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http://dx.doi.org/10.7475/kjan.2015.27.3.325

The Factors Influencing Compliance of Multidrug-resistant Organism Infection Control in Intensive Care Units Nurses  

Kim, Ji Hee (Keimyung University Dongsan Medical Center.Keimyung University Research Institute of Nursing Science)
Lim, Kyung Hee (College of Nursing, Keimyung University.Keimyung University Research Institute of Nursing Science)
Publication Information
Korean Journal of Adult Nursing / v.27, no.3, 2015 , pp. 325-336 More about this Journal
Abstract
Purpose: This study was conducted to identify factors influencing compliance of multidrug-resistant organism infection control in intensive care units (ICU) nurses. Methods: Data were collected from 254 ICU nurses who were working at 6 general and advanced general hospitals in D city and G Province. Results: 77.2% and 84.4% of the subjects correctly answered to questions about Methicillin-Resistant Staphylococcus Aureus (MRSA) and Vancomycin-Resistant Enterococcus (VRE), respectively. The scores of MRSA infection control compliance and VRE infection control compliance were 3.41 and 3.43, respectively. The factors influencing MRSA infection control compliance were empowerment, environmental safety recognition, and education satisfaction, which explained 30% of MRSA infection control compliance. The factors significantly related to VRE infection control compliance were empowerment, hospital types, environmental safety recognition, number of education sessions, and neonatal ICU, which explained 37% of VRE infection control compliance. Conclusion: It is necessary to develop efficient educational programs for infection control including educational contents to improve empowerment and environmental safety recognition of nurses. Furthermore, administrative support for those infection control programs is also necessary.
Keywords
Infection control; Intensive care units; Methicillin-resistant staphylococcus aureus; Vancomycin resistance; Enterococcus;
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Times Cited By KSCI : 6  (Citation Analysis)
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1 Korean society for nosocomial infection control [KOSNIC]. Infection control and prevention in healthcare facilities. 4th ed. Seoul: Hanmi medical publishing company; 2011.
2 The Steering Committee of the Korean Nosocomial Infections Surveillance System. Korean Nosocomial Infections Surveillance System (KOINS) report: data summary from July 2013 through June 2014[Internet]. Chungcheongbuk-do: The Korean Nosocomial Infections Surveillance System; 2014 [cited 2015 January 10]. Available From: http://konis.cdc.go.kr/konis/sub/reports_icu.htm.
3 Barsanti MC, Woeltje KF. Infection prevention in the intensive care unit. Infectious Disease Clinics of North America. 2009;23(3):703-25. http://dx.doi.org/10.1016/j.idc.2009.04.012   DOI
4 Cosgrove SE. The relationship between antimicrobial resistance and patient outcomes: mortality, length of hospital stay, and health care costs. Clinical Infectious Diseases. 2006;42(2):82-9. http://dx.doi.org/10.1086/499406   DOI
5 Kim ES, Joo EJ, Ha YE, Wi YM, Cheong HS, Lee JS, et al. Clinical characteristics of infective endocarditis caused by staphylococcus aureus: a 12-year experience in a tertiary-care hospital. Korean Journal of Medicine. 2009;76(3):329-37.
6 Park ES, Jeong JS, Kim KM, Kim OS, Jin HY, Jung SY, et al. A study on the costs of hospital infection control and prevention. Korean Journal of Nosocomial Infection Control. 2007;12(1):50-7.
