ASUHAN KEPERAWATAN PADA PASIEN DENGAN INFEKSI NOSOKOMIAL DI RUANG RAWAT ANAK RSU SOE SUATU PENELITIAN KUALITATIF DI KABUPATEN TIMOR TENGAH SELATAN – NUSA TENGGARA TIMUR
DOI:
https://doi.org/10.53625/jirk.v5i7.11900Keywords:
Nosocomial Infection, Pediatric Nursing, Infection Prevention, Qualitative StudyAbstract
Nosocomial infections remain a major challenge in improving the quality of health services, particularly in pediatric wards where patients are more vulnerable. This study aims to explore nurses' experiences in providing nursing care for pediatric patients with nosocomial infections in the Pediatric Ward of Soe Regional General Hospital, Timor Tengah Selatan (TTS), East Nusa Tenggara. A qualitative research approach with a case study design was employed. The main informants consisted of staff nurses, while triangulation informants included physicians, the ward head nurse, and parents of hospitalized children. Data were collected through in-depth interviews, non-participant observations, and document reviews. Data analysis followed Miles and Huberman’s interactive model, including data reduction, data display, and conclusion drawing. The study identified four major themes: (1) nurses’ experiences in caring for children with nosocomial infections; (2) challenges in implementing infection prevention and control (IPC) measures; (3) nurses’ strategies to minimize infection risks; and (4) family involvement in the care process. The findings highlight the need to strengthen nurse competencies, ensure adequate IPC facilities, and promote family engagement to improve pediatric nursing care quality.
References
Adriani, L., & Rahmawati, S. (2021). Kepatuhan perawat dalam melaksanakan pencegahan infeksi. Jurnal Keperawatan Indonesia, 24(3), 145–154.
Agustina, F., & Lestari, P. (2020). Faktor risiko infeksi nosokomial pada anak. Jurnal Keperawatan Anak, 8(2), 95–104.
Aji, S. B., & Yuliani, N. (2022). Implementasi hand hygiene dalam menurunkan insiden HAIs. Jurnal Keperawatan Medikal Bedah, 10(1), 35–44.
Allegranzi, B., & Pittet, D. (2021). Healthcare-associated infection in low-resource settings. The Lancet Infectious Diseases, 21(4), 134–145.
Ariyanti, S., & Susanto, H. (2022). Peran keluarga dalam pencegahan infeksi anak. Jurnal Keperawatan Keluarga, 6(2), 88–97.
Asmadi. (2020). Konsep Dasar Keperawatan. Jakarta: Salemba Medika.
Bowen, L., & Carville, K. (2020). Infection prevention in pediatric wards: A systematic review. Journal of Pediatric Nursing, 55, 233–240.
Braun, V., & Clarke, V. (2019). Reflective thematic analysis. Qualitative Research in Psychology, 16(1), 1–20.
Budiyanto, A. (2021). Kebersihan Tangan dalam Keperawatan. Jakarta: EGC.
Creswell, J. W. (2018). Qualitative Inquiry & Research Design. Sage.
Depkes RI. (2021). Pedoman PPI Nasional. Jakarta: Kementerian Kesehatan.
Dewi, K., & Mahendra, A. (2021). Pelaksanaan program PPI di rumah sakit daerah. Jurnal Administrasi Rumah Sakit Indonesia, 9(2), 105–117.
Dewi, M. P., & Indrawati, E. (2020). Budaya keselamatan pasien dan kepatuhan PPI. Jurnal Manajemen Kesehatan Indonesia, 8(1), 44–53.
Ducel, G., Fabry, J., & Nicolle, L. (2020). Prevention of Hospital-Acquired Infections: A Practical Guide. WHO Press.
Fitriani, S., & Nugroho, H. (2021). Infeksi nosokomial pada anak: Systematic review. Jurnal Riset Kesehatan Nasional, 5(3), 150–160.
Hastuti, W., & Lobo, E. (2020). Pengalaman perawat merawat anak dengan infeksi. Jurnal Keperawatan Anak Indonesia, 7(1), 23–34.
Hidayat, A. A. (2020). Ilmu Keperawatan Anak. Jakarta: EGC.
Hidayat, A., & Sulaiman, A. (2022). Beban kerja dan kepatuhan hand hygiene. Jurnal Kesehatan Primer, 4(2), 115–124.
Hockenberry, M., & Wilson, D. (2019). Wong’s Nursing Care of Infants and Children. Elsevier.
