The Korean Journal of Emergency Medical Services (한국응급구조학회지)

The Korea Society of Emergency Medical Services (한국응급구조학회)
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Analysis of the factors related to the infection control practice of 119 emergency medical service providers based on the PRECEDE model

PRECEDE 모형에 기반한 119구급대원의 감염관리 수행 관련 요인 분석

  • Yang, Yeunsoo (Department of Epidemiology and Health Promotion, Institute for Health Promotion, Graduate School of Public Health, Yonsei University) ;
  • Kimm, Heejin (Department of Epidemiology and Health Promotion, Institute for Health Promotion, Graduate School of Public Health, Yonsei University) ;
  • Jee, Sun Ha (Department of Epidemiology and Health Promotion, Institute for Health Promotion, Graduate School of Public Health, Yonsei University) ;
  • Hong, Seok-Hwan (Department of Emergency Medical Services. Eulji University) ;
  • Han, Sang-Kyun (Graduate School of Public Health, Yonsei University)
  • 양연수 (연세대학교 보건대학원 국민건강증진연구소) ;
  • 김희진 (연세대학교 보건대학원 국민건강증진연구소) ;
  • 지선하 (연세대학교 보건대학원 국민건강증진연구소) ;
  • 홍석환 (을지대학교 응급구조학과) ;
  • 한상균 (연세대학교 보건대학원)
  • Received : 2020.03.16
  • Accepted : 2020.04.19
  • Published : 2020.04.30
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Abstract

Purpose: Emergency medical service (EMS) personnel are at high risk of spreading infection. In this study, we used the PRECEDE model to identify the knowledge, status, and barriers to infection control among Korean paramedics to provide basic infection control data. Methods: A total of 164 respondents were analyzed for the study. A questionnaire was administered and collected through an online self-response platform. Descriptive analysis, t-test, ANOVA, multiple regression, and logistic regression analyses were performed to determine infection control practices and associated factors using SAS 9.4. To identify the pathways and direct, indirect, total effects based on the PRECEDE model, we used AMOS 26.0. Results: Highly rated self-efficacy (OR 8.82, 95% CI: 3.23-24.09), awareness (OR 6.05, 95% CI: 2.06-17.72), and enabling factors (OR 3.23, 95% CI: 1.18-8.78) led to superior infection control. As a result of the structural model analysis, the highly rated enabling factors and awareness led to superior practice patterns. Conclusion: Practice is related to self-efficacy, awareness, and enabling factors; however, further research is needed to develop strategies for infection control. In particular, institutional arrangements are needed to improve the enabling factors. Improving infection control performance may lead to better infection control and enhanced protection of EMS personnel and patients against infection risks.

Keywords

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