PENGEMBANGAN BUNDLE DALAM MENURUNKAN URINARY TRACT INFECTION (UTI) DI RSUD SEJIRAN SETASON MUNTOK
Abstract
Background: Development of CAUTI bundle is very important to evaluate the nurse in implementing nursing practice related to urinary catheter which is one of prevention efforts and risk control of CAUTI.
Objective: The purpose of this study is to develop CAUTI bundle that is adjusted to hospital condition in Sejiran Setason Muntok Hospital.
Methods: In this study used qualitative method by conducting indepth interview and focus group discussion (FGD). It conducted for 3 weeks in Sejiran Setason Muntok Hospital, the total sample are 22 participants. The result produced the themes that used as the material for the development of the bundle or the observation sheet of CAUTI.
Results: There are 10 themes which become material for the development of CAUTI bundle. The CAUTI Bundle consists of bundle components such as indication of urinary catheter insertion, urinary catheter installation must comply with SOP, monitoring of urine output by regularly, emptying urine bag regularly, performing hand hygiene before and after procedure, using masks and handscoons, patients and families must be aware of their role in minimizing the risk of CAUTI.
Conclusion: Development of the bundle is very important as one of prevention of CAUTI incident in hospital.
Keyword : Bundle, CAUTI, Development.
References
2. Magill S.S, Edwards J.R, & Bamberg W. Multistate Point-Prevalence Survey of Health Care–Associated Infections. The New England Journal of Medicine. From the Centers for Disease Control and Prevention 2014; Volume 370, Nomor 13.
3. Rosa E.M. Surveilence Incidences Hais : Urinary Tract Infection (UTI), Surgical Site Infection (SSI), And Phlebitisat Hospitalin Indonesia. International Journal of Recent Advances in Multidisciplinary Research 2017; Volume 04, Nomor 01, halaman 2147-2150.
4. Aisyah, Z & Satyabakti, P. Surveilans Infeksi Daerah Operasi (IDO) menurut Komponen Surveilans di Rumah Sakit X Surabaya tahun 2012. Departemen Epidemiologi Fakulatas Kesehatan Masyarakat Universitas Airlangga, Surabaya Jawa Timur. Jurnal berkala epidemilogi, Volume 1, nomor 2 September 2013, halaman 254-265.
5. Vebrilian, S.R. Surveilans catheter associated urinary tract infection berdasarkan atribut surveilans di RSU Haji Surabaya. Departemen Epidemiologi Fakultas Kesehatan Masyarakat Universitas Airlangga. Jurnal Berkala Epidemiologi, Volume 4 Nomor 3, September 2016, hlm. 313–325.
6. The Joint Commission. Requirements for the Catheter-Associated Urinary Tract Infections (CAUTI) National Patient Safety Goal for Hospitals. Standard NPSG.07.06.01. 2017.
7. Centers for Disease Control prevention (CDC). Urinary Tract Infection (Catheter-Associated Urinary Tract Infection [CAUTI] and Non-Catheter-Associated Urinary Tract Infection [UTI]) and Other Urinary System Infection [USI]) Events; 2017.
8. Nuwa M.S, Arsa S.A.W, Nisa K, et.al. Intervensi Keperawatan Untuk Pencegahan Cauti Pada Pasien Dewasa Yang Tepasang Kateter Indwelling : Literatur Review. Research Gate; 2018.
9. Connor, B.T. Best Practices: CAUTI Prevention. Reducing catheter-associated urinary tract infections. Health Com Media; 2018.
10. Henry, M. Evaluation of evidence-based practice of catheter associated urinary tract infections prevention in a critical care setting: An integrative review. Journal of Nursing Education and Practice. 2018; Volume 8, Nomor 7.
11. Utami A.K & Sulisno M. Gambaran Pengetahuan Perawat Mengenai Catheter Associated Urinary Tract Infection (CAUTI) Di RSUD H. Soewondo Kendal. Jurnal Departemen Ilmu Keperawatan. Universitas Diponegoro Semarang; 2017.
12. Galiczewski J.M & Shurpin K.M. An intervention to improve the catheter associated urinary tractinfection rate in a medical intensive care unit: Direct observation ofcatheter insertion procedure. Intensive and Critical Care Nursing. Elsevier; 2017.
13. Sumolang S.A.CH., Porotu’o J & Soeliongan S. Pola Bakteri Pada Penderita Infeksi Saluran Kemih Di BLU RSUP Prof. Dr. R. D. Kandou Manado. Jurnal e-Biomedik (eBM), 2016; Volume 1, Nomor 1, hlm. 597-601.
14. Sarani H, Balouchi A, & Masinaeinezhad N. Knowledge, Attitude and Practice of Nurses about Standard Precautions for Hospital-Acquired Infection in Teaching Hospitals Affiliated to Zabol University of Medical Sciences. Global Journal of Health Science. 2016; Volume 8, Nomor 3.
15. Saint S, Greene T, & Krein S.L. A Program to Prevent Catheter-Associated Urinary Tract Infection in Acute Care. The New England Journal of Medicine 2016; volume 374, Nomor 22, halaman 2111-9.
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