Analisis Pelaksanaan Program Pencegahan dan Pengendalian Infeksi Nosokomial di Rumah Sakit Umum Daerah Anugerah Tomohon
DOI:
https://doi.org/10.35790/ecl.v12i1.45864Abstract
Abstract: Infection prevention and control (IPC) is an effort to prevent and minimize the occurrence of infections in patients, staff, visitors, and the community around health care facilities. The IPC unit in a hospital aims to improve the quality of health services, so as to protect the patients. community, and health workers from infectious diseases related to the health services provided. This study aimed to explore in depth the implementation of IPC in improving the quality of services at RSUD Anugerah Tomohon. This was a qualitative study using five informants. The results showed that there was still no commitment of all IPC members and all parties involved in the implementation of the IPC, therefore, the implementation of the IPC program was not in accordance with the SOP. Hospital management had provided facilities and infrastructures supporting the IPC but there were often vacancies/damages. Some alternative solutions included holding meetings with hospital management to provide support for the IPC team, funding follow-up training and seminars, taking an interpersonal approach, and providing education and motivation to health workers. In conclusion, the IPC program has generally been running well at RSUD Anugerah even though there are still obstacles faced by the IPC team. The hospital management has also provided facilities and infrastructure to support the implementation of the IPC program even though they have not met the standards.
Keywords: infection prevention and control; hospital management; quality of health services
Abstrak: Pencegahan dan pengendalian infeksi (PPI) merupakan upaya untuk mencegah dan meminimalkan terjadinya infeksi pada pasien, petugas, pengunjung, dan masyarakat sekitar fasilitas pelayanan kesehatan. Unit PPI Rumah Sakit bertujuan untuk meningkatkan kualitas pelayanan kesehatan sehingga dapat melindungi pasien, masyarakat, dan sumber daya kesehatan dari bahaya penyakit infeksi terkait pelayanan kesehatan yang diberikan. Penelitian ini bertujuan untuk mengeksplorasi secara mendalam pelaksanaan PPI dalam meningkatkan mutu pelayanan di RSUD Anugerah Tomohon dengan menggunakan metode kualitatif dan sampel sebanyak lima informan. Hasil penelitian menunjukkan belum adanya komitmen dari seluruh anggota PPI dan semua pihak yang terlibat dalam pelaksanaan PPI sehingga pelaksanaan program PPI belum sesuai dengan SOP. Manajemen Rumah Sakit telah menyediakan sarana dan prasarana yang mendukung pelaksanaan program PPI namun sering terjadi kekosongan/rusak. Beberapa alternatif pemecahan masalah antara lain mengadakan pertemuan dengan manajemen rumah sakit untuk memberikan dukungan bagi tim PPI, mendanai pelatihan lanjutan dan seminar, melakukan pendekatan interpersonal, serta memberikan edukasi dan motivasi kepada petugas kesehatan. Simpulan penelitian ini ialah proses pelaksanaan PPI umumnya sudah berjalan baik di RSUD Anugerah walaupun masih terdapat kendala yang dihadapi oleh tim PPI. Pihak manajemen Rumah Sakit juga telah menyediakan sarana dan prasarana pendukung pelaksanaan program PPI walaupun belum memenuhi standar.
Kata kunci: pencegahan dan pengendalian infeksi; manajemen rumah sakit; mutu pelayanan
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