Analysis of Determinant Factors for Hospital Staff Adherence to The Use of PPE The Care of COVID-19 Patients

Abstract

Hospital staff safety was the priority for hospitals in a pandemic situation. The adoption of standard protocols and the use of PPE is the last line of defense of protection to prevent transmission. Based on the data released by the National Disaster Management Agency in July 2020, there were twenty-six COVID-19 hospital clusters. This study aimed to analyze determinant factors for hospital staff adherence to the use of personal protective equipment in treating COVID-19 patients. This study was observational research with a cross-sectional design. The sample was selected using simple random sampling technique with a total samples of 53 respondents. Data were collected using questionnaire and analyzed using linear regression statistical analysis. The respondents have characteristics as follows: good knowledge (52.83%), good risk perception (50.94%), low barriers to implementation (71.70%), good safety climate (90.57%), and good information (94.34%). There was correlation between knowledge (p-value = 0.000, β = 0.880), risk perception (p-value = 0.000, β = 0.846), barriers to implementation (p-value = 0.000, β = 0.579), safety climate (pvalue = 0.005, β = 0.646), information (p-value = 0.034, β = 0.620) with hospital staff using PPE. Knowledge and risk perception have a very strong correlation with the hospital staff adherence. Keselamatan petugas rumah sakit menjadi prioritas rumah sakit pada era pandemi. Penerapan protokol kesehatan dan penggunaan Alat pelindung diri menjadi pertahanan terakhir untuk melindungi diri dari penularan. Berdasarkan data yang dikeluarkan oleh Badan Nasional Penanggulangan Bencana bulan Juli 2020, terdapat 26 kluster COVID-19 dari rumah sakit. Tujuan dari penelitian ini adalah untuk menganalisis faktor penentu kepatuhan petugas rumah sakit dalam menggunakan alat pelindung diri saat merawat pasien COVID-19. Penelitian ini merupakan penelitian observasional dengan desain cross-sectional. Sampel dipilih menggunakan teknik simple random sampling dengan total sampel 53 responden. Data dikumpulkan menggunakan kuesioner dan dianalisis menggunakan statistika linear regresi.Responden memiliki karakteristik: pengetahuan baik (52.83%), persepsi risiko baik (50.94%), hambatan implementasi rendah (71.70%), iklim keselamatan baik (90.57%), dan informasi serta pelatihan baik (94.34%). Terdapat korelasi antara pengetahuan (pvalue = 0.000; β = 0.880), persepsi risiko (p-value = 0.000; β = 0.846), hambatan implementasi (p-value = 0.000; β = 0.579), iklim keselamatan (p-value = 0.005; β = 0.646), informasi dan pelatihan (p-value = 0.034; β = 0.620) dengan kepatuhan staf rumah sakit menggunakan alat pelindung diri saat melakukan perawatan pasien COVID-19. Pengetahuan dan persepsi risiko memiliki korelasi yang kuat terhadap kepatuhan staf rumah sakit.

Compliance with personal protective equipment use among non-medical healthcare professionals during Covid-19 pandemic

“…Thus they use PPE appropriately, not overuse or misuse (Cook, 2020). Good knowledge and accumulation of experience during work had a significant correlation to compliance (Gunawan & Chalidyanto, 2020). These findings support that regular training to increase the knowledge may be able to change their behavior in using PPE.…”

“…26 of 32 (81.25%) of our participants who work at covid ward complied using PPE. This result was higher than nurse compliance at a private hospital in Malang (less than 60%) (Gunawan & Chalidyanto, 2020).…”

“…The inhibiting factors include their lack of confidence in the local guidelines, discomfort, the bad stigma of patients, work culture, management support, lack of PPE quality and quantity (Houghton et al, 2020). A cross-sectional study at a private hospital in Malang showed that less than 60 % of nurses who served Covid-19 patients complied with the use of PPE (Gunawan & Chalidyanto, 2020). Therefore, we conducted a study to examine non-medical healthcare professionals' compliance and identify the factors that may influence their compliance in using PPE.…”

Hubungan Antara Tingkat Pengetahuan Dengan Kepatuhan Staf Rumah Sakit Dalam Penggunaan Alat Pelindung Diri Secara Rasional Di Masa Pandemi Covid-19

“…Sisanya memiliki pengetahuan yang cukup dan kurang dengan nilai dibawah 76. Persentase staf yang berpengetahuan baik tersebut nilainya hampir mendekati dengan hasil penelitian di Rumah Sakit Lavalette Malang yang menunjukkan bahwa 52,83% staf RS berpengetahuan baik 11 .…”

“…Penelitian ini memperoleh hasil bahwa tingkat pengetahuan tidak berpengaruh signifikan terhadap kepatuhan staf rumah sakit dan tenaga kesehatanya dalam penggunaan APD rasional di masa pandemi Covid-19. Hal ini tidak sesuai dengan temuantemuan penelitian lain yang membuktikan bahwa pengetahuan dan persepsi tentang kecukupan informasi memiliki hubungan dengan tingkat kepatuhan dalam menggunakan APD dan pencegahan Covid-19 11,17,21 .…”