DOI QR코드

DOI QR Code

A Study on Performance Level for Universal Precautions on Blood-Borne Infections among Nurses in Hospitals

임상 간호사의 혈액매개감염 주의지침에 대한 수행정도

  • An, Ji-Yeon (Department of Nursing, College of Medicine, Hanyang University) ;
  • Lee, Young-Mi (Department of Nursing, Hanbuk University) ;
  • Song, Jung-Hee (Department of Nursing, College of Kimcheon Science)
  • 안지연 (한양대학교 의과대학 간호학과) ;
  • 이영미 (한북대학교 간호학과) ;
  • 송정희 (김천과학대학 간호과)
  • Received : 2009.12.21
  • Accepted : 2010.03.26
  • Published : 2010.06.30

Abstract

Purpose: This study was conducted to investigate the cognition level and the performance level of universal precautions on blood-borne infections and to analyze related-factors on the performance level for universal precautions among the nurses. Method: A total of 166 nurses participated in the survey. We performed multiple linear regression to assess the related-factors on the performance level for universal precautions. Result: The mean scores of cognition and performance level for universal precautions were 65.61(${\pm}8.74$) and 53.98(${\pm}8.42$) respectively. The mean score of the cognition level was significantly lower than the performance level in all items. The cognition level was associated with the working field. The performance level was highest for nurses working over 36 years, nurses in university hospitals, and nurses in the operating room. The cognitive level for universal precautions, education level, exposure to blood-borne infection, family's income, and marital status significantly predicted the performance level for universal precautions in the multiple linear regression model (Adjusted $R^2=0.42$). Conclusion: The cognition level for universal precautions is the strongest predictor on the performance level for universal precautions. An integrated approach should incorporate training experiences to improve cognition and perception of risk on universal precautions for preventing blood-borne infections.

