attitudes and hand hygiene behavior p of 0.041 (p<0.05). Conclusion: There is a relationship between nurses' knowledge about nosocomial infections and hand hygiene behavior and there is a relationship between nurses' attitudes and hand hygiene behavior.

Infant deaths generally occur in the early neonatal period due to hypothermia. The incidence of hypothermia in newborns is quite high, globally ranging from 8.5-52%, an estimated 17 million newborns experience hypothermia in developing countries. The incidence of hypothermia in newborn babies is 92.3%, the infant mortality rate due to hypothermia is 6.3%. One intervention to minimize the incidence of hypothermia in newborn babies is to initiate early breastfeeding. The aim of the research was to determine the effect of early initiation of breastfeeding on hypothermia in newborn babies at the Bakti Timah Karimun Hospital. The research method used a pre-experiment with a one group pretest-posttest design. The sampling technique was purposive sampling with 14 respondents. The measuring instruments in this study were a digital axillary thermometer, standard operating procedures (SOP) for early breastfeeding initiation and observation sheets. Data analysis using paired sample t-test. The results of the paired sample t-test found a p-value = 0.000 (p<0.05), so it can be concluded that there is an influence of early initiation of breastfeeding on hypothermia in newborn babies in the Midwifery Room at Bakti Timah Karimun Hospital. Early initiation of breastfeeding can be used as an intervention for newborns to minimize the incidence of hypothermia

Nifas infections that attack the breast or the mastitis are caused by bacterial contamination when nipple abrasions. Infections in the lungs can occur in mothers who receive general anesthesia. Phlebitis caused by contaminated syringes. Cleanliness of body, clothing, bed, and environment are vital to maintaining. Admission of hygiene would have prevented germs in nifas' mother's body. When a mother bathes it is recommended to wash all the bodies as far as perineum with soap. The midwife was instrumental in providing support during the nifas days. The research design used in this study is a correlative descriptive research design with a cross sectional approach which aims to determine the relationship between the characteristics of respondents and the implementation of postpartum infection prevention at Charis Medika Hospital, Batam in 2023. From the research results, the characteristics of the respondents were asked about in this study. namely age, education and work experience. Descriptive data on the ages of respondents obtained that the lowest age was 22 years and the highest age was 56 years. Data collection in this research starts from April to June 2023.

. Phlebitis is the area of skin around an intravascular catheter that is swollen, red, hot and painful. The aim of this research is to find out how nurses prevent phlebitis in patients. For this research, the design used is descriptive. The population consisted of all inpatients who were placed on an IV by a nurse in the emergency room and then admitted to the hospital. Data was collected using probability sampling techniques using the Slovin formula for 69 samples, using checklists and observation sheets, and analyzed using frequency distribution. The results of research conducted on 69 nurses in the Thamrin Medan inpatient room showed that there was an increase in the actions of respondents before the training was carried out. The majority had "bad" actions, namely 39 people (65.5%), 30 people (43.5%) had "good" actions. %). After the phlebitis prevention training was carried out, the results showed that those with "bad" actions decreased to 24 people (34.8%) and those with "good" actions increased to 45 people (65.2%). The results of the study showed that nurses' actions in preventing phlebitis averaged a score of 8, a minimum score of 4 and a maximum score of 10. This happened because the majority of nurses had taken action to prevent nosocomial infections well, so it was seen that there was a change in nurses' behavior before and after after training in phlebitis prevention at Bunda Thamrin Hospital, Medan.    

Introduction : Central Line Associated Blood Stream Infection (CLABSI) or phlebitis is defined by the CDC as a bloodstream infection confirmed by laboratory results that occurs within 48 hours before developing into bacteremia, and is not associated with infection in other parts. Some research results conclude that several factors influence the occurrence of phlebitis, one of which is the selection of the insertion site. Purpose: to determine the effect of the insertion location of the infusion on the incidence of phlebitis. Design: Literature review method using Google Scholar and the Portal Garuda as database  (2018-2022). Method : keywords "location of infusion and phlebitis incident". Results: From 14 reviewed articles, it was found that the incidence of phlebitis due to insertion site factors was influenced by the selection of the vein, the distance between the infusion site and the joint and the selection of the dominant extremity (which is often used for activities). Conclusion: Infusion is done by selecting a good vein, choose a vein that is far from the joint (minimum > 3.5 cm distance from the joint), Avoid choosing a vein in the location or extremity dominant to minimize the movement of the intravenous catheter when the patient moves.

Phlebitis is inflammation that occurs in the endothelial wall in the tunic intima caused by mechanical and chemical irritation from the administration of infusion therapy. Compress using normal salin liquid 0.9% can improve the anti-inflammatory response and can facilitate the flow of blood circulation to the area of ??phlebitis injury so that it can accelerate wound healing. The purpose of this case study is to analyze the application of compresses using normal salin liquid 0.9% to the incidence of phlebitis in the Hospital grade III 04.06.02 Bhakti Wira Tamtama Semarang. This type of case study design belongs to a descriptive study using a case study approach method. The subjects in this case study used two patients who were infused and had phlebitis marks VIP scores degree of phlebitis 1-4. Analysis of the degree of phlebitis experienced was carried out by observation and measured through assessment of degrees using VIP Score (Visual Infusion Score) which is a score of 0-5. The compression using normal salin liquid 0.9% in phlebitis patients were for 2 days, for each day compress 3 times, in 1 time compress for 30 minutes. The results of the case studies were found in subjects I and subject II, each of the VIP scores of the degree of phlebitis 3 (erythema, pain, swelling along the cannula), each VIP score of phlebitis 0 (no phlebitis). It is suggested to Hospital grade III 04.06.02 Bhakti Wira Tamtama Semarang to be taken into consideration in nursing care interventions in the handling of nonpharmacological phlebitis so that no further complications occur.