IMPLEMENTATION NURSING CARE APPLICATION OF THE HEALTH BELIEF MODEL (HBM) ON HAND HYGIENE COMPLIANCE IN THE FLAMBOYAN ROOM OF THE TENTARA HOSPITAL LEVEL IV

Abstract

Nurses' compliance in handwashing is an important aspect in preventing nosocomial infections in healthcare facilities. Infections that occur in hospitals not only prolong the length of patient stay. However, the level of nurses' compliance with hand hygiene in various healthcare facilities is still low. This paper aims to analyze the implementation of nurses' hand hygiene compliance in the Flamboyan room of the Army Hospital Class IV. The method used is a case study Pretest and Posttest. Interventions in the form of education and demonstration of five moments and six steps of hand hygiene were carried out for two days on August 8-9, 2025, which were carried out during the morning and afternoon shift handovers with 4 nurses in the Flamboyan room of the Tentara Hospital Class IV. The author used the Health Belief Model (HBM) questionnaire instrument and the Hand Hygiene observation sheet. The evaluation results showed a significant increase in compliance scores from pretest to posttest values in two implementing nurses. In nurse 1, the questionnaire pretest results were 12 and the observation results were 58%. In nurse 2, the questionnaire pretest results were 15 and the observation results were 50%. In nurse 3, the questionnaire pretest results were 11 and the observation scores were 55%. In nurse 4, the questionnaire pretest results were 11 and the observation results were 50%. After 2 days of implementation, the posttest results were obtained, namely in nurse 1, the questionnaire posttest results were 21 and the observation results were 83%. In nurse 2, the questionnaire posttest results were 24 and the observation results were 91%. Nurse 3 received a post-test questionnaire score of 24 and an observation result of 84%, and nurse 4 received a post-test questionnaire score of 22 and an observation result of 91%. The application of the HBM model has been shown to increase nurses' awareness and compliance with hand hygiene practices. This study recommends integrating the HBM model into routine nursing training to improve service quality and patient safety.