Browse > Article
http://dx.doi.org/10.7586/jkbns.2019.21.1.46

The Effects of Organizational Culture for Infection Control and Self-Efficacy on Compliance with Standard Precautions of Emergency Room Nurses  

Kim, Hyunhee (Department of Nursing, Chungbuk National University Hospital)
Park, Hyung-Ran (Department of Nursing Science, Chungbuk National University)
Publication Information
Journal of Korean Biological Nursing Science / v.21, no.1, 2019 , pp. 46-53 More about this Journal
Abstract
Purpose: This study was conducted to identify the effects of organizational culture for the infection control and self-efficacy on compliance with standard precautions of emergency room nurses. Methods: This cross-sectional descriptive study was conducted from 1st July to 3rd August, 2017. The participants were 200 nurses working in emergency rooms. The data was collected using structured self-report questionnaires. Results: The average scores for the organizational culture for infection control, self-efficacy and compliance with standard precautions were 5.54, 3.65, and 4.31, respectively. The organizational culture for infection control (r = .59, p< .001) and self-efficacy (r= .28, p< .001) were found to have a positive, meaningful correlation with compliance with the standard precautions. Multiple regression analysis showed that compliance with standard precautions was significantly affected by the organizational culture for infection control (${\beta}=0.55$, p< .001) and self-efficacy (${\beta}=0.13$, p= .033). Conclusion: The results for this study indicate that the organizational culture for infection control and self-efficacy were highly influential factors affecting compliance with standard precautions of emergency room nurses. Therefore, in order to improve the nurses' use of the standard precautions, it was necessary to develop and evaluate a program that considers the environmental factors and self-efficacy.
Keywords
Emergency nursing; Infection control; Organizational culture; Self efficacy; Universal precautions;
Citations & Related Records
Times Cited By KSCI : 2  (Citation Analysis)
연도 인용수 순위
1 Korea Centers for Disease Control and Prevention (KCDC). Standard precautions for infection control in emergency room [Internet]. Seoul: KCDC; 2010 March 3 [cited 2017 May 1]. Available from: http://cdc.go.kr
2 Korean Statistical Information Service (KOSIS). National infectious disease report [Internet]. Seoul: KOSIS ; 2018 Aug [cited 2018 Sep 20]. Available from: http://kosis.kr
3 Johnson NB, Hayes LD, Brown K, Hoo EC, Ethier KA. CDC National health report: Leading causes of morbidity and mortality and associated behavioral risk and protective factors-United States, 2005-2013. Morbidity and Mortality Weekly Report. Atlanta: Center for Disease Control and Prevention; 2014 Oct. Supplements, 63(4).
4 Liang SY, Theodoro DL, Schuur JD, Marschall J. Infection prevention in the emergency department. Annals Emergency Medicine. 2014;64(3):299-313. http://dx.doi.org/10.1016/j.annemergmed.2014.02.024   DOI
5 Korean Statistical Information Service (KOSIS). Report of emergency medical service: Current status of use of emergency medicial care [Internet]. Seoul: KOSIS; 2017 Nov 10 [cited 2017 Dec 20]. Available from: http://kosis.kr
6 Hessels AJ, Larson EL. Relationship between patient safety climate and standard precaution adherence: A systematic review of the literature. Journal of Hospital Infection. 2016;92(4):349-362. http://dx.doi.org/10.1016/j.jhin.2015.08.023   DOI
7 Luo Y, He GP, Zhou JW, Luo Y. Factors impacting compliance with standard precautions in nursing, China. International Journal of Infectious Disease. 2010;14(12):e1106-1114. http://dx.doi.org/10.1016/j.ijid.2009.03.037   DOI
8 Ministry of Health and Welfare. A master plan for prevention and control of infectious disease 2013-2017 [Internet]. Seoul: KMHW; 2013 August [cited 2017 May 1]. Available from: http://www.mohw.go.kr
9 Brevidelli MM, Cianciarullo T. Psychosocial and organizational factors relating to adherence to standard precautions. Revista De Saude Publica. 2009;43(6):907-916. http://dx.doi.org/10.1590/S0034-89102009005000065   DOI
10 Kim Y. Healthcare reform after MERS outbreak: Progress to date and next steps. The Journal of the Korean Medical Association. 2016;59(9):668-671. doi: http://dx.doi.org/10.5124/jkma.2016.59.9.668   DOI
11 Siegel JD, Rhinehart E, Jackson M, Chiarello L; Health Care Infection Control Practices Advisory Committee. 2007 guideline for isolation precautions: Preventing transmission of infectious agents in health care settings. American Journal of Infection Control. 2007;35(10):S65-164. http://dx.doi.org/10.1016/j.ajic.2007.10.007   DOI
12 Efstathiou G, Papastavrou E, Raftopoulos V, Merkouris A. Factors influencing nurses' compliance with standard precautions in order to avoid occupational exposure to microorganisms: A focus group study. BioMedCentral Nursing. 2011;10:1. http://dx.doi.org/10.1186/1472-6955-10-1
13 DeJoy DM, Searcy CA, Murphy LR, Gershon RR. Behavioral-diagnostic analysis of compliance with universal precautions among nurses. Journal of Occupational Health Psychology. 2000;5(1):127-141. http://dx.doi.org/10.1037/1076-8998.5.1.127   DOI
14 Takahashi I, Turale S. Evaluation of individual and facility factors that promote hand washing in aged-care facilities in Japan. Nursing & Health Sciences. 2010; 12(1):127-134. http://dx.doi.org/10.1111/j.1442-2018.2009.00509.x   DOI
15 Moon JE. A structural model of performance of healthcare-associated infection control guideline in hospital nurses [dissertation]. Gwangju: Chonnam National University; 2015. 226 p.
