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RELATIONSHIP WITH THE KNOWLEDGE LEVEL OF COMPLIANCE


WITH STUDENTS IIIA Prodi S1 PLEASE STIKES EKA THE USE
of PPE (GLOVES) AT PKK Hais II TO PREVENT RISK
IN THE ROOMInpatient Hospital DR. DORIS Sylvanus
Palangkaraya

(RESEARCH Correlation)

BY:
ANDRE SETIAWAN
NIM: 2014.C.06a.0584

EKA FOUNDATION PLEASE Palangkaraya


INSTITUTE OF HEALTH SCIENCE
S1 STUDY PROGRAM NURSING
ACADEMIC YEAR 2018
"Relations Student Knowledge Level Compliance Level IIIA With Prodi S1 STIKes
Eka just in the Use of PPE(Gloves) At the PKK II To Prevent Risk
Hais In Space Inpatient Hospital Dr. Doris Sylvanus
Palangkaraya "

Andre Setiawan *, Sarah H. Rintuh, M.Pd **, Dina G. Rawan Rana, S.Kep., Nurses. ***

College of Health Sciences Eka Please Palangkaraya


Study Program S1 Nursing

Email: setiawanandre642@gmail.com

ABSTRACT

XI + 70 pages + 7 Table + 2 + 2 Diagram Figure + Appendix

Background: The use of personal protective equipment at the nurses still


considered lacking in execution or implementation. PPE usage behavior of nurses
was not significant between good behavior and less good at using PPE.
Research purposes:Analyzing Relations Student Knowledge Level Compliance
Level IIIA With Prodi S1 STIKes Eka just in the Use of PPE (Gloves) At the
PKK II To Prevent Risk Hais In Space Inpatient Hospital Dr. Doris Sylvanus
Palangkaraya
Research methods : This study design using the Correlation research. Samples
were taken using total sampling with a sample of 33 respondents.
Research result: Based on the analysis of statistical test by Spearman Rank
Correlation method (Rho) in getting P value = 0.000 with a significant level of α =
0.05, so as the result of 0.000 <0.05, which means that H1 is accepted showed a
significant and meaningful relationship between knowledge with compliance IIIA
level students in the use of PPE (gloves) to prevent the risk of Hais.
Conclusion: There is a relationship between a Knowledge Level Compliance
With Students In The use of PPE (Gloves) To Prevent Risk Hais In Space
Inpatient Hospital Dr. Doris Sylvanus Palangkaraya. Suggestion: to health
workers to attend to back in compliance in the use of personal protective
equipment, especially gloves when doing any medical treatment.
Keywords: Knowledge level, compliance, use of PPE (gloves), Prevent Hais.
Bibliography: 44 (2007-2017)
ABSTRACT

Relations Student Knowledge Level Compliance Level IIIA With Prodi S1


STIKes Eka just in the Use of PPE (Gloves)
At the PKK II To Prevent Risk of Hospitalization Hais In Space
Hospital Dr. Doris Sylvanus Palangkaraya

Andre Setiawan, 2018

S1Keperawatan program, Eka STIKes Please Palangkaraya


Supervisor I: Sarah H. Rintuh, M.Pd
Supervisor II: Prone Dina G. Rana, S.Kep., Nurses.

