Electronic Theses and Dissertation

PROGRAM STUDI MAGISTER KESEHATAN MASYARAKAT FAKULTAS KEDOKTERAN UNIVERSITAS SYIAH KUALA
Tesis, Juni 2026 Nabila Beutari
Analisis Determinan Kepatuhan Pelaksanaan PPI Di Instalasi Rawat Inap RSUDM Banda Aceh Tahun 2026
150 Halaman + 11 Tabel + 4 Gambar + 11 Lampiran
ABSTRAK
Latar Belakang: Kepatuhan tenaga kesehatan dalam pelaksanaan Pencegahan dan Pengendalian Infeksi (PPI) merupakan indikator penting dalam menurunkan risiko Healthcare-Associated Infections (HAIs) di rumah sakit. Meskipun program PPI telah diterapkan, kepatuhan tenaga kesehatan masih dipengaruhi oleh berbagai faktor organisasi dan sosial. Tujuan: Menganalisis pengaruh Peran Komite PPI, Kebijakan PPI, Monitoring dan Evaluasi (MONEV), Kapasitas Tim PPI, dan Peer Influence terhadap Kepatuhan PPI tenaga kesehatan di instalasi rawat inap RSUD Meuraxa Banda Aceh. Metode: Penelitian kuantitatif dengan desain cross-sectional pada 226 perawat dan bidan yang dipilih menggunakan teknik total sampling. Data dikumpulkan melalui kuesioner yang telah diuji validitas dan reliabilitasnya, kemudian dianalisis secara deskriptif dan inferensial menggunakan Structural Equation Modeling–Partial Least Squares (SEM-PLS). Hasil: Peran Komite PPI berpengaruh positif dan signifikan terhadap Kebijakan PPI dan Kepatuhan PPI. Kebijakan PPI berpengaruh positif dan signifikan terhadap MONEV, sedangkan MONEV berpengaruh positif dan signifikan terhadap Kapasitas Tim PPI. Peer Influence berpengaruh positif dan signifikan terhadap Kapasitas Tim PPI serta Kepatuhan PPI. Sebaliknya, Kebijakan PPI, MONEV, dan Kapasitas Tim PPI tidak berpengaruh signifikan terhadap Kepatuhan PPI. Kesimpulan: Kepatuhan tenaga kesehatan lebih dipengaruhi oleh Peran Komite PPI dan Peer Influence dibandingkan faktor struktural organisasi. Oleh karena itu, peningkatan kepatuhan perlu difokuskan pada penguatan fungsi Komite PPI, budaya keselamatan pasien, dan lingkungan kerja yang mendukung praktik PPI.
Kata kunci: Pencegahan dan Pengendalian Infeksi, Kepatuhan PPI, Komite PPI, Peer Influence, SEM-PLS, Rumah Sakit.
Daftar pustaka: 10 buku + 114 jurnal + 12 Web

MASTER OF PUBLIC HEALTH PROGRAM FACULTY OF MEDICINE, SYIAH KUALA UNIVERSITY Thesis, June 2026 Nabila Beutari Determinants of Compliance with Infection Prevention and Control (IPC) Practices in the Inpatient Units of RSUD Meuraxa Banda Aceh, 2026 150 Pages + 11 Tables + 4 Figures + 11 Appendices ABSTRACT Background: Healthcare workers’ compliance with Infection Prevention and Control (IPC) practices is essential for reducing the risk of Healthcare-Associated Infections (HAIs). Despite the implementation of IPC programs, compliance remains influenced by organizational and social factors. Objective: To analyze the effects of the IPC Committee Role, IPC Policies, Monitoring and Evaluation (M&E), IPC Team Capacity, and Peer Influence on healthcare workers’ IPC compliance in the inpatient units of RSUD Meuraxa Banda Aceh. Methods: This quantitative cross-sectional study involved 226 nurses and midwives selected through total sampling. Data were collected using a validated and reliable structured questionnaire and analyzed descriptively and inferentially using Structural Equation Modeling–Partial Least Squares (SEM-PLS). Results: The IPC Committee Role had a positive and significant effect on IPC Policies and IPC Compliance. IPC Policies significantly influenced Monitoring and Evaluation, which in turn significantly affected IPC Team Capacity. Peer Influence had a positive and significant effect on both IPC Team Capacity and IPC Compliance. However, IPC Policies, Monitoring and Evaluation, and IPC Team Capacity did not significantly affect IPC Compliance. Conclusion: Healthcare workers’ IPC compliance is influenced more by organizational leadership through the IPC Committee Role and by social factors through Peer Influence than by structural organizational factors. Strengthening the IPC Committee, fostering a patient safety culture, and promoting a supportive work environment are recommended to improve IPC compliance. Keywords: Infection Prevention and Control, IPC Compliance, IPC Committee, Peer Influence, SEM-PLS, Hospital. Bibliograpgy: 10 books + 114 Journals + 12 Webs