Browse > Article
http://dx.doi.org/10.7586/jkbns.2021.23.1.43

The Influence of Infection-related Characteristics and Patient Safety Culture on Awareness of Blood-borne Infection Prevention in Operating Room Nurses and General Ward Nurses  

Jeon, Hae Ok (Department of Nursing, Cheongju University)
An, Gyeong Ju (Department of Nursing, Cheongju University)
Lee, Jong Hee (Department of Nursing, Cheongju St. Mary's Hospital)
Lee, Kyoung Mi (Department of Nursing, Cheongju St. Mary's Hospital)
Publication Information
Journal of Korean Biological Nursing Science / v.23, no.1, 2021 , pp. 43-54 More about this Journal
Abstract
Purpose: This study aimed to identify the factors influencing infection-related characteristics and patient safety culture on awareness of blood-borne infection prevention between operating room nurses and general ward nurses. Methods: Participants were 198 nurses(operating room nurses 98 and general ward nurses: 100) working at three general hospitals and three university hospitals in three cities. Data were collected using a structured questionnaire from September 11 to October 14, 2020. Data were analyzed using descriptive statistics, t-tests, ANOVA, Pearson's correlation coefficient, and multiple regression with IBM SPSS/WIN 26.0 program. Results: Typically, 39.8% of nurses in the operating room and 24.0% of ward nurses experienced injuries such as needles and sharp instruments used by the patient. The awareness of patient safety culture was identified to be higher for the ward nurses. Factors influencing the awareness of blood-borne infection prevention in operating room nurses were patient safety culture and wearing protective equipment for infection prevention while nursing infected patients. Moreover, the explanatory power of these variables was 19.4%. In general ward nurses, the patient safety culture was identified as a significant predictor, which accounted for 16.5% of awareness of blood-borne infection prevention. Conclusion: To prevent hospital infection, a strategy is needed to improve the level of awareness of blood-borne infection prevention and patient safety culture of operating room nurses. To this end, the difference in infection-related characteristics and influencing factors between the operating room nurses and the general ward nurses should be considered and planned.
Keywords
Blood-borne infections; Infection control; Nurses; Operating room nursing; Patient safety;
Citations & Related Records
Times Cited By KSCI : 3  (Citation Analysis)
연도 인용수 순위
1 Park KO, Kim JK, Kim MS. Operating room nurses' experiences of securing for patient safety. Journal of Korean Academy of Nursing. 2015;45(5):761-772. https://doi.org/10.4040/jkan.2015.45.5.761   DOI
2 Cho SS, Gang MH. Perception of patient safety culture and safety care activity of entry-level nurses. Korean Journal of Occupational Health Nursing. 2013;22(1):24-34. https://doi.org/10.5807/kjohn.2013.22.1.24   DOI
3 Ryu JG, Choi-Kwon S. Association of sleep disturbance, fatigue, job stress and exposure to blood and body fluid in shift-work nurses. Journal of Korean Biological Nursing Science. 2018;20(3):187-195. https://doi.org/10.7586/jkbns.2018.20.3.187   DOI
4 Choi OH, Lee GE. Factors influencing for the compliance of preventing bloodborne infection for operating room nurses. Korean Journal of Occupational Health Nursing. 2006;15(1):30-39.
5 Jeong GR, Ryu SY, Han MA, Choi SW. The associated factors with performance for prevention of blood-borne infection among operating room nurses. Journal of Health Informatics and Statistics. 2016;41(1):10-17. https://doi.org/10.210332/jhis.2016.41.1.10   DOI
6 Park SJ, Kim KS. The knowledge, perception and compliance to prevent from blood borne infection for operating room nurses. Journal of Korean Critical Care Nursing. 2009;2(2): 28-41.
