Determinants of Occupational Accidents in Inpatient Nurses: The Role of Implementation of Standard Operating Procedures, PPE Compliance, and Workload

Abstract

Background: nurses are health workers who have a high risk of experiencing occupational accidents due to exposure to biological, physical, ergonomic, and psychosocial hazards while providing health services. Objective: the purpose of this study was to determine the determinants of occupational accidents in inpatient nurses based on the implementation of SOPs, compliance with the use of PPE, and workload with incidents. Methods: this study is a quantitative study with a cross-sectional design conducted on 75 inpatient nurses at Hospital X, Surakarta City using a total sampling technique. Data analysis was performed univariately, bivariate using the Chi-square test, and multivariate using multiple logistic regression with a significance level of 5%. Results: Most respondents implemented SOPs well (84%), complied with the use of PPE (76%), and had a light workload (53.3%). A total of 20% of respondents had experienced occupational accidents. Bivariate analysis showed a relationship between the implementation of SOPs (p=0.004), compliance with the use of PPE (p<0.001), and workload (p=0.002) with the occurrence of occupational accidents. Logistic regression results show that the implementation of inappropriate SOPs can increase the risk of work accidents by 3.474 times, non-compliance with the use of PPE increases the risk by 4.796 times, and heavy workload increases the risk by 6.633 times. Workload is the most dominant factor influencing work accidents. Conclusion: The implementation of SOPs, compliance with the use of PPE, and workload are significantly related to the occurrence of work accidents in inpatient nurses. Recommendation: Workload is the most influential factor and therefore needs to be the main focus in efforts to prevent work accidents in hospitals