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요양병원 간병 인력의 손 위생 이행의도에 영향을 미치는 요인

Factors Influencing Care workers' Intention of Implementing Hand Hygiene in Long-term Care Hospitals

  • 한미희 (대송의료재단 무안병원 감염관리실) ;
  • 최소은 (국립목포대학교 간호학과)
  • Han, Mi-Hee (Department of Infection Control, Daesong Medical Foundation Muan Hospital) ;
  • Choi, So-Eun (Department of Nursing, Mokpo National University)
  • 투고 : 2020.03.16
  • 심사 : 2020.08.31
  • 발행 : 2020.09.30

초록

Purpose: The purpose of this study was to investigate factors influencing care workers' intention of hand hygiene implementation in long-term care hospitals. Methods: A total of 180 care workers working at long-term care hospitals were recruited. Data collection was done from July 22 to September 7, 2018. Results: The significant TPB variables influencing the intention of hand hygiene implementation were perceived behavior control (β=.41, p<.001), normative belief (β=.28, p<.001) and attitude toward behavior (β=.15, p=.014). These factors explain 39% of care workers' intension of implementing hand hygiene in long-term care hospitals. Conclusion: In order to strengthen the commitment of hand hygiene, it is necessary to have a positive attitude toward hand hygiene by eliminating the obstacles to hand hygiene.

