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Intensive care unit nurses' knowledge, attitudes, perceptions of a safe environment, and compliance with the use of personal protective equipment: a descriptive observational study

중환자실 간호사의 개인보호구에 대한 지식, 태도, 안전환경 인식과 착용 수행도: 서술적 관찰 연구

  • Eun Jin, Kim (Hallym University Kangdong Sacred Heart Hospital, Graduate school of nursing science, Hallym University) ;
  • Hyunjung, Kim (School of Nursing.Research Institute of Nursing Science, Hallym University)
  • 김은진 (한림대학교 강동성심병원.간호대학원) ;
  • 김현정 (한림대학교 간호대학.간호학 연구소)
  • Received : 2023.01.17
  • Accepted : 2023.02.20
  • Published : 2023.02.28

Abstract

Purpose: This study investigated the knowledge, attitudes, and perceptions of a safe environment, as well as self-reported and observed compliance with the use of personal protective equipment (PPE), among intensive care unit (ICU) nurses. Methods: This study was conducted in October 2021 with 55 nurses working in the medical and surgical ICUs of a general hospital in Seoul. A self-reported questionnaire and an observational tool for compliance with the use of PPE were used to collect data. Results: Except for masks, the observed compliance for all other PPE types was lower than the self-reported compliance. Male nurses showed significantly higher observed compliance than female nurses. Self-reported compliance with PPE use, including "when there is a possibility of contact with objects contaminated with blood or body fluids, mucous membranes, damaged skin, or contaminated skin" (r = .23, p = .015) and "when there is a possibility of contact with blood, body fluids, secretions, or exudates" (r = .27, p = .004) showed significant correlations with knowledge of PPE. In the results for self-reported compliance with PPE use, gown use had a significant correlation with knowledge (r = .24, p < .001) and perceptions of a safe environment (r = .15, p = .016) for PPE, and gloves showed significant correlations with attitudes (r = .14, p = .024) and perceptions of a safe environment (r = .18, p = .003). Conclusion: The observed compliance with PPE use tended to be lower than the self-reported compliance among ICU nurses. It is necessary to develop and apply an effective educational program that can enhance improve actual compliance with PPE use among intensive care unit nurses.

Keywords

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