• 한국식품위생안전성학회지
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• 제34권1호
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• pp.73-86
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• 2019

본 연구는 선박이라는 특수한 환경에서 생활하는 선원을 대상으로 손위생 수행도에 영향을 미치는 요인들을 파악하여 선원 승선 생활에서의 기본적인 감염관리 활동을 독려하여 건강한 승선생활에 도움이 되고자 하였다. 본 조사는 선원교육기관에 교육을 받고 있는 선원 222명을 대상으로 2017년 7월부터 8월까지 설문조사를 실시하였다. 연구대상자의 승선 중 손위생 수행도는 75점 만점에 전체 평균 $47.97{\pm}11.62$으로 나타났으며, 항목별로는, 5점 만점기준으로 '업무나 작업을 마친 후'가 $4.04{\pm}1.03$으로 가장 높은 점수를 보였고 연구대상자의 손위생 수행도에 선박의 총 톤수, 승선 중 운동여부, 선내 비누비치여부가 다중회귀분석으로 영향을 미치는 요인으로 확인되었다. 본 연구의 결과에 기초하여 향후 선원들의 손위생 수행도와 이에 영향을 미치는 요인을 파악하는 후속연구가 필요하며, 일반적 특성, 직무특성, 건강관련 특성, 손위생 환경뿐만 아니라 다양한 변수들을 고려하여 선원의 손위생 수행에 영향을 미치는 요인들에 대한 세밀한 연구가 필요할 것으로 사료된다. 또한, 승선 중에 있는 선원들에 대한 손위생 수행에 대한 지속적인 관심이 필요하고 손위생 수행을 향상 시킬 수 있는 체계적인 방안이 구체적으로 마련되어야 할 것으로 판단된다.

• 문화기술의 융합
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• 제8권6호
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• pp.191-198
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• 2022

본 연구는 간호대학생에게 손위생 및 개인보호구 교육 시행에 따른 지식, 태도, 자기효능감의 효과를 알아보기 위하여 시행되었으며, 단일 그룹의 사전 사후 유사 실험으로 진행하였다. 연구 기간은 2021년 10월 28일부터 11월 30일까지이며, 일개대학의 간호학과 3학년 재학생 18명을 대상으로 구조화된 설문지를 이용하여 손위생과 개인보호구 교육 및 실습 전후 시행하였다. 자료 분석은 기술 통계 및 paired t-test 방법으로 분석하였다. 연구 결과 손위생 및 개인보호구 교육을 통해 손위생 지식(t=3.33, p=.004) 개인보호구 지식(t= -11.02, p<.001)이 유의하게 증가하였으며, 개인보호구에 대한 태도(t=-2.76, p=.013), 자기효능감(t=-3.69, p=.002) 모두 유의하게 증가되었다. 따라서 본 연구의 결과를 바탕으로 체계적이고 반복적인 손위생 및 개인보호구 교육 프로그램 개발이 필요할 것으로 생각되며, 프로그램 개발의 기초자료로 활용될 수 있을 것이다.

• Journal of Korean Biological Nursing Science
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• 제14권3호
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• pp.156-165
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• 2012

Purpose: This study was conducted to test the effect of the Hand Hygiene Education Program on hand hygiene knowledge, hand hygiene perception, nasal Staphylococcus aureus colonization and hand hygiene adherence in nursing students. Methods: A non-equivalent pre-post test of quasi-experimental design was used. 87 second grade nursing students participated in the study with 43 in the experimental group and 44 in the control group. We used the Hand Hygiene Education Program which was held 5 times over 5 weeks, taking 60 minutes per session. For the analysis, descriptive statistics, chi test, and t-test were used for statical analysis with SPSS 19.0. Results: There were significant increases in hand hygiene knowledge (p=.004) and hand hygiene adherence (p=.002) and there was a significant decrease in nasal Staphylococcus aureus colonization (p=.026) in the experimental group compared to the control group. However, hand hygiene perception (p=.543) was not significantly changed. Conclusion: Findings of this study suggest that the Hand Hygiene Education Program may be effective in enhancing hand hygiene knowledge and hand hygiene adherence. Also this program was effective in reducing nasal Staphylococcus aureus colonization in nursing students. Further studies are needed to evaluate the effects of the Hand Hygiene Education Program on hand hygiene perception in nursing students.

