Kepatuhan Perawat dalam Melakukan Oral Hygiene di Unit Perawatan Intensif

  • Musdalipah Musdalipah Universitas Hasanuddin
  • Yuliana Syam Universitas Hasanuddin
  • Takdir Tahir Universitas Hasanuddin


This study aims to identify factors that influence nurse compliance and find the best solution to improve adherence to oral hygiene. The research method begins with searching scientific articles in 4 databases, namely PubMed, Wiley, science direct, and google scholar. The results of the study of 7 included articles, 42.85% (3 pieces) stated that nurses' knowledge and perceptions were the main factors that influenced nurse compliance, and 14.3% (1 article) indicated that service practices/facilities affected adherence. Other factors were found including; limited time, motivation, nurse workload, unavailability of oral hygiene procedures, and lack of interprofessional collaboration, so the best solution is to increase the knowledge and competence of nurses with training, workshops, and monitoring systems in the implementation of the VAP bundle. In conclusion, nurses' knowledge and perceptions are the main factors that affect nurse compliance in performing oral hygiene, so increasing knowledge and competence is the best solution as a joint effort to reduce the incidence of VAP.


Keywords: VAP Bundle, Compliance, Intensive Care Unit, Oral Hygiene


Alja’afreh, M. A., Mosleh, S. M., & Habashneh, S. S. (2018). Nurses’ Perception and Attitudes Towards Oral Care Practices for Mechanically Ventilated Patients. Saudi Medical Journal, 39(4), 379–385.

Aloush, S. M. (2017). Does Educating Nurses with Ventilator-Associated Pneumonia Prevention Guidelines Improve Their Compliance? American Journal of Infection Control, 45(9), 969–973.

Aloush, S. M., & Al-Rawajfa, O. M. (2020). Prevention of Ventilator-Associated Pneumonia in Intensive Care Units: Barriers and Compliance. International Journal of Nursing Practice, March, 1–7.

Andersson, M., Wilde-larsson, B., & Persenius, M. (2018). Intensive & Critical Care Nursing Intensive Care Nurses Fail to Translate Knowledge and Skills Into Practice – A Mixed-Methods Study on Perceptions of Oral Care. Intensive & Critical Care Nursing.

Bassi, G. L., Senussi, T., & Xiol, E. A. (2017). Prevention of Ventilator-Associated Pneumonia. Current Opinion in Infectious Diseases, 30(2), 214–220.

Başyiğit, S. (2017). Clinical Pulmonary Infection Score (CPIS) as a Screening Tool in Ventilatory Associated Pneumonia (VAP). SiSli Etfal Hastanesi Tip Bulteni / The Medical Bulletin of Sisli Hospital, 2, 133–141.

Harmon, J., & Grech, C. (2020). Technical and Contextual Barriers to Oral Care: New Insights from Intensive Care Unit Nurses and Health Care Professionals. Australian Critical Care, 33(1), 62–64.

International Nosocomial Infection Control Consortium,Rosenthal, V. D. (2016). International Nosocomial Infection Control Consortium (INICC) resources: INICC multidimensional approach and INICC surveillance online system. American Journal of Infection Control, 44(6), e81–e90.

Kalil, A. C., Metersky, M. L., Klompas, M., Muscedere, J., Sweeney, D. A., Palmer, L. B., Napolitano, L. M., & Grady, N. P. O. (2016). Management of Adults with Hospital-Acquired and Ventilator-Associated Pneumonia : 2016 Clinical Practice Guidelines by the Infectious Diseases Society of America and the American Thoracic Society. 63, 61–111.

Khan, H. A., Baig, F. K., & Mehboob, R. (2017). Nosocomial Infections: Epidemiology, Prevention, Control and Surveillance. Asian Pacific Journal of Tropical Biomedicine.

Masomeh, S., & Yazdannik, A. (2017). Compliance with the Standards for Prevention of Ventilator Associated Pneumonia by Nurses in the Intensive Care Units. Iranian Journal of Nursing and Midwifery Research, 22((1)), 31–36.

Muramatsu, K., Matsuo, K., Kawai, Y., Yamamoto, T., Hara, Y., Shimomura, Y., Yamashita, C., & Nishida, O. (2018). Comparison of Wiping and Rinsing Techniques after Oral Care Procedures in Critically Ill Patients during Endotracheal Intubation and After Extubation : A Prospective Cross-Over Trial. Japan Journal ofNursing Science.

Saddki, N., Elani, F., Sani, M., & Tin-oo, M. M. (2014). Oral Care for Intubated Patients : A Survey of Intensive Care Unit Nurses. 1–10.

Saensom, D., Merchant, A. T., Ruaisungnoen, W., & Pitiphat, W. (2016). Oral Health and Ventilator-Associated Pneumonia among Critically ill Patients : A Prospective Study. June, 709–714.

Saodah, S. (2019). Knowledge of Guideline VAP Bundle Improves Nurse Compliance Levels in Preventing Associated Pneumonia (VAP) Ventilation in the Intensive Care Unit. Media Keperawatan Indonesia, 2(3), 113.

Tanguay, A., LeMay, S., Reeves, I., Gosselin, É., & St-Cyr-Tribble, D. (2019). Factors Influencing Oral Care in Intubated Intensive Care Patients. Nursing in Critical Care, May, 1–8.
How to Cite
Musdalipah, M., Syam, Y., & Tahir, T. (2021). Kepatuhan Perawat dalam Melakukan Oral Hygiene di Unit Perawatan Intensif. Jurnal Keperawatan Silampari, 4(2), 576-586.
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