7 Siegel JD, Rhinehart E, Jackson M, Chiarello L. Management of multidrug-resistant organisms in health care settings, 2006. American Journal of Infection Control. 2007;35(10):165-93. http://dx.doi.org/10.1016/j.ajic.2007.10.006
8 Korea Centers for Disease Control and Prevention. Multi-drug resistant bacteria control guideline [Internet]. Chungcheongbuk-do: Korea centers for disease control and prevention; 2012 [cited 2015 January 10]. Available from: http://www.cdc.go.kr/CDC/contents/CdcKrContentLink.jsp?fid=51&cid=18712&ctype=1
9 Kang J, Cho J, Kim Y, Kim DH, Lee J, Park HK, et al. Hospital nurses' knowledge and compliance on multidrug-resistant organism infection control guideline. Journal of Korean Academy of Nursing. 2009;39(2):186-97.   DOI
10 Huskins WC, Huckabee CM, O'Grady NP, Murray P, Kopetskie H, Zimmer L, et al. Intervention to reduce transmission of resistant bacteria in intensive care. New England Journal of Medicine. 2011;364(15):1407-18. http://dx.doi.org/10.1056/NEJMoa1000373   DOI
11 Kim YC, Kim MH, Song JE, Ahn JY, Oh DH, Kweon OM, et al. Trend of methicillin-resistant Staphylococcus aureus (MRSA) bacteremia in an institution with a high rate of MRSA after the reinforcement of antibiotic stewardship and hand hygiene. American Journal of Infection Control. 2013;41(5):39-43. http://dx.doi.org/10.1016/j.ajic.2012.12.018   DOI   ScienceOn
12 Lee SE, Kim MJ, Sohn JW, Chun BC. Hand-washing practices followed by health care workers in a tertiary care hospital depending on their carriage status for nasally transmitted Methicillin-Resistant Staphylococcus aureus. The Korean Journal Nosocomial Infection Control. 2011;16(1):18-28.
13 Cho GL. Influencing factors on the compliance about standard precautions among ICU and ER nurses. [master's thesis]. Seoul: Seoul National University; 2007.
14 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(1):61-70.
15 Yoon JM, Sung MH. The relationship between empowerment and performance of infection control by emergency department nurses. The Korean Journal of Fundamentals of Nursing. 2009;16(4):412-20.
16 Park YM. A study of knowledge and performance of the ICU nurses for the VRE infection control. [master's thesis]. Busan: Busan University; 2008.
17 Conger JA, Kanung RN. The empowerment process: integrating theory and practice. The Academy of Management Review. 1988;13(3):471-82. http://dx.doi.org/10.5465/AMR.1988.4306983   DOI
18 Jung YW, Lee YH, Yu BC. The relationship of nurse's awareness, performance for nosocomial infection control and psychological Empowerment. Kosin Medical Journal. 2008;3(2):85-91.
19 Song JH. Antimicrobial resistance in gram-positive cocci: past 50 years, present and future. Infection & Chemotherapy. 2011;43(6):443-9. http://dx.doi.org/10.3947/ic.2011.43.6.443   DOI
20 Sim HB. A study on the knowledge and performance of the clinical nurses for the MRSA infection control. [master's thesis]. Busan: Busan University; 2006.
21 Spreitzer GM, Psychological empowerment in the workplace: dimensions, measurement and validation. Academy of Management Journal. 1995;38(5):1442-65. http://dx.doi.org/10.2307/256865   DOI
22 Karanfil LV, Murphy M, Josephson A, Gaynes R, Mandel L, Hill BC, et al. A cluster of vancomycin-resistant enterococcus faecium in an intensive care unit. Infection Control and Hospital Epidemiology. 1992;13(4):195-200. http://www.jstor.org/stable/30147097   DOI
23 JY Choi, YK Kim, SY Kim. Effects of empowerment and job satisfaction on nursing performance of clinical nurses. Journal of Korean Academy of Nursing. 2014;20(4):426-36.   DOI
24 Kim TK, Min HS, Jung HY. Knowledge and performance level of infection control with MRSA of medium and small hospital nurses. The Korean Journal of Health Service Management. 2012;6(3):157-69.   DOI   ScienceOn
25 Oh HS. National survey on nurses' knowledge of infection control in general hospitals and analysis of variables to impact on their knowledge. Korean Journal of Nosocomial Infection Control. 2005;10(2):78-86.
26 Yoo JY, Oh EG, Hur HK, Choi M. Level of knowledge on evidence-based infection control and influencing factors on performance among nurses in intensive care unit. Korean Journal of Adult Nursing. 2012;24(3):232-43.   DOI