• 중환자간호학회지
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• 제11권1호
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• pp.101-109
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• 2018

Purpose : The purpose of this study was to identify the knowledge, perception and hand hygiene performance rate of hospital nurses and to identify any correlation between them. Method : Data were collected from 205 nurses working in a university hospital in Chungcheong-do. A self-report survey method was utilized. Participants completed the hand hygiene knowledge questionnaire. Results : The average knowledge of hand hygiene was 11.76 (out of 18 points), and the average perception of hand hygiene was 35.55 (out of 96). The hand hygiene performance rate was 85.62%. Knowledge of hand hygiene showed significant differences according to age (F = 75.821, p < .001), gender (t = 25.049, p < .001) and working period (F = 24.843, p < .001). The most important explanatory factor in hand hygiene performance was hand hygiene perception (${\beta}=.26$), followed by working period (${\beta}=.14$). These variables accounted for 10.0% of subjects' hand hygiene performance. Conclusion : The results of this study suggest that continuous and effective education is needed to strengthen knowledge and perception of the importance of hand hygiene practice for nurses to prevent healthcare-associated infections.

• 기본간호학회지
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• 제23권2호
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• pp.194-203
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• 2016

Purpose: This study was conducted to test the effect of a scenario based hand hygiene education program on hand hygiene knowledge, hand hygiene perception, hand hygiene compliance and hand hygiene method in nursing students. Methods: A non-equivalent control group, non-synchronized quasi-experimental design was used. Forty five nursing students participated in the study with 22 in the experimental group and 23 in the control group. Data were analyzed using descriptive statistics, ${\chi}^2-test$, t-test, and repeated measures of ANOVA. Results: There were significant increases in hand hygiene knowledge (t=-4.28, p<.001) and accuracy of the hand hygiene method by week (F=7.33, p<.001). However, hand hygiene perception (t=-1.67, p=.102) and hand hygiene compliance rate (F=7.33, p=.405) were not significantly changed. Conclusion: The effects of the scenario based hand hygiene education program provided in this study were excellent, compared to the other hand hygiene education programs. Moreover, as a result of investigating the education effects through direct observation for 4 weeks, appropriate feedback was offered in the third week, and it was found that maintaining the effect was necessary. However, the current status of hand hygiene compliance and accuracy of methods for ensuring hand hygiene need to be studied further.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제23권3호
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• pp.9-17
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• 2017

Purpose : The easiest and most cost-effective way to prevent medical-related infections is known as proper hand washing of health care workers. The experience of MERS in domestic medical institutions has increased the importance of hand hygiene for medical workers to prevent infections in hospitals. It is necessary to investigate the level of hand hygiene practice by type of medical institutions and the factors influencing the infection prevention. Methods : Domestic and overseas hand hygiene related business cases and literature data were collected and analyzed in order to investigate the hand hygiene status of medical institutions in Korea. Result : As a result of hand hygiene monitoring of all hospital-level medical institutions in 2016, the total number of observations was 24,328 and the hand hygiene performance rate was 75.9%. The hand hygiene performance rate of hospitals was 71.5% for general hospitals, 75% for general hospitals, and 81.3% for hospitals. Implications : In general hospitals and hospitals, the HR(Hand Rubbing) method is preferred as a way of performing hand hygiene, whereas the HW(Hand Washing) method is relatively high in the small hospitals. It is estimated that the HW system is preferred because of the cost burden at the hospital medical institution. Therefore, it is necessary to compensate the related expenses to improve the hand hygiene performance of the physicians who are engaged in the hospitals.

