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A Survey on the Awareness and Performance of Infection Management of Workers in long-term Care Institutions

장기요양 기관 종사자들의 감염관리에 대한 인지도 및 수행도 연구

  • Park, Mi-Jin (Department of Nursing Science, Hoseo University) ;
  • Moon, Heakyung (Department of Nursing Science, Hoseo University/Basic Science Research Institute)
  • 박미진 (호서대학교 간호학과) ;
  • 문혜경 (호서대학교 간호학과, 기초과학 연구소)
  • Received : 2021.10.10
  • Accepted : 2021.12.13
  • Published : 2021.12.30

Abstract

The current study was conducted to understand the status of infection management through a survey on the status of awareness and performance of infection management and to improve efficient infection management and education programs of workers in long-term care institutions. The subjects of the study were 134 workers at 35 long-term care institutions in the C region, and data were collected from July 12 to 30, 2021. They agree to participate in research self reported structured questionnaire by SPSS program ver. 22.0. As a result of the study, the subject's awareness of infection management appeared to be a difference in accordance with occupation (F=3.181, p=.032) and education experience (F=6.372, p=.013). Also, factors influencing the subject's performance of infection management were occupation (F=3.972, p=.010) and education experience (F=4.403, p=.038). The relationship between awareness of infection management and performance resilience fined out a significantly positive correlation (r=.919, p<.001). As a result, for patient safety in long-term care institutions in the COVID-19 pandemic situation, it is very important for workers not only to recognize the importance of infection management but also to directly perform infection management activities. To this end, regardless of the size of the institution, it is necessary to prepare a systematic and continuous curriculum by occupation and educational topic, and to legally strengthen the evaluation system to improve the quality of the infection management system.

본 연구는 장기요양 기관 종사자들의 감염관리에 대한 인지도와 수행도 현황조사를 통해 감염관리 실태를 파악하여 장기요양 기관의 종사자를 위한 효율적인 감염관리 및 교육 프로그램 개선을 위해 수행되었다. 연구 대상자는 C 지역의 장기요양 기관 35곳의 종사자 134명이며 2021년 7월 12일부터 7월 30일까지 구조화된 설문지를 사용하여 자료를 수집하였으며 SPSS 22.0 program을 이용하여 자료 분석하였다. 연구 결과 대상자의 감염관리 인지도에 영향을 미치는 요인은 종사자의 직종(F=3.181, p=.032), 감염관리 교육 경험(F=6.372, p=.013) 이었으며 감염관리 수행도 또한 종사자의 직종(F=3.972, p=.010), 감염관리 교육 경험(F=4.403, p=.038)이 영향을 크게 미쳤다. 대상자의 감염관리 인지도와 수행도는 양의 상관관계가 있었다(r=.919, p<.001). 본 연구의 결과를 종합해 볼 때, 코로나-19 팬데믹 상황에서 장기요양기관의 환자 안전을 위해서는 종사자가 감염관리 중요성을 인지하는 것뿐만 아니라 직접 감염관리 행위를 수행하는 것이 매우 중요하다. 이를 위해서는 기관의 규모에 상관없이 직종별, 교육 주제별 체계적이고 지속적인 교육과정 마련과 감염관리체계의 질적 향상을 위한 평가 시스템의 법적 강화가 필요할 것으로 생각한다.

