DOI QR코드

DOI QR Code

요양병원 간호사의 감염관리에 대한 지식, 수행도 및 교육요구 -제주 지역을 중심으로-

Knowledge, Performance, and Educational Needs of Infection Control among Nurses in Long-term Care Hospitals: A Focus on Jeju Province

  • 투고 : 2021.05.27
  • 심사 : 2021.07.11
  • 발행 : 2021.08.31

초록

Purpose: This study aimed to provide basic data for the development of education programs which improve the nurses' infection control performance by investigating the knowledge, performance, and educational needs of infection control among nurses in long-term care hospitals, and analyzing the relationship between these parameters. Methods: This was a descriptive study. A self-reported questionnaire was provided to 153 nurses in 210 long-term care hospitals on Jeju Island. Their knowledge, performance, and educational needs of infection control, data were analyzed using SAS Window(ver. 9.4), t-test, Wilcoxon rank-sum test, one-way ANOVA, Scheffe test, and Pearson's correlation coefficient. Results: Both knowledge (r=0.16, p=.042) and performance (r=0.52, p<.001) of infection control had positive correlations with the educational needs of the infection control. Conclusion: The higher the knowledge of infection control was, the higher the educational needs of the nurses were. However, knowledge of infection control did not correlate with performance of infection control. Therefore to increase the knowledge and performance of infection control, infection control education programs should suit the educational needs and the actual conditions of long-term care hospitals.