7 Kim NY, Jeong SY. Perception on and behaviors for blood-borne infection prevention among operating room nurses. Journal of Korean Clinical Nursing Research. 2016;22(3):276-284. https://doi.org/10.22650/JKCNR.2016.22.3.276   DOI
8 Osborne S. Influences on compliance with standard precautions among operating room nurses. American Journal of Infection Control. 2003;31(7):415-423. https://doi.org/10.1067/mic.2003.68   DOI
9 Kang MK, Kim KH, Choi MH. A study on levels of awareness of noncomical infection and management practice by operating room nurses. Journal of Korean Academy Fundamental Nursing. 2004;11(3):327-334.
10 Hessels AJ, Genovese-Schek V, Agarwal M, Wurmser T, Larson EL. Relationship between patient safety climate and adherence to standard precautions. American Journal of Infection Control. 2016;44(10):1128-1132. https://doi.org/10.1016/j.ajic2016.03.060   DOI
11 Choi EA, Kwon YE. The effects of patient safety culture perception and patient safety competencies on patient safety management activities in nurses. Journal of Digital Convergence. 2019;17(12):281-288. https://doi.org/10.14400/JDC.2019.17.12.281   DOI
12 Kim EH. Hospital workers awareness on patient safety culture and elderly fall prevention [master's thesis]. Seoul: Hanyang University; 2014. p. 84.
13 Choi OH, Lee GE. Factors influencing for the compliance of preventing bloodborne infection for operating nurses. Korean Journal of Occupational Health Nursing. 2006:15(1):30-39.
14 Nagao M, Iinuma Y, Igawa J, Matsumura Y, Shirano M, Matsushima A, et al. Accidental exposures to blood and body fluid in the operation room and the issue of underreporting. American Journal of Infection Control. 2009;37(7):541-544. https://doi.org/10.1016/j.ajic.2009.01.009   DOI
15 Steelman VM, Graling PR, Perkhounkova Y. Priority patient safety issues identified by perioperative nurse. AORN Journal. 2013;97(4):402-18. https://doi.org/10.1016/j.aorn.2012.06.016.   DOI
16 Braun BI, Chitavi SO, Suzuki H, Soyemi CA, Puig-Asensio M. Culture of safety: Impact on improvement in infection prevention process and outcomes. Current Infectious Disease Reports. 2020;22:34-75. https://doi.org/10.1007/s11908-020-00741-y   DOI
17 Occupational Safety and Health Administration(OSHA). Bloodborne pathogens and needlestick prevention[Internet]. Washington; United States of Department of Labor: 2020[cited 2020 Jan 10]. Available from: https://www.osha.gov/bloodborne-pathogens/standards
18 Lim HS, Ahn YS. Occupational diseases among health care workers approved by Korea Labor Welfare Corporation. Korean Journal of Occupational and Environmental Medicine. 2003;15(2):196-204.
19 Kim J, Kim J. Importance awareness and compliance on patient safety for nurses working in operating rooms. Journal of the Korea Academia-Industrial Cooperation Society. 2011;12(12): 5848-5758. https://doi.org/10.5762/KAIS.2011.12.12.5748   DOI
20 Lee BR. Perceived patient safety culture of healthcare providers in the operating room [master's thesis]. Seoul: Seoul National University; 2019. p. 125.
21 Park SJ, Choi EH, Lee KS, Chung KA. A study on perception and nursing activity for patient safety of operating room nurses. The Korea Academia-Industrial cooperation Society. 2016;17(11):332-339. http://doi.org/10.5762/KAIS.2016.17.11.332   DOI
22 Jeong IS, Cho JH, Park SM. Compliance with standard precautions among operating room nurses in South Korea. American Journal of Infection and Control. 2008;36(10):739-742. https://doi.org/10.1016/j.ajic.2008.04.253   DOI
23 Lin H, Wang X, Luo X, Qin Z. A management program for preventing occupational blood-borne infectious exposure among operating room nurses: an application of the PRECEDE-PROCEED model. The Journal of International Medical Research. 2020;48(1):1-12. https://doi.org/10.1177/0300060519895670   DOI