A Safety Model for Preventing Nosocomial Infections in Stroke Patients

Hospital-acquired infections (HAIs) are cases of infection that occur in patients after being admitted to the hospital within 48–72 hours. The high number of cases of nosocomial pneumonia and urinary tract infection in the care of stroke patients can increase the length of stay and the risk of ongoing infection. The development of a safety model for preventing infection in stroke patients is urgently needed as an effort to reduce the risk of nosocomial infections in hospitals.

This type of quantitative research with a survey approach aims to formulate the construction of an infection prevention safety model with all nurse stakeholders N = 225 with a sample of n = 120 nurses. The research variables studied consisted of safety management practices, safety knowledge, safety motivation, and safety prevention. Data collection involved using a questionnaire with data analysis using a structural equation model (SEM) with the application of smart partial least square (SmartPLS 3.0).

There is a positive and significant effect of safety management practices on safety knowledge (p-value = 0.000 > 0.05), safety motivation (p-value = 0.028 > 0.05), and safety prevention infection (p-value = 0.005 > 0.05). In addition, there is a positive and significant effect of safety knowledge on safety motivation (p-value = 0.028 > 0.05), safety knowledge on safety prevention infection (p-value = 0.002 > 0.05), and safety motivation on safety prevention infection (p-value = 0.001 > 0.05).

There is a strong influence of safety management practices on the formation of safety prevention nosocomial infection through safety knowledge. The safety prevention model of nosocomial infection in stroke patients can be recommended in an effort to prevent and reduce the incidence of nosocomial infections in hospitals.