Keywords

References

  1. H. S. Ryu, "COVID-19 and the vulnerable to safety", Statistics prism. (2020).
  2. E. J. Emanuel, G. Persad, R. Upsher, et al. "Fair Allocation of Scarce Medical Resources in the Time of Covid-19", New England Journal of Medicine. Vol. 382, No. 21, pp. 2049-2055, (2020). https://doi.org/10.1056/nejmsb2005114
  3. R. D. Truog, C. Mitchell, G. Q. Daley, "The Toughest Triage-Allocating Ventilators in a Pandemic", New England Journal of Medicine. Vol. 382, No. 21, pp.1973-1975, (2020). https://doi.org/10.1056/nejmp2005689
  4. J. Liu, W. Xie, Y. Wang, et al, "A comparative overview of COVID-19, MERS and SARS: Review article". International Journal of Surgery. Vol. 81, pp.1-8, (2020). https://doi.org/10.1016/j.ijsu.2020.07.032
  5. J. A. Park, N. Y. Ang, " Knowledge and compliance on hand hygiene moments of nursing care workers in geriatric hospitals", Journal of Korean Academic Society of Home Health Care Nursing. Vol.25, No.2 pp. 165-174, (2014).
  6. M. L. Cohen, " Changing patterns of infectious disease", Nature. Vol. 406, No. 6797, pp. 762-767, (2000). https://doi.org/10.1038/35021206
  7. S. A. Kim, J. M. Shim, " Disparities in infectious disease: the case of the Middle East Respiratory Syndrome(MERS) in Korea", Health and Social Science. Vol. 42, pp. 39-57, (2016). https://doi.org/10.21489/hass.2016.08.42.39
  8. J. H. Kim, K. H. Yu, K. H. Kwon, S. Jung, J. H. Shin, et al, "The clinical features and hospital courses of patients admitted to a geriatric hospital: analysis of 600 registered cases", Dementia and Neurocognitive Disorders. Vol. 8, pp. 28-36, (2009).
  9. National Statistical information service (2021). https://kosis.kr/visual/populationKorea/PopulationByNumber/PopulationByNumberMain.do?mb=N&menuId=M_1_4&themaId=D03
  10. Korea Statistical Information Service (2020) https://kosis.kr/statHtml/statHtml.do?orgId=350&tblId=DT_35006_N021&vw_cd=MT_TM1_TITLE&list_id=A05_A05_6&scrId=&seqNo=&lang_mode=ko&obj_var_id=&itm_id=&conn_path=MT_TM1_TITLE&path=%252FeasyViewStatis%252FcustomStatisIndex.do.
  11. K. S. So, Y. D. Kim, H. J. Hwang, "Comparative analysis of performance and practical training needs for elderly care service on convergence study focusing on senior caregivers, social workers and nursing assistants", Journal of Digital Convergence. Vol.18, No.2 pp. 351-360, (2020).
  12. J. M. Lim, Y. K. Lee, E. N. Kang, J. Y. Lim, J. H. Kim, Y. S. Park, T. H. Yoon, C. M.i Yang, H. S. Kim, "A mid to long-term plan for the supply of long-term care workers in a changing population structure", Korea institute for health and social affairs. (2019).
  13. S. Y. Lee, S. W. Kim, "Types of long-term care workers' task: focusing on the levels of expertise and performance", Social Welfare Policy. Vol.47, No.4 pp. 59-87, (2020).
  14. G. J. Yun, "Changes and tasks in Korea's healthcare system in times of the Covid-19 pandemic", Health and welfare policy forum. Vol. 290, pp.34-49, (2020).
  15. C. T. Herzig, A. W. Dick, M. Sorbero, M. Pogorzelska-Maziarz, C. C. Cohen, E. L. Larson, P. W. Stone, "Infection Trends in US Nursing Homes, 2006-2013", Journal of American Medical Directors Association. Vol. 18, No.7, pp. 9-20, (2017).
  16. European Centre for Disease Prevention and Control, "Point Prevalence Survey of Helthcare-Associared Infections and Antimicrobial Use in European Long-Term Care Facilities": April-May, Stockholm, (2013).
  17. I. Corr, D. Moralejo, P. Barretti, R. P. ElDib, "Intervention to improve adherence to guidelines on Standard healthcare-Precautions for the control of associated infections", The Cochrane Library. Vol. 10, pp. 1-13, (2013).
  18. G. R. Cho, Influencing factors on the compliance about Standard Precautions among ICU and ER nurse, Unpublished master's dissertation, Seoul National University. Seoul, (2007).
  19. G. L. Mandell, R. G. Douglas, J. E. Bennett, R. Dolin, Mandell, Douglas, and Bennett's principles and practice of infectious diseases, 8th Ed, Churchill livingstone, London, (2014).
