Improving Medical Students’ Safety Injection Behavior In Panembahan Senopati Hospital by Leaflet, Movie, and Intensification

I Nyoman Roslesmana(1*), Kusbaryanto Kusbaryanto(2), Merita Arini(3)

(1) Magister Manajemen Rumah Sakit, Universitas Muhammadiyah Yogyakarta
(2) Magister Manajemen Rumah Sakit, Universitas Muhammadiyah Yogyakarta
(3) Magister Manajemen Rumah Sakit, Universitas Muhammadiyah Yogyakarta
(*) Corresponding Author


Background: In 2006, Yogyakarta contributes 0.8% Hospital Acquired Infection (HAI's) of total HAI's in Indonesia. In 2010 6-16% HAI's occurred in the Teaching Hospital. Sharps injury is one of the causes of HAI's. Center for Disease Control and Prevention (CDC) stated that there was 385,000 sharps injury/year. Sharps injury can cause a pathogen transmission, such as Hepatitis B Virus, Hepatitis C Virus and Human Immunodeficiency Virus and inflict a financial loss up to $71 to $5,000. Data from Colombo, 2012 stated that 95% of 168 medical students experienced sharp injury. In Indonesia from August-October 2008 at Sardjito Hospital  occurred 43.3% sharp injury and some of them was medical students. Panembahan Senopati Bantul Hospital accepts 40 medical students every year. The Revised Injection Safety Assessment Tool (Tool C – Revised) was used to assess how well-behaved the health worker provided injections to enhance sharp safety. Objective : To improve medical student’s safety injection behavior in Panembahan Senopati Hospital. Method: This research is an action research (AR) type. The research is done in two cycles, first, the acting component was leaflets and movie; second was intensification. Students’ safety injection behavior was evaluated by using Revised Injection Safety Assessment Tool (Tool C – Revised), before and after the action.  Results: Before the research, the medical students’ knowledge on sharp safety was 30% until 80% and the action on safety injection was 33,3% until 70%. After the research the knowledge increased is 80% until 100% and the action is 88,9% until 100%. Conclusion: The improvement of sharp safety knowledge in medical students is 10% until 60% and the action of safety injection in medical students is 30% until 66,7%. The result of this study was reported to The Education and Training Committee of Panembahan Senopati Hospital


Action research; safety injection behavior; medical student

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  1. Barton, C.J. & Rathleff, M.S., (2016). “Managing My Patellofemoral Pain”: the creation of an education leaflet for patients. BMJ Open Sport & Exercise medicine, 2, pp.1–5. Available at: [Accessed February 7, 2018]. 
  2. Beaujean, D.J.M.A. et al., (2016). Comparing the effect of a leaflet and a movie in preventing tick bites and Lyme disease in the Netherlands. BMC Public Health, 16(1). Available at: 
  3. CDC, (2008). Workbook for Designing, Implementing, and Evaluating a Sharps Injury Prevention Program 1st ed. CDC, ed., USA: CDC. Available at: [Accessed October 21, 2017]. Damanik, S.M., 
  4. Susilaningsih, F.S. & Amrullah, A.A., (2012). Kepatuhan Hand Hygiene Di Rumah Sakit Immanuel Bandung. Students e-Journal, 1(1), p.29. Available at: 
  5. Hirsch-kreinsen, H., (2013). Typical Patterns of Knowledge-Intensive Entrepreneurship in Low-Tech Industries. DRUID Celebration Conference, p. 
  6. Hurtado, B., Jones, L. & Burniston, F., (2014). Is easy read information really easier to read? Journal of Intellectual Disability Research, 58(9), pp.822–829. 
  7. Nugraheni, R., Tono, S. & Winarni, S., (2012). Infeksi Nosokomial di RSUD Setjonegoro Kabupaten Wonosobo. Media Kesehatan Masyarakat Indonesia, 11(1), pp.94–100. Available at: 
  8. Pelletier, A.R., Tongren, E.J. & Gilchrist, J., (2015). Injury Prevention Practices as Depicted in G- and PG-Rated Movies, 2008–2012. Journal of Community Health, 40, pp.613–618. Available at: [Accessed February 7, 2018]. 
  9. Piddennavar, R. & Krishnappa, P., (2015). Preparation and evaluation of information leaflet for tobacco users. Journal of Education and Health Promotion, 4(March), pp.2015–2018. 
  10. Prastya, I.W., (2015). Hubungan Pengetahuan Tentang Tindakan Pencegahan Luka Tusuk Jarum Dengan Insidensi Luka Tusuk Jarum Pada Mahasiswa Profesi Ners Stikes ‘Aisyiyah Yogyakarta. E-Journal Stikes Aisyiah Yogyakarta, pp.1–11. Available at: publikasi ichsan %281%29.pdf. 
  11. Pratami, H.A., Apriliana, E. & Rukmono, P., (2013). Identifikasi Mikroorganisme Pada Tangan Tenaga Medis dan Paramedis di Unit Perinatologi Rumah Sakit Abdul Moeloek Bandar Lampung. Medical Journal Of Lampung University, pp.85–94. Available at: 
  12. Rosaliya, Y., Suryani, M. & Shobirun, (2012). Faktor-Faktor Yang Mempengaruhi Kejadian Infeksi Nosokomial Pada Pasien Luka Post Operasi Di Rsud Tugurejo Semarang. Naskah Publikasi, pp.1–10. Available at: 
  13. Schoen, D.E. & Thompson, S.C., (2016). Diabetes foot care education movies for Aboriginal people: Bran nue leg. Health Promotion Journal of Australia, 27, pp.88–89. Available at: [Accessed February 7, 2018]. 
  14. Selberg, R., (2013). Nursing in Times of Neoliberal Change: An Ethnographic Study of Nurses’ Experiences of Work Intensification. , 3(2). Available at: [Accessed April 23, 2018]. 
  15. Sinha, T., Bai, Z. & Cassell, J., (2017). A New Theoretical Framework for Curiosity. HC, 3, p. 
  16. Tella, S. et al., (2014). What Do Nursing Students Learn About Patient Safety? An Integrative Literature Review. Journal of Nursing Education, 53, pp.7–13. Available at: Varma, R. et al., (2016). Sexual health-related information delivery „–„ are patient information leaflets still relevant? CSIRO PUBLISHING, 13, pp.289–291. Available at: [Accessed February 7, 2018]. 
  17. Winter, R. & Munn-Giddings, C., (2001). A Handbook For Action Research In Health And Social Care. E-Journal Anglia Polytechnic University, pp.1–37. Available at: Research Book Chapter Three%2C Action Research%2C Contexts and Dimensions.pdf. 
  18. World Health Organization, (2002). Prevention of hospital-acquired infections. A practical guide 2nd edition, pp.1–72. Available at: [Accessed October 30, 2017]. 
  19. World Health Organization, (2008). REVISED INJECTION SAFETY ASSESSM ENT TOOL (TOOL C – REVISED) : Tool for the Assessment of Injection Safety and the Safety of Phlebotomy, Lancet Procedures, Intravenous Injections and Infusions 1st ed. -, ed., Geneva: World Health Organization. Available at: 
  20. Zhang, Q. et al., (2017). “Testing is healthy” TimePlay campaign: Evaluation of sexual health promotion gamification intervention targeting young adults. Canadian Journal of Public Health.


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