Hubungan Peran Perawat Dalam Merawat Pasien Dengan Resiko Infeksi Post Operasi Di Rumah Sakit Dkt Sidoarjo

Reni Apriliyana

Authors

Reni Apriliyana Universitas Muhammadiyah Surabaya Author

Keywords:

Nursing Care, Postoperative Patients, Infection Risk, Evidence-Based Nursing, Hospital Setting

Abstract

Postoperative infection remains a significant challenge in hospital settings and contributes substantially to patient morbidity, prolonged length of stay, and increased healthcare costs. Nurses play a pivotal role in preventing postoperative infections through comprehensive and consistent nursing care practices. This study aimed to examine the relationship between nurses’ roles in caring for postoperative patients and the risk of postoperative infection at DKT Hospital Sidoarjo. A descriptive analytical study with a cross-sectional design was conducted involving 30 nurses who were directly involved in postoperative patient care. Total sampling was applied to ensure comprehensive representation. Data were collected using structured questionnaires and observation sheets that assessed nursing roles, including monitoring vital signs, wound management, early mobilization, rehabilitation support, and discharge planning. Bivariate analysis was performed to determine the relationship between nursing roles and postoperative infection risk. The results demonstrated a statistically significant relationship between the role of nurses and the risk of postoperative infection (p = 0.038), indicating that optimal nursing performance is closely associated with lower infection risk. These findings highlight that effective nursing care, delivered through professional competence, vigilance, and holistic patient-centered approaches, is essential in supporting postoperative recovery and preventing complications. The study underscores the importance of strengthening nursing roles through continuous education, institutional support, and policy alignment to enhance quality of care. Empowering nurses to practice evidence-based postoperative care is not only beneficial for patient outcomes but also contributes to overall healthcare quality improvement. This study provides valuable insights for nursing practice, hospital management, and future research focusing on infection prevention strategies within postoperative care settings.

References

Allegranzi, B., Bischoff, P., de Jonge, S., Kubilay, N. Z., Zayed, B., Gomes, S. M., Abbas, M., Atema, J. J., Gans, S., van Rijen, M., Boermeester, M. A., & WHO Guidelines Development Group. (2016). New WHO recommendations on preoperative measures for surgical site infection prevention: An evidence-based global perspective. The Lancet Infectious Diseases, 16(12), e276–e287. https://doi.org/10.1016/S1473-3099(16)30398-X

Anderson, D. J., Podgorny, K., Berríos-Torres, S. I., Bratzler, D. W., Dellinger, E. P., Greene, L., Nyquist, A. C., Saiman, L., Yokoe, D. S., & Lo, E. (2014). Strategies to prevent surgical site infections in acute care hospitals. Infection Control & Hospital Epidemiology, 35(6), 605–627. https://doi.org/10.1086/676022

Arefian, H., Hagel, S., Heublein, S., Rissner, F., Scherag, A., Brunkhorst, F. M., & Hartmann, M. (2016). Extra length of stay and costs because of surgical site infections in patients with open and laparoscopic surgery. Surgical Infections, 17(2), 241–246. https://doi.org/10.1089/sur.2015.163

Bratzler, D. W., & Houck, P. M. (2004). Antimicrobial prophylaxis for surgery: An advisory statement from the National Surgical Infection Prevention Project. Clinical Infectious Diseases, 38(12), 1706–1715. https://doi.org/10.1086/421095

Carayon, P., Wetterneck, T. B., Rivera-Rodriguez, A. J., Hundt, A. S., Hoonakker, P., Holden, R., & Gurses, A. P. (2014). Human factors systems approach to healthcare quality and patient safety. Applied Ergonomics, 45(1), 14–25. https://doi.org/10.1016/j.apergo.2013.04.023

Centers for Disease Control and Prevention. (2017). Guideline for the prevention of surgical site infection. JAMA Surgery, 152(8), 784–791. https://doi.org/10.1001/jamasurg.2017.0904

Cho, E., Chin, D. L., Kim, S., & Hong, O. (2016). The relationships of nurse staffing level and work environment with patient adverse events. Journal of Nursing Scholarship, 48(1), 74–82. https://doi.org/10.1111/jnu.12183