Jeong, H., & Lee, S. (2021). Pediatric healthcare-associated infection: Risk factors and prevention strategies. American Journal of Infection Control, 49(3), 245–254.
Karolina, R., & Tualaka, D. (2021). Analisis penerapan PPI. Jurnal Ilmu Kesehatan Nusantara, 11(2), 67–76.
Kemenkes RI. (2020). Profil Kesehatan Indonesia. Jakarta: Kemenkes.
Kemenkes RI. (2022). Pedoman Pencegahan Infeksi Rumah Sakit. Jakarta: Direktorat Mutu Pelayanan.
Lestari, N. (2020). Infeksi Nosokomial: Teori dan Praktik. Bandung: Refika Aditama.
Lobo, E. (2021). Peran Perawat dalam Pengendalian Infeksi. Kupang: Nusa Cendana Press.
Lopo, A., & Fernandes, T. (2021). Pengetahuan orang tua tentang infeksi nosokomial. Jurnal Keperawatan Timur Indonesia, 13(1), 12–22.
Mahmud, A., & Yanti, L. (2020). Monitoring lingkungan sebagai pencegahan infeksi. Jurnal Sanitasi Lingkungan, 4(2), 55–63.
Manu, S. (2021). Perilaku Keluarga dalam Pencegahan Infeksi. Bandung: Alfabeta.
Manoe, J., & Selan, M. (2022). Faktor lingkungan penyebab infeksi anak. Jurnal Kesehatan NTT, 6(1), 88–97.
Melo, E., et al. (2021). Nurses’ experiences in implementing infection prevention measures. International Journal of Nursing Studies, 115, 103–116.
Mulyono, B., & Putra, D. (2020). Evaluasi program PPI rumah sakit. Jurnal Kebijakan Kesehatan Indonesia, 9(3), 130–140.
Notoatmodjo, S. (2019). Promosi Kesehatan dan Perilaku Kesehatan. Jakarta: Rineka Cipta.
Nugraha, R., & Setiawati, T. (2021). Pendokumentasian asuhan keperawatan dalam PPI. Jurnal Keperawatan Profesional, 5(2), 101–110.
Nursalam. (2019). Metodologi Penelitian Keperawatan. Jakarta: Salemba Medika.
Nursalam. (2020). Manajemen Keperawatan. Jakarta: Salemba Medika.
Pittet, D., & Donaldson, L. (2020). Hand hygiene and patient safety. BMJ Quality & Safety, 29(10), 845–854.
PPNI. (2020). Standar Asuhan Keperawatan Anak. Jakarta: PPNI.
Richards, M. J., et al. (2020). Pediatric HAIs: Global burden. Clinical Infectious Diseases, 70(5), 928–934.
RSU Soe. (2023). Laporan Tahunan RSU Soe Kabupaten TTS. RSU Soe.
Samad, M. E., & Kirk, R. (2021). Family involvement in pediatric infection control. Journal of Family Nursing, 27(1), 44–58.
Sari, D., & Kurniawan, H. (2021). APD dan risiko HAIs. Jurnal Kesehatan Metro, 14(1), 57–65.
Sax, H., et al. (2019). My five moments for hand hygiene. Journal of Hospital Infection, 103(3), 257–262.
Setiawan, J., & Lestari, W. (2020). Tantangan penerapan PPI: Studi fenomenologi. Jurnal Nursing Insight, 3(2), 88–96.
Sulaiman, E. (2022). Kepatuhan cuci tangan dan HAIs. Jurnal Perawat Indonesia, 6(3), 144–152.
Sunarto, P., & Widodo, A. (2021). Tingkat kejadian infeksi nosokomial pada anak. Jurnal Keperawatan Anak Nusantara, 5(2), 40–51.
WHO. (2020). Global Report on Infection Prevention and Control. WHO Press.
Widodo, H. (2021). Manajemen Lingkungan dalam Keperawatan. Yogyakarta: Pustaka Baru Press.
Willis, K. (2021). Qualitative methods in nursing. Nursing Inquiry, 28(2), e12345.
Yuliana, M., Rahmawati, L., & Lobo, R. (2020). Perilaku perawat dalam pencegahan HAIs. Jurnal Keperawatan Indonesia Timur, 4(1), 32–42.
Zingg, W., et al. (2020). Infection control practice globally. Infection Control & Hospital Epidemiology, 41(7), 850–859.
