ANALYSIS OF FACTORS RELATING TO NURSES' COMPLIANCE IN THE IMPLEMENTATION OF SURGICAL SAFETY CHECKLIST IN WEST KALIMANTAN

Abstract

Background: Hospitals as health institutions play an important role in providing optimal health services, including surgical procedures, which are susceptible to the risk of complications and death. The World Health Organization (WHO) has promoted the Surgical Safety Checklist (SSC) as a tool to improve patient safety and reduce post-operative complications, with implementation proven to be effective in reducing mortality and morbidity. However, in several hospitals in West Kalimantan, the level of compliance with SSC is still not optimal, with implementation only reaching around 50-52%. Several factors that influence this compliance include teamwork, motivation, attitudes, perceptions, knowledge, and nurse training Objectives: The aim of this study aims to analyze the factors that are related and most dominant to nurse compliance in implementing SSC in hospitals in West Kalimantan Province Methods: This type of research is quantitative correlational with a cross-sectional approach. The research was conducted at three hospitals in West Kalimantan province in 2024 using a total sampling technique, namely 105 operating room nurse respondents. The chi-square test and logistic regression were used to analyze this data. Results: Based on the research results, it is known that there is a relationship between teamwork p=0.009, perception p=0.004, attitudeattitude p=0.005, knowledge p=0.001, motivation p=0.002, training 0.001, age p=0.008, education p=0.007, with compliance with SSC implementation while gender p=0.491 has no relationship with compliance with SSC implementation. The most dominant factor is Teamwork OR=21.64, which means nurses with good teamwork will be 21.64 times more likely to comply compared to those with poor teamwork. Conclusion: It was concluded that the factors related to nurse compliance in implementing SSC were teamwork, perception, attitudeattitude, knowledge, motivation, training, age, and education. There is no influence on the gender factor. The most dominant factor is teamwork.   Keywords: Perioperative, Surgical Incidents, SSC, Complianc