Journal of Korean Academic Society of Home Health Care Nursing (가정간호학회지)

Korean Academic Society of Home Health Care Nursing (한국가정간호학회)
권호 표지
DOI QR코드

DOI QR Code

Impact of an Integrated Infection Control Education Program on Caregivers in Long-Term Care Facilities

장기요양시설 요양보호사를 위한 통합적 감염관리 교육프로그램의 효과

  • Received : 2024.03.18
  • Accepted : 2024.04.28
  • Published : 2024.04.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study aimed to develop and assess the impact of an integrated infection control education program on the awareness, attitudes, and performance of infection control among caregivers in long-term care facilities. Methods: Participants were recruited from two long-term care facilities with 25 caregivers in both the experimental group and the control group. This study used non-equivalent control group quasi-experimental pre-post design. The effectiveness of a developed Integrated Infection Control Education Program was evaluated based on infection control awareness, attitudes, and performance. Data were analyzed using SPSS/WIN 28.0 through descriptive statistics, chi-square tests, Fisher's exact tests, and independent t-tests. Results: There was a statistically significant difference in the degree of awareness (t=-5.00, p<.001), attitude (t=-4.91, p<.001), and performance (t=-6.66, p<.001) of infection control between the two groups. Conclusion: Given these results, the integrated infection control education program significantly improved infection control awareness, attitudes, and performance among caregivers in long-term care facilities. This study is noteworthy because it provided comprehensive education on infection control practices to caregivers in environments that are particularly susceptible to infections, especially following COVID-19. This educational program is actively utilized and validated in practice, it would enhance the infection control performance of caregivers, thereby reducing infection rates within facilities, shortening the length of stay for elderly residents in long term care facilities, and contributing to the reduction of healthcare costs.

Keywords

Acknowledgement

This work was supported by the Korean Academic Society of Home Health Care Nursing Research Grant in 2023.

