Abstract :

Infection prevention and control (IPC) is a fundamental component in ensuring patient safety within hospital environments. The performance of Infection Prevention and Control Nurses (IPCN) significantly determines the success of IPC programs, yet it often faces complex challenges related to staff adherence, frequently rooted in internal organizational cultural aspects. This study aims to cognitively explore how theoretical concepts of nursing anthropology and transcultural nursing can be integrated to enhance IPCN performance, particularly in addressing cultural barriers affecting IPC practice compliance in healthcare facilities. The method used was a conceptual literature review enriched with cognitive exploration based on field studies based on reflection on the author’s personal experience and observation in the hospital environment. Core concepts such as cultural competence, culturally congruent practice, and cultural context, along with transcultural nursing care models and the analogy of family theory serve as the primary analytical framework. The study’s exploration reveals that a comprehensive understanding of healthcare staff’s values, beliefs, and cultural practices is essential for designing effective and culturally sensitive interventions to improve IPCN performance. Further discussion describing the design of the application of theoretical concepts of nursing anthropology and transcultural nursing for IPCN performance improvement was explained through the adaptation of the Five-step problem solving process in Transcultural Interprofessional Practice Model (assessment, mutual goal setting, planning, implementation, evaluation) as a guide for IPCN. The conclusion recommends a transcultural approach as a transformative strategy for IPCN include the development of cultural competence, advocacy for supportive policies, and the necessity for further empirical research to test the effectiveness of this model.

---

Keywords :

Cultural Competence, Infection Prevention, IPCN, Performance, Transcultural Nursing.

---

References :

