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Affecting Factors on Hospital Nurses' Practice of Disinfection: Focused on Alcohol, Chlorhexidine Gulconate, and Povidone Iodine  

Choi, Jeong-Sil (Department of Nursing, Gachon University of Medicine and Science)
An, Gyeong-Ju (Department of Nursing, Cheongju University)
Park, Seung-Mi (Department of Nursing & The Institute for Basic Sciences, Hoseo University)
Publication Information
Journal of Korean Biological Nursing Science / v.13, no.2, 2011 , pp. 125-133 More about this Journal
Abstract
Purpose: This study was performed to identify the affecting factors on hospital nurses' practice of disinfection focused on alcohol, chlorhexidine gluconate (CHG), and povidone iodine (PVI). Methods: The participants in this study were 196 nurses of 3 general hospitals and 2 upgrade general hospitals in 5 cities in Korea. Data were collected through self-reported questionnaires in January, 2011. The collected data were analysed by ANOVA, Pearson correlation and stepwise multiple regression using SPSS/WIN 18.0. Results: The subjects used alcohol and PVI daily for intravenous site care and surgical wound dressing respectively. The mean percentage of awareness in practicing main disinfectants were 80.0% and 72.5% respectively. The awareness and practice were highest in alcohol, but lowest in CHG. The mean percentage of practice of disinfectants was 72.5%. There was positive correlation among awareness and practice of main disinfectants. The awareness and nurses' salary explained 34.6% of variance in practice of disinfectants. Conclusion: An educational program focusing on strategy to enhance hospital nurses' awareness would be effective in improving their practice of disinfectants.
Keywords
Alcohol; Chlorhexidine; Povidone; Nurses; Practice;
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1 Oberdorfer, A., Wiggers, J. H., Considine, R. J., Bowman, J., & Cockburn, J. (2003). Skin penetration operators' knowledge and attitudes towards infection control. American Journal of Health Behavior, 27,125-134.   DOI   ScienceOn
2 Pancorbo-Hidalgo, P. L., Garcia-Fernandez, F. P., Lopez-Medina, I. M., & Lopez-Ortega, J. (2007). Pressure ulcer care in Spain: nurses' knowledge and clinical practice. Journal of Advanced Nursing, 58, 327-338.   DOI   ScienceOn
3 Park, E. S., Jeong, S. J., Kim, K. M., Kim, O. S., Jeong, S. Y., Jang, S. Y., & Yoon, S. W. (2006). Descriptive study on current usage of disinfections in Korea. Korean Journal of Nosocomial Infection Control, 11, 42-49.
4 Rutala, W. A., Weber, D. J., & the Healthcare Infection Control Practices Advisory Committee [HICPAC]. (2008). Guideline for disinfection and sterilization in healthcare facilities, 2008. Retrieve from September 19, 2010, from CDC Web site: http://www.cdc.gov/hicpac/pdf/guidelines/Disinfection_Nov_2008.pdf
5 Yang, N. Y., & Choi, J. S. (2011). Nurse's knowledge, attitude and practice of skin disinfection. Korean Journal of Adult Nursing, 23, 278-287.
6 Wenzel, R. P. (Fourth ed.) (2003). Prevention and control of nosocomial infections. Philadelphia: Lippincott williams & wilkins.
7 Grillo, O. C., Alfino, D., Anzalone, C., Cannavo, G., & Ventura Spagnolo, E. (2004). Knowledge of disinfection practices and behaviour of the nursing staff at a hospital. Annali di Igiene, 16, 341-349.
8 Doughty, D. (2005). Dressings and more: guidelines for topical wound management. The Nursing Clinics of North America, 40, 217-231.   DOI   ScienceOn
9 Dugdall, H., & Watson, R. (2009). What is the relationship between nurses' attitude to evidence based practice and the selection of wound care procedures? Journal of Clinical Nursing, 18, 1442-1450.   DOI   ScienceOn
10 Durani, P., & Leaper, D. (2008). Povidone-iodine: use in hand disinfection, skin pre-paration and antiseptic irrigation. International Wound Journal, 5, 376-387.   DOI   ScienceOn
11 Han, Y. R. (2006). A study on nurses' knowledge, technical skill and nursing intervention of wound management. Unpublished master's thesis, Seoul National University, Seoul.
12 Higgins, M., & Evans, D. S. (2008). Nurses' knowledge and practice of vascular access infection control in hemodialysis patients in the Republic of Ireland. Journal of Renal Care, 34(2), 48-53.   DOI   ScienceOn
13 Haram, R., Ribu, E., & Rustoen, T. (2003). The views of district nurses on their level of knowledge about the treatment of leg and foot ulcers. J Wound Ostomy Continence Nurs, 30, 25-32.
14 Im, K. S. (2003). The knowledge relating disinfection for the nurses in operating room. Unpublished master's thesis, Inje University, Busan.
15 Jeong, I. S., Yoo, K. S., Jeong, J. S., Kim, O. S., & Oh, H. S. (2002). Knowledge on the disinfection among nurses in the hospital. Korean Journal of Nosocomial Infection Control, 7, 31-40.
16 Cohen, J. (1988). Statistical power analysis for the behavioral science (2nd ed.). New Jersey: Lawrence Erlbaum Associates.
17 Korean Society for Nosocomial Infection Control. (2006). Nosocomial infection control. Seoul: Hanmibook.
18 Ayello, E. A., Baranoski, S., & Salati, D. S. (2005). A survey of nurses' wound care knowledge. Advances in Skin & Wound Care, 18, 268-278.   DOI   ScienceOn
19 Christine, D. B., & John, A. Z. (1993). A review of topical agents for wounds and methods of wounding. Guidelines for wound management. The Journal of Dermatologic Surgery and Oncology, 19, 732-737.
20 Committee for disinfectants in Korean Association of Infection Control Nurses, Park, E. S., Kim, O. S., Kim, K. M., Kim, Y. S., Jeong, S. Y., & Yoon, S. W. (2001). Descriptive study for status of usage of disinfections in Korea. Korean Journal of Nosocomial Infection Control, 6, 17-32.