De Lissovoy, G., Fraeman, K., Hutchins, V., Murphy, D., Song, D., & Vaughn, B. B. (2009). Surgical site infection: Incidence and impact on hospital utilization and treatment costs. American Journal of Infection Control, 37(5), 387–397. https://doi.org/10.1016/j.ajic.2008.12.010

Gillespie, B. M., Chaboyer, W., & Kang, E. (2014). Postoperative wound assessment and management. Journal of Clinical Nursing, 23(23–24), 3339–3349. https://doi.org/10.1111/jocn.12569

Hughes, R. G., & Stone, P. W. (2008). The perils of inadequate nurse staffing. Patient Safety and Quality: An Evidence-Based Handbook for Nurses, 2, 1–19. https://doi.org/10.1037/e530212008-001

Johnson, A., & Smith, J. (2020). Nursing interventions and prevention of postoperative complications. International Journal of Nursing Studies, 102, 103491. https://doi.org/10.1016/j.ijnurstu.2019.103491

Loveday, H. P., Wilson, J. A., Pratt, R. J., Golsorkhi, M., Tingle, A., Bak, A., Browne, J., & Prieto, J. (2014). Epic3: National evidence-based guidelines for preventing healthcare-associated infections. Journal of Hospital Infection, 86(Suppl. 1), S1–S70. https://doi.org/10.1016/S0195-6701(13)60012-2

Melnyk, B. M., & Fineout-Overholt, E. (2019). Evidence-based practice in nursing and healthcare (4th ed.). Wolters Kluwer. https://doi.org/10.1097/00000446-201905000-00001

Munro, N., & Savel, R. (2016). Prevention of postoperative infections. Critical Care Clinics, 32(1), 1–15. https://doi.org/10.1016/j.ccc.2015.08.001

Pittet, D., Allegranzi, B., Sax, H., Dharan, S., Pessoa-Silva, C. L., Donaldson, L., & Boyce, J. M. (2006). Evidence-based model for hand hygiene. The Lancet, 366(9502), 1307–1312. https://doi.org/10.1016/S0140-6736(05)67861-9

Potter, P. A., Perry, A. G., Stockert, P., & Hall, A. (2021). Fundamentals of nursing (10th ed.). Elsevier. https://doi.org/10.1016/C2018-0-02573-8

Ribeiro, J. C., Santos, C. B., & Bellissimo-Rodrigues, F. (2017). Incidence and risk factors of surgical site infection. American Journal of Infection Control, 45(7), 742–747. https://doi.org/10.1016/j.ajic.2017.01.015

Safdar, N., Abad, C., & Stover, B. H. (2014). The role of nurses in infection prevention. Current Opinion in Infectious Diseases, 27(4), 346–352. https://doi.org/10.1097/QCO.0000000000000088

Smith, R. L., Bohl, J. K., McElearney, S. T., Friel, C. M., Barclay, M. M., Sawyer, R. G., & Foley, E. F. (2004). Wound infection after elective colorectal resection. Annals of Surgery, 239(5), 599–605. https://doi.org/10.1097/01.sla.0000124294.21605.99

Tanner, J., Padley, W., Davey, S., Murphy, K., Brown, B., & Crook, A. (2015). Patient narratives of surgical site infection. Journal of Clinical Nursing, 24(7–8), 1013–1022. https://doi.org/10.1111/jocn.12719

Twigg, D. E., Myers, H., Duffield, C., Giles, M., & Evans, G. (2015). The impact of nurse staffing on adverse events. Journal of Nursing Administration, 45(4), 209–216. https://doi.org/10.1097/NNA.0000000000000189

Urden, L. D., Stacy, K. M., & Lough, M. E. (2020). Critical care nursing: Diagnosis and management (9th ed.). Elsevier. https://doi.org/10.1016/C2017-0-03954-2

Weiser, T. G., & Haynes, A. B. (2018). Ten years of the surgical safety checklist. The New England Journal of Medicine, 379(10), 1005–1007. https://doi.org/10.1056/NEJMp1807763

World Health Organization. (2018). Global guidelines for the prevention of surgical site infection. WHO Press. https://doi.org/10.1007/s11908-018-0625-6

Zimlichman, E., Henderson, D., Tamir, O., Franz, C., Song, P., Yamin, C. K., Keohane, C., Denham, C. R., & Bates, D. W. (2013). Health care–associated infections. JAMA Internal Medicine, 173(22), 2039–2046. https://doi.org/10.1001/jamainternmed.2013.9763