키워드

참고문헌

  1. Statistics Korea. Medical Institution Status [Internet]. Daejeon: Korean Statistical Information Service. 2019 [cited 2019 December 12]. Available from: http://kosis.kr/statHtml/statHtml.do?orgId=350&tblId=TX_35003_A002
  2. Park SJ. The effect of job stress on job satisfaction of the geriatric hospital workers [master's thesis]. [Cheongju]; Kkottongnae University; 2012. 83 p.
  3. Youn SC, Kwon SH, Kang HJ. The influence of emotional labor, job stress, and burnout on turnover intention of care worker's at long-term care hospitals. Journal of the Korea Academia-Industrial cooperation Society. 2016;17(5):428-440. https://doi.org/10.5762/KAIS.2016.17.5.428
  4. Ministry of Health and Welfare. Enforcement decree of Long- Term Care Insurance Act [Internet]. Sejong; Ministry of Health and Welfare. 2019 [cited 2019 October 20]. Available from: http://www.law.go.kr/lsInfoP.do?lsiSeq=116144#0000
  5. Avci M, Ozgenc O, Coskuner SA, Olut AI. Hospital acquired infections (HAI) in the elderly: Comparison with the younger patients. Archives of Gerontology and Geriatrics. 2012;54(1): 247-250. https://doi.org/10.1016/j.archger.2011.03.014
  6. Kim YJ, Park JS. Survey on infection control status and perceived importance of ICP (infection control practitioner) in long term care hospital. Journal of the Korea Academia-Industrial cooperation Society. 2017;18(7):466-475. https://doi.org/10.5762/KAIS.2017.18.7.466
  7. Park EJ, Lim YJ, Cho BH, Sin IJ, Kim SO. A survey on performance of infection control by workers in nursing homes for the elderly. Journal of Korean Gerontology Nursing. 2011;13(2): 79-90.
  8. Kim JH. Proposal for the improvement of service quality of long-term care insurance in Korea. Journal of Far East Social Welfare. 2008;4:49-83.
  9. Allegranzi B, Pittet D. Role of hand hygiene in healthcareassociated infection prevention. The Journal of Hospital Infection. 2009;73(4):305-315. https://doi.org/10.1016/j.jhin.2009.04.019
  10. Pittet D1, Allegranzi B, Sax H, Dharan S, Pessoa-Silva CL, Donaldson L, et al. Evidence-based model for hand transmission during patient care and the role of improved practices. The Lancet Infectious Disease. 2006;6(10):641-652. https://doi.org/10.1016/S1473-3099(06)70600-4
  11. World Health Organization. WHO guidelines on hand hygiene in health care [Internet]. Geneva: World Health Organization. 2009 [cited 2018 August 10]. Available from: https://www.who.int/gpsc/5may/tools/9789241597906/en/
  12. Ajzen I. The theory of planned behavior. Organizational Behavior and Human Decision Processes. 1991;50(2):179-211. https://doi.org/10.1016/0749-5978(91)90020-T
  13. Jeong SY, Kim OS. The structural model of hand hygiene behavior for the prevention of healthcare-associated infection in hospital nurses. Korean Journal of Adult Nursing. 2012;24(2): 119-129. https://doi.org/10.7475/kjan.2012.24.2.119
  14. Han SH. Effect of hand hygiene compliance improvement program based on th theory of planned behavior: Targeting ICU nurses [dissertation]. [Seoul]: The Catholic University of Korea; 2013. 51 p.
  15. Lee MR, So HY, Cho MK. Determinants of nurses' handwashing practice. Korean Journal of Adult Nursing. 2005;17(2):268-275.
  16. Sax H, Uçkay I, Richet H, Allegranzi B, Pittet D. Determinants of good adherence to hand hygiene among healthcare workers who have extensive exposure to hand hygiene campaigns. Infection Control and Hospital Epidemiology. 2007;28(11): 1267-1274. https://doi.org/10.1086/521663
  17. O'Boyle CA, Henly SJ, Duckett LJ. Nurses' motivation to wash their hands: A standardized measurement approach. Applied Nursing Research. 2001;14(3):136-145. https://doi.org/10.1053/apnr.2001.24412
  18. Lee K. The performance of infection control and related factors among some care workers in long-term care hospitals [master's thesis]. [Gwangju]: Chosun University; 2018. 37 p.
  19. Kim KJ, Park SW. The influencing factors on infection management behavior of health worker in long term care facilities. The Journal of Korean Academic Society of Home Care Nursing. 2016;23(2):155-165. https://doi.org/10.22705/jkashcn.2016.23.2.155
  20. Hong NK, Kang KJ. A study on the relationship of infection control performance in a long term care hospital caregivers. Journal of Digital Convergence. 2020;18(1):187-198. https://doi.org/10.14400/JDC.2020.18.1.187
  21. Ko YS, Park BH. Awareness and performance level for healthcare-associated infection control among caregivers at medium and small hospitals. Korean Journal of Healthcare-Associated Infection Control and Prevention. 2016;21(2):74-84. https://doi.org/10.14192/kjhaicp.2016.21.2.74
  22. Whitby M, McLaws ML, Ross MW. Why healthcare workers don't wash their hands: A behavioral explanation. Infection Control and Hospital Epidemiology. 2006;27(5):484-492. https://doi.org/10.1086/503335
  23. Castle NG. Nurse Aides' ratings of the resident safety culture in nursing homes. International Journal for Quality in Health Care. 2006;18(5):370-376. https://doi.org/10.1093/intqhc/mzl038
  24. Choi EJ, Kim SD, Lee JS. The prediction on the behavior of infection control of operating room nurses in Seoul: An application of the theory of planned behavior. Korean Journal of Nosocomial Infection Control. 2007;12(2):91-102.
  25. Moon JE, Song MO. A convergence study about the performance of healthcare-associated infection control guidelines of hospital nurses-based on the theory of planned behavior. Journal of the Korea Convergence Society. 2017;8(5):117-125. https://doi.org/10.15207/JKCS.2017.8.5.117
  26. Sung MH, Kim NY, Choi HY. Factors influencing performance of the nurses about the management of nosocomial infection. Korean Journal of Occupational Health Nursing. 2007;16(1): 5-14.
  27. Jeong SY, Kim OS. Knowledge and beliefs about hand hygiene among hospital nurses. Korean Journal of Occupational Health Nursing. 2013;22(3):198-207. https://doi.org/10.5807/kjohn.2013.22.3.198
  28. Suh JY. The impact of normative factors on the environmental behavior: Internalization process and social influence process. Research in Psychological Science. 2005;4:91-122.
  29. Jenner EA, Fletcher BC, Watson P, Jones FA, Miller L, Scott GM. Discrepancy between self-reported and observed hand hygiene behaviour in healthcare professionals. The Journal of Hospital Infection. 2006;63(4):418-422. https://doi.org/10.1016/j.jhin.2006.03.012
  30. Makris AT, Morgan L, Gaber DJ, Richter A, Rubino JR. Effect of a comprehensive infection control program on the incidence of infections in long-term care facilities. American Journal of Infection Control. 2000;28(1):3-7. https://doi.org/10.1016/s0196-6553(00)90004-x

피인용 문헌

  1. An Exploratory Research to Propose Design for Infection-Free School vol.21, pp.3, 2020, https://doi.org/10.12813/kieae.2021.21.3.025