Association Between Healthcare-Associated Infection Knowledge and Self-Reported Hand Hygiene Compliance Among Inpatient Nurses in Indonesia: A Multivariate Cross-Sectional Analysis

Juwita Sahputri; Hajarani Syadzwina; Teuku Azhari; Herwansyah Herwansyah

doi:10.2991/978-94-6239-836-8_17

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Association Between Healthcare-Associated Infection Knowledge and Self-Reported Hand Hygiene Compliance Among Inpatient Nurses in Indonesia: A Multivariate Cross-Sectional Analysis

Authors

Juwita Sahputri¹^{, *}, Hajarani Syadzwina², Teuku Azhari³, Herwansyah Herwansyah⁴^{, 5}

¹Department of Microbiology, Faculty of Medicine, Universitas Malikussaleh, North Aceh, Indonesia

²Faculty of Medicine, Universitas Malikussaleh, North Aceh, Indonesia

³Faculty of Education and Teacher Training, Universitas Malikussaleh, North Aceh, Indonesia

⁴Graduate School of Biomedical and Health Sciences, Hiroshima University, Higashihiroshima, Japan

⁵Department of Public Health, Faculty of Medicine and Health Sciences, Universitas Jambi, Jambi, Indonesia

^*Corresponding author. Email: juwita.sahputri@unimal.ac.id

Corresponding Author

Juwita Sahputri

Available Online 11 November 2026.

DOI: 10.2991/978-94-6239-836-8_17 How to use a DOI?
Keywords: Healthcare-associated infections; hand hygiene; nurses; knowledge; self-reported compliance; prevalence ratio
Abstract: Healthcare-associated infections (HAIs) remain a major patient safety problem, and hand hygiene is central to prevention. However, evidence is limited regarding whether knowledge of HAIs is independently associated with hand hygiene compliance in regional hospitals. This study examined the association between knowledge of HAIs and self-reported hand hygiene compliance among inpatient nurses. A secondary analysis used 148 cross-sectional records from Cut Meutia Regional Hospital, North Aceh, Indonesia. The analysis was conducted using a modified Poisson regression with robust variance-estimated adjusted prevalence ratios (aPRs). Sensitivity analyses included additional adjustment for age and education and alternative logistic models. Ninety-six nurses (64.9%) were classified as compliant. Compared with low knowledge, moderate knowledge was associated with a 49% higher prevalence of compliance (aPR 1.49, 95% CI 1.03–2.17; p=0.035), while high knowledge was associated with a 72% higher prevalence (aPR 1.72, 95% CI 1.18–2.49; p=0.004). The overall knowledge term was significant (robust Wald χ²=8.16, df=2, p=0.017), and the association remained significant in sensitivity analyses. Higher HAIs knowledge was associated with greater self-reported hand hygiene compliance. Because this study was cross-sectional and relied on self-report, the findings should not be interpreted as causal. Knowledge improvement may be most useful when combined with organizational measures that facilitate hand hygiene practice in routine inpatient clinical care settings.
Open Access: Open Access This chapter is licensed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/), which permits any noncommercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license and indicate if changes were made.

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Volume Title: Proceedings of the3rd Malikussaleh International Conference on Health and Disaster Medicine 2026 (MICOHEDMED 2026)
Series: Advances in Health Sciences Research
Publication Date: 11 November 2026
ISBN: 978-94-6239-836-8
ISSN: 2468-5739
DOI: 10.2991/978-94-6239-836-8_17 How to use a DOI?
Open Access: Open Access This chapter is licensed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/), which permits any noncommercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license and indicate if changes were made.

Cite this article

ris enw bib

TY  - CONF
AU  - Juwita Sahputri
AU  - Hajarani Syadzwina
AU  - Teuku Azhari
AU  - Herwansyah Herwansyah
PY  - 2026
DA  - 2026/11/11
TI  - Association Between Healthcare-Associated Infection Knowledge and Self-Reported Hand Hygiene Compliance Among Inpatient Nurses in Indonesia: A Multivariate Cross-Sectional Analysis
BT  - Proceedings of the3rd Malikussaleh International Conference on Health and Disaster Medicine 2026  (MICOHEDMED 2026)
PB  - Atlantis Press
SP  - 185
EP  - 194
SN  - 2468-5739
UR  - https://doi.org/10.2991/978-94-6239-836-8_17
DO  - 10.2991/978-94-6239-836-8_17
ID  - Sahputri2026
ER  -

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