Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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Cognition and Practice of Standard Precautions towards Hospital Infection Control in Emergency Medical Technology Students

응급구조학과 학생의 병원감염관리 표준지침의 인지와 수행에 관한 연구

  • Kim, Jin-Uk (Department of Emergency Medical Service, Kyungdong University) ;
  • Kim, Yoon-Shin (Department of Health Sciences, Graduate School of Hanyang University) ;
  • Ji, Hyun-Kyung (Department of Emergency Medical Technology, Baekseok University) ;
  • Bae, Ki-Sook (Department of Emergency Medical Technology, Baekseok University)
  • 김진욱 (경동대학교 응급구조학과) ;
  • 김윤신 (한양대학교 대학원 보건학과) ;
  • 지현경 (백석대학교 응급구조학과) ;
  • 배기숙 (백석대학교 응급구조학과)
  • Received : 2013.08.21
  • Accepted : 2014.01.09
  • Published : 2014.01.31
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Abstract

The aim of the study is to investigate the awareness and practice of Standard Precautions towards Hospital Infection Control in Emergency medical technology students. Data were collected from 289 questionnaires from March 20, 2012 to April 25, 2012. The data were analyzed using SPSS 18.0 for window(SPSS Inc, USA) with the level of significance as 0.05. According to the results, significant differences were shown in gender, infection control education and infection control educational institutions. The factors influencing the practice of standard precautions were found to be the times of the contact to blood, body fluid, mucus, or the skin with lesions and the cognition of standard precautions. Cognition level of the EMT students was high but the practice level was low. Based on the results of this study, it is proposed to develop an effective educational program to improve the cognition and practice, and to improve the cognition and practice of the standard precaution through the systematic and repetitive education and training.

본 연구는 응급구조(학)과 학생의 병원감염관리에 대한 표준지침 인지 및 수행을 파악하여, 감염관리 인식도를 높이고, 표준지침 인지 및 수행에 영향을 미치는 요인을 규명하고, 감염관리 교육의 기초자료로 활용하기 위하여 2012년 3월 20일부터 4월25일까지 충청도 소재 응급구조(학)과 재학생 중 임상실습을 마친 289명을 대상으로 실시하였다. 본 연구의 수집된 자료는 SPSS 18.0 for window(SPSS Inc, USA) 프로그램을 사용하여 분석하였다. 연구결과, 성별, 감염관리 교육 경험, 감염관리 교육기관에 따른 유의한 차이를 나타냈다. 표준지침 수행에 영향을 미치는 요인으로는 혈액, 체액, 점막, 또는 상처가 있는 피부에 접촉한 경험 횟수, 표준지침 인지의 순으로 나타났다. 결론적으로 표준지침에 대한 인지는 비교적 높은 반면 대부분의 영역과 항목에서 인지보다 수행이 낮았으며, 무경험의 비율이 높은 항목도 많았다. 따라서, 본 연구의 결과를 토대로 표준지침 인지 및 수행을 향상시킬 수 있는 효과적인 교육 프로그램의 개발이 필요하고, 체계적이고 반복적인 교육을 통해 표준지침 인지와 수행을 향상 시킬 필요가 있다고 본다.

