Nurses’ Compliance with Elimination Care and Urinary Tract Infection Risk in Bedridden Patients

Dewi Nurhanifah; Wahidah; Uni  Afriyanti; Lukman Harun

doi:10.56741/hesmed.v5i01.2039

Authors

Dewi Nurhanifah
dewi.nurhanifah@gmail.com
Universitas Muhammadiyah Banjarmasin https://orcid.org/0000-0001-5300-5081
Wahidah Universitas Muhammadiyah Banjarmasin
Uni Afriyanti Universitas Muhammadiyah Banjarmasin
Lukman Harun Department of Nursing https://orcid.org/0009-0003-9776-5172

DOI:

https://doi.org/10.56741/hesmed.v5i01.2039

Keywords:

Bedridden Patients, Elimination Care, Nurse Compliance, Urinary Catheter, Urinary Tract Infection

Abstract

Urinary tract infection (UTI) is one of the most common healthcare-associated infections among bedridden patients using urinary catheters. Proper fulfillment of elimination needs by nurses is considered essential for preventing catheter-associated infections; however, evidence on its relationship to UTI risk remains limited. This study aimed to examine the association between nurses’ compliance with elimination care standard operating procedures (SOPs) and the risk of UTI among bedridden patients. A quantitative study with a cross-sectional design was conducted in an inpatient hospital setting involving 59 nurses and 59 bedridden, catheterized patients. Total sampling was applied to recruit participants. Nurses’ compliance with elimination care SOPs was measured using a validated questionnaire, while UTI risk among patients was assessed using a clinical observation checklist. Data were analyzed through univariate analysis and Fisher’s Exact Test with a significance level of α = 0.05. The findings showed that most nurses demonstrated very high compliance with elimination care SOPs. The majority of patients were categorized as having no UTI risk, while a smaller proportion showed potential risk. Statistical analysis indicated a significant association between nurse compliance and UTI risk (p = 0.028). Patients treated by nurses with higher compliance were less likely to experience UTI risk. These findings emphasize the importance of strengthening nurse compliance through continuous training, supervision, and monitoring to improve patient safety and nursing care quality.

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Author Biographies

Dewi Nurhanifah, Universitas Muhammadiyah Banjarmasin

is a lecturer affiliated with the Faculty of Nursing and Health Sciences, Muhammadiyah University of Banjarmasin, Indonesia. She was born in Banjarmasin on April 22nd. She is actively involved in nursing research, health, and academic publications, with a particular interest in clinical nursing practice, health promotion, community development, and patient safety. She is also an active writer in several books. (email: dewi.nurhanifah@gmail.com).

Wahidah, Universitas Muhammadiyah Banjarmasin

is a student at the Faculty of Nursing and Health Sciences, Universitas Muhammadiyah Banjarmasin, Indonesia. She was born in Muara Babuat on January 21, 2004. Her educational background includes SDN 1 Muara Babuat (2015), MTs Swasta Nurul Munawarah (2018), and SMAN 1 Permata Intan (2022). Since 2022, she has been pursuing her undergraduate studies in nursing at Muhammadiyah University of Banjarmasin. She is actively involved in academic learning and research activities in the field of nursing, with particular interests in clinical nursing practice and patient safety. (email: wwahidah860@gmail.com).

Uni Afriyanti, Universitas Muhammadiyah Banjarmasin

was born in Banjarmasin on April 28, 1986. She currently serves as a lecturer in Nursing at the Faculty of Nursing and Health Sciences, Universitas Muhammadiyah Banjarmasin, Indonesia. Her primary teaching and academic focus is in the field of medical-surgical nursing. She earned her Master’s degree in Nursing from Muhammadiyah University of Banjarmasin in 2016. In addition to teaching, she is actively involved in writing books, conducting research, and participating in community service activities. (email: uni28@umbjm.ac.id).

Lukman Harun, Department of Nursing

is a lecturer at the Faculty of Nursing and Health Sciences, Universitas Muhammadiyah Banjarmasin, Indonesia. He was born on October 27, 1985, and earned his Master’s degree in Immunology from Airlangga University. He is actively involved in academic writing, including books and research publications in the field of nursing and health sciences. Currently, he serves as the Head of the Master of Nursing Study Program for the 2024–2028 period, a member of the University and Postgraduate Senate for 2024–2028, Chairperson of the KJS-CBB Cooperative for 2024–2030, and a board member of DPK PPNI UMBJM for the 2024–2029 period. (email: lukman@umbjm.ac.id).

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