키워드

참고문헌

  1. Health Insurance Review & Assessment Service. 2019 Medical quality assessment report- Focusing on the adequacy evaluation of medical care benefits [Internet]. Wonju: Health Insurance Review & Assessment Service; 2020 [cited 2021 April 28]. Available from http://repository.hira.or.kr/handle/2019.oak/2494
  2. Hong KJ. The effects of long-term care hospitals' nurse staffing level on patient outcomes: differences according to region. Journal of Korean Academy of Nursing Administration. 2020;26(4):354-364. http://dx.doi.org/10.11111/jkana.2020.26.4.354
  3. Burdsall DP, Schweon SJ, Coller S. A unit guide to infection prevention for long-term care staff[Internet]. Rockville: Agency for Healthcare Research and Quality; 2017. [cited 2021 April 30]. Available from https://www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/guides/infection-prevent.html
  4. Haenen APJ, Verhoef LP, Beckers A, Gijsbers EF, Alblas J, Huis A, et al. Surveillance of infections in long-term care facilities (LTCFs): The impact of participation during multiple years on health care-associated infection incidence. Epidemiology and infection. 2019;147:e266. http://dx.doi.org/10.1017/S0950268819001328
  5. Bang JA, Lee H, Son Y. Status of infectious disease inpatients at long-term care hospitals in Korea. Journal of Korea Academy Industrial Cooperation Society. 2020;9:134-143.
  6. Cho KS. Tuberculosis control in the Republic of Korea. Health and Social Welfare Review. 2017;37(4):179-212. https://doi.org/10.15709/HSWR.2017.37.4.179
  7. Kim DH, Yun SY, Park YC, Kang SA, Yu HS. Prevalence of scabies in long-term care hospitals in South Korea. PLoS Neglected Tropical Diseases. 2020;14(8):e0008554. http://dx.doi.org/10.1371/journal.pntd.0008554
  8. Kim H, Kim N. 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. 2017;7(11):457-471. http://dx.doi.org/10.14257/ajmahs.2017.11.08
  9. Lee JH, Lee GE. Perception and practice of hospital infection control of nursing staff depending on the supplementation of nurses in kong-term care hospitals. Korean Journal of Occupational Health Nursing. 2012;21(3):308-316. http://dx.doi.org/10.5807/kjohn.2012.21.3.308
  10. Choi MJ, Jung HS, Jeong YS, Park HC, Jeong SK. Analysis of priority demands on infection control education in nursing hospitals in preparation for the second corona-19 epidemic: Using the locus for focus model. Issue Briefing. 2020 July 3:1-6.
  11. Jeong SY, Kim OS, Choi JH, Lee SJ. Infection control tasks, difficulties, and educational needs of infection control practitioners in long term care facilities in Korea. Health and Social Welfare Review. 2018;38(3):331-362. http://dx.doi.org/10.15709/hswr.2018.38.3.331
  12. Kim OS, Jeong SY, Kim JY, & So YR. Status of infection control and educational needs of nurses in long term care facilities in Korea. Korean Journal of Rehabilitation Nursing. 2018;21(1):1-11. http://dx.doi.org/10.7587/kjrehn.2018.1
  13. Russell D, Dowding DW, McDonald MC, Adams C, Rosati RJ, Laeson EL, et al. Factors for compliance with infection control practices in home healthcare: Findings from a survey of nurses' knowledge and attitudes toward infection control. American Journal of Infect Control. 2018;46(11):1211-1217. http://dx.doi.org/10.1016/j.ajic.2018.05.005
  14. Yang SH, Kweon YR. Recognition of skin infection and infection management practice on caregivers in geriatric hospital. The Journal of the Korea Contents Association. 2014;14(12):808-817. http://dx.doi.org/10.5392/JKCA.2014.14.12.808
  15. Baek KS. Effects of nurses' knowledge, administrative support and environment for infection control on compliance of standard precautions in geriatric hospital. [master's thesis]. Seoul: Yonsei University; 2016.
  16. Seo YH. Influencing factors on the hospital nurses' compliance with standard precautions for infection control. [master's thesis]. Daejeon: Eulji University; 2009.
  17. Jang HY, Jung YK. Recognition and performance level of hospital infection control in nurses of long-term care hospital. The Korean Journal of Health Service Management. 2013;7(4):131-141. http://dx.doi.org/10.12811/kshsm.2013.7.4.131
  18. Kim OS, Jeong SY, Kim KM. Educational needs of infection control nurses in long-term care hospitals in Korea. Korean Journal of healthcare-Associated Infection Control and Prevention. 2020;25(2):137-145. http://dx.doi.org/10.14192/kjicp.2020.25.2.137
  19. Moon SS, Suh YO, Lee KW, Gu J. The level of performance, frequency and educational needs of nursing activities in long-term care hospital. The Korean Journal of Rehabilitation Nursing. 2018;21(2):110-120. http://dx.doi.org/10.7587/kjrehn.2018.110
  20. Siegal JD, Rhinehart E, Jackson M, Chiarello L, the Healthcare Infection Control Practices Advisory Committee. 2007 Guideline for isolation precautions: Preventing transmission of infectious agents in health care settings [internet]. The Healthcare Infection Control Practices Advisory Committee: 2007. [cited 2021 April 30]. Available from https://www.cdc.gov/niosh/docket/archive/pdfs/NIOSH-219/0219-010107-siegel.pdf
  21. Byun SH, Kang DHS. Perception of patient safety culture, knowledge and performance of standard precaution among long-term care hospitals nurses. Journal of Digital Convergence. 2019;17(9):231-240. http://dx.doi.org/10.14400/JDC.2019.17.9.231
  22. Mahmood SU, Crimbly F, Khan S, Choudry E, Mehwish S. Strategies for rational use of personal protective equipment (PPE) among healthcare providers during the COVID-19 crisis. Cureus. 2020;12(5):e8248. http://dx.doi.org/10.7759/cureus.8248
  23. Falagas ME, Thomaidis PC, Kotsantis IK, Sgouros K, Samonis G, Karageorgopoulos DE. Airborne hydrogen peroxide for disinfection of the hospital environment and infection control: a systematic review. The Journal of Hospital Infection. 2011;78(3):171-177. http://dx.doi.org/10.1016/j.jhin.2010.12.006
  24. Shon JA, Park JH. Knowledge and compliance level of the multi-drug resistant organisms of ICU nurses. Journal of the Korea Academia-Industrial cooperation Society. 2016;17(7):280-292. http://dx.doi.org/10.5762/KAIS.2016.17.7.280
  25. Martel J, Bui-Xuan EF, Carreau AM, Carrier JD, Larkin E, Vlachos-Mayer H, et al. Respiratory hygiene in emergency departments: Compliance, beliefs, and perceptions. American Journal of Infection Control. 2013;41:14-18. http://dx.doi.org/10.1016/j.ajic.2011.12.019
  26. Kim SJ, Kang J. Emergency nurses' perception and performance of tuberculosis infection control measures. Journal of Korean Academy Fundamental Nursing. 2010;17(3):351-361.
  27. Lee MH. Knowledge and education needs related to multidrug resistant organisms infection control among small and medium size hospital nurses. Journal of the Korea Academia-Industrial cooperation Society. 2020;21(4):463-470. http://dx.doi.org/10.5762/KAIS.2020.21.4.463
  28. Kim JS, Kim K, Kim MH, Kim HS. Nurse education needs related to knowledge and practice of gerontological nursing. Journal of Gerontological Nursing. 2010;12(2):177-189.
  29. Platace D, Millere I. Motivating factors of infection control in nurse practice.: International conference of society health. welfare 2016. SHS Web of Conferences. 2018;51:02010. http://dx.doi.org/10.1051/sbsconf/2018.5102010