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A Structural Equation Model on Standard Precautions Compliance of Nursing Students

간호대학생의 표준주의 수행 구조모형

  • Ha, Hey Jin (Department of Nursing, Chunnam Techno University) ;
  • Kim, Eun A (Department of Nursing, Dongshin University)
  • Received : 2022.06.21
  • Accepted : 2022.08.24
  • Published : 2022.09.30

Abstract

Purpose: This study is to establish a structural model for standard precautions compliance of nursing students. This conceptual model was based on the IMB (Information-Motivation-Behavioral skills) model of Fisher and Fisher. Methods: Data were collected from October 12 to December 1, 2020, and the subjects were nursing students from G metropolitan city and J province, and the data of a total of 334 subjects were analyzed. For data analysis, this study used the SPSS 24.0 and AMOS 24.0 programs. Results: The hypothetical model showed a good fit to the data: 𝑥2=106.46 (p<.001), 𝑥2/df=2.54, RMSEA=.07, SRMR=.04, CFI=.96, TLI=.94. It was confirmed that the variables that have a statistically significant influence on the standard precautions compliance in nursing students were in the order of self-efficacy, social support, personal attitude, and standard precautions knowledge. The model explained 48.3% of the variance in standard precautions compliance of nursing students. Conclusion: It is necessary to develop and apply various specialized extracurricular programs that can induce an individual attitude toward observing standard precautions compliance in a positive direction in relationships with teachers and peers and gain their support.

