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The Effects of Organizational Culture for Infection Control and Self-Efficacy on Compliance with Standard Precautions of Emergency Room Nurses

응급실 간호사의 감염관리 조직문화와 자기효능감이 표준주의 지침 수행에 미치는 영향

  • Kim, Hyunhee (Department of Nursing, Chungbuk National University Hospital) ;
  • Park, Hyung-Ran (Department of Nursing Science, Chungbuk National University)
  • 김현희 (충북대학교병원 간호부) ;
  • 박형란 (충북대학교 의과대학 간호학과)
  • Received : 2018.10.09
  • Accepted : 2018.12.18
  • Published : 2019.02.28

Abstract

Purpose: This study was conducted to identify the effects of organizational culture for the infection control and self-efficacy on compliance with standard precautions of emergency room nurses. Methods: This cross-sectional descriptive study was conducted from 1st July to 3rd August, 2017. The participants were 200 nurses working in emergency rooms. The data was collected using structured self-report questionnaires. Results: The average scores for the organizational culture for infection control, self-efficacy and compliance with standard precautions were 5.54, 3.65, and 4.31, respectively. The organizational culture for infection control (r = .59, p< .001) and self-efficacy (r= .28, p< .001) were found to have a positive, meaningful correlation with compliance with the standard precautions. Multiple regression analysis showed that compliance with standard precautions was significantly affected by the organizational culture for infection control (${\beta}=0.55$, p< .001) and self-efficacy (${\beta}=0.13$, p= .033). Conclusion: The results for this study indicate that the organizational culture for infection control and self-efficacy were highly influential factors affecting compliance with standard precautions of emergency room nurses. Therefore, in order to improve the nurses' use of the standard precautions, it was necessary to develop and evaluate a program that considers the environmental factors and self-efficacy.

