DOI QR코드

DOI QR Code

Effects of Empowerment, Infection Control Organizational Culture and Infection Control Awareness on Performance among Nurses in Long-Term Care Hospitals

요양병원 간호사의 임파워먼트, 감염관리 조직문화, 감염관리 인지도가 감염관리 수행도에 미치는 영향

  • Yun, Bo Kyeong (Department of Nursing, Pusan National University Yangsan Hospital) ;
  • Lee, Hyun Ju (College of Nursing, Catholic University of Pusan)
  • 윤보경 (양산부산대학교병원) ;
  • 이현주 (부산가톨릭대학교 간호대학)
  • Received : 2022.03.01
  • Accepted : 2022.06.24
  • Published : 2022.08.31

Abstract

Purpose: The purpose of this study was to examine the influence of empowerment, infection control organizational culture, and infection control awareness on infection control performance among nurses in long-term care hospitals. Methods: A descriptive survey study was conducted with 125 nurses as subjects who had been working for at least six months in four long-term care hospitals located in Busan metropolitan city and Gyeongsangnam-do Province. Data were collected from September 30 to October 28, 2021 and analyzed using t-test, one-way ANOVA, Pearson's correlation coefficients, and stepwise multiple regression with SPSS/WIN 26.0. Results: The results showed that infection control performance had significant correlations with empowerment (r=.36, p<.001), infection control organizational culture (r=.51, p<.001), and infection control awareness (r=.75, p<.001). Multiple regression analysis for infection control performance revealed that the most powerful predictor was infection control awareness (β=.70, p<.001). Empowerment, infection control awareness and awareness of infection control guidelines explained approximately 60.0% of the variance in infection control performance. Conclusion: Findings indicated that various factors are related to the infection control performance among nurses in long-term care hospital. Based on the results of this study, further development and application of the programs to enhance empowerment and infection control awareness are needed in order to improve the infection control performance of nurses in long-term care hospitals.