Keywords

References

  1. Yu JH, Choi JH, Kim OS, Kim SR, Park ES, Park SH, et al. 2017 Standard Prevention Guidelines for Medical-Related Infections [Internet]. Sejong: Korea Disease Control and Prevention Agency. [cited 2019 February 15]. Report No.:11-1352159-000840-01 Available from: https://kdca.go.kr
  2. Korean Infection Control Nurses Association. Text of infection control. Seoul: Hyeonmunsa; 2012.792 p.
  3. Ministry of Health and Welfare. Comprehensive measures for prevention and management of medical-related infections [Internet]. Seoul: MHW. c2018 [cited 2020 February 11]. Available from: http://www.mohw.go.kr
  4. Carter EJ, Pouch SM, Larson EL. Common infection control practices in the emergency department: A literature review. American Journal of Infection Control. 2014;42(9):957-962. https://doi.org/10.1016/j.ajic.2014.01.026
  5. Lee SM, Kim CH, Kim PG. A research on state infection control for medical technician in small and medium-sized hospitals. The Journal of the Korea Contents Association. 2017;17(12): 127-137. https://doi.org/10.5392/JKCA.2017.17.12.127
  6. Siegel JD, Rhinehart E, Jackson M, Chiarello L. Health Care Infection Control Practices Advisory Committee. 2007 guideline for isolation precautions: Preventing transmission of infectious agents in health care settings. American Journal of Infection Control. 2007;35(10 suppl 2):S65-164. https://doi.org/10.1016/j.ajic.2007.10.007
  7. Korean Accreditation Board of Nursing Education. Accreditation standards of Bachelor and associate degree in nursing program. Seoul: Korean Accreditation Board of Nursing Education; 2017. 160 p.
  8. Yoon EJ, Park YM. Factors influencing nursing students' performance of standard precaution for healthcare-associated infection control. Journal of Convergence for Information Technology. 2018;8(5):19-27. https://doi.org/10.22156/CS4SMB.2018.8.5.019.
  9. Jang KS, Choi SR, Lee JO. Knowledge, health belief, self efficacy and performance on standard precautions of infection control in nursing students. Korean Association For LearnerCentered Curriculum And Instruction. 2020;20(12):743-763. https://doi.org/10.22251/jlcci.2020.12.743
  10. Yu HS. Factors influencing performance on standard precautions of infection control in nursing students. Journal of the Korean Data Analysis Society. 2017;19(4):2205-2217. https://doi.org/jkdas.2017.19.4.2205 https://doi.org/10.37727/jkdas.2017.19.4.2205
  11. Park SH, Byun EK. Effects of self-efficacy, standard precaution knowledge, awareness on performance of nursing students. Journal of the Korea Academia-Industrial cooperation Society. 2020;21(7):127-135. https://doi.org/10.5762/KAIS.2020.21.7.127
  12. Lee SJ, Park JY, Jo N. Influence of knowledge and awareness on nursing students' performance of standard infection control guidelines. Journal of Korean Academy of Nursing Administration. 2017;23(4):347-358. https://doi.org/10.11111/jkana.2017.23.4.347
  13. Choi JR, Ko IS, Yim YY. Factors influencing nursing students' performance of infection control. Journal of Korean Academy of Fundamentals of Nursing. 2016;23(2):136-148. https://doi.org/10.7739/jkafn.2016.23.2.136
  14. Kim Y. Effect of health beliefs and critical thinking disposition on the performance of taking standard precautions of nursing students. Journal of Convergence for Information Technology. 2021;11(11):85-94. https://doi.org./10.22156/CS4SMB.2021.11.11.085
  15. Cha JE, Cho JY, Kim YG, Nam GH, Lee SY, Lee SY, et al. Nursing students' safety-climate, perception and performance of standard precautions for healthcare-associated infection control. Journal of the Korea Academia-Industrial cooperation Society. 2017;18(8):72-83. https://doi.org/10.5762/KAIS.2017.18.8.72
  16. Kim SJ, Lee EJ. Factors influencing emergency department nurses' compliance with standard precautions using multilevel Analysis. International Journal of Environmental Research and Public Health. 2021;18(11):6149. https://doi.org/10.3390/ijerph18116149
  17. Han DL, Seo KS, Kim ES, Kim HE. Influences of moral sensitivity and safety environment on compliance with standard precautions among nurses. Journal of the Korea AcademiaIndustrial cooperation Society. 2018;19(3):364-375. https://doi.org/10.5762/KAIS.2018.19.3.364
  18. Fisher JD, Fisher WA. Changing AIDS-risk behavior. Psychological Bulletin. 1992;111(3):455-474. https://doi.org/10.1037/00332909.111.3.455.
  19. Kim SJ, Park CK, Kim CB, Hong KS. A study on green purchasing behavior with the application of IMB model. Journal of Business Research. 2015;30(4):51-77. https://doi.org/10.22903/jbr.2015.30.4.51
  20. Luo Y, Yao L, Zhou L, Yuan F, Zhong X. Factors influencing health behaviours during the coronavirus disease 2019 outbreak in China: an extended information-motivation-behaviour skills model. Public Health. 2020;185:298-305. https://doi.org/10.1016/j.puhe.2020.06.057
  21. Zhao YW, Wu JY, Wang H, Li NN, Bian C, Xu SM, et al. A cross-sectional study assessing predictors of essential medicines prescribing behavior based on information-motivationbehavioral skills model among county hospitals in Anhui, China. Chinese Medical Journal. 2015;128(21):2887-2895. https://doi.org/ 10.4103/0366-6999.168046
  22. Fisher WA, Fisher JD, Harman J. The Information-MotivationBegavioral Skills model: A general social pychological approach to understanding and promoting health behavior. Social Psychological Foundations of Health and Lllness. 2003;82-106.
