Development of an Innovative Pocket Ampoule Cutter to Improve Nurses’ Self-Protection
DOI:
https://doi.org/10.56127/jukim.v5i02.2635Keywords:
Ampoule cutter, occupational safety, nurses, self-protection, medical device innovation.Abstract
Nurses are the healthcare professionals who most frequently handle injectable medications packaged in glass ampoules. The conventional method of opening ampoules manually using fingers poses a risk of occupational injury, particularly cuts caused by sharp glass fragments. Therefore, innovation is needed to enhance nurses’ self-protection during the ampoule-opening procedure. This study aims to develop an innovative device called the Pocket Ampoule Cutter (PAC) to improve nurses’ self-protection. This research employed a Research and Development (R&D) method using the ADDIE model, which consists of the stages of Analysis, Design, Development, Implementation, and Evaluation. The validation process involved three nursing experts and one occupational health and safety (OHS) expert, while the implementation stage involved ten nurses at RST Wijaya Kusuma Purwokerto. Data were collected using validation sheets and user evaluation questionnaires based on a Likert scale to assess aspects of safety, ease of use, comfort, design, material quality, maintenance, hygiene, and overall feasibility of the device. The validation results showed that the PAC achieved an average feasibility score of 95.83%, which falls into the “very feasible” category. Meanwhile, the implementation results based on nurses’ assessments showed an average score of 93.33%, also categorized as “very feasible.” These findings indicate that the PAC effectively improves nurses’ protection by minimizing direct hand contact with broken ampoule glass and facilitating a safer ampoule-opening procedure. In conclusion, the Pocket Ampoule Cutter (PAC) is considered a feasible, practical, and safe device that can enhance nurses’ self-protection during the ampoule-opening process.
References
[1] Ade Rahayu. (2025). Metode Penelitian dan Pengembangan (R&D) : Pengertian, Jenis dan Tahapan. DIAJAR: Jurnal Pendidikan Dan Pembelajaran, 4(3), 459–470. https://doi.org/10.54259/diajar.v4i3.5092
[2] Al-takai, I. F. (2025). Improvement of the Mechanical Strength of Polymethyl Methacrylate. 13(1), 1–5. https://doi.org/10.5195/d3000.2025.1041
[3] Chiannilkulchai, N., & Kejkornkaew, S. (2020). A comparative study of ampoule breaking and resultant injury among registered nurses. Pacific Rim International Journal of Nursing Research, 24(1), 89–101.
[4] Dalvi, S. R., & Bhuvad, P. P. (2023). Enhancing Medication Safety By Analysis of Ampoule Opening Technique and Designing “Ampoule Cutter” Tool. International Research Journal of Modernization in Engineering Technology and Science, 11, 1135–1139. https://doi.org/10.56726/irjmets46227
[5] Dewantisari, D., & Musfiroh, I. (2020). Strategi Peningkatan Objektivitas Hasil Uji Inspeksi Visual Sediaan Injeksi : Review. Majalah Farmasetika, 5(2), 64–72. https://doi.org/10.24198/mfarmasetika.v5i2.26017
[6] Dwi Permana, S., & Siregar, T. (2023). Manajemen Risiko Keselamatan dan Kesehatan Kerja pada Perawat Menggunakan Hazard Identification Risk Assessment And Risk Control Occupational Health and Safety Risk Management for Nurses Using Hazard Identification Risk Assessment and Risk Control. Jurnal Keselamatan Kesehatan Kerja Dan Lingkungan, 04(2), 2023. http://jk3l.fkm.unand.ac.id/index.php/jk3l/index
[7] Fadhillah, A. S. et al. (2024). Sistem Pengambilan Contoh Dalam Metode Penelitian. Karimah Tauhid, 3(6), 7228–7237.
[8] Ihda Hilyati, Lukman Haki, E. Y. (2023). Jurnal dunia pendidikan. JURNAL DUNIA PENDIDIKAN, 62–72.
[9] Judijanto, L. et al. (2024). Metodologi Research and Development: Teori dan Penerapan Metodologi RnD (S. & Elfitra (ed.)). PT. Sonpedia Publishing Indonesia.
[10] Liu, G.-T. et al. (2024). Revolutionizing polymethyl methacrylate toughness: Achieving 190% improvement with nanocellulose reinforcement while maintaining optical clarity. Jurnal Pendidikan Teknologi Kejuruan, 7(4), 229–237. https://doi.org/10.24036/jptk.v7i4.39823
[11] Lv, Y. et al. (2025). Pharmaceutical Packaging Materials and Medication Safety: A Mini-Review. Safety, 11(3), 1–21. https://doi.org/10.3390/safety11030069
[12] Nasution, N. M. S., & DR, M. (2017). Hubungan Lingkungan Kerja Non Fisik dengan Kepuasan Kerja pada Perawat RSJ. Jurnal Diversita, 3(2), 25.
[13] Olfah, Y. et al. (2020). Efektivitas Kantong Ampul Suatu Inovasi untuk Pencegahan Kecelakaan Kerja. Proceeding of The URECOL, 177–185. http://repository.urecol.org/index.php/proceeding/article/view/1062
[14] Pasaribu, C. et al. (2025). Daya Tarik Estetika dan Ketahanan dalam Desain Produk Akrilik di Kreasi Group. Jurnal Penelitian Inovatif (JUPIN), 5(4), 2861–2874. https://jurnal-id.com/index.php/jupin
[15] Rahayu, P. T. et al. (2020). Technique to open an ampoule with an “Ampoule Opener” tool. Medisains, 18(3), 110. https://doi.org/10.30595/medisains.v18i3.8371
[16] Riduwan. (2016). Skala Pengukuran Variabel-Variabel Penelitian. Alfabeta.
[17] Siregar, Y. I. M. (2024). Hubungan Kepatuhan Pekerja Dalam Menggunakan. Kesehatan Masyarakat Darmais (JKMD), 3, 41–44. https://ejournal.stikesdarmaispadangsidimpuan.ac.id/index.php/jkmd/article/view/239/185
[18] Sugiyono, P. D. (2015). Metode Penelitian Kuantitatif, Kualitatif, dan R&D. Alfabeta. https://digi-lib.stekom.ac.id/assets/dokumen/ebook/feb_35efe6a47227d6031a75569c2f3f39d44fe2db43_1652079047.pdf
[19] Tarulitua Simamora, H. et al. (2021). Hubungan Faktor Perawat dan Kebenaran Penyiapan Obat Injeksi. Nursing Current, 9(1), 23–35.
[20] van den Berg, R. B. et al. (2025). Particulate contamination in parenteral fluid from glass ampoules: compliance assessment and comparative analysis of needle types and ampoule-breaking strategies. European Journal of Pharmaceutical Sciences, 212(April). https://doi.org/10.1016/j.ejps.2025.107184
[21] Xu, Y. et al. (2023). Occupational protection behavior and its influencing factors of newly recruited nurses. BMC Medical Education, 23(1), 1–7. https://doi.org/10.1186/s12909-023-04780-6













