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Factors Affecting Competency of Infection Control of MultiDrug-Resistant Organisms among Nursing students

간호대학생의 다제내성균 감염관리역량에 영향을 미치는 요인

  • Received : 2020.10.09
  • Accepted : 2020.12.27
  • Published : 2020.12.31

Abstract

Purpose: This study aimed to identify the factors influencing competency for Multi-Drug Resistant Organisms (MDRO) infection control in nursing students with clinical practice experience. Methods: This cross-sectional descriptive study was conducted from May 2020 to August 2020 by including 175 nursing students in two nursing schools located in Daegu. The data were collected using self-report questionnaires. The data were analyzed using the SPSS/WIN 25.0 program with descriptive statistics, independent t-test, ANOVA, correlation, and multiple regression. Results: The competency of MDRO infection control was 3.41.±0.38. The attitude to patient safety management and - knowledge of MDRO infection control were 3.81±0.47 and 16.98±3.02, respectively. Factors influencing the competency of MDRO infection control were perceived benefit(β=.38, p<.001), knowledge toward MDRO infection control(β=.21, p=.001), attitude in patient safety management(β=.17, p=.028), and perceived barrier(β=-.15, p=.029) with an explanatory power of 34.2%. Conclusion: A systemic education program regarding MDRO infection control is needed for nursing students to provide knowledge related to MDRO infection control and help establish positive beliefs toward MDRO infection control and attitudes in patient safety management.