XI + 70 pages + 7 Table + 2 + 2 Diagram Figure + Appendix

background: The use of personal protective equipment at the nurses still


Considered lacking in execution or implementation. PPE usage behavior of nurses
was not significant between good behavior and less good at using PPE.
Research purposes:Analyzing Relations Student Knowledge Level Compliance
Level IIIA With Prodi S1 STIKes Eka just in the Use of PPE (Gloves) At the
PKK II To Prevent Risk Hais In Space Inpatient Hospital Dr. Doris Sylvanus
Palangkaraya
Research methods:This study design using the Correlation research. Samples
were taken using total sampling with a sample of 33 respondents.
Research result:Based on the analysis of statistical test by Spearman Rank
Correlation method (Rho) in getting P value = 0.000 with a significant level of α =
0:05, so as the result of 0.000> 0.05, the which means that H1 is accepted Showed
a significant and meaningful relationship between knowledge with compliance
IIIA level students in the use of PPE (gloves) to Prevent the risk of Hais.
Conclusion:There is a relationship between a Knowledge Level Compliance With
Students In The use of PPE (Gloves) To Prevent Risk Hais In Space Inpatient
Hospital Dr. Doris Sylvanus Palangkaraya. Suggestion: to health workers to
Attend to back in compliance in the use of personal protective equipment,
especially gloves when doing any medical treatment.
Keywords: Knowledge level, compliance, use of PPE (gloves), Prevent Hais.
bibliography:44 (2007-2017)
PRELIMINARY students did not use PPE ( gloves), current
Knowledge is all that is known is based physical examination, replacement fluid
on the experience acquired by every human infusion and injection.
being According to Mubarak (2011: 81).
Compliance is the degree of a person in Vigilance by this transmission is
carrying out the treatment, care and behavior applied to patients who are already infected
that are suggested by a nurse, doctor or other with certain germs that can be transmitted
health personnel (Bart, 2007), use of personal through contact, air and droplets. The use of
protective equipment (PPE) is a set of tools PPE will be adjusted to the transmission may
used by health workers to protect all / most of occur, use of PPE which is not in accordance
his body the possibility of the potential hazard with the transmission, the possibility can be
/ workplace accidents in order to achieve lead to the spread of infection. For example,
safety. Occupational hazards (due to work), as when a physical examination that there is no
well as other environmental health problems, contact with the blood or fluids of patients
acute or chronic (transient or sustained) and its using the gloves and the nurse will take action
effects may occur immediately or take a long to the other patients, the nurses did not change
time.The use of personal protective equipment gloves will cause the displacement of
at the nurses still considered lacking in microorganisms from patient to another, as a
execution or implementation. It can be seen result of not using gloves in addition to needle
from the research Siburian (2012) shows that or scratched sharp medical objects,
the attitude of nurses in the use of PPE is still
lacking, is shown with a positive attitude as Various ways of control can be done to
much as 46.70% and a negative attitude as address the environmental hazards of work,
much as 53.30%. but technically control the hazard itself is
Hais prevalence in developing considered the most effective and the first
countries range between 5.7 to 19.1%, while in alternative is recommended, while the use of
developing countries ranges from 3.5 to 12% Personal Protective Equipment (PPE) is the
(WHO, 2014). While the prevalence of Hais in last option. One of the efforts in the
Indonesia amounted to 7.1% (Wikansari, framework of the provision of labor protection
Hestiningsih & Raharjo, 2012). Data from the against the Occupational Health and Safety
International Labor Organization (ILO) in (K3) in the hospital is to provide PPE.
2012 recorded the Occupational Diseases Provision of PPE to the workforce, the final
(PAK) globally, according to WHO data of 35 attempt if efforts engineering (engineering)
million health workers, 3 million exposure to and a safe way of working (work practices)
blood pathogens (2 million hepatitis B virus have done the maximum for example the
exposure; 0.9 million exposed to the virus application of the glove, and therefore
HBC; and 170,000 exposed to HIV / AIDS. researchers interested in studying ''Knowledge
the data in the USA per year 5000. Research Relationships With Students Compliance
conducted by Ning (2014) shows the behavior Level IIIA Prodi S1 STIKes Eka just in the use
of the nurses PPE use was not significant of PPE (Gloves) In KDP II To Prevent Risk
between good behavior and less well in using Hais In Space Inpatient Hospital Dr. Doris
the PPE. As a result of respondents who have a Sylvanus Palangkaraya ''.
good use of PPE behavior amounted to 40 RESEARCH METHODS
