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Analytics

Rahmi Rahmi; Arozzi Adhikara; Intan Silviana Mustikawati

Jurnal Kesehatan dan Kedokteran 2025 Lembaga Pengembangan Kinerja Dosen

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.

Dita Adelina, Dita Adelina; Nopi Nur Khasanah; Kurnia Wijayanti

Jurnal Mahasiswa Ilmu Kesehatan 2025 STIKes Ibnu Sina Ajibarang

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.

Ika Nur Aliffiyah Suudi; Dyah Wiji Puspita Sari; Retno Issroviatiningrum

Jurnal Ilmu Keperawatan dan Kebidanan 2025 Asosiasi Riset Ilmu Kesehatan Indonesia

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.