DOI QR코드

DOI QR Code

Relationship between Standard Precautions Knowledge and Standard Precautions Compliance of Nursing Students: The Meadiating Subjective Norms

간호대학생의 표준주의 지식과 표준주의 수행 간의 관계: 주관적 규범 매개효과

  • Eun-A Kim (Department of Nursing, Dongshin University) ;
  • Hye-Jin Ha (Department of Nursing, Dongshin University)
  • Received : 2023.02.07
  • Accepted : 2023.04.27
  • Published : 2023.04.30

Abstract

This study was conducted to investigate the mediating effect of subjective norms in the relationship between standards precautions knowledge of and of standards precautions compliance in nursing students. The subjects of the study were 195 senior nursing students who completed clinical practice at three universities located in J province. As a result of the study, subjective norms showed a partial mediating effect between standards precautions knowledge and standards precautions compliance. And the explanatory power (R2) explaining the standards precautions compliance was 35%. Therefore, in order to promote the standards precautions compliance in nursing students, it is necessary to develop standards precautions knowledge and prepare effective strategies to induce subjective norms through it.

본 연구는 간호대학생의 표준주의 지식과 표준주의 수행과의 관계에서 주관적 규범의 매개효과를 규명하기 위해 시행되었다. 연구의 대상자는 J도에 소재한 3개 대학교의 임상실습을 완료한 4학년 간호학과 재학생 195명이다. 수집된 자료로 SPSS 25.0 프로그램을 이용하여 t-test, ANOVA, Pearson's correlation 및 multiple regression을 실시하였다. 연구결과, 주관적 규범은 표준주의 지식과 표준주의 수행 사이에서 부분매개효과를 나타냈고, 표준주의 수행을 설명하는 설명력(R2)은 35%이었다. 따라서 간호대학생의 표준주의 수행을 촉진하기 위해서는 표준주의 지식 함양 및 이를 통해 주관적 규범을 유도할 수 있는 효과적 전략 마련이 필요하다.