(47.6%), while respondents who have The design study is correlational
behavioral poor use of PPE amounted to 44 (relationships / associations). The sample size used
(52.4%). The results of observations at the was 33 respondents. The sampling technique using
time of clinical practice at the level III study total sampling and taken based on inclusion
program S1 Nursing STIKes Eka Please criteria. The independent variable (independent) in
Palangkaraya, with the number of students 45 this study is the level of knowledge. The dependent
people, when making observations of 6 variable (dependent) in this study was adherence
students office, there are two students who are use of PPE (gloves). Data were analyzed using the
Spearman rank with significant levels of <0.05.
obedient to the use of gloves and obtained four
The research instrument to measure the level Rinawati, et al (2016) Knowledge of
of knowledge using kuosioner containing 16 respondents about the effect on the
questions, kuosioner test the validity because it has implementation of the use of PPE PPE at
not been standardized. The research instrument for work, or in other words, knowledge is a very
measuring compliance with the use of PPE important factor in shaping a person's actions.
(gloves) using observation sheet that contains 8
This may be because there are other factors
statement.
that affect a person's knowledge of, among
When the study required the researchers to others, would affect intelligence in processing
obtain research data conducted, ie on July 23, s / d information, the information obtained about
July 27, 2018 in Space inpatient Hospital Dr. Doris each respondent different K3, P2K3 not
Sylvanus Palangkaraya. running optimally, lack of training and
counseling K3 K3. According to the study
RESEARCH RESULT Prasetyo, (2015) The knowledge one can be
The demographic data of respondents influenced by education, age, and experience.
showed some respondents from 33 respondents by Respondents were knowledgeable either
sex showed that the respondents were female that because respondents were active in seeking
there is a total of 17 respondents (52%) and
information including asking managers and
respondents gender boys as much as 16
respondents (48%). While based on the age of the health workers in the company about how to
respondents from 33 respondents, found use the PPE that is good, while the
respondents aged 20-21 years 26 respondents respondents were knowledgeable about both
(79%) and 18-19 years old 7 respondents (21%). because respondents still do not know about
PPE, either benefits or how to use a good and
The level of knowledge of the correct.
use of PPE (gloves) of the 33 respondents,
good knowledge of 25 respondents (75.8%) Student Compliance Level IIIA Prodi S1
and insufficient knowledge ie 8 respondents STIKes Eka just in the Use of PPE (Gloves)
(24.2%). Age is one of the factors that support owned by 33 respondents, very obedient as
the knowledge of results in getting shows that many as 25 respondents (75.8%) and abiding
out of 33 respondents, found that respondents by 8 respondents (24.2%). Compliance is the
aged 20-25 years 26 respondents (79%) and degree of a person in implementing a rule and
18-19 years old 7 respondents (21%). behavior are suggested. Compliance is to obey
According to Budiman and RJ (2014: 5) an order or a rule. Compliance is the degree of
suggests that the factors influencing a person in carrying out the treatment, care and
knowledge is education, information, social, behavior that are suggested by a nurse, doctor
cultural and economic, environmental or other health personnel (Bart, 2007),
experience and over. Age influence of adherence nurse is the behavior of the nurse as
perception and mindset of someone. Increasing a professional against a recommendation,
the age will be growing anyway of perception procedures or rules that have to be undertaken
and thought patterns so that the knowledge or in obey (Niven, 2012).
gained is getting better. Results of the Research result Banda, (2015). Show
studyPrabasworo, (2016).The results showed a statistical results on a significant level of <0.05
positive relationship between safety climate to was obtained a strong correlation between the
its compliance with safety regulations. knowledge of nurses with compliance using
Knowledge is the result of out and do this after the PPE according to SOP. Meanwhile,
the sensing of the particular object according to some researchers, the results
(Notoatmodjo 2007). Or cognitive domain Sudarmo et al, (2016). Ie factors that affect
knowledge is very important for the formation compliance, by simultaneous test is 84.1%,
of a person's actions (Over Behavior). very strong that compliance surgical nurse is
Knowledge is as a continuous formation by really real / significantly influenced the
someone who underwent a reorganization at behavior of the variables in this study are:
any time for their new understanding. attitude, length of work, supervision,
