Journal of Korean Biological Nursing Science

  • 제14권3호
  • /
  • Pages.156-165
  • /
  • 2012
  • /
  • 2383-6415(pISSN)
  • /
  • 2383-6423(eISSN)
한국기초간호학회 (Korean society of Biological Nursing Science)
권호 표지
DOI QR코드

DOI QR Code

손위생 교육프로그램이 간호대학생의 손위생 지식, 손위생 인식, 비강 내 황색포도알균 집락 및 손위생 이행에 미치는 효과

The Effect of the Hand Hygiene Education Program on Hand Hygiene Knowledge, Hand Hygiene Perception, Nasal Staphylococcus aureus Colonization and Hand Hygiene Adherence in Nursing Students

  • 투고 : 2012.08.31
  • 심사 : 2012.11.03
  • 발행 : 2012.11.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose: This study was conducted to test the effect of the Hand Hygiene Education Program on hand hygiene knowledge, hand hygiene perception, nasal Staphylococcus aureus colonization and hand hygiene adherence in nursing students. Methods: A non-equivalent pre-post test of quasi-experimental design was used. 87 second grade nursing students participated in the study with 43 in the experimental group and 44 in the control group. We used the Hand Hygiene Education Program which was held 5 times over 5 weeks, taking 60 minutes per session. For the analysis, descriptive statistics, chi test, and t-test were used for statical analysis with SPSS 19.0. Results: There were significant increases in hand hygiene knowledge (p=.004) and hand hygiene adherence (p=.002) and there was a significant decrease in nasal Staphylococcus aureus colonization (p=.026) in the experimental group compared to the control group. However, hand hygiene perception (p=.543) was not significantly changed. Conclusion: Findings of this study suggest that the Hand Hygiene Education Program may be effective in enhancing hand hygiene knowledge and hand hygiene adherence. Also this program was effective in reducing nasal Staphylococcus aureus colonization in nursing students. Further studies are needed to evaluate the effects of the Hand Hygiene Education Program on hand hygiene perception in nursing students.

