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

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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Exposure to Blood and Body Fluids and Influencing Factors on Compliance with Standard Precautions among Nurses in General Hospital

종합병원 간호사의 혈액 및 체액 노출과 표준주의지침 이행도에 대한 영향 요인

  • Park, Mi-Sook (Department of Nursing, Korea National University of Transportation)
  • Received : 2016.10.31
  • Accepted : 2016.11.10
  • Published : 2016.11.30
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Abstract

The purpose of this study was to identify blood and body fluids exposure, and factors influencing compliance with standard precautions among nurses. Participants consisted of 144 nurses in three general hospitals located in C province. Data were collected using a questionnaire that consisted of awareness, compliance, safety environment and attitude toward standard precautions. A total of 40.3% of participants had been injured by syringes or sharp tools that had already been used for patients within the last 1 year 1.01 times. Moreover, 22.9% of participants had been exposed to blood and body fluid of patients 1.06 times within the last 1 year. The mean score for compliance with standard precautions was lower than its awareness. There was a significant correlation between compliance and awareness and a safe environment. Multiple regression revealed an adjusted $R^2$ of 0.166 with the awareness score serving as the major predictor variable for compliance of standard precautions. Therefore, it is necessary to develop strategies to apply to systemic and continuous education regarding standard precautions and to foster a safe environment to enhance nurses' compliance with standard precautions.

본 연구는 종합병원 간호사의 주사바늘이나 날카로운 상처 경험과 혈액 및 체액의 접촉 경험을 알아보고, 표준주의지침 이행도에 대한 영향요인을 파악하기 위하여 시도되었다. 연구대상자는 C도에 소재하는 3개의 종합병원에서 근무하는 간호사 144명으로 표준주의지침 인지도, 이행도, 안전환경 및 태도에 대해 설문조사로 자료수집을 하였다. 지난 1년 동안 주사바늘이나 날카로운 기구 등에 의한 상처 경험은 대상자의 40.3%에서 보고되었고, 평균 경험 횟수는 1.01회였다. 또한 지난 1년 동안 환자의 혈액, 체액 및 상처의 접촉 경험은 대상자의 29.2%가 경험하였고, 평균 1.06회를 경험하였으며, 이러한 접촉종류는 혈액(22.9%)이 가장 많았다. 표준주의지침 인지도는 총 4점 만점 중에 3.77점, 이행도는 3.45점으로 전반적으로 높았으나, 표준주의지침에 대한 이행도는 인지도보다 더 낮았다. 표준주의지침 이행도는 인지도 및 안전환경과 유의한 상관관계를 보였다. 표준주의지침 이행도에 영향을 미치는 요인은 인지도와 안전환경이었으며, 이들 변수의 설명력은 16.6%로 나타났다. 이에 표준주의지침의 이행도를 높이기 위해서는 임상실무에서 병원감염의 예방을 위해 표준주의지침의 체계적이고 지속적인 교육을 통해 표준주의지침에 대한 인지도를 높이고, 더 나아가 병원의 지지적인 안전환경 증진이 필요하다.