1. Agga, A. O., Lavin, K. L., & Aringo Jr., R. B. (2022). Culturally congruent care in nursing practice: A concept analysis. SSRG International Journal of Nursing and Health Science, 8(3), 32–39. https://doi.org/10.14445/24547484/IJNHS-V8I3P106
2. Andrews, M. M., & Boyle, J. S. (2019). Transcultural concepts in nursing care (8th ed.). Wolters Kluwer.
3. Braithwaite, J., Churruca, K., Ellis, L. A., & Long, J. (2017). Healthcare culture and climate: An overview. Safety and Quality in Health Care, 26(3), 193-200. https://doi.org/10.1136/bmjqs-2016-005697
4. Campinha-Bacote, J. (2002). The process of cultural competence in the delivery of healthcare services: A model of care. Journal of Transcultural Nursing, 13(3), 181–184. https://doi.org/10.1177/10459602013003003
5. Choi, J., & Kim, K. (2015). Job embeddedness factors as a predictor of turnover intention among infection control nurses in Korea. American Journal of Infection Control, 43(11), 1213-1217. https://doi.org/10.1016/j.ajic.2015.06.017
6. Choi, J., & Kim, K. (2020). Effects of nursing organizational culture and job stress on Korean infection control nurses’ turnover intention. American Journal of Infection Control, 48(11), 1404-1406. https://doi.org/10.1016/j.ajic.2020.04.002
7. Brahma, P. & Das, P. (2024). Study to assess the knowledge of infection control practices among the icu nurses in apollo hospitals bhubaneswar, odisha. International Journal for Multidisciplinary Research, 6(3). https://doi.org/10.36948/ijfmr.2024.v06i03.21107
8. Dewi, N. (2018). Efektivitas program pelatihan program pengendalian infeksi (ppi) melalui evaluasi pre test dan pos test di bagian diklat rumah sakit pusat otak nasional (rsp pon). Jurnal Administrasi Bisnis Terapan, 1(1). https://doi.org/10.7454/jabt.v1i1.23
9. Malik, J. A., Musharraf, S., Safdar, R., & Iqbal, M. (2022). Myths and misconception of COVID-19 among hospital sanitary workers in Pakistan: Efficacy of a training program intervention. BMC Health Services Research, 22, Article 818. https://doi.org/10.1186/s12913-022-08180-2
10. Runtu, T. M., Novieastari, E., & Handayani, H. (2019). How does organizational culture influence care coordination in hospitals? A systematic review. Enfermería Clínica, 29(5), 785–802. https://doi.org/10.1016/j.enfcli.2019.04.119
11. Gaikwad, U., Basak, S., Kulkarni, P., Sande, S., Cahavan, S., Mudey, G., … & Gaikwad, N. (2018). Educational intervention to foster best infection control practices among nursing staff. International Journal of Infection, 5(3). https://doi.org/10.5812/iji.81531
12. Green, E., Seaman, C., & Vanniasinkam, T. (2023). Microbiology education for rural nurses: continuing professional development strategies. Microbiology Australia, 44(3), 162-165. https://doi.org/10.1071/ma23045
13. Haque, M., Sartelli, M., McKimm, J., & Bakar, M. (2018). Health care-associated infections – an overview. Infection and Drug Resistance, Volume 11, 2321-2333. https://doi.org/10.2147/idr.s177247
14. Hohashi, N. (2019). A family belief systems theory for transcultural family health care nursing. Journal of Transcultural Nursing, 30(5), 434–443. https://doi.org/10.1177/1043659619853017
15. Yee, D., Osuka, H., Weiss, J., Kriengkauykiat, J., Kolwaite, A., Johnson, J., Hopman, J., Coffin, S., Ram, P., Serbanescu, F., & Park, B. (2021). Identifying the priority infection prevention and control gaps contributing to neonatal healthcare-associated infections in low- and middle-income countries: Results from a modified Delphi process. Journal of Global Health Reports, 5, e2021018. https://doi.org/10.29392/001c.21367
16. Thakur,H., Rao,R. (2024). Emphasis of infection prevention and control: A review. Journal of Population Therapeutics and Clinical Pharmacology. Retrieved from https://www.jptcp.com/index.php/jptcp/article/view/4604
17. Jurnal Keperawatan Widya Gantari Author’s Guide.  https://ejournal.upnvj.ac.id/Gantari/petunjuk-penulis
18. Kim, J., & Lee, K. (2021). Factors Influencing Emergency Department Nurses’ Compliance with Standard Precautions Using Multilevel Analysis. International Journal of Environmental Research and Public Health, 18(11), 6149. https://doi.org/10.3390/ijerph18116149
19. McFarland, M. R., & Wehbe-Alamah, H. B. (2020). Ethnonursing research method: A qualitative approach to cultural care. Springer Publishing Company.
20. Liu, Y., Wang, Y., & Zhang, Y. (2020). Trends in safety culture research: A Scopus analysis. International Journal of Environmental Research and Public Health, 17(3), 880. https://doi.org/10.3390/ijerph17030880
21. Omisakin, F. (2018). Nurses’ practices towards prevention and control of nosocomial infections in madonna university teaching hospital elele rivers state. Nursing & Primary Care, 2(2), 1-7. https://doi.org/10.33425/2639-9474.1058
22. Park, J., & Choi, J. (2025). Factors Affecting the Direct and Indirect Performance of Infection Control for Centrally Inserted Central Catheters Among ICU Nurses. Healthcare, 13(9), 988. https://doi.org/10.3390/healthcare13090988
23. Rao, G., Jeanes, A., Russell, H., Wilson, D., Atere-Roberts, E., O’Sullivan, D., … & Donaldson, N. (2009). Effectiveness of short-term, enhanced, infection control support in improving compliance with infection control guidelines and practice in nursing homes: a cluster randomized trial. Epidemiology and Infection, 137(10), 1465-1471. https://doi.org/10.1017/s0950268809002210
24. Suh, E. E. (2004). The model of cultural competence through an evolutionary concept analysis. Journal of Transcultural Nursing, 15(2), 93–102. https://doi.org/10.1177/1043659603262488
25. Zhafarina, Z., & Hutahaean, S. (2023). Relationship between nurse performance and implementation of infection prevention and control at hospital x bogor, indonesia. International Journal of Multidisciplinary Research and Analysis, 06(07). https://doi.org/10.47191/ijmra/v6-i7-37