키워드

참고문헌

  1. Allegranzi, B., & Pittet, D. (2009). Role of hand hygiene in healthcare-associated infection prevention. Journal of Hospital Infection, 73, 305-315. https://doi.org/10.1016/j.jhin.2009.04.019
  2. Allegranzi, B., Sax, H., Bengaly, L., Richet, H., Minta, D. K., Chraiti, M. N., et al. (2010). Successful implementation of the world health organization hand hygiene improvement strategy in a referral hospital in Mali, Africa. Infection Control and Hospital Epidemiology, 31, 133-141. https://doi.org/10.1086/649796
  3. Barrett, R., & Randle, J. (2008). Hand hygiene practices: Nursing students' perceptions. Journal of Clinical Nursing, 17, 1851-1857. https://doi.org/10.1111/j.1365-2702.2007.02215.x
  4. Choi, S. I., & Yoon, J. W. (2008). A study on the recognition and performance of nursing students' hand washing. Korean Journal of Nosocomial Infection Control, 13, 97-104.
  5. Cole, M. (2009). Exploring the hand hygiene competence of student nurses: A case of flawed self assessment. Nurse Education Today, 29, 380-388. https://doi.org/10.1016/j.nedt.2008.10.010
  6. Ho, M. L., Seto, W. H., Wong, L. C., & Wong, T. Y. (2012). Effectiveness of multifaceted hand hygiene intervention in long-term care facilities in Hong Kong; A cluster-randomized controlled trial. Infection Control Hospital Epidemiology, 33, 761-767. https://doi.org/10.1086/666740
  7. Jeong, J. S. (2002). Effect of hand washing improving programs on the adherence of hand washing and nosocomial infections in a surgical intensive care unit. Unpublished doctoral dissertation, Seoul National University, Seoul
  8. Jeong, J. S., Choi, J. H., Lee, S. H., & Kim, Y. S. (2003). Hand hygiene effects measured by hand culture in intensive care unit. Journal of Korean Biological Nursing Science, 5, 21-30.
  9. Kelcikova, S., Skodova, Z., & Straka, S. (2011). Effectiveness of hand hygiene education in a basic nursing school curricula. Public Health Nursing, 29, 52-59.
  10. Kim, G. L., & Choi, E. S. (2005). Recognition and performance on management for nosocomial infections among nursing student. Korean Journal of Women Health Nursing, 11, 232-240.
  11. Kim, K. M., Kim, O. S., & Jeon, M. Y. (2012). Knowledge and compliance level of the multidrug-resistant organisms of nursing students. Journal of Korean Biological Nursing Science, 14, 8-15. https://doi.org/10.7586/jkbns.2012.14.1.8
  12. Kim, N, C., & Choi, K. O. (2002). Effects on nurses' hand washing behavior and reduction of respiratory isolation rate of MRSA of the hand washing education. Korean Journal of Adult Nursing, 14, 26-33.
  13. Kim, S. H. (2009). The effect of an educational hand-hygiene program on the hand-hygiene compliance and method of ICU nurses's hand hygiene. Unpublished master's dissertation, Han Yang University, Seoul.
  14. Kim, Y. K., & Hong, H. S. (2007). Transmission aspect of methicillin-resistant Staphylococcus aureusin the neurosurgical intensive care unit by analysing genotype. Journal of Korean Academy of Nursing, 37, 976-985. https://doi.org/10.4040/jkan.2007.37.6.976
  15. Ko, I. S., Kang, K. S., Song, I. J., Park, J. H., & Youk, S. Y. (2002). Attitudes toward and practice of hand washing by student nurses in clinical practice. Journal of Korean Academy of Fundamentals of Nursing, 19, 165-179.
  16. Korea Institute for Healthcare Accreditation. (2010). Accreditation standard of healthcare organization. Seoul.
  17. Kwak, Y. G., Cho, Y. K., Kim, J. Y., Lee, M. S., Kim, H. Y., Kim, Y. K., et al. (2011). Korean nosocomial infections surveillance system, intensive care unit modul report: Data summary from July 2009 through June 2010. Korean Journal of Nosocomial Infection Control, 15, 1-12.
  18. Lee, S. E., Kim, M. J., Sohn, J. W., & Chun, B. C. (2011). Hand-washing practices followed by health care workers in an tertiary care hospital depending on their carriage status for nasally transmitted methicillin-resistant staphylococcus aureus. Korean Journal of Nosocomial Infection Control, 16, 18-28.
  19. Lim, O. B. (2004). Effect of education and feedback on the frequency and quality of hand hygiene. Unpublished master's dissertation, Ulsan University, Seoul.
  20. National Committee for Clinical Laboratory Standards. (2003). Methods for dilution antimicrobial susceptibility tests for bacteria that grow aerobically; Approved standards M7-A6 (6th ed.). Wayne, Pennsyvania.
  21. Park, G. B., & Lee, M. K. (2007). Nasal carriage of methicillin-resistant Staphylococcus aureusamong healthcare workers and community students in 1997 and 2006. Korean Journal of Nosocomial Infection Control, 12, 85-90.
  22. Pincock, T., Bernstein, P., Warthman, S., & Holst, E. (2012). Bundling hand hygiene interventions and measurement to decrease healthcare-associated infections. American Journal of Infection Control, 40, S18-S27. https://doi.org/10.1016/j.ajic.2012.02.008
  23. Pittet, D., Allegranzi, B., Sax, H., Dharan, S., Pessoa-Silva, C. L., Donaldson, L., et al. (2006). Evidence-based model for hand transmission during patient care and the role of improved practices. Lancet Infectious Disease, 6, 641-652. https://doi.org/10.1016/S1473-3099(06)70600-4
  24. Sax, H., Allergranzi, B., Uckay, I., Larson, E., Boyce, L., Pittet, D. (2007). My five moments for hand hygiene: A user-centred design approach to understand, train, monitor and report hand hygiene. Journal of Hospital Infection, 67, 9-21. https://doi.org/10.1016/j.jhin.2007.06.004
  25. Sax, H., Uckay, I., Richet, H., Allegranzi, B., & Pittet, D. (2007). Determinants of good adherence to hand hygiene among healthcare workers who have extensive exposure to hand hygiene campaigns. Infection Control and Hospital Epidemiology, 28, 1268-1274.
  26. Snow, M., White, Jr. G. L., Alder, S. C., & Stanford, J. B. (2006). Mentor's hand hygiene practices influence student's hand hygiene rates. American Journal of Infection Control, 31, 18-24.
  27. Tromp, M., Huis, A., de Guchteneire, I., van der Meer, J., van Achterberg, T., & Hulscher, M. (2012). The short-term and long-term effectiveness of a multidisciplinary hand hygiene improvement program. American Journal of Infection Control, 40, 732-736. https://doi.org/10.1016/j.ajic.2011.09.009
  28. van De Mortel, T. F., Kermode, S., Progano, T., & Sansoni, J. J. (2012). A comparison of the hand hygiene knowledge, beliefs and practices of Italian nursing and medical students. Journal of Advanced Nursing, 68, 569-579. https://doi.org/10.1111/j.1365-2648.2011.05758.x
  29. Waltman, P. A., Schenk, L. K., Martin, T. M., & Walker, J. (2011). Effects of student participation in hand hygiene monitoring on knowledge and perception of infection control practices. Journal of Nursing Education. 50, 216-221. https://doi.org/10.3928/01484834-20110228-06
  30. World Health Organization. (2009). A guide to the implementation of the WHO multimodal hand hygiene muImprovement strategy. Retrieved July 30, 2012, from http://whqlibdoc.who.int/hq/2009/WHO_IER_PSP_2009.02_eng.pdf