  20. Haleyn R. W., Quade D, Freeman H. E., Bennett J. V. The SENIC Project, "Study on the Efficacy of Nosocomial Infection Control(SENIC Project). Summary of Study Design", American Journal of Epidemiology. Vol. 111, no. 5, pp. 472-485, 1980. https://doi.org/10.1093/oxfordjournals.aje.a112928
  21. M. J. Kim, Correlations among Knowledge, Awareness, and Performance of the Hospital Infection Control in Clinical Nurses, Unpublished master's dissertation, Chodang University, Mooan, (2010).
  22. J. Y. Yoo, E. G. Oh, H. K. Hur, M. Choi, "Level of Knowledge on Evidence-based Infection Control and Influencing Factors on Performance among Nurses in Intensive Care Unit", The Journal of Korean Academic Society of Adult Nursing. Vol. 24, No. 3, pp.232-243, (2012). https://doi.org/10.7475/kjan.2012.24.3.232
  23. M. Agarwal, A. W. Dick, M. Sorbero, L. Mody, P.W. Stone, "Change in US Nursing Home Infection Prevention and Control Program From 2014 to 2018", Journal of American Medical Directors Association. Vol. 21, No. 1 pp. 97-103, (2020).
  24. B. M. Ryu, S. M. Ryu, "The Effects of Infection Prevention Education Program on Infection Prevention Knowledge and Attitude to Nursing Caregiver Students", Journal of the Korea Society Industrial Information System. Vol. 15, No. 5 pp. 167-177, (2010).
  25. Korea Disease Control and Prevention Agency. Standard precautions for medical related infections. [cited 2017 July. 28]. Available from: http://kdca.go.kr/board/board.es?mid=a20507020000&bid=0019&act=view&list_no=138061. (2017).
  26. D. Y. Choi, H. I. Oh, J. Kim, "Exclusive Lockdown of the Elderly, Is This a Morally Justifiable Policy to Overcome COVID-19?", Bio, Ethics and Policy. Vol. 4, No. 2, pp. 91-117, (2020).
  27. Y. M. Go, A Study on the Recognition and Performance on Infection Control of Caregivers in Home Visit Care Centers and Aged Care Facilities in I City, Unpublished master's dissertation, Gachon University, Incheon, (2014).
  28. H. H. Kim, N. H. Kim, "A Study of the Knowledge, Awareness and Performance of the Infection Control among Nurses in Long-term Care Hospital", Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology. Vol. 7, No.11, pp. 457-471, (2017). https://doi.org/10.14257/ajmahs.2017.11.08
  29. J. E. Oh, Influencing Factors on Performance for Standard Precaution of Healthcare Workers of General Hospital, Unpublished master's dissertation, Konyang University, Daejeon, (2018).
  30. Y. J. Oh, Y. S. Song, "The caregiver's knowledge and practice about preventive behavior for urinary tract infection in long-term care facilities", Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology. Vol. 9, No. 10, pp. 407-421, (2019).
  31. M. S. Song, Y. Y. Nam, "Knowledge and compliance with cough etiquette among elderly in the community", J Korean Soc Home Care Nurs. Vol. 24 No. 1, pp. 52-60, (2017).
  32. C. W. Son, M. S. Yoon, S. A. Kim, Y. J. Cho, "Status and tasks of COVID-19 infection in elderly care facilities in Seoul", Policy report. (2021).
  33. M. A. Choi, K. S. Park, "A study on the level of recognition and performance of the clinical nurses about the management of nosocomial infection", The Journal of Korean Academic Society of Nursing Education. Vol. 8, No. 2 pp. 314-324, (2002).
  34. J. H. Kim, S. A. Kim, I. Y. Jeon, J. I. Kim, "Convergence education effect of donning and doffing personal protective equipment for non-medical personnel to the new infectious disease", Journal of the Korea Convergence Society. Vol. 11, No. 5, pp. 353-361, (2020). https://doi.org/10.15207/JKCS.2020.11.5.353
  35. K. N. Kim, O. C. Lee, "Knowledge, attitudes and perceptions of nurses on personal protective equipment: response to the Middle East Respiratory Syndrome Coronavirus", The Journal of Fundamentals of Nursing. Vol. 23, No. 4, pp. 402-410, (2016).
  36. K. L. Koenig, "Health care worker quarantine for Ebola: to eradicate the virus or alleviate fear?", Annals of Emergency Medicine. Vol. 65, No. 3, pp. 330-331, (2015). https://doi.org/10.1016/j.annemergmed.2014.12.003