References

  1. Lee DH, Jeon IH, Kim MH, Kim RY. A basic study on developing adjustment mechanism for classification system and medical fee of long-term care hospital inpatients. Research Report. Wonju: Health Insurance Review & Assessment Service, 2021 December. Report No.: G000F8L-2021-147.
  2. Ministry of Health and Welfare. Survey on the elderly [Internet]. Seoul: Ministry of Health and Welfare; 2020 [cited 2024 January 3]. Available from: https://www.mohw.go.kr/board.es?mid=a10411010100&bid=0019&act=view&list_no=366496
  3. Ministry of Government Legislation. Welfare of Senior Citizens Act [Internet]. Sejong: Ministry of Government Legislation; 2007 [cited 2024 March 2] Available from: https://glaw.scourt.go.kr/wsjo/lawod/sjo192.do?lawodNm=%EB%85%B8%EC%9D%B8%EB%B3%B5%EC%A7%80%EB%B2%95&jomunNo=34&jomunGajiNo=
  4. Ga H. Establishment of roles of long-term care hospitals and nursing homes. Healthcare Policy Forum. 2017;15(2):15-19.
  5. Wang SJ, Lim JS, Lee SE, Park YJ, Kim JY, Gwack J. Epidemiological characteristics of COVID-19 reinfection cases in the republic of Korea. Public Health Weekly Report. The Korea Disease Control and Prevention Agency. 2022;15(4):235-244.
  6. Lee MH, Song MS. Integrated literature review on education needs of infection control of care worker in the long-term care facilities. Journal of the Korea Academia-Industrial cooperation Society. 2021;22(12):566-575. https://doi.org/10.5762/kais.2021.22.12.566
  7. Ilyas F, Burbridge B, Babyn P. Health care-associated infections and the radiology department. Journal of Medical Imaging and Radiation Sciences. 2019;50(4):596-606. https://doi.org/10.1016/j.jmir.2019.07.011
  8. Bonanad C, Garcia-Blas S, Tarazona-Santabalbina F, Sanchis J, Bertomeu-Gonzalez V, Facila L, et al. The effect of age on mortality in patients with COVID-19: a meta-analysis with 611,583 subjects. Journal of the American Medical Directors Association. 2020;21(7):915-918. https://doi.org/10.1016/j.jamda.2020.05.045
  9. Shin MS, Song KH. A study on the perception and performance of infection control of care workers in nursing home. Korean Journal of Safety Culture. 2022;(17):57-69. http://doi.org/10.52902/kjsc.2022.17.57
  10. Ryu BM, Ryu SM. The effects of infection prevention education program on infection prevention knowledge and attitude to nursing caregiver students. Journal of the Korea Industrial Information Systems Research. 2010;15(5):167-177. https://doi.org/10.9723/jksiis.2010.15.5.167
  11. Kim SO. Factors affecting emergency response ability of caregivers. Journal of Korean Public Health Nursing. 2022;36(1):59-74. https://doi.org/10.5932/JKPHN.2021.36.1.59
  12. Ko YM. A study on the recognition and performance on infection control of caregivers in home visit care centers and aged care facilities in I city. [master's thesis]. Incheon: Gachon University; 2014. 69 p.
  13. Ministry of Government Legislation. Enforcement Rules of Welfare of Senior Citizens Act [Internet]. Sejong: Ministry of Government Legislation; 2010 [cited 2024 March 2] Available from: https://www.law.go.kr/LSW/lsInfoP.do?lsId=006940&ancYnChk=0#J16316653
  14. Park EJ, Lim YJ, Cho BH, Sin IJ, Kim SO. A survey on performance of infection control by workers in nursing homes for the elderly. Journal of Korean Gerontological Nursing. 2011;13(2):79-90.
  15. Herzig CT, Stone PW, Castle N, Pogorzelska-Maziarz M, Larson EL, Dick AW. Infection prevention and control programs in us nursing homes: results of a national survey. Journal of the American Medical Directors Association. 2016;17(1):85-88. https://doi.org/10.1016/j.jamda.2015.10.017
  16. Sharma H, Xu L. Nursing home profit margins and citations for infection prevention and control. Journal of the American Medical Directors Association. 2021;22(11):2378-2383. https://doi.org/10.1016/j.jamda.2021.03.024
  17. Choi K, Moon M. Effect of infection control knowledge and nursing work environment on infection control performance among general hospital nurses. Journal of Muscle and Joint Health. 2023;30(2):120-128. https://doi.org/10.5953/JMJH.2023.30.2.120
  18. Kim SO, Ra JS. Influencing factors on nursing practices for healthcare-associated infections control in intensive care unit. Korean Journal of Healthcare-Associated Infection Control and Prevention. 2018;23(2):39-52. https://doi.org/10.14192/kjhaicp.2018.23.2.39
  19. Ku SJ, Ahn OH, Lee HJ. Factors influencing performance of standard precautions by general hospital nurses. Health & Welfare. 2022;24(3):259-277. https://doi.org/10.23948/kshw.2022.09.24.3.259
  20. Kwon HM, Lee MH, Lim HN, Lee KH. The influence of nurses' knowledge and educational needs in relation to infection control on their COVID-19 infection control performance in COVID-dedicated hospitals. Journal of the Korea Academia-Industrial cooperation Society. 2022;23(9):586-593. https://doi.org/10.5762/KAIS.2022.23.9.586
