| Summary: | of hospitalized patients. Nosocomial infection is strongly influenced by the health
worker hand hygiene. Non-compliance of health workers in the implementation of
hand washing can increase the rate of nosocomial infections. There are so many
factors that affect adherence of health workers in the implementation of hand
washing as perception, professional, high workload, lack of time for the
implementation of hand washing, location of hand washing materials that are
difficult to access, the presence of skin irritation, a working group of health
workers, and knowledge of the the importance of hand washing.
Objective: To determine the association of individual factors (knowledge,
perception, and profession), the availability of hand washing facilities, and a load
of washing their hands of health workers in the implementation of compliance
washing hands in the dental outpatient clinic of Cipto Mangunkusumo Hospital.
Method: This research is a mixed method sequential explanatory research design
which uses a combination of quantitative and qualitative methods. Collection and
analysis of quantitative data followed by the collection and analysis of qualitative
data. Quantitative data were obtained by the method of observation and the use of
questionnaires, while qualitative data is obtained by performing a Focus Group
Discussion (FGD). Analysis of quantitative data used are univariate analysis in the
form of frequency distributions, bivariate analysis with chi square test and
multivariate analysis with logistic regression. As for the qualitative data analysis
used thematical analysis.
Result and discussion: There is no association between knowledge about hand
washing (p = 0.17) and profession (p = 0.225) with the application of handwashing
compliance officer in dental outpatient clinic. There were associations
between the perceptions of washing hands with hand washing compliance
application of health care workers in dental outpatient clinic (p = 0.001). There is
an association between the availability of hand washing facilities with handwashing
compliance application of health care workers in dental outpatient clinic
(p = 0.01). There is an association between the load of washing hands with hand
washing compliance implementation of health care workers in dental outpatient
clinic (p = 0.07). FGD results showed that non-compliance due to hand washing
facilities are not good.
Conclusion and recommendation: The factors that most influence the adherence of
health workers in the implementation of hand washing in dental outpatient clinic
is the availability of hand washing facilities and followed by perception of hand
washing. Further research is needed comparing the level of compliance of health
care workers in the application of hand washing using hand rub and liquid soap.
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