피인용 문헌

  1. Influencing factors on hand hygiene behavior of nursing students based on theory of planned behavior: A descriptive survey study vol.36, 2016, https://doi.org/10.1016/j.nedt.2015.09.014
  2. A Comparison between the Contamination Level of Uniforms and the Nasal Staphylococcus aureus Colonization before and after the Clinical Practice of Nursing Students vol.16, pp.2, 2014, https://doi.org/10.7586/jkbns.2014.16.2.90
  3. The Effect of an Educational Hand Washing Program on Knowledge, Attitude and Performance of Hand Washing in Undergraduates vol.27, pp.1, 2014, https://doi.org/10.15434/kssh.2014.27.1.039
  4. Development and Implementation of an Education Program for Novice Infection Control Nurses vol.21, pp.1, 2016, https://doi.org/10.14192/kjnic.2016.21.1.18
  5. The Effect of a Scenario based Hand Hygiene Education Program on Hand Hygiene Knowledge, Hand Hygiene Perception, Hand Hygiene Compliance and Hand Hygiene Method in Nursing Students* vol.23, pp.2, 2016, https://doi.org/10.7739/jkafn.2016.23.2.194
  6. Factors Affecting Performance of Hand Hygiene by Parents of Hospitalized Infants vol.21, pp.4, 2015, https://doi.org/10.4094/chnr.2015.21.4.285
  7. 치과의료기관 의료장비 표면 및 치과위생사 손의 Staphylococcus epidermidis 오염도 조사 vol.17, pp.6, 2012, https://doi.org/10.17135/jdhs.2017.17.6.472
  8. 임상실습 중인 간호학생의 손 위생 시점 동영상 실습교육의 효과 vol.19, pp.6, 2012, https://doi.org/10.5762/kais.2018.19.6.526
  9. Effects of Infection Control Education for Nursing Students Using Standardized Patients vs. Peer Role-Play vol.18, pp.1, 2021, https://doi.org/10.3390/ijerph18010107
  10. 배뇨곤란 대상자 사례기반 교육이 간호 대학생의 단순도뇨 지식, 단순도뇨 자신감 및 단순도뇨 술기능력에 미치는 효과 vol.11, pp.2, 2012, https://doi.org/10.22156/cs4smb.2021.11.02.057
  11. Knowledge, Perception, and Performance of Hand Hygiene and Their Correlation among Nursing Students in Republic of Korea vol.9, pp.7, 2012, https://doi.org/10.3390/healthcare9070913