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A scoping review on education on donning and doffing personal protective equipment to prevent healthcare-associated infections in Korea

국내 의료관련감염 예방을 위한 개인보호구 착·탈의 교육에 대한 주제범위 문헌고찰

  • Sung Ae Choi (Konyang University industry-academic cooperation foundation) ;
  • Gi-Ran Lee (Department of Nursing, Howon University)
  • 최성애 (건양대학교 산학협력단) ;
  • 이기란 (호원대학교 간호학과)
  • Received : 2024.07.07
  • Accepted : 2024.09.20
  • Published : 2024.09.28

Abstract

The purpose of this study is to supply evidences through scoping review of educational intervention studies for donning and doffing PPE to prevent healthcare-associated infection provided to nurses and student nurses in Korea. Through the search engines RISS, KISS, and DBpia, 12 articles were chosen by searching through theses and journals which were published before May 1, 2024. According to the study result, relevant studies were 12, and the education programs provided to donning and doffing PPE to prevent healthcare-associated infection were classified into 1) simulation based education, 2) video and practice based education, and 3) non-contact education. Knowledge, performance confidence, self-efficacy, performance, attitude, and awareness were confirmed as effects of the intervention. Based on the results of this study, there is necessity to develop more diverse teaching and learning methods and evaluation methods for donning and doffing PPE that can prevent healthcare-associated infection in infectious disease and emerging infectious disease situations, and repeatedly conduct research on educational intervention for donning and doffing PPE.

본 연구는 국내 간호사 및 간호대학생에게 제공된 의료관련감염 예방을 위한 개인보호구 착·탈의 교육 중재 연구의 주제범위 문헌고찰을 통해 개인보호구 착·탈의 교육 자료 및 교육 프로그램 개발을 위한 기초자료로 제공하기 위해 시행하였다. 국내 데이터베이스 RISS, KISS, DBpia를 통해 2024년 5월 1일 검색일 이전에 출판된 모든 문헌을 검색하였으며, 최종 12편의 문헌을 선정 및 분석하였다. 연구결과 간호사 및 간호대학생에게 제공된 의료관련감염 예방을 위한 개인보호구 착·탈의 교육 프로그램은 1) 시뮬레이션 교육, 2) 동영상 및 실습 교육, 3) 비대면 교육으로 분류되었다. 교육 프로그램의 효과로는 지식, 수행자신감, 자기효능감, 수행도, 태도, 인식도 등에 유의한 효과가 있었다. 본 연구결과를 토대로 감염병 및 신종감염병 상황에서 의료관련감염을 예방할 수 있는 개인보호구 착·탈의에 대한 좀 더 다양한 교수 학습 방법과 평가 방법을 개발하고, 개인보호구 착·탈의 교육 중재 연구의 반복 및 확대를 제언한다.