• 한국융합학회논문지
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• 제9권12호
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• pp.115-122
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• 2018

치과진료 환경은 병원 미생물에 쉽게 노출되어 종사자의 감염 위험성은 매우 높다. 그중 손은 감염의 중요한 매개가 되므로 손위생은 감염 위험성을 낮추기 위한 가장 중요하고 기본적인 방법이다. 이에 치과진료 과목을 세분화하여 교정치과 진료실의 손위생과 건강신념간의 관련성을 연구하였다. 손위생과 건강신념간의 차이 분석 결과 손 위생 관리 중요도와 손 위생 교육 경험은 유의한 관계를 보였다(p=0.010)(p=0.000). 건강신념에 영향을 미치는 요인 분석 결과 손 위생 관리 중요도(p=0.014), 손 위생 교육 경험(p=0.010)은 유의하게 영향을 미치는 요인이었다. 치과 감염에 대한 관심이 증대되면서 기본적인 방법인 손 씻기의 중요성이 더욱 높아질 것을 예상 할 때 감염관리 교육은 건강신념을 확립하는데 높은 관련성이 있을 것이라 사료된다.

• 한국융합학회논문지
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• 제12권11호
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• pp.155-160
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• 2021

본 연구에서는 IPA를 이용한 물리치료사의 감염관리 의식과 수행능력을 분석하였다. 4개 영역은 손위생, 개인관리, 진료실 환경, 감염관리 교육으로 구분하고 인식과 실천에 대한 설문조사를 하였다. 일반적인 특성은 빈도분석하고 인지도와 수행도는 대응표본 t-test와 Pearson's correlation를 통해 분석하였다. 손위생은 둘다 높았고 감염관리 교육은 수행도는 높으나 인지도가 낮은 것으로 나타났다. 치료실 환경의 수행도는 높았으나 인지도가 낮았고 개인관리의 둘다 낮았다. 따라서 본 연구를 바탕으로 감염관리 교육은 인지도를 개선해야 하는 정책 치료실 환경은 수행도를 개선해야 하는 전략, 개인 관리는 수행도와 인지도를 동시에 개선해야 하는 전략이 필요하다.

• 한국직업건강간호학회지
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• 제22권3호
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• pp.198-207
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• 2013

Purpose: The purpose of this study was to describe hospital nurses' knowledge and beliefs about hand hygiene and to identify the relationships between knowledge and beliefs. Methods: Data were collected from 232 nurses working in four university hospitals and were analyzed using SPSS/WIN 20.0 program. Results: The mean score of knowledge of hand hygiene was 8.1. The mean scores of behavioral, normative, and control belief about hand hygiene were 2.3, 2.5, and -0.7, respectively. Knowledge was correlated with educational level (p=.013) and experience of hand hygiene campaign (p=.018). The behavioral belief was correlated with age (p<.001) and career (p=.002). The normative belief was correlated with work department (p=.007). The control belief was correlated with educational level (p=.043) and experience of being monitored on hand hygiene (p=.010). The subjects who believed that head nurses, charge nurses, and colleagues practiced better hand hygiene had higher behavioral and normative belief scores than those who did not. There were no significant relationships between knowledge and beliefs. Conclusion: There is a need to improve knowledge of hand hygiene in hospital nurses. This study provides information for developing strategies to strengthen beliefs about hand hygiene.

• Perspectives in Nursing Science
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• 제12권1호
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• pp.7-13
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• 2015

Purpose: This observational study was aimed to determine the influence of the Hawthorne effect on the adherence to hand hygiene (HH) among healthcare workers (HCWs) in South Korea. Methods: HCWs were monitored in 2 periods regarding adherence to HH when there were indications for HH. In first period, HCWs recognized that their behavior of hand hygiene being observed (overt observation), and did not recognize in second period (covert observation). Results: The overall difference in HH rate between two periods was 45.0% point (77.8% vs 32.8%). There were significant differences between profession but in nurse aids. The differences in HH rate between two periods were 46.1% point in nurses, 29.9% point in physicians, 64.0% in radiologists, 62.5% point in laboratory technicians, 36.4% point in physio-therapist, and 1.0% point in nurse aids. The Hawthorne effect on the adherence to HH lasted more than 3 months. Conclusion: The Hawthorne effect markedly influence on the adherence to HH regardless of profession except nurse aids. Therefore, Hawthorne effect can be useful tool to improve and sustain the adherence to HH among HCWs in South Korea.