Keywords

References

  1. Abboud, C. S., Monteiro, J., Stryjewski, M. E., Zandonad, E. C., Barbosa, V., Dantas, D., et al. (2016). Post-surgical mediastinitis due to Carbapenem-resistant enterobacteriaceae: Clinical, epidemiological and survival characteristics. International Journal of Antimicrobial Agents, 47(5), 386-390. http://dx.doi.org/10.1016/j.ijantimicag.2016.02.015
  2. Askarian, M., Memish, Z. A., & Khan, A. A. (2007). Knowledge, practice, and attitude among Iranian nurses, midwives, and students regarding standard isolation precautions. Infection Control and Hospital Epidemiology, 28(2), 241-244. https://doi.org/10.1086/510868
  3. Center for Disease Control and Prevention and Korean Society for Healthcare-associated Infection Control and Prevention. (2017). Standard prevention guideline, Cheongju: Author.
  4. Choi, M. J. (2019). Knowledge, health belief and confidence in performance of multidrug-resistant organisms infection control among nurses in small and medium sized hospitals. Unpublished master's thesis, Konyang University, Daejeon.
  5. Choi, S. H., & Lee, H. Y. (2015). Factors affecting nursing students' practice of patient safety management in clinical practicum. Journal of Korean Academy of Nursing Administration. 21(2), 184-192. http://dx.doi.org/10.11111/jkana.2015.21.2.184
  6. Erkin, O. & Ozsoy, S. (2012). Validity and reliability of health belief model applied to influenza. Academic Research International, 2(3), 31-40.
  7. Gu, J. E., Ha, Y. K., Hwang, S. H., & Gong, K. H. (2018). Path analysis of performance of multidrug-resistant organisms management guidelines among intensive care unit nurses: With focus on the theory of planned behavior and patient safety culture. Journal of Korean Critical Care Nursing, 11(1), 89-100.
  8. Hong, S. Y., Kwon, Y. S., & Park, H. O. (2012). Nursing students' awareness and performance on standard precautions of infection control in the hospital. Journal of Korean Academic Society of Nursing Education, 18(2), 293-302. http://dx.doi.org/10.5977/jkasne.2012.18.2.293
  9. Jang, S. (2015). A study on core competencies, job stress and organizational commitment of infection control nurses. Unpublished master's thesis, Nambu University, Gwangju.
  10. Kim, J. H., & Lim, K. H. (2015). The factors influencing compliance of multidrug-resistant organism infection control in intensive care units nurses. Korean Journal of Adult Nursing, 27(3), 325-336. http://dx.doi.org/10.7475/kjan.2015.27.3.325
  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(1). 8-15. http://dx.doi.org/10.7586/jkbns.2012.14.1.8
  12. Kim, S. Y., & Cha, C. (2015). Factors related to the management of multidrug-resistant organisms among intensive care unit nurses: an application of the health belief model. Korean Academic fundamental Nursing, 22(3), 268-276. http://dx.doi.org/10.7739/jkafn.2015.22.3.268
  13. Kim, Y. S., & Hong, S. S. (2019). Awareness about pandemic infectious diseases, ethical awareness, and ethical decision-making among nursing students. Journal of Korean Public Health Nursing, 33(3), 326-339. https://doi.org/10.5932/JKPHN.2019.33.3.326
  14. Korea Center for Disease Control and Prevention. (2018). Kor-GLASS; Global antimicrobial resistance surveillance system in Korea. Cheongju: Korea National Institute of Health. Retrieved May 02, 2019, from http://www.kdca.go.kr/nohas/common/board/readBoardView.do
  15. Korea Center for Disease Control and Prevention. (2019). Clinical and economic burden of infection with six multi-drug resistant organisms. Cheongju: Author. Retrieved October 9, 2020, from http://www.prism.go.kr/homepage/entire/retrieveEntireDetail.do?research_id=1351000-201700291
  16. Korean Institute of Health and Social Affairs. (2016). Patient safety in Korea: Current status and policy issues(Report No 2016-02). Cheongju: Author. Retrieved October 9, 2020, from https://www.kihasa.re.kr/english/publications/eng_research/view.do?menuId=68&bid=30&ano=1060
  17. Lee, E. J., Park, J., Lee, G. W., & Kim, D. S. (2019). The use of broad-spectrum antibiotics and antibiotics to treat antimicrobial-resistant bacteria. Yakhak Hoeji, 63(1), 43-53. https://doi.org/10.17480/psk.2019.63.1.43
  18. Lim, J., & Bang, K. S. (2016). Effect of education on infection control for multidrug resistant organism on infection control by NICU nurses. Child Health Nursing Research, 22(3), 172-181. http://dx.doi.org/10.4094/chnr.2016.22.3.172
  19. Nasiri A., Balouchi A., Rezaie-Keikhaie K., Bouya S., Sheyback M., & Rawajfah O. A. (2019). Knowledge, attitude, practice, and clinical recommendation toward infection control and prevention standards among nurses: a systematic review. American Journal of Infection Control. 47(7), 827-833. http://dx.doi.org/10.1016/j.ajic.2018.11.022
  20. Park, J. H., & Lee, M. H. (2020). Factors affecting performance infection control of multidrug-resistant organisms among nurses: With focus of the health belief model. Journal of digital convergence, 18(3), 227-234. https://doi.org/10.14400/JDC.2020.18.3.227
  21. Park, M, J., Kim, I. S., & Ham, Y. L. (2013). Development of a perception of importance on patient safety management scale (PI-PSM) for hospital employee. The Journal of the Korea Contents Association, 13(5), 332-341. http://dx.doi.org/10.5392/JKCA.2013.13.05.332
  22. Park, M, K., & Ahn, M. N. (2019). Affecting factors on performance of standard precaution for healthcare associated infection control and prevention in nursing students: Focused on patient safety attitude, empowerment, awareness. Journal of the Korea Convergence Society, 10(4), 265-275. https://doi.org/10.15207/JKCS.2019.10.4.265
  23. Park, S. W. (2018). Knowledge, beliefs and behaviors on carbapenem-resistant enterobacteriaceae (CRE) infection control among nurses. Unpublished master's thesis, Konyang University, Daejeon.
  24. Ryu, D., & Ryu, E. (2019). Awareness and competency of multidrug-resistant organisms infection control in nursing students with clinical practice. Journal of Korean Biological Nursing Science, 21(4), 283-291. https://doi.org/10.7586/jkbns.2019.21.4.283
  25. Ryu, J. L., & Ko, Y. K. (2016). Factors influencing performance of multidrug-resistant organisms infection control in nurses of general hospital. Journal of Korean Academy of Fundamentals of Nursing, 23(2), 149-160. http://dx.doi.org/10.7739/jkafn.2016.23.2.149
  26. Shon, J. A., & Park, J. H. (2016). Knowledge and compliance level of the multidrug resistant organisms of ICU nurses. Journal of the Korea Academia-Industrial cooperation Society, 17(7), 280-292. http://dx.doi.org/10.5762/KAIS.2016.17.7.280
  27. World Health Organization (2018). Patient safety-Global action on patient safety. Report by the Director-General. Geneva: WHO Retrieved October 4, 2020, from https://apps.who.int/gb/ebwha/pdf_files/EB144/B144_29-en.pdf
  28. Yoo, M. S., Son, Y. J., Ham, H. M., Park, M. M., & Um, A. H.(2004). A comparative study of nurses' recognition and practice level of general nosocomial infection, MRSA and VRE infection control. Journal of Korean Academy of Fundamentals of Nursing, 11(1), 31-40.
  29. Yun, J. Y., Kim, S. O., & Kim, I. S. (2014). Influencing factors on practice of healthcare-associated infection control among clinical nurses. Korean Journal of Occupational Health Nursing, 23(4), 208-218. https://doi.org/10.5807/kjohn.2014.23.4.208
  30. Zhou, J., Li, G., Ma, X., Yang, Q., & Yi, J. (2015). Outbreak of colonization by carbapenemase-producing Klebsiella pneumoniae in a neonatal intensive care unit: Investigation, control measures and assessment. American Journal of Infection Control, 43(10), 1122-1124. https://doi.org/10.1016/j.ajic.2015.05.038