Keywords

References

  1. K. H. Lee, J. O. Choi, K. S. Lee, J. Hur, & T. Y. Hwang, "Nurses' Knowledge, Attitude, and Compliance with Hospital Infection Standard precautions," Korean Journal of Hospital Management, vol. 19, no. 2, pp. 34-43, 2014
  2. Ministry of Health and Welfare, "Ministry of Health and Welfare Statistical Year Book 2015," No. 61, p. 177, 2015.
  3. M. J. Lee, "Relationships among Perception about Awareness, and Performance of Standard Precautions in Hospital Nurses," Mater's thesis, Gyeongsang National University, 2013.
  4. S. Y. Jung, "Current Status of Blood and Body Fluids Exposure of Nurses in Special Department and Associated Factors of Compliance with Standard Precautions," Master's thesis, Chosun University, 2011.
  5. J. H. Kim, "Exposure to Blood and Body Fluids and Awareness and Performance of Standard Precautions among Nurses," Mater's thesis, Hanyang University, 2015.
  6. Healthcare Infection Control Practice Advisory Committee, "2007 Guideline for Isolation Precautions ; Prevention transmission of Infectious agents in Healthcare settings," Retrieved from http//www.cdc.gov/hicpac/2007IP/2007isolationPrecautions.html. 2012.
  7. E. M. Beltrami, "Risk and Management of Blood-borne Infections in Health Care Workers," Clinical Microbiology Reviews, vol. 13, no. 3, pp. 385-407, 2000. DOI: https://doi.org/10.1128/CMR.13.3.385-407.2000
  8. B. N. Doebbeling, T. E. Vaughn, K. D. McCoy, S. E. Beekmann, R. F. Woolson, K. J. Ferguson, et al., "Percutaneous Injury, Blood Exposure, and Adherence to Standard Precautions: Are Hospital-Based Health Care Providers Still at Risk?," Clinical Infectious Diseases, vol. 37, no. 8, pp. 1006-13, 2003. DOI: https://doi.org/10.1086/377535
  9. Y. H. Suh & H. Y, Oh, "Knowledge, Perception, Safety Climate, and Compliance with Hospital Infection Standard Precautions among Hospital Nurses," Journal of Korean Clinical Nursing Research, vol. 16, no. 1, pp. 61-70, 2010.
  10. S. H. Tae & E. H. Hwang, "Nurses' Clinical Competence and its Relationship with Perception of and Compliance with Standard Precautions," Korean Journal Health Promotion, vol. 12, no. 1, pp. 40-46, 2012.
  11. K. H. Yang, "Awareness and Performance of the Nurses to Standard Precautions for Infection Control in a University Hospital," Master's thesis, Chonbuk National University, 2010.
  12. I. Y. Kim, "A Comparative Study of Nurses' Knowledge, Safety Environment and Compliance of Standard Precaution for Infection Control between University Hospitals and General hospitals," Master's thesis, Inje University, 2012.
  13. G. R. Cho, "Influencing factors on the compliance about Standard precautions among ICU and ER nurses," Mater's thesis, Seoul National University, 2007.
  14. G. L. Cho, & J. S. Choi, "Knowledge of and Compliance with Standard Precautions by Nurses in Intensive Care Unit," Journal of Korean Academic Fundamental Nursing, vol. 17, no. 1, pp. 73-81. 2010.
  15. M. Askarian, B. Honarvar, H. Tabatabaee, & O. Assadian, "Knowledge, Practice, and Attitude towards Standard Isolation precautions in Iranian Medical Students," Journal of Hospital Infection, vol. 58, no. 4, pp. 292-296, 2004. DOI: https://doi.org/10.1016/j.jhin.2004.07.004
  16. J. S. Kim, "Awareness and Performance of Physical Therapists on Nosocomial Infection," Journal of the Korea Contents Association, vol. 8, no. 11, pp. 189-202, 2008. DOI: https://doi.org/10.5392/JKCA.2008.8.11.189
  17. E. H. Jung, "Awareness and Performance for Standard Precautions among Outpatient Clinics Nursing Staffs in a University-affiliated Hospital," Master's thesis, University of Ulsan, 2011.
  18. H. J. Park, "A study on Emergency Room Nurses' Knowledge, Safety Climate, and Performance of Standard Precautions fo Infection Control," Master's thesis, Kyungpook National University, 2016.
  19. R. R., Gershon, C. D. Karkashian, J. W. Grosch, L. R. Murphy, A. Escamilla-Cejudo, P. A. Flanagan, et al., "Hospital Safety Climate and its relationship with Safe Work practices and Workplace Exposure Incidents," American Journal of Infection Control, vol. 28, no. 3, pp. 211-221, 2000. DOI: https://doi.org/10.1067/mic.2000.105288
  20. International Health Care Worker Safety Center, "EPINetTM* Report: 2005 percutaneous injury rates". Retrieved from http://www.healthsystem.vriginia.edu/internet/epinet/2006EPINetreport.pdf, April 30 2009.
  21. Center for Disease Control & Prevention, "Updated U.S. Public Health Service Guidelines for the Management of Occupational Exposure to HBV, HCV, and HIV and Recommendations for Postexposure Prophylaxis," Morbidity and Mortality Weekly Report, vol. 29, pp. 1-42, 2001.
  22. J. L. Gerberding, "Management of Occupational Exposures to Blood-Borne Viruses," New England Journal Of Medicine, 332, pp. 444-451, 1995. DOI: https://doi.org/10.1056/NEJM199502163320707
  23. H. S. Oh, & K. W. Choe, "Descriptive Study of Reported Blood-borne Exposures in Health Care Workers in a University Hospital," Korean Journal of Nosocomial Infection Control, vol. 7, pp. 51-64, 2002.
  24. J. Y. Choi, " Prevention of HIV Infection in Health Care Setting," Korean Journal Nosocomial Infection Control, vol. 13, no. 2, pp. 64-68, 2008.
  25. Y. H. Seo, "Influencing Factors on the Hospital Nurses' Compliance with Standard Precautions for Infection Control," Master's thesis, Eulji University, 2009.
  26. J. A. Choi, H. O. Lee, S. A. No, & S. J. Kim, "Influencing Factors on the Compliance with Standard Precautions among Nursing Officers in the Korean military Hospitals," Journal of Military Nursing Research, vol. 30, no. 2, 2012.