Keywords

References

  1. Korea Centers for Disease Control and Prevention (KCDC). Standard precautions for infection control in emergency room [Internet]. Seoul: KCDC; 2010 March 3 [cited 2017 May 1]. Available from: http://cdc.go.kr
  2. Korean Statistical Information Service (KOSIS). National infectious disease report [Internet]. Seoul: KOSIS ; 2018 Aug [cited 2018 Sep 20]. Available from: http://kosis.kr
  3. Johnson NB, Hayes LD, Brown K, Hoo EC, Ethier KA. CDC National health report: Leading causes of morbidity and mortality and associated behavioral risk and protective factors-United States, 2005-2013. Morbidity and Mortality Weekly Report. Atlanta: Center for Disease Control and Prevention; 2014 Oct. Supplements, 63(4).
  4. Liang SY, Theodoro DL, Schuur JD, Marschall J. Infection prevention in the emergency department. Annals Emergency Medicine. 2014;64(3):299-313. http://dx.doi.org/10.1016/j.annemergmed.2014.02.024
  5. Korean Statistical Information Service (KOSIS). Report of emergency medical service: Current status of use of emergency medicial care [Internet]. Seoul: KOSIS; 2017 Nov 10 [cited 2017 Dec 20]. Available from: http://kosis.kr
  6. Hessels AJ, Larson EL. Relationship between patient safety climate and standard precaution adherence: A systematic review of the literature. Journal of Hospital Infection. 2016;92(4):349-362. http://dx.doi.org/10.1016/j.jhin.2015.08.023
  7. Luo Y, He GP, Zhou JW, Luo Y. Factors impacting compliance with standard precautions in nursing, China. International Journal of Infectious Disease. 2010;14(12):e1106-1114. http://dx.doi.org/10.1016/j.ijid.2009.03.037
  8. Ministry of Health and Welfare. A master plan for prevention and control of infectious disease 2013-2017 [Internet]. Seoul: KMHW; 2013 August [cited 2017 May 1]. Available from: http://www.mohw.go.kr
  9. Brevidelli MM, Cianciarullo T. Psychosocial and organizational factors relating to adherence to standard precautions. Revista De Saude Publica. 2009;43(6):907-916. http://dx.doi.org/10.1590/S0034-89102009005000065
  10. Kim Y. Healthcare reform after MERS outbreak: Progress to date and next steps. The Journal of the Korean Medical Association. 2016;59(9):668-671. doi: http://dx.doi.org/10.5124/jkma.2016.59.9.668
  11. Siegel JD, Rhinehart E, Jackson M, Chiarello L; Health Care Infection Control Practices Advisory Committee. 2007 guideline for isolation precautions: Preventing transmission of infectious agents in health care settings. American Journal of Infection Control. 2007;35(10):S65-164. http://dx.doi.org/10.1016/j.ajic.2007.10.007
  12. Efstathiou G, Papastavrou E, Raftopoulos V, Merkouris A. Factors influencing nurses' compliance with standard precautions in order to avoid occupational exposure to microorganisms: A focus group study. BioMedCentral Nursing. 2011;10:1. http://dx.doi.org/10.1186/1472-6955-10-1
  13. DeJoy DM, Searcy CA, Murphy LR, Gershon RR. Behavioral-diagnostic analysis of compliance with universal precautions among nurses. Journal of Occupational Health Psychology. 2000;5(1):127-141. http://dx.doi.org/10.1037/1076-8998.5.1.127
  14. Takahashi I, Turale S. Evaluation of individual and facility factors that promote hand washing in aged-care facilities in Japan. Nursing & Health Sciences. 2010; 12(1):127-134. http://dx.doi.org/10.1111/j.1442-2018.2009.00509.x
  15. Moon JE. A structural model of performance of healthcare-associated infection control guideline in hospital nurses [dissertation]. Gwangju: Chonnam National University; 2015. 226 p.
  16. Quan M, Wang X, Wu H, Yuan X, Lei D, Jiang Z, et al. Influencing factors on use of standard precautions against occupational exposures to blood and body fluids among nurses in China. International Journal of Clinical and Experimental Medicine. 2015;8(12):22450-22459.
  17. Shim SA. The standard for the prevention of infections of a local medical workers : Centered on the nurse's moral sensitivity, infection management, standard precaution [master's thesis]. Kimhae: Kaya University; 2018. 60 p.
  18. Lee K, Kim HS, Lee YW, Ham OK. Factors influencing compliance with standard precautions in intensive care unit and emergency room nurses. The Korean Journal of Fundamentals of Nursing. 2012;19(3):302-312. http://dx.doi.org/10.7739/jkafn.2012.19.3.302
  19. Suh YH, Oh HY. Knowledge, perception, safety climate, and compliance with hospital infection standard precautions among hospital nurses. Journal of Korean Clinical Nursing Research. 2010;16(2):61-70.
  20. Han D, Seo K, Kim ES, Kim HE. Influences of moral sensitivity and safety environment on compliance with standard precautions among nurses. Journal of the Korea Academia-Industrial Cooperation Society. 2018;19(3):364-375. https://doi.org/10.1056/NEJMc1505190
  21. Park HH. A structural model of nurses' patient safety management activities [dissertation]. Daejeon: Eulji University; 2013. 100 p.
  22. Sherer M, Maddux, JE, Mercandante B, Prentice-Dunn S, Jacobs B, Rogers RW. The self-efficacy scale: Construction and validation. Psychological Reports. 1982;51(2):663-671. http://dx.doi.org/10.2466/pr0.1982.51.2.663
  23. Hong HY. The Relationships of perfectionism, self-efficacy and depression [master's thesis]. Seoul: Ewha Womans University; 1995. 73 p.
  24. Mencl J, Tay L, Schwoerer CE, Drasgow F. Evaluating quantitative and qualitative types of change: An analysis of the malleability of general and specific selfefficacy constructs and measures. Journal of Leadership & Organizational Studies. 2012;19(3):378-391. http://dx.doi.org/10.1177/1548051812442968
  25. Hong SY. Nursing students' awareness and performance of standard precautions in hospital infection control [master's thesis]. Daegu: Keimyung University; 2011. 43 p.
  26. Lee MJ. Relationships among perception about patient safety culture and awareness, and performance of standard precautions in hospital nurses [master's thesis]. Jinju: Gyeongsang National University; 2013. 59 p.
  27. Ministry of Health and Welfare. Referral network development based on Independent capacity protocol for solution of ED crowding [Internet]. Seoul: KMHW; 2016 December [cited 2018 Nov 2]. Available from: http://www.prism.go.kr/homepage/main/retrieveMain.do
  28. Kim MR. The influence of the emotional labor, professional self-concept, selfconcept, self-efficacy, and social support of emergency room nuese's burnout [master's thesis]. Seoul: Kyung Hee University; 2017. 75 p.
  29. Choi J, Park HJ. Professional self-concept, self-efficacy and job satisfaction of clinical nurse in schoolwork. The Journal of Korean Nursing Administration Academic Society. 2009;15(1):37-44.
  30. Park HJ. A study on emergency room nurses' knowledge, safety climate, and performance of standard precautions for infection control [master's thesis]. Daegu: Kyungpook National University; 2016. 48 p.
  31. Kim HS. Factors influencing nurses' compliance with standard precautions in a general hospital [master's thesis]. Seoul: Catholic University; 2015. 38p.
  32. Cho SK, Kim KM, Lee BY, Park SA. The effects of simulation-based infection control training on the intensive care unit nurses’ perception, clinical performance, and self-efficacy of infection control. Journal of Korean Clinical Nursing Research. 2012;18(3):381-390. https://doi.org/10.22650/JKCNR.2012.18.3.381

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