Relationship Between Nurse Compliance and Implementation of Five Moments Hand Hygiene in Preventing HAIs at Pelamonia TK.II Hospital Makassar 2025

Abstract

Healthcare Associated Infections (HAIs) are infections acquired by patients during care in a healthcare facility that were neither present nor incubating at the time of admission. HAIs may also affect healthcare workers as a result of medical services. Nurses’ compliance with the implementation of the Five Moments for Hand Hygiene is a key preventive measure against HAIs. At Pelamonia Hospital TK.II 14.05.01 Makassar, nurse compliance with hand hygiene protocols from 2022 to 2024 did not fully meet the quality indicator target of ≥85%. For instance, in February 2022, compliance rates in the operating room and maternity ward were below 85%, and in May 2022, the neonatal unit also fell below this standard.Objective: To determine the relationship between nurse compliance and the implementation of the Five Moments for Hand Hygiene in addressing HAIs at Pelamonia Hospital TK. II 14.05.01 Makassar. Methods: This study used a descriptive quantitative design with a cross-sectional approach. A total of 146 nurses were selected using a probability sampling method with stratified random sampling. Data were collected through questionnaires and analyzed using the Chi-square test in SPSS. Results and Conclusion: There was a significant relationship between nurse compliance and several variables: education (p=0.000), length of service (p=0.000), knowledge (p=0.000), attitude (p=0.000), and motivation (p=0.000) regarding the implementation of the Five Moments for Hand Hygiene in preventing HAIs. Recommendation: It is recommended that the hospital provide regular education and training for nurses on the Five Moments for Hand Hygiene to enhance compliance and reduce the risk of HAIs