DOI QR코드

DOI QR Code

종합병원 간호사의 감염관리지식, 간호근무환경이 감염관리수행도에 미치는 영향

Effect of Infection Control Knowledge and Nursing Work Environment on Infection Control Performance among General Hospital Nurses

  • Choi, Kyunga (Kumi Cha Hospital) ;
  • Moon, Mikyung (College of Nursing. The Research Institute of Nursing Science, Kyungpook National University)
  • 투고 : 2023.07.14
  • 심사 : 2023.08.15
  • 발행 : 2023.08.31

초록

Purpose: The purpose of the study was to investigate the effects of infection control knowledge and nursing work environment on infection control performance among general hospital nurses. Methods: A total of 138 nurses from four general hospitals located in G and P cities participated in this descriptive study. The collected data were analyzed using t-test, ANOVA, Pearson's correlation coefficients, and multiple regression. Results: The average mean score was 21.41±1.92 points out of 25 for infection control knowledge, 2.53±0.33 points out of 4 for nursing work environment, and 4.62±0.40 points out of 5 for infection control performance. In the final analysis, the variables that had the greatest influence on infection control performance were the nursing work environment (β=.32, p<.001), working department (β=.19, p=.014), and knowledge (β=.19, p=.016). Conclusion: This study showed that nurses with a better nursing work environment, employment in general department, and more infection control knowledge delivered superior infection control performance. Therefore, to improve infection control performance, it is necessary to enhance the nursing environment and develop practical education programs for augmenting infection control knowledge.