Keywords

References

  1. Korea Disease Control and Prevention Agency. (2024, April 3). Healthcare associated infection. Retrieved June 3, 2024, from https://www.kdca.go.kr/contents.es?mid=a2030 1080100
  2. M. S. Chevalier et al. (2014). Ebola virus disease cluster in the United States-Dallas county, Texas, 2014. Morbidity and Mortality Weekly Report, 63(46), 1087-1088.
  3. International Council of Nurses. (2021, March 11). COVID-19 pandemic one year on: ICN warns of exodus of experienced nurses compounding current shortages. Retrieved June 3, 2024, from https://www.icn.ch/news/covid-19-pandemic-one-year-icn-warns-exodus-experienced-nurs es-compounding-current-shortages
  4. M. H. Jeong. (2015). Survey of exposure to blood and body fluids, knowledge, awareness and performance on standard precautions of infection control in nursing students. Journal of the Korea Contents Association, 15(4), 316-329. DOI: 10.5392/JKCA.2015.15.04.316
  5. J. H. Seo, & E. Y. Jung. (2017) Factors influencing nursing students performance on standard precautions of infection control. Journal of Korean Biological Nursing Science, 19(2), 69-75. DOI: 10.7586/jkbns.2017.19.2.69
  6. B. R. Kang, & J. A. Lee. (2022). The effect of hand hygiene and on personal protective equipment removal education on the hand hygiene knowledge and knowledge of PPE, attitude, self-efficacy in nursing students. The Journal of the Convergence on Culture Technology (JCCT), 8(6), 191-198. DOI: 10.17703/JCCT.2022.8.6.191
  7. E. J. Yoon, & M. H. Kim. (2013). Knowledge and compliance with hand hygiene by nursing students in clinical practice. Journal of Korean Academic Society of Nursing Education, 19(3), 455-464. DOI: 10.5977/jkasne.2013.19.3.455
  8. J. H. Kang. (2018). Simulation results for contamination comparisons by various use protocols of personal protective equipment. The Korea Journal of Medicine, 93(1), 41-49. DOI: 10.3904/kjm.2018.93.1.41
  9. J. Baloh et al. (2019). Healthcare workers' strategies for doffing personal protective equipment. Clinical Infectious Diseases, 69(Supplement_3), S192-S198. DOI: 10.1093/cid/ciz613
  10. Occupational Safety and Health Administration. (2002). Technical manual, section, personal protective equipment, chapter 1: Chemical protective clothing. Retrieved June 4, 2024, from https://www.osha.gov/otm/section-8-ppe/cha pter-1
  11. Korea Disease Control and Prevention Agency. (2020). Level 1. infectious disease middle east respiratory syndrome [MERS] response guidelines. Retrieved June 4, 2024, from https://www.gidcc.or.kr/wp-content/uploads/2 016/12/%EC%A0%9C1%EA%B8%89%EA%B0%90 %EC%97%BC%EB%B3%91_%EC%A4%91%EB%8F %99%ED%98%B8%ED%9D%A1%EA%B8%B0%EC% A6%9D%ED%9B%84%EA%B5%B0MERS_%EB%8C %80%EC%9D%91%EC%A7%80%EC%B9%A8.pdf
  12. J. H. Kim, S. A. Kim, I. Y. Jeon, & J. I. Kim. (2020). Convergence education effect of donning and doffing personal protective equipment for non-medical personnel to the new infectious disease. Journal of the Korea Convergence Society, 11(5), 353-361. DOI: 10.15207/JKCS.2020.11.5.353
  13. M. M. Park, & B. H. Kim. (2022). Training effectiveness of the COVID-19 related to personal protective equipment on nursing students. Journal of Learner-Centered Curriculum and Instruction, 22(20). 103-114. DOI: 10.22251/jlcci.2022.22.20.103
  14. S. H. Yang. (2021). The effect of new respiratory infectious disease simulation education on knowledge, clinical performance and self-efficacy of emergency room nurses. Master's thesis. Konyang University, Chungcheongnam-do.
  15. H. M. Yang, & M. R. Eom. (2024). Development and effectiveness of multidrug resistant organisms infection control simulation education program for nursing students. Journal of Business Convergence, 9(1), 57-63. DOI: 10.31152/JB.2024.02.9.1.57
  16. H. D. Lee, E. K. Lee, B. G. Lee, J. H. Park, S. Y. Jung, & J. W. Han. (2021). Effects of nursing simulation education program on the use of personal protective equipment for COVID-19. Journal of Korean Society for Simulation in Nursing, 9(2), 87-100. DOI: 10.17333/JKSSN.2021.9.2.87
  17. S. H. Lee. (2023). Development and application of mobile integrated simulation for COVID-19 nursing practice. Doctoral thesis. Gachon University, Gyeonggi-do.
  18. H. W. Lee. (2022). Effect of the personal protective equipment donnig and doffing program for nurses in military hospitals. Master's thesis. Pusan National University, Busan.