16 Quan M, Wang X, Wu H, Yuan X, Lei D, Jiang Z, et al. Influencing factors on use of standard precautions against occupational exposures to blood and body fluids among nurses in China. International Journal of Clinical and Experimental Medicine. 2015;8(12):22450-22459.
17 Han D, Seo K, Kim ES, Kim HE. Influences of moral sensitivity and safety environment on compliance with standard precautions among nurses. Journal of the Korea Academia-Industrial Cooperation Society. 2018;19(3):364-375. https://doi.org/10.1056/NEJMc1505190   DOI
18 Shim SA. The standard for the prevention of infections of a local medical workers : Centered on the nurse's moral sensitivity, infection management, standard precaution [master's thesis]. Kimhae: Kaya University; 2018. 60 p.
19 Lee K, Kim HS, Lee YW, Ham OK. Factors influencing compliance with standard precautions in intensive care unit and emergency room nurses. The Korean Journal of Fundamentals of Nursing. 2012;19(3):302-312. http://dx.doi.org/10.7739/jkafn.2012.19.3.302   DOI
20 Suh YH, Oh HY. Knowledge, perception, safety climate, and compliance with hospital infection standard precautions among hospital nurses. Journal of Korean Clinical Nursing Research. 2010;16(2):61-70.
21 Park HH. A structural model of nurses' patient safety management activities [dissertation]. Daejeon: Eulji University; 2013. 100 p.
22 Sherer M, Maddux, JE, Mercandante B, Prentice-Dunn S, Jacobs B, Rogers RW. The self-efficacy scale: Construction and validation. Psychological Reports. 1982;51(2):663-671. http://dx.doi.org/10.2466/pr0.1982.51.2.663   DOI
23 Hong HY. The Relationships of perfectionism, self-efficacy and depression [master's thesis]. Seoul: Ewha Womans University; 1995. 73 p.
24 Mencl J, Tay L, Schwoerer CE, Drasgow F. Evaluating quantitative and qualitative types of change: An analysis of the malleability of general and specific selfefficacy constructs and measures. Journal of Leadership & Organizational Studies. 2012;19(3):378-391. http://dx.doi.org/10.1177/1548051812442968   DOI
25 Kim MR. The influence of the emotional labor, professional self-concept, selfconcept, self-efficacy, and social support of emergency room nuese's burnout [master's thesis]. Seoul: Kyung Hee University; 2017. 75 p.
26 Hong SY. Nursing students' awareness and performance of standard precautions in hospital infection control [master's thesis]. Daegu: Keimyung University; 2011. 43 p.
27 Lee MJ. Relationships among perception about patient safety culture and awareness, and performance of standard precautions in hospital nurses [master's thesis]. Jinju: Gyeongsang National University; 2013. 59 p.
28 Ministry of Health and Welfare. Referral network development based on Independent capacity protocol for solution of ED crowding [Internet]. Seoul: KMHW; 2016 December [cited 2018 Nov 2]. Available from: http://www.prism.go.kr/homepage/main/retrieveMain.do
29 Park HJ. A study on emergency room nurses' knowledge, safety climate, and performance of standard precautions for infection control [master's thesis]. Daegu: Kyungpook National University; 2016. 48 p.
30 Choi J, Park HJ. Professional self-concept, self-efficacy and job satisfaction of clinical nurse in schoolwork. The Journal of Korean Nursing Administration Academic Society. 2009;15(1):37-44.
31 Kim HS. Factors influencing nurses' compliance with standard precautions in a general hospital [master's thesis]. Seoul: Catholic University; 2015. 38p.
32 Cho SK, Kim KM, Lee BY, Park SA. The effects of simulation-based infection control training on the intensive care unit nurses’ perception, clinical performance, and self-efficacy of infection control. Journal of Korean Clinical Nursing Research. 2012;18(3):381-390.   DOI