The determinant factor of nurse's hand hygiene adherence in Indonesia

Hanny Handiyani, Mitsuhiro Ikegawa, Rr Tutik Sri Hariyati, Mika Ito, Firman Amirulloh

Research output: Contribution to journalArticle


Objective: The general objective of this research is to describe the determinant factors of hand hygiene adherence in the inpatient ward settings. Method: This research has been done with quantitative method with cross-sectional approach. Research data were obtained from the questionnaire and observation forms of hand hygiene adherence. Respondents are nurses from 10 public regional hospitals in DKI Jakarta. The sample size for questionnaire was 457 nurses with incidental sampling and the total of observation was 2437 opportunities in terms of hand hygiene implementation. Results: The analysis result of nurse's hand hygiene adherence with a questionnaire instrument is 51.2% while the nurse's hand hygiene adherence with observation instrument is 20.4%. The dominant factors in doing hand hygiene are the nurse's gender, the nurse's attitude, and the head of ward's support (R2 = 0.123). The observation of hand hygiene stated that the dominant determinant were age and nurse education (R2 = 0.046). Conclusion: Education, age, gender and nurse attitude were internal significant determent and the most external determinant was the head of ward's support. Other studies are related to other causes of hand hygiene compliance need to be investigated to find the biggest causes of noncompliance. Thus, appropriate interventions can be established to improve nurses’ compliance with hand hygiene.

Original languageEnglish
JournalEnfermeria Clinica
Publication statusPublished - 1 Jan 2019


  • Hand hygiene adherence
  • Nurse education
  • Nurse's attitude
  • The head of ward's support

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