Meanwhile, according to research results availability of PPE, peers , perception and only
15.9% are other factors beyond the variables table Statistical Analysis Relations Student Knowledge Level
4.4 Compliance Level IIIA With Prodi S1 STIKes Eka just in
used in this study could affect compliance with the Use of PPE (Gloves) At the PKK II To Prevent Risk
the nurse in using PPE in IBS Hospital Ulin Hais In Space Inpatient Hospital Dr. Doris Sylvanus
Palangkaraya.
Banjarmasin. Based on the results Noviandry
P
(2013), that good supervision by the manager / Knowle
dge Obedience
management will affect the compliance of level Val
ue
workers in the use of personal protective correla , 670 **
equipment. But it is possible with the Knowledge
tion 1,000
Coefeci , 000 0,0
application of strict controls including level of use
ent 33 00
of PPE
applying Penalties for not using personal (gloves)
Sig (2- 33
tailed)
protective equipment makes the form of Spearm
N
an
external motivation can improve such Rank
correla , 1,000
Compliance tion 670 **
compliance. Results of research Son (2012) with the use Coefeci
0,0
stated that compliance in the use of personal of PPE ent , 33
00
(gloves) on Sig (2- 000
protective equipment can be influenced by the PKKII tailed) 33
attitude of the individual. According to N
research results Sari et al, (2014) show
conclusively that adherence nurses will Based on the analysis of statistical test
increase if it is supported by good by Spearman Rank Correlation method (Rho)
communication as a form of measures to in getting P value = 0.000 with a significant
improve the climate of safety, security. level of α = 0.05, so as the result of 0.000
table Cross tabulation Relations Student <0.05, which means that H1 is accepted
4.3 Knowledge Level Compliance Level showed a significant and meaningful
IIIA With Prodi S1 STIKes Eka just relationship between knowledge with
in the Use of PPE (Gloves) At the compliance IIIA level students in the use of
PKK II To Prevent Risk Hais In PPE (gloves) to prevent the risk of
Space Inpatient Hospital Dr. Doris hospitalization Hais in the Hospital Dr. Doris
Sylvanus Palangkaraya. Sylvanus Palangkaraya.
compliance Students
knowledge very Total DISCUSSION
submissive Research result Based on the analysis of
Students Obedient statistical test by Spearman Rank Correlation
method (Rho) in getting P value = 0.000 with a
N % N % N %
significant level of α = 0.05, so as the result of
Good 23 69.7 2 6.1 25 75.8 0.000 <0.05, which means that H1 is accepted
showed a significant and meaningful
Enough 2 6.1 6 18.2 8 24.2
relationship between knowledge with
Total 25 75.8 8 24.2 33 100 compliance IIIA level students in the use of
PPE (gloves) to prevent the risk of
hospitalization Hais in the Hospital Dr. Doris
According to the table above shows the Sylvanus Palangkaraya.
level of knowledge of 25 respondents either
get obedient adherence levels as much as 23 Results of the study Prabasworo, (2016)
(69.7%) of respondents and adherence to the on Climate Relationship Safety Compliance
compliance level in 2 (6.1%) respondents. As With Safety Regulations By Nurse In Hospital,
for the level of knowledge sufficient of 8 The results showed a positive relationship
respondents get obedient compliance level in 2 between safety climate to its compliance with
(6.1%) of the respondents and adherence to the safety regulations. Irfan Banda, in 2015 about
compliance level 6 (18.2%) of respondents. relationship with the nurse's behavior
adherence Using Personal Protective
Equipment (PPE) As per Standard Operating
Procedure (Sop) at the hospital Hospitalization
BLUDs Konawe, results showed statistically Prevent Risk Hais In Space Inpatient Hospital
result in a significant level of <0.05 was Dr. Doris Sylvanus Palangkaraya.
obtained a strong correlation between the
knowledge of nurses SOP compliance using SUGGESTION
appropriate PPE. It is hoped that nursing students should
Based on the above facts and theory be more frequently read and memperaktikan
researchers concluded the results a good level use of PPE (gloves) to prevent Hais either at
of knowledge is the most, level of knowledge home, campus, or hospitals in order to increase
obtained one of education and experienceas knowledge and insight on the importance of
well as information. S1 nursing student using PPE (gloves) to prevent Hais and more
education IIIA level is the same, while for patient in the use of gloves hand in the nursing
information about wound care education action, either collaboratively or independently
obtained from K3 from campus or off campus, true, and according to the procedures existing
to experience they can immediately see when theory, especially the use of PPE in the subject
nursing practice. With a sufficient level of of K3. The more we practice the right of use of
knowledge and higher education as well as PPE (gloves) when nursing actions, the risk of
experience a lot, then someone will tend to get exposure to risk would be lower Hais.
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