  19. H. Arksey, & L. O'Malley. (2005). Scoping studies: Towards a methodological framework. International Journal of Social Research Methodology, 8(1), 19-32. DOI: 10.1080/1364557032000119616
  20. M. D. Peters, C. M. Godfrey, H. Khalil, P. McInerney, D. Parker, & C. B. Soares. (2015). Guidance for conducting systematic scoping reviews. JBI Evidence Implementation, 13(3), 141-146. DOI : 10.1097/XEB.0000000000000050
  21. I. S. Jang, & M. H. Park. (2021). Effect of infection control education based on isolation room-simulation for nursing students. Journal of Korean Academy of Nursing Administration, 27(5), 379-389. DOI : 10.11111/jkana.2021.27.5.379
  22. J. Y. Park. (2022). Development and effectiveness of an epidemiological investigation simulation program of emerging respiratory infectious diseases for nursing students: Application of standardized patients. Master's thesis. Chung-Ang University, Seoul.
  23. S. H. Heo. (2022). The effects of augmented reality simulation based personal protective equipment practice on nursing students' knowledge, performance confidence, practice immersion and practice satisfaction. Master's thesis. Gyeongsang National University, Gyeongsangnam-do.
  24. S. Y. Jung, E. K. Lee, B. G. Lee, & J. H. Park. (2023). Nursing simulation program for patient safety and infection prevention based on a brain-based learning framework: Pilot study. Journal of Korean Society for Simulation in Nursing, 11(1), 97-108. DOI : 10.17333/JKSSN.2023.11.1.97
  25. J. H. Lee. (2022). Practice education effects of donning and doffing personal protective equipment for nursing students. Master's thesis. Changwon National University, Gyeongsangnam-do.
  26. H. A. Park et al. (2021). Nursing information (3rd ed.). Seoul: Hyunmoonsa.
  27. P. R. Jeffries. (2005). A framework for designing, implementing, and evaluating: Simulations used as teaching strategies in nursing. Nursing Education Perspectives, 26(2), 96-103.
  28. P. M. Ironside, P. R. Jeffries, & A. Martin. (2009). Fostering patient safety competencies using multiple-patient simulation experiences. Nursing Outlook, 57(6), 332-337. DOI : 10.1016/j.outlook.2009.07.010
  29. J. N. Warren, M. Luctkar-Flude, C. Godfrey, & J. Lukewich. (2016). A systematic review of the effectiveness of simulation-based education on satisfaction and learning outcomes in nurse practitioner programs. Nurse Education Today, 46, 99-108. DOI : 10.1016/j.nedt.2016.08.023
  30. Y. Jung. (2022). Virtual reality simulation for disaster preparedness training in hospitals: Integrated review. Journal of Medical Internet Research, 24(1), e30600. DOI : 10.2196/30600
  31. J. T. Paige et al. (2014). Getting a head start: High-fidelity, simulation-based operating room team training of interprofessional students. Journal of the American College of Surgeons, 218(1), 140-149. DOI : 10.1016/j.jamcollsurg.2013.09.006
  32. N. H. Lim. (2021). An integrative analysis of field observation and ex-post evaluation for motivation, capacity and transformation of a medical emergency organization in response to the COVID-19 pandemic. Master's thesis. Seoul National University of Science and Technology, Seoul.
  33. E. J. Ji, & H. E. Seo. (2020). Effects of simulation based education using standardized patient for contact precaution infection control for nursing students. Journal of Convergence for Information Technology, 10(11), 87-97. DOI : 10.22156/CS4SMB.2020.10.11.087
  34. B. H. Kim, & H. Y. Kang. (2019). Knowledge, perception, and attitude related to personal protective equipment of student nurses: Acute respiratory infections. Journal of the Korea Academia-Industrial Cooperation Society, 20(12), 139-147. DOI : 10.5762/KAIS.2019.20.12.139
  35. S. M. Lim, W. C. Cha, M. K. Chae, & I. J. Jo. (2015). Contamination during doffing of personal protective equipment by healthcare providers. Clinical and Experimental Emergency Medicine, 2(3), 162. DOI : 10.15441/ceem.15.019
  36. E. Casalino, E. Astocondor, J. C. Sanchez, D. E. Diaz-Santana, C. Del Aguila, & J. P. Carrillo. (2015). Personal protective equipment for the Ebola virus disease: A comparison of 2 training programs. American Journal of Infection Control, 43(12), 1281-1287. DOI : 10.1016/j.ajic.2015.07.007