  23. Yu JP. The concept and understanding of structural equation modeling with AMOS 4.0-22.0.Seoul: Hannarae; 2012. 568 p.
  24. Hair JF, Ringle CM, Sarstedt M. Partial least squares structural equation modeling: Rigorous applications, better results and higher acceptance. Long Range Planning. 2013;46(1-2):1-12. https://doi.org/10.1016/j.lrp.2013.01.001
  25. Lynn MR. Determination and quantification of content validity. Nursing Research. 1986;35(6):382-385. https://doi.org/10.1097/00006199-198611000-00017
  26. Choi CH, You YY. The study on the comparative analysis of EFA and CFA. Journal of Digital Convergence. 2017;15(10): 103-111. https://doi.org/10.14400/JDC.2017.15.10.103
  27. Cho GL. Influencing factors on the compliance about standard precautions among ICU and ER nurses [master's thesis]. [Seoul]: Seoul National University; 2007. 45 p.
  28. Cho GL, Choi JS. Knowledge of and compliance with standard precautions by nurses in intensive care unit. The Journal of Fundamentals of Nursing. 2010;17(1):73-81.
  29. Suh YH, Oh HY. Knowledge, perception, safety climate, and compliance with hospital infection standard precautions among hospital nurses. Journal of Korean Clinical Nursing Research. 2010;16(1):61-70. https://doi.org/10.22650/JKCNR.2010.16.1.61
  30. Lee KA, Kim HS, Lee YW, Ham OK. Factors influencing compliance with standard precautions in intensive care unit and emergency room nurses. Korean Academy of Fundamentals of Nursing. 2012;19(3):302-312. https://doi.org/10.7739/jkafn.2012.19.3.302
  31. Peeters MCW, Buunk BP, Schaufeli WB. Social interactions, stressful events and negative affect at work: A micro-analytic approach. European Journal of Social Psychology. 1995;25(4):391-401. https://doi.org/10.1002/ejsp.2420250404
  32. Kim MY. A Study on the relationship between job strain and burnout [master's thesis]. [Cheongju]: Chongbuk National University; 2004. 75 p.
  33. Sherer M, Maddux JE, Mercandante B, Prentice-Dunn S, Jacobs B, Rogers RW. The self-efficacy scale: Construction and validation. Psychological Reports. 1982;51(2):663-671. https://doi.org/10.2466/pr0.1982.51.2.663
  34. Na ES. A Structural model on nursing performance of geriatric hospital nurses [dissertation]. [Busan]: Kosin University; 2017. 94 p.
  35. Bae BR. Structural equation modeling with Amos 24.Seoul: CR Books; 2017. 506 p.
  36. Quan M, Wang X, Wu H, Yuan X, Lei D, Jiang Z, et al. Influencing factors on use of standard precautions against occupational exposures to blood and body fluids among nurses in China. International Journal of Clinical and Experimental Medicine. 2015;8(12):22450-22459.
  37. Ko YH. Physical activity, social support and participation of women knowledge about cervical cancer screening, the screening attitude multiplicative influence of cervical cancer screening. Journal of Digital Convergence. 2016;14(7):439-449. https://dol.org/10.14400/JDC.2016.14.7.439
  38. Kim YI, Park JS. Development and evaluation of a joint health self-management program for the elderly with knee osteoarthritis in communities: Applying the IMB model. Journal of Korean Academy of Community Health Nursing. 2017;28(1):55-68. https://doi.org./10.12799/jkachn.2017.28.1.55
  39. Michinov E, Buffet-Bataillon S, Chudy C, Constant A, Merle V, Astagneau P. Sociocognitive determinants of self-reported compliance with standard precautions: Development and preliminary testing of a questionnaire with french health care workers. American Journal of Infection Control. 2016;44(1):14-19. https://doi.org/10.1016/j.ajic.2015.07.041
  40. Bandura A. A Social foundations of thought and action. In; Hefferman C.J, editor. Englewood Cliffs. New Jersey: Prentice-Hall; 1986. p. 23-28.
  41. Kim YH, Song YS. Organizational culture for infection control and practice of standard precaution in veterans hospital nurses: The mediating effect of self-efficacy. Journal of Health Informatics and Statistics. 2021;46(1):124-130. https://doi.org/10.21032/jhis.2021.46.1.124
  42. Oh JE, Park JY. Influencing factors on performance for standard precaution of healthcare workers of general hospital for infection control. Journal of Digital Convergence. 2018;16(4):231-249. https://doi.org/10.14400/JDC.2018.16.4.231
  43. Park JH. The causal relationship between the physical environment, self-efficacy, and productivity of kitchens as perceived by hotel cooks. International Journal of Tourism and Hospitality Research. 2020;34(7):183-196. https://doi.org/10.21298/IJTHR.2020.7.34.7.183
  44. Lee JI, Kim JK. Factors affecting nurses' performance of standard precautions for infection in public medical institutions: Focusing on knowledge and safety environment. The Journal of the Korea Contents Association. 2021;21(7):238-247. https://doi.org/10.5392/JKCA.2021.21.07.238
  45. Clark NM, Houle CR. Theoretical models and strategies for improving disease management by patients. The Handbook of Health Behavior Change. 2009;3:19-37.
  46. Bandura A. Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review. 1977;84(2):191-215. https://doi.org/10.1037//0033-295x.84.2.191
  47. Kwon SJ, Kim YH. Effects of simulation-based education for high-risk maternity on problem-solving process, self-leadership, critical thinking disposition, and self-efficacy in nursing students. Journal of Korea Society for Simulation in Nursing. 2020;8(1):43-55. https://doi.org/10.17333/JKSSN.2020.8.1.43