The Influence of Reflective Supervision Training of Head Nurses on the Compliance of staff Nurses in Implementing Hand Hygiene in RSUD Bima

Abstract

ABSTRACT The most important effort in the prevention and infection control due to health services in hospitals is implementing proper hand hygiene. Some research reports that the compliance level of hand hygiene is still low. To maintain the consistency of nurses in implementing the correct hand hygiene, supervision of the head nurses is needed. One of the supervision models that can influence patient safety behaviour is the supervision of reflective models, namely supervision that emphasizes efforts to provide support by increasing the ability to understand practice and things that influence them in order to produce understanding and inner awareness, which will have an impact on developing practice abilities. This study aimed to know the influence of reflective supervision training of the head nurses on the compliance of staff nurse in implementing hand hygiene in patient wards of RSUD Bima. The design of this study was a quasi-experiment with pre-post test with control group. The number of samples were 40 staff nurses that were taken by purposive sampling technique and divided into intervention groups (n = 20) and control group (n = 20). Data collection was done by direct observation of the hand hygiene implementation before and after applying reflective supervision training of the head nurses. Data analysis used independent t-test. The results obtained p-value of 0.001 (p-value <0.05) means that there was an effect of the head nurses reflective supervision training on the compliance of staff nurses in implementing hand hygiene in RSUD Bima. The head nurses need to implement reflective supervision periodically and continuously to improve and maintain nurses compliance in implementing hand hygiene. Keywords: nurse loyalty, reflective supervision, hand hygiene, head room References: 123 (1997- 2018)