키워드

참고문헌

  1. Aboumatar, H., Ristaino, P., Davis, R. O., Thompson, C., B., Maragakis, L., Cosgrove, S., et al. (2012). Infection prevention promotion program based on the PRECEDE model: Improving hand hygiene behaviors among healthcare personnel. Infection Control & Hospital Epidemiology, 33(2), 144-151. https://doi.org/10.1086/663707
  2. Aiken, L. H., Havens, D. S., & Sloane, D. M. (2000). The magnet nursing services recognition program: A comparison of two groups of magnet hospitals. The American Journal of Nursing, 100(3), 26-36.
  3. Buffet-Bataillon, S., Leray, E., Poisson, M., Michelet, C., BonnaureMallet, M., & Cormier, M. (2010). Influence of job seniority, hand hygiene education, and patient-to-nurse ratio on hand disinfection compliance. Journal of Hospital Infection, 76(1), 32-35. https://doi.org/10.1016/j.jhin.2010.02.024
  4. Cho, E. H., Choi, M. N., Kim, E. Y., Young, I. I., & Lee, N. J. (2011). Construct validity and veliability of the Korean version of the practice environment scale of nursing work index for Korean nurses. Journal of Korean Academy of Nursing, 41(3), 325-332. https://doi.org/10.4040/jkan.2011.41.3.325
  5. Cho, G. L. (2007) Influencing factors on the compliance about standard precautions among ICU and ER nurses. Unpublished master's thesis, Seoul National University, Seoul.
  6. Cho, G. Y., & Moon, H. J. (2020). The effect of on the performance of standard precautions for infection prevention in small and medium-sized hospital nurses. Journal of the Korean Society for Fisheries and Marine Sciences Education, 32(5), 1263-1275. https://doi.org/10.13000/JFMSE.2020.10.32.5.1263
  7. Cho, S. S., Kim, K. M., Lee, B. Y., & Park, S. A. (2012). The effects of simulation-based infection control training on the intensive care unit nurses' perception, clinical performance, and selfefficacy of infection control. Journal of Korean Clinical Nursing Research, 18(3), 381-390. https://doi.org/10.22650/JKCNR.2012.18.3.381
  8. Eom, J. (2022). What is the fee for infection prevention and control? current status and prospect. Korean Journal of Medicine, 97(4), 199-203. https://doi.org/10.3904/kjm.2022.97.4.199
  9. Hong, M., & Park, J. (2016). Nurses' perception of accreditation, awareness and performance of infection control in an accredited healthcare System. Journal of Korean Academy of Nursing Administration, 22(2), 167-177. https://doi.org/10.11111/jkana.2016.22.2.167
  10. Houghton, C., Meskell, P., Delaney, H., Smalle, M., Glenton, C., Booth, A., et al. (2021). Barriers and facilitators to healthcare workers' adherence with infection prevention and control guidelines for respiratory infectious diseases: A rapid qualitative evidence synthesis. Emergencias: revista de la Sociedad Espanola de Medicina de Emergencias, 33(1), 62-64.
  11. Jeong, S. Y., & Kim, O. S. (2012). The structural model of hand hygiene behavior for the prevention of healthcare-associated infection in hospital nurses. The Journal of Korean Academic Society of Adult Nursing, 24(2), 119-129. https://doi.org/10.7475/kjan.2012.24.2.119
  12. Kim, B. H. (2003) A study on the degree of awareness and performance of the hospital infection control among clinical nurses in a middle-sized and in a small sized hospital. Unpublished master's thesis, Yonsei University, Seoul.
  13. Kim, S. U., & Seo, M. J. (2020). The mediating effect of resilience on the relationship between nurse practice environment and organizational commitment in clinical nurses. Journal of digital convergence, 18(12), 435-444. https://doi.org/10.14400/JDC.2020.18.12.435
  14. Korea Centers for Disease Control and Prevention Agency (KCDC) (2017). Guidelines for prevention and control of Healthcare associated infections. Chungbuk: Author.
  15. Korean Society for Healthcare-associated Infection Control and Prevention. (2018). Infection control and prevention in healthcare facilities (5th ed.). Seoul: Hanmi Medical Publishing.
  16. Korean Statistical Information Service (KOSIS). (2021). Health Personnel (OECD). Retrived July 1, 2023, from https://kosis.kr/statHtml/statHtml.do?orgId=101&tblId=DT_2KAAC01_OECD&conn_path=I2
  17. Lake, E. T. (2002). Development of the practice environment scale of the nursing work index. Research in Nursing & Health, 25(3), 176-188. https://doi.org/10.1002/nur.10032
  18. Lee, J. I., & Kim, J. K. (2021). Factors affecting nurses' performance of standard precautions for infection in public medical institutions: Focusing on knowledge and safety environment. Journal of the Korean Contents Association, 21(7), 238-247. https://doi.org/10.5392/JKCA.2021.21.07.238
  19. Lee, K. A., Kim, H. S., Lee, Y. W., & Ham, O. K. (2012). Factors influencing compliance with standard precautions in intensive care unit and emergency room nurses. Journal of Korean Academy of Fundamentals of Nursing, 19(3), 302-312. https://doi.org/10.7739/jkafn.2012.19.3.302
  20. Lee, M. Y., & Park, J. H. (2021). Organizational culture, awareness, and nursing practice of infection control among nurses in the emergency departments. Journal of Korean Academy of Fundamentals of Nursing, 28(2), 186-194. https://doi.org/10.7739/jkafn.2021.28.2.186
  21. Lee, S. J., Park, J. Y., & Jo, N. R. I. (2017). Influence of knowledge and awareness on nursing students' perception of childbirth according to the types of performance of standard infection control guidelines. Journal of Korean Academy of Nursing Administration, 23(4), 347-358. https://doi.org/10.11111/jkana.2017.23.4.347
  22. Mitchell, B. G., Gardner, A., Stone, P. W., Hall, L., & Pogorzelska-- Maziarz, M. (2018). Hospital staffing and health care-associated infections: A systematic review of the literature. The Joint Commission Journal on Quality and Patient Safety, 44(10), 613-622. https://doi.org/10.1086/591696
  23. Oh, J. E., & Park, J. Y. (2018). Influencing factors on performance for standard precaution of healthcare workers of general hospital for infection control. Journal of Digital Convergence, 16(4), 231-249. https://doi.org/10.14400/JDC.2018.16.4.231
  24. Park, J. Y., Woo, C. H., Lee, S. Y., & Oh, J. E. (2018). Factors influencing the infection control practice of clinical nurses based on health belief model. Journal of the Korea Convergence Society, 9(3), 121-129. https://doi.org/10.15207/JKCS.2018.9.3.121
  25. Park, Y. R., & Seo, E. J. (2022). Correlation among organizational culture, fatigue for infection control, and infection control compliance of COVID-19 among emergency nurses. Journal of Korean Biological Nursing Science, 24(2), 104-112. https://doi.org/10.7586/jkbns.2022.24.2.104
  26. Shin, Y. M., & Cho, H. H. (2021). The effects of nursing work environment, job stress and knowledge sharing on nursing performance of nurses in a tertiary hospital. Journal of East-West Nursing Research, 27(1), 32-42. https://doi.org/10.14370/jewnr.2021.27.1.32
  27. Sim, M. K. (2019). Knowledge, awareness, safety-climate and performance of standard precautions for healthcare associated infection control among nurses in small and medium hospitals. Journal of the Korea Academia-Industrial cooperation Society, 20(11), 425-435. https://doi.org/10.5762/KAIS.2019.20.11.425
  28. Suh, Y. H., & Oh, H. Y. (2010). Knowledge, perception, safety climate, and compliance with hospital infection standard precaution among hospital nurses. Journal of Korean Clinical Nursing Research, 16(1), 61-70.
  29. World Health Organization. (2009, January). WHO guidelines on hand hygiene in health care (No. WHO/IER/PSP/2009/01). Geneva: World Health Organization.
  30. Yoo, J. (2018). Principle and perspective of healthcare-associated infection control. Journal of the Korean Medical Association, 61(1), 5-12. https://doi.org/10.5124/jkma.2018.61.1.5