Keywords

References

  1. Statistics Korea. 2020 Population projection [Internet]. Daejeon: Statistics Korea; c2020 [cited 2021 Dec 19]. Available from: https://kosis.kr/publication/publicationThema.do.
  2. Health Insurance Review and Assessment Service. 2020 National health insurance statistical yearbook [Internet]. Wonju: Health Insurance Review and Assessment Service; 2021 Oct [cited 2021 Dec 21]. Available from: https://www.hira.or.kr/bbsDummy.do?pgmid=HIRAA020045010000.&brdScnBltNo=4&brdBltNo=2356&pageIndex=1.
  3. Kim HH, Kim NH. A study of the knowledge, awareness and performance of the infection control among nurses in long-erm care hospital. Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology. 2017;7(11):57-471. https://doi.org/10.35873/ajmahs.2017.7.11.045
  4. McMichael TM, Currie DW, Clark S, Pogosjans S, Kay M, Schwartz NG, et al. Epidemiology of Covid-19 in a long-term care facility in King County, Washington. New England Journal of Medicine. 2020;382(21):2005-2011. https://doi.org/10.1056/NEJMoa2005412
  5. Kim D, Lee MH. Improvement of infection control system in long-term care facilities after the coronavirus disease outbreak. Korean Journal of Occupational Health Nursing. 2020;29(3):02-207. https://doi.org/10.5807/KJOHN.2020.29.3.202
  6. Lee JH, Lee GE. Perception and practice of hospital infection control of nursing staff depending on the supplementation of nurses in long-term care hospitals. Korean Journal of Occupational Health Nursing. 2012;21(3):308-316. https://doi.org/10.5807/KJOHN.2012.21.3.308
  7. Kim K, Park H. The moderating effect of empowerment in relationship between self-leadership and job satisfaction for nurses working in long-term care hospitals. Journal of Korean Gerontological Nursing. 2016;18(1):32-40. https://doi.org/10.17079/jkgn.2016.18.1.32
  8. Lee SJ, Yang NY. Awareness and performance of healthcare-associated infections control and psycological empowerment of intensive care unit nurses. Journal of Korean Academic Society of Home Health Care Nursing. 2017;24(3):306-315. https://doi.org/10.22705/JKASHCN.2017.24.3.306
  9. Lee MY, Park JH. Organizational culture, awareness, and nursing practice of infection control among nurses in the emergency departments. Journal of Korean Academy of Fundamentals of Nursing. 2021;28(2):186-194. https://doi.org/10.7739/jkafn.2021.28.2.186
  10. Park HJ, Lee YM. Factors influencing performance about respiratory system nosocomial infection control among ICU nurses. Journal of the Korean Data Analysis Society. 2013;15(2):949-963.
  11. Jung YW, Lee YH, Yu BC. The relationship of nurse's awareness, performance for nosocomial infection control and psychological empowerment. Kosin Medical Journal. 2008;23(2):85-91.
  12. Bae SS, Jeong JG. A study on the impact of job characteristics on empowerment. The Journal of Korea Institute of Information, Electronics, and Communication Technology. 2015;8(6):497-506. https://doi.org/10.17661/JKIIECT.2015.8.6.497
  13. Spreitzer GM. Psychological empowerment in the workplace: Dimensions, measurement, and validation. Academy of Management Journal. 1995;38(5):1442-1465. https://doi.org/10.5465/256865
  14. De Bono S, Heling G, Borg MA. Organizational culture and its implications for infection prevention and control in healthcare institutions. Journal of Hospital Infection. 2014;86(1):1-6. https://doi.org/10.1016/j.jhin.2013.10.007
  15. Moon JE, Jang KS. The performance of healthcare-associated infection control guideline among hospital nurses: A structural equation model. Iranian Journal of Public Health. 2018;47(5):648-657.
  16. Kim HH, Park HR. The effects of organizational culture for infection control and self-efficacy on compliance with standard precautions of emergency room nurses. Journal of Korean Biological Nursing Science. 2019;21(1):46-53. https://doi.org/10.7586/jkbns.2019.21.1.46
  17. Takahashi I, Osaki Y, Okamoto M, Tahara A, Kishimoto T. The current status of hand washing and glove use among care staff in Japan: Its association with the education, knowledge, and attitudes of staff, and infection control by facilities. Environmental Health Preventive Medicine. 2009;14(6):336-344. https://doi.org/10.1007/s12199-009-0103-z
  18. Sarma JB, Ahmed GU. Infection control with limited resources: Why and how to make it possible? Indian Journal of Medical Microbiology. 2010;28(1):11-16. https://doi.org/10.4103/0255-0857.58721
  19. Beggs CB, Noakes CJ, Shepherd SJ, Kerr KG, Sleigh PA, Banfield K. The influence of nurse cohorting on hand hygiene effectiveness. American Journal of Infection Control. 2006;34(10):621-626. https://doi.org/10.1016/j.ajic.2006.06.011
  20. Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods. 2007;39(2):175-191. https://doi.org/10.3758/BF03193146
  21. Kaur J, Stone PW, Travers JL, Cohen CC, Herzig CT. Influence of staff infection control training on infection-related quality measures in US nursing homes. American Journal of Infection Control. 2017;45(9):1035-1040. https://doi.org/10.1016/j.ajic.2017.04.285
  22. Gu BD. The effects to transformation leadership and paternalistic leadership on empowerment and organizational commitment [dissertation]. Seoul: Hankuk University of Foreign Studies; 1999. p. 1-195.
  23. Park HH. A structural model of nurses' patient safety management activities [dissertation]. Daejeon: Eulji University; 2013. p. 1-100.
  24. Kim BH. A study on the degrees of awareness and performance of the hospital infection control among clinical nurses in a middle-sized and in a small-sized hospital [master's thesis]. Seoul: Yonsei University; 2004. p. 1-77.
  25. Lee HJ, Kim KH. The role-expectations of gerontological nurse practitioners and performance of gerontological nursing by nurses in long term care hospitals and general hospitals. Korean Journal of Adult Nursing. 2014;26(6):642-652. https://doi.org/10.7475/kjan.2014.26.6.642
  26. Jung HY, Jung YK. Recognition and performance level of hospital infection control in nurses of long-term care hospital. Korean Journal of Health Service Management. 2013;7(4):131-141. https://doi.org/10.12811/kshsm.2013.7.4.131
  27. Yu SJ, Ha WC, Park YM, Ha YO, Bae KH. A study of nurses' knowledge, attitude and practice regarding medical waste (Busan and Kyongnam Province University Hospitals). The Korean Society of Health Service Management. 2017;11(1):79-89. https://doi.org/10.12811/kshsm.2017.11.1.079
  28. Yun JM, Sung MH. The relationship between empowerment and performance of infection control by emergency department nurses. Journal of Korean Academy of Fundamentals of Nursing. 2009;16(4):412-420.
  29. Jang I, Park M. Effect of infection control education based on isolation room-simulation for nursing students. Journal of Korean Academy of Nursing Administration. 2021;27(5):379-389. https://doi.org/10.11111/jkana.2021.27.5.379
  30. Lee MH, Kim JY. Development and application a multidrug resistant organisms infection control simulation program for small and medium-sized hospital. Journal of Digital Convergence. 2021;19(4):159-166. https://doi.org/10.14400/JDC.2021.19.4.159