Hubungan Self-Awareness dengan Kepatuhan Perawat dalam Kebersihan Tangan Five Moment di Rumah Sakit

Abstract

The five moments of hand hygiene are an essential strategy to control the threat of Healthcare Associated Infections (HAls) among hospitalized patients. However, a persistent global challenge is the lack of nurses' self-awareness, which impacts their compliance with the five moments of hand hygiene. If left unaddressed, this issue could lead to increased morbidity and even mortality, causing harm to patients and financial losses for hospitals. This study aims to identify the relationship between self-awareness and nurses' compliance with the five moments of hand hygiene in hospitals. The study population comprised all inpatient nurses at Adam Malik Hospital Medan, with a sample of 118 participants selected using the probability sampling method with simple random sampling technique. Bivariate analysis was conducted using Pearson's correlation coefficient ir). The results indicated that merses' self-awareness was at a high level, and their compliance with the five maments of hand hygiene was categorized as compliant. The highest level of self-awareness observed was conscientious awareness, while the highest compliance was found in the third moment, which occurs after exposure to patients' bodily fluids. The data analysis revealed a significant relationship between self-anwareness and mirses' compliance with hand hygiene, with a p-value of 0.001 and a strong carrelation coefficient tr 0.915). The conclusion of this study is that high self-awareness among nurses con enhance their compliance with the five moments of hand hygiene in hospitals. Nurses tend to clean their hands when visible contamination is observed. It is recommended that unit managers continuously audit hand hygiene practices and encourage nurses to foster a culture of self-awareness and compliance with the five moments of hand hygiene.