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

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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Knowledge, Awareness, Safety-climate and Performance of Standard Precautions for Healthcare Associated Infection Control among Nurses in Small and Medium Hospitals

중소병원 간호사의 의료관련 감염관리를 위한 표준주의 지식, 인지도, 안전환경과 수행도

  • Received : 2019.08.26
  • Accepted : 2019.11.01
  • Published : 2019.11.30
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Abstract

The purpose of this study was to examine the knowledge, awareness, safety-climate and performance of standard precautions for healthcare-associated infection control and to identify the factors that influence the performance of standard precautions among nurses in small- and medium-sized hospitals. The subjects of this study were 151 nurses who worked for more than 1 year in 6 small to medium-sized hospitals (less than 300 beds). The data was collected using self-report questionnaires from January 15 to February 15, 2018. The collected data was analyzed using the SPSS Statistics 22.0 program. The mean score for safety climate and performance of standard precautions showed significant differences according to the working department. There were significant positive correlations among knowledge, awareness, safety climate, and performance of standard precautions. The factors influencing the performance of standard precautions were safety climate and awareness. The explanatory power of the performance of the two variables was 23.3%. Based on the findings, it is necessary to improve the safety-climate and continuous educational program, and administrative support should be provided to improve nurses' performance of standard precautions for healthcare-associated infection control in small- and medium-sized hospitals.

본 연구의 목적은 중소병원에 근무하는 간호사의 표준주의에 대한 지식, 인지도, 안전환경 및 수행도를 조사하고 의료관련 감염관리 표준주의에 대한 수행도에 미치는 영향요인을 확인하여 중소병원의 표준주의 수행도를 증진시킬 수 있는 방안을 모색하기 위함이다. 본 연구의 대상자는 경기도와 충남에 소재하는 300병상 미만의 6개 중소종합병원에 1년 이상 근무한 간호사 총 151명을 대상으로 하였다. 자료수집은 2018년 1월 15일부터 2월 15일까지 연구의 목적을 이해하고 참여에 서면 동의한 간호사에 한해 자가 보고식 설문지를 사용하여 자료를 수집하였다. 연구결과 안전환경과 표준주의 수행도는 근무부서에 따라 유의한 차이를 보였으며 표준주의 수행도는 표준주의 지식(r=.19, p=.025), 표준주의 인지도(r=.27, p=.001), 표준주의 안전환경(r=.48, p=.000)과 유의한 양의 상관관계를 보였다. 표준주의 수행도에 영향을 미치는 주요 요인은 안전환경과 표준주의 인지도로 나타났으며 안전환경의 설명력은 21.6%였고 이 두 변수의 수행도에 대한 설명력은 23.3%였다. 이상의 연구결과로 볼 때 중소병원에서 간호사의 의료관련 감염관리를 위한 표준주의 수행도를 증진시키기 위해서는 안전환경의 개선 외에도 지속적인 교육프로그램과 행정적지지가 제공되어야 할 것이다.

Keywords

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