Faktor Determinan Perilaku Perawat dalam Tindakan Perawatan Luka Operasi di RSUD dr. H. Soewondo Kendal

Abstract

Surgical wound infection is a major cause of morbidity, prolonged hospitalization, and mortality. One effort to prevent the occurrence of surgical wound infections is through the proper and correct behavior of nurses in surgical wound care. Nurses’ behavior in surgical wound care can be influenced by attitudes, nurses’ perceptions of supervision and tool availability. This study aimed to identify the relationship between attitudes, nurses’ perceptions of supervision, availability of wound care tools and nurses’ behavior in surgical wound care at RSUD dr. H. Soewondo Kendal. The type of this research was analytic descriptive observational with cross sectional design. Sampling of technique used in this study was total sampling with a sample number of 50 nurses. Chi Square test results showed the value of p = 0.003 for attitudes, p = 0.001 for nurses’ perceptions of supervision, and p = 0.035 for availability of wound care tools. Meanwhile, the logistic regression test results showed the nurses’ perceptions of supervision variable had OR = 7.754. Based on the results of this study, it could be concluded that there was relationship between attitudes and nurse behavior in surgical wound care. There was a relationship between nurses' perceptions of supervision and nurse behavior in surgical wound care. There was a relationship between availability of wound care tools and nurse behavior in surgical wound care. Nurse perception of supervision is the most dominant factor that influencing the nurse behavior in surgical wound care. Based on the results of the study, it is recommended to improve the role and function of supervision. Furthermore, the items of tools and facilities in surgical wound care need to be improved in order to support nurses to behave well in the surgical wound care.