  21. Lim HS, Kwon IS. Development and effects of a hand-washing program using role-playing for preschool children. Child Health Nursing Research. 2019;25(2):123-132. https://doi.org/10.4094/chnr.2019.25.2.123
  22. Seo J, Kang JY. Effects of infection control education for families of VRE patients. Journal of the Korean Academy of Fundamentals of Nursing. 2012;19(2):212-222. https://doi.org/10.7739/jkafn.2012.19.2.212
  23. Kang YS, Oh JJ. Development and effects of an educational program for caregivers on hygienic care for diapers. The Journal of the Korea Contents Association. 2018;18(3):421-431. https://doi.org/10.5392/JKCA.2018.18.03.421
  24. Fisher JD, Fisher WA. Changing AIDS-risk behavior. Psychological Bulletin. 1992;111(3):455-474. https://doi.org/10.1037/0033-2909.111.3.455
  25. Alzghoul BI, Abdullah NA. Pain management practices by nurses: an application of the knowledge, attitude and practices (KAP) model. Global Journal of Health Sciences. 2015;8(6):154-160. https://doi.org/10.5539/gjhs.v8n6p154
  26. 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. Research in Community and Public Health Nursing. 2017;28(1):55-68. https://doi.org/10.12799/jkachn.2017.28.1.55
  27. Ajzen I. The theory of planned behaviour: reactions and reflections. Psychology & Health. 2011;26(9):1113-1127.  https://doi.org/10.1080/08870446.2011.613995
  28. Park SJ. Knowledge, attitude and practice on infection control by workers in nursing homes for the elderly. [master's thesis]. Daejeon: Konyang University; 2021. 79 p.
  29. Jeong EH. Awareness and performance for standard precautions among outpatient clinics nursing staffs in a university-affiliated hospital. [master's thesis]. Ulsan: Ulsan University; 2011. 66 p.
  30. Ko YS, Park BH. Awareness and performance level for healthcare-associated infection control among caregivers at medium and small hospitals. Korean Journal of Healthcare-Associated Infection Control and Prevention. 2016;21(2):74-84. https://doi.org/10.14192/kjhaicp.2016.21.2.74
  31. Song MS. Development of infection control e-learning training program for preventing rmerging infectious diseases for long-term care facility care workers. Journal of Korean Academic Society of Home Health Care Nursing. 2022;29(3):329-338. https://doi.org/10.22705/jkashcn.2022.29.3.329
  32. Choi JR, Cha KS, Choi JY, Han SH. Effect of on-site consultation and education on infection control in nursing homes in Korea. Korean Journal of Healthcare-Associated Infection Control and Prevention. 2022;27(1):59-68. https://doi.org/10.14192/kjicp.2022.27.1.59
  33. Gopal Rao G, Jeanes A, Russell H, Wilson D, Atere-Roberts E, O'Sullivan D, et al. Effectiveness of short-term, enhanced, infection control support in improving compliance with infection control guidelines and practice in nursing homes: a cluster randomized trial. Epidemiology & Infection. 2009;137(10):1465-1471. https://doi.org/10.1017/S0950268809002210
  34. Baldwin NS, Gilpin DF, Tunney MM, Kearney MP, Crymble L, Cardwell C, et al. Cluster randomized controlled trial of an infection control education and training intervention programme focusing on methicillin-resistant staphylococcus aureus in nursing homes for older people. Journal of Hospital Infection. 2010;76(1):36-41. https://doi.org/10.1016/j.jhin.2010.03.006
  35. Hong KH, Song HJ. Factors related to infection control performance of care workers in nursing homes. Journal of Kyungpook Nursing Science. 2021;25(1):47-55. https://doi.org/10.38083/JKNS.25.1.202102.047
  36. Kim JH, Han SJ. A phenomenological study on the experiences of long term care facility workers during the COVID-19 pandemic. Journal of Korean Public Health Nursing. 2021;35(1):33-46. https://doi.org/10.5932/JKPHN.2021.35.1.33
  37. Lee JH, Shim MO, Park HR, Kim KM. Nursing care workers' experience of care giving infected patients in long-term care hospital. The Korean Journal of Rehabilitation Nursing. 2021;24(2):154-163. http://doi.org/10.7587/kjrehn.2021.154
  38. Park YH, Lee SH, Yi YM, Lee CY, Lee MH. Development of evidence-based guidelines for nursing home's infection control in Korea. Journal of Muscle and Joint Health. 2018;25(2):135-147. https://doi.org/10.5953/JMJH.2018.25.2.135
  39. Kim KJ, Park SW. The influencing factors on infection management behavior of health worker in long term care facilities. Journal of Korean Academic Society of Home Health Care Nursing. 2016;23(2):155-165. http://doi.org/10.22705/jkashcn.2016.23.2.155
  40. Lee MH, Kim DR. Integrated literature review of infection control of nursing care workers in long-term care facilities. Korean Journal of Occupational Health Nursing. 2020;29(3):192-201. https://doi.org/10.5807/kjohn.2020.29.3.192