Keywords

References

  1. The Korean Society of Infection Diseases [Ienternet]. Guidelines for prevention and Control of Healthcare associated infections [cited 2017], Available From: https://www. ksid.or.kr/board/list.html?num=2758&start=0&sort=top%20desc,thread%20desc,pos&code=pds&key=&keyword.(access ed Oct, 11, 2021) 
  2. H. J. Hwang, M. R. Lim, "The Effects of Nursing Students' Moral Sensitivity and Nursing Professionalism Standard Precautions", Journal of Industrial Convergence, Vol.20, No.1 pp. 97-105, (2022).  https://doi.org/10.22678/JIC.2022.20.1.097
  3. Korea Disease Control and Prevention Agency [Ienternet]. Available From: https://www.kdca.go.kr/contents.es?mid=a20301080000. (accessed Oct, 11, 2022) 
  4. Siegel JD, Rhinehart E, Jackson M, Chiarello L, "2007 Guideline for Isolation Precautions: preventing transmission of infectious agents in health care settings", American Journal of Infection Control. Vol.35, No.10 pp. 65-164, (2007). 
  5. Koran Accreditation Board of Nursing Education [Internet]. Available From: http://www.kabone.or.kr/m/notice/list/view.do?num=791. (accessed Feb, 11, 2022) 
  6. H. S. Yu, "Factors Influencing Performance on Standard Precautions of Infection Control in Nursing Students", Journal of The Korean Data Analysis Society, Vol.19, No.4 pp. 2205-2217, (2017).  https://doi.org/10.37727/jkdas.2017.19.4.2205
  7. J .E. Cha, J. Y. Cho, Y. G. Kim, G. H. Nam, S. Y. Lee, S. Y. Lee, A. R. Lee, J. Y. Lee, S. B. Chae, "Nursing Students' Safety-Climate, Perception and Performance of Standard Precautions for Healthcare-associated Infection Control", Journal of the Korea Academia-Industrial cooperation Society, Vol.18, No.8 pp. 72-83, (2017).  https://doi.org/10.5762/KAIS.2017.18.8.72
  8. M. S. Kim, J. S. Kim, "Predictors for Standard Precautions Compliance in Health care-Associated Infection Control among Nursing students", The Korea Contents Association, Vol.17, No.12 pp. 570-581, (2017). 
  9. Ajzen I, From intentions to actions: A theory of planned behavior. In Action control. pp. 11-39, Berlin Heidelberg, Springer, (1985). 
  10. Ajzen I, "The theory of planned behavior", Organizational Behavior and Human Decision Processes. Vol.50, No.2 pp. 179-211, (1991).  https://doi.org/10.1016/0749-5978(91)90020-T
  11. Gaston G, Hermine' N, Sylvie M, Marie-France E, "Determinants of nurses' adherence to Universal Precautions for venipunctures", American Journal of Infection Control, Vol.28, No.5 pp. 359-364, (2000).  https://doi.org/10.1067/mic.2000.107594
  12. J. M. Kim, S. H. Lee, "Nursing students' performance related to nosocomial infection control: An analysis based on the theory of planned behavior", The Journal of Korean Academic Society of Nursing Education, Vol.18, No.2 pp. 229-238, (2012).  https://doi.org/10.5977/JKASNE.2012.18.2.229
  13. Y. B. Kim, T. H. Yoon, A. R. Sohn, "Effects of COVID-19 knowledge, risk perception, subjective norms, and perceived behavioral control on preventive action intentions and preventive action practices in college students", Korean Journal of Heath Education and Promotion, Vol.38, No.1 pp. 25-36, (2021).  https://doi.org/10.14367/kjhep.2021.38.1.25
  14. J. W. Oh, "Factors affecting performance affect of preventive behaviors on infection exposure in nursing students who have experienced clinical practice", The Journal of Humanities and Social Sciences 21, Vol.12, No.4 pp. 335-348, (2021).  https://doi.org/10.22143/HSS21.12.4.24
  15. J. E. Moon, M. O. Song, "A convergence study about the performance of healthcare-associated infection control guidelines of hospital nurses-based on the theory of planned behavior", Korean Convergence Society, Vol.8, No.5 pp. 117-125, (2017). 
  16. Centers for Disease Control and Prevention. (CDC): 2007 Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings. [Internet]. Available From: https://www.cdc.gov/niosh/docket/archive/pdfs/niosh-219/0219-010107-siegel.pdf. (accessed Jun, 8, 2022). 
  17. G. R. Cho, J. S. Choi, "Knowledge of and Compliance with Standard Precautions by Nurses in Intensive Care Unit", The Journal of Fundamentals of Nursing, Vol.17, No.1 pp. 73-81, (2010). 
  18. J. H. Park, "Effect on safety behavior of accident prevention education program based on the theory of planned behavior : focusing on students majoring in dental technician", Doctoral Dissertation, Ewha Womans University, (2007). 
  19. S. K. Jeong, "Development and Effect of Integrated Safety Education Program for Safe Clinical Practicum of Nursing Students", Dortoral Dissertation, Daejeon University, (2019). 
  20. LYNN MR. "Determination and quantification of content validity". Nursing research, Vol.35, No.6 pp. 382-385, (1986).  https://doi.org/10.1097/00006199-198611000-00017
  21. Baron RM. & Kenny DA. "The Moderator-mediator Variable Distinction in Social Psychological Research: Conceptual, Strategic, and Statistical Considerations." Journal of Penality and Social Psychology, Vol.51, No.2 pp. 1173-1182, (1986).  https://doi.org/10.1037/0022-3514.51.6.1173
  22. Sobel ME, "Asymptotic confidence intervals for indirect effects in structural equation models." Sociological Methodology, Vol.13 pp. 290-312, (1982).  https://doi.org/10.2307/270723
  23. S. Z. Lee, G. S. Shin, M. K. Cho, "Factors affecting patient safety behavior and performance of infection control among nursing students", Journal of Korea Academia-Industrial cooperation Society, Vol.19, No.8 pp. 1173-1182, (2018). 
  24. K. S. Jang, S. R. Choi, J. O. Lee, "Knowledge, Health Belief, Self Efficacy and Performance on Standard Precautions of Infection Control in Nursing Students", The Journal of Learner-Centered Curriculum and Instruction, Vol.20, No.12 pp. 743-763, (2020).  https://doi.org/10.22251/jlcci.2020.20.12.743
  25. J. I. Lee, J. K. Kim, "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, Vol.21, No.7 pp. 238-247, (2021).  https://doi.org/10.5392/JKCA.2021.21.07.238
  26. M. Y. Kim, J. H. Shin, "Factors Influencing Hemodialysis Unit Nurses' Compliance with Standard Precautions using Hierarchical Linear Modeling", Korean Journal of Adult Nursing, Vol.30, No.2 pp. 131-170, (2018).  https://doi.org/10.7475/kjan.2018.30.2.161
  27. J. E. Gu, Y. K. Ha, S. H. Hwang, K. H. Gong, "Path Analysis of Performance of Multidrug-Resistant Organisms Management Guidelines among Intensive Care Unit Nurses : With Focus on the Theory of Planned Behavior and Patient Safety Culture", Journal of Korean Critical Care Nursing, Vol.11, No.1 pp. 89-100, (2018). 
  28. Y. B. Kim, T. H. Yoon, A. R. Sohn, "Effects of COVID-19 knowledge, risk perception, subjective norms, and perceived behavioral control on preventive action intentions and preventive action practices in college students", Korean Journal of Heath Education and Promotion, Vol.38, No.1 pp. 25-36, (2021).  https://doi.org/10.14367/kjhep.2021.38.1.25
  29. Donna P, Donna A, Mary D, Joyce F, "Factors influencing nurse compliance with Standard Precautions", American Journal of Infection Control. Vol.44, No.1 pp. 4-7, (2016).  https://doi.org/10.1016/j.ajic.2015.10.001
  30. C. T. Ko, "Moral Grounds and Justifications for the Precautionary Principle", Environmental Philosophy, No.8 pp. 261-288, (2009).  https://doi.org/10.35146/JECOPH.2009..8.010
  31. M. H. Jeong, "Survey of Exposure to Blood and Body Fluids, Knowledge, Awareness and Performance on Standard Precautions of Infection Control in Nursing Students", The Journal of the Korea Contents Association, Vol.15, No.4 pp. 316-329, (2015). https://doi.org/10.5392/JKCA.2015.15.04.316