Keywords

References

  1. "Hospital Infection Management Guidelines". Ministry of Health & Welfare, Korea.
  2. "Infection control and prevention in healthcare facilities, 4th edition". Hanmibook, 2011.
  3. "Data Summary from July 2010 through June 2011". Korean Nosocomial Infections Surveillance System(KONIS) Report.
  4. G. l. Cho, "Influencing factors on the compliance about Standard Precautions among ICU and ER nurses". Seoul National University. 2007.
  5. S. S. Kim, "A study on the Curriculum of Emergency Medical Technology in Korea". J Korean Society of Emergency Medical Technology, Vol. 13, No. 2, pp.17-59, 2009.
  6. O. H. Koo, "Clinical nurses's perception of empowerment structural model in nursing organization". Chungnam National University, 2000.
  7. S. S. Choi, "Current Status of Clinical Practice and Associated Factors with Satisfaction among Students in the Department of Emergency Medical Service". Chosun University, 2012.
  8. Y. H. Seo, "Influencing Factors on the Hospital Nurses' Compliance with Standard Precautions for infection control". Eulji University, 2009.
  9. H. Y. Shin, K. H. Kim, K. Sk. Kim, "Study on Pediatric Nurses' Attitudes and Compliance with Hospital Infection Standard Precautions". J Korean Acad Child Health Nurs, Vol. 17, No. 4, pp.238-246, 2010. DOI: http://dx.doi.org/10.4094/jkachn.2011.17.4.238
  10. H. S. Kim, "Effect of Infection Control Education on Knowledge, Attitude and Self-Confidence of Student Nurses About Nosocomial Infection Control". J Korean Society for School Health Education, Vol. 10, No. 1, pp.47-59, 2009.
  11. Y. S. Kwon, Y. A. Kim, "Recognition and Performance Level on the Prevention of Nosocomial Infection of the Nursing Student". Research Institute of Nursing Sciencem, Keimyung University, Vol. 8, No. 1, pp.100-112, 2004.
  12. G. L. Kim, E. S. Choi, "Recognition and Performance on Management for Nosocomial Infections among Nursing Students". Korean J Women Health Nurs, Vol. 11, No. 3, pp.232-240, 2005.
  13. J. S. Kim, "Awareness and Performance of Physical Therapists on Nosocomial Infection". KCA Thesis Journal, Vol. 8, No. 11, pp.189-202, 2008. DOI: http://dx.doi.org/10.5392/JKCA.2008.8.11.189
  14. C. U. Chong, "Compliance level of universal precautions to hospital infection and related factors of health care workers in hospitals". Yonsei University, 2004.
  15. H. W. Yun, J. Y. Jung, "A Study on the level of Recognition and Practices of 119 Emergency Medical Technician about Infection Control". J Korean Society of Emergency Medical Technology, Vol. 12, No. 3, pp.99-113, 2008.
  16. Center for Disease Control and Prevention. "Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Setting", 2007.
  17. E. H. Jeong, "Awareness and Performance for the Standard Precautions Among Outpatient Clinics Nursing staffs in a University-affiliated Hospital". Ulsan University, 2011.
  18. Chan, M. F., HO, A., & Day, M. C. "Investigating the knowledge, attitudes and practice patterns of operating room staff towards standard and transmission-based precautions: result of a cluster analysis". Journal of Clinical Nursing. Vol. 17, No. 8, pp.1051-1062, 2008. DOI: http://dx.doi.org/10.1111/j.1365-2702.2007.01998.x
  19. K. H. Yang, "Awareness and Performance of the Nurses to Standard Precautions for Infection Control in a University Hospital". Chonbuk National University, 2010.
  20. Askarian, M., Mirzaei, K., Mudy, L. M., & Mclaws, M. L. "Assessment of knowledge, attitudes, and practices regarding isolation precautions among Iranian healthcare workers". Infect Control Hosp Epidemiol. Vol. 26, No. 1, pp.105-108, 2005. DOI: http://dx.doi.org/10.1086/502495
  21. K. S, Han, E. H. Park, J. Y. Cho, An Inquiry into Subjectivity of Fundamental Nursing Practice Attitude". J Korean Acad Nurs, Vol. 30, No. 3, pp.682-693, 2000. https://doi.org/10.4040/jkan.2000.30.3.682
  22. G. Y. Ha, M. Y. Kim, D. W. Lee, H. S. Jeong, ＂A Recent 5-Year Study on Needlestick Injuries to Healthcare Workers in a Regional University Hospital". Dongguk Journal of Med, Vol. 16, No. 1, pp.282-290, 2009.
  23. J. S. Choi, K. S. Kim, "Application and Evaluation of a Web-based Education Program on Blood-borne Infection Control for Nurses". J Korean Acad Nurs, Vol. 39, No. 2, pp.292-309, 2009. DOI: http://dx.doi.org/10.4040/jkan.2009.39.2.298
  24. J, S, Choi, M. R. Eom, "Development and Evaluation of an e-learning Blood-borne Infection Control Program for Nurseing Students". J Korean Acad Fundam Nurs, Vol. 17, No. 2, pp.249-258, 2010.
  25. K. H. Kim, "The Infection Control and Perceived Vulnerability of Nurses to AIDS". Ewha Womans University, 2001.
  26. Huang, J., Jiang, D., Wang, X., Liu, Y., Fennie, K., & Burgess, J. "Changing knowledge, behavior and practice related to universal precautions among hospital nurses in China". Journal of Coninuing Education in Nursing. Vol. 33, No. 5, pp.217-224, 2002.
  27. McCoy, K. D., Beekmann, S. E., Ferguson, K. J., Vayhn, T. E., Torner, J. C., Woolson, R. F., et al. "Monitoring adherence to standard precautions". American Journal of Infection Control. Vol. 29, pp.24-31, 2001. DOI: http://dx.doi.org/10.1067/mic.2001.111226
  28. WU, C. J., Gardner, G., & Chang, A. M. "Nursing student's knowledge and practice of infection control precautions: An education intervention" Journal of Advanced Nursing. Vol. 65, No. 10, pp.2142-2149, 2009a. DOI: http://dx.doi.org/10.1111/j.1365-2648.2009.05079.x
  29. McCann TV, Sharkey RJ. "Educational intervention with international nurses and changes in knowledge, attitudes and willingness to provide care to patents with HIV/AIDS". J Adv Nurse. Vol. 27, pp.267-273, 1998. DOI: http://dx.doi.org/10.1046/j.1365-2648.1998.00513.x
  30. M. K. Lue, "A Survey of Occupational Exposures to Blood and Body Fluids in Health Care Workers". Ulsan University, 2005.
  31. M. H, Sung, N. Y. Kim, H. Y. Choi, "Factors Influencing Performance of the Nurses about the Management of Nosocomial Infection". Korean Journal of Occupational Health Nursing, Vol. 16, No. 1, pp.5-14, 2007.