Keywords

References

  1. 김경혜 (2001). AIDS에 대한 간호사의 예방적 감염관리와 취약성 인지정도. 이화여자대학교 석사학위논문. 서울.
  2. 임현술, 안연순 (2003). 업무상 질병으로 요양 승인된 의료기관 종사자 및 질병의 특성. 대한산업의학회지, 15(2), 196-204.
  3. 정재심, 윤성원, 박은숙, 김경미, 유소연, 정인숙, 신용애, 최선주, 김승주, 오향순, 김봉수, 이영선, 양숙자, 김상일, 송영구, 강문원 (2006). 우리나라 종합병원에서 인력, 기구와 활동을 중심으로 한 감염관리의 실상. 대한병원감염관리학회지, 11(1), 58-69.
  4. 한국산업안전보건공단 (2005. 11). 의료업 종사 근로자들의 감염성 질환 실태조사: 보건관리 현황을 중심으로. 보건분야 -연구자료(2005-115-594). Retrieved September 15, 2009, From Korea Occupational Safety and Health Agency Web site: http://www.kosha.or.kr/main
  5. 한국산업안전보건공단 (2008. 10). 병․의원 종사자의 주사침 등에 의한 손상예방 지침. KOSHA CODE H-47-2008. Retrieved September 15, 2009, From Korea Occupational Safety and Health Agency Web site: http://www.kosha.or. kr/main
  6. Ayranci, U., & Kosgeroglu, N. (2004). Needlestick and sharps injuries among nurses in the healthcare sector in a city of western Turkey. J Hosp Infect, 58(3), 216-223. https://doi.org/10.1016/j.jhin.2004.06.029
  7. Beghdadli, B., Belhadj, Z., Chabane, W., Ghomari, O., Kandouci, A. B., & Fanello, S. (2008). Standard precautions practices among nurses in a university hospital in Western Algeria. Sante Publique, 20(5), 445-453. https://doi.org/10.3917/spub.085.0445
  8. Bolyard, E. A., Tablan, O. C., Williams, W. W., Pearson, M. L., Shapiro, C. N., Deitchman, S. D., & The Hospital Infection Control Practices Advisory Committee. (1998). Guidelines for infection control in health care personnel. Infect Control Hosp Epidemiol, 19(6), 407-463. https://doi.org/10.1086/647840
  9. Center for Disease Control and Prevention. (1999). Guidelines for national human immunodeficiency virus case surveillance, including monitoring for human immunodeficiency virus infection and acquired immunodeficiency syndrome. MMWR Recomm Rep, 48(10)(RR-13), 1-27.
  10. Center for Disease Control and Prevention. (1987). Recommendations for prevention of HIV transmission in healthcare settings. MMWR Morb Mortal Wkly Rep, 36(Suppl 2). S1-S18.
  11. Dement, J. M., Epling, C., Ostbye, T., Pompeii, L. A., & Hunt, D. L. (2004). Blood and body fluid exposure risks among health care workers: results from the Duke Health and Safety Surveillance System. Am J Ind Med, 46(6). 637-648. https://doi.org/10.1002/ajim.20106
  12. Gabriel J. (2009). Reducing needlestick and sharps injuries among healthcare workers. Nurs Stand, 23(22), 41-44. https://doi.org/10.7748/ns.23.35.41.s47
  13. Gerberding, J. L. (1995). Management of occupational exposures to blood-borne viruses. N Engl J Med, 332(7), 444-451. https://doi.org/10.1056/NEJM199502163320707
  14. Gerberding, J. L. (2003). Occupational exposure to HIV in health care settings. N Engl J Med, 348(9), 826-833, https://doi.org/10.1056/NEJMcp020892
  15. Gershon, R. R. (1996). Facilitator report: bloodborne pathogens exposure among health care workers. Am J Ind Med, 29(4), 418-420. https://doi.org/10.1002/(SICI)1097-0274(199604)29:4<418::AID-AJIM29>3.0.CO;2-3
  16. Gershon, R. R., Vlahov, D., Felknor, S. A., Vesley, D., Johnson, P. C., Delclos, G. L., & Murphy, L. R. (1995). Compliance with universal precautions among health care workers at three regional hospitals. Am J Infect Control, 23(4), 225-23. https://doi.org/10.1016/0196-6553(95)90067-5
  17. Janjua, N. Z., Razaq, M., Chandir, S., Rozi, S., & Mahmood, B. (2007). Poor knowledge-predictor of nonadherence to universal precautions for blood borne pathogens at first level care facilities in Pakistan. BMC Infect Dis, 7, 81-92. https://doi.org/10.1186/1471-2334-7-81
  18. Joardar, G. K., Chatterjee, C., Sadhukhan, S. K., Chakraborty, M., Dass, P., & Mandal, A. (2008). Needle sticks injury among nurses involved in patient care: A study in two medical college hospitals of West Bengal. Indian J Public Health, 52(3), 150-153.
  19. Ko, N. Y., Yeh, S. H., Tsay, S. L., Pan, S. M., Feng, M. C., Chiang, M. C., Lee, Y. W., Chang, L. H., & Jang, J. F. (2009). Adherence to management after occupational exposure to blood-borne pathogen among health care workers in Taiwan. Am J Infect Control, 37(7), 609-611. https://doi.org/10.1016/j.ajic.2008.11.008
  20. Sadoh, W. E., Fawolo, A. O., Sadoh, A. E., Oladimeji, A. O., & Sotiloye, O. S. (2006). Practice of universal precautions among healthcare workers. J Natl Med Assoc, 98(5), 722-726.
  21. Twitchell, K. T. (2003). Bloodborne pathogens. what you need to know-part I. AAOHN J, 51(1), 38-45.
  22. Williams, C. O., Campbell, S., Henry, K., & Collier, P. (1994). Variables influencing worker compliance with universal precautions in the emergency department. Am J Infect Control, 22(3), 138-148. https://doi.org/10.1016/0196-6553(94)90002-7

Cited by

  1. Knowledge on Blood-Borne Infection, Awareness and Compliance on Blood-Borne Infection Control, and Factors Influencing Compliance among Emergency Nurses vol.21, pp.2, 2016, https://doi.org/10.14192/kjhaicp.2016.21.2.65
  2. Performance of Preventive Actions to be Exposed to Infection in Emergency Nurses and its Influencing Factors vol.22, pp.1, 2015, https://doi.org/10.5953/JMJH.2015.22.1.40
  3. Knowledge on Blood-borne Infections, Compliance and Barriers on Blood-borne Infection Control among Nurses in Hemodialysis Units vol.25, pp.1, 2018, https://doi.org/10.7739/jkafn.2018.25.1.22