The Effect of Bundle Care Implementation on Reducing the Incidence of Nosocomial Infections in ICU Patients
DOI:
https://doi.org/10.59585/ijhs.v3i4.968Keywords:
Bundle Care, Nosocomial Infection, ICU, Intensive CareAbstract
Background:Nosocomial infections are a common complication in patients treated in the Intensive Care Unit (ICU). Critical patient conditions, the use of invasive devices, and long hospital stays increase the risk of nosocomial infections. One recommended prevention strategy is the implementation of bundled care, which consists of a series of evidence-based actions consistently implemented. Objective: This study aims to analyze the effect of bundled care implementation on reducing the incidence of nosocomial infections in ICU patients.
Method:This study used a quasi-experimental design with a pretest–posttest approach without a control group. The study sample consisted of 50 ICU patients selected using a purposive sampling technique. Data on the incidence of nosocomial infections were collected before and after the implementation of bundle care for 30 days. Data analysis was performed using a paired t-test with a significance level of p < 0.05. Results: The results showed a significant decrease in the incidence of nosocomial infections after the implementation of bundle care, with a p value of < 0.001.
Conclusion:Consistent implementation of bundle care is effective in reducing the incidence of nosocomial infections in ICU patients.
Downloads
References
Allegranzi, B., et al. (2016). WHO guidelines on hand hygiene. WHO.
Ariani, D. (2020). Prevention of nosocomial infections in the ICU. Indonesian Nursing Journal.
Anurogo, D., Rahmat, RA, & Pannyiwi, R. (2025). Identification of Endophytic Fungi in Traditional Medicinal Plants in South Sulawesi. JIMAD: Multidisciplinary Scientific Journal, 3(2), 77–82.https://doi.org/10.59585/jimad.v3i1.862
CDC. (2022). Healthcare-associated infections.
Indonesian Ministry of Health. (2019). Guidelines for preventing hospital infections.
Donabedian, A. (2005). Evaluating quality of care. Milbank Quarterly.
Fitria, N. (2021). Bundle care and HAIs. Journal of Clinical Nursing.
Horan, T. (2018). Surveillance of nosocomial infections. AJIC.
IHI. (2021). Care bundles and patient safety.
Ministry of Health of the Republic of Indonesia. (2020). Hospital PPI Standards.
Krein, S. (2017). ICU infection prevention. Critical Care Medicine.
Magill, S. (2019). HAIs prevalence survey. NEJM.
Mahoklory, SS, Fitriani. K, F., & Ibrahim, SA (2025). The Effect of Basic Life Support Training on Nurse's Ability to Perform Cardiopulmonary Resuscitation in the Emergency Department. International Journal of Health Sciences, 3(3), 575–582. https://doi.org/10.59585/ijhs.v3i3.832
Nugroho, S. (2022). VAP Prevention in the ICU. Journal of Health.
Pronovost, P. (2016). Central line bundles. BMJ Quality & Safety.
Pannyiwi, R., Azis, MNSA, & Rahmat, RA (2025). Analysis of Nurses' Obstacles in Implementing Therapeutic Communication in Health Care Environments. Barongko: Journal of Health Sciences, 4(1), 231–243. https://doi.org/10.59585/bajik.v4i1.921
Rosdiana, R., Saide, R., Pannyiwi, R., Malaha, N., & M, S. (2023). Health Education on the Importance of Immunization at the Antang Community Health Center, Makassar City. Sahabat Sosial: Journal of Community Service, 2(1), 129–136. https://doi.org/10.59585/sosisabdimas.v2i1.254
WHO. (2020). Guidelines on infection prevention.
Wahyuni, T., Achmad, VS, Pannyiwi, R., & Rahmat, RA (2025). The Relationship Between Nurse's Knowledge about Ventilators and Compliance in Preventing Ventilator - Associated Pneumonia (VAP) in the ICU. International Journal of Health Sciences, 3(4), 704-710. https://doi.org/10.59585/ijhs.v3i4.892
Yuliana, E. (2021). Implementation of bundle care. National Nursing Journal.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Serly Sani Mahoklory, Rezqiqah Aulia Rahmat
This work is licensed under a Creative Commons Attribution 4.0 International License.
