• 기본간호학회지
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• 제17권1호
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• pp.73-81
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• 2010

Purpose: This study was done to identify the intensive care unit nurses' knowledge of and compliance with the standard precautions (universal precaution) as stated in infection control guidelines. Method: From September 14 to September 28, 2006, data were collected via a questionnaire survey from 189 Intensive Care Unit nurses working at three university branch hospitals and one general hospital in Gyeonggi province. Results: The mean knowledge score was 18.8/20.0 (93.9%). The mean compliance score was 3.4/4.0 (85.8%). Two factors influencing compliance were perception of the standard precautions and experience of needle stick injuries over the past year (p<.05). Two factors influencing knowledge were support of co-workers in the use of protective devices and the availability of hand-washing device or waterless alcohol gel (p<.05). Conclusion: In order to improve knowledge and compliance with standard precautions, all factors of importance for knowledge and compliance must be taken into consideration in the clinical work place and in education.

• 가정∙방문간호학회지
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• 제24권3호
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• pp.275-283
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• 2017

Purpose: This study was conducted to examine the characteristics and knowledge of needlestick injuries, and compliance with standard precautions, in healthcare workers. Method: The participants were 185 healthcare workers working at university hospitals. Data were collected in May 2016 and analyzed using descriptive statistics, t-test, ANOVA, and Pearson correlation coefficients using SPSS 18.0 program. Results: It was found that 45.4% of the subjects had experienced needlestick injuries. The most common rate of getting injured was 1 or 2 times, and the most common reason for the occurrence of needlestick injuires was carelessness(66.6%). The mean scores for knowledge of needlestick injuries and compliance with standard precautions were above average. Significant correlations were found between knowledge of needlestick injuries and compliance with standard precautions in health workers, and Characteristics were related to the significant differences seen in both. Conclusion: These findings indicate that standard precautions and guidelines for the use of sharp instruments should be emphasized in order to prevent needlestick injuries in healthcare workers.

• 한국학교ㆍ지역보건교육학회지
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• 제15권3호
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• pp.17-30
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• 2014

Objectives: The purpose of this study was to investigate the status of exposure to blood and body fluid and factors affecting on blood and body fluid exposure of nursing students including knowledge, performance regarding standard precautions. Methods: 280 nursing students in D-city and S-city participated in this study. Data collection was conducted from January to March 2012. Students' knowledge and performance on standard precautions of infection control in hospitals were measured using the measurement developed by Hong(2010). Data analysis was performed using descriptive statistics, t-test, one way-ANOVA, ${\chi}^2-test$, Pearson correlation coeficient, logistic regression by the SPSS WIN 18.0 program. Results: 58.6 percent of subjects experienced a exposure to blood and body fluid. The level of nursing students' knowledge level regarding standard precautions was $22.44{\pm}2.11$ and performance level was $4.31{\pm}0.50$. The factors affecting on blood and body fluid exposure of nursing students were knowledge level and education type about infection control. Conclusions: Based on the findings of this study, to decrease the exposure to blood and body fluid of nursing students, a proper education need to be stressed to improve nursing students' infection control knowledge and awareness.

• 한국학교ㆍ지역보건교육학회지
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• 제16권3호
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• pp.91-102
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• 2015

Objectives: The current study intended to find the awareness and compliance with the standard precautions of the laboratory technicians working in the hospitals in Gyeonggi Province. Understanding on the relationships among factors would be helpful in developing work environment of the laboratory technicians to prevent infection and improving the quality of infection control in hospitals. Methods: Data were collected from the 313 laboratory technicians in hospitals in Gyeonggi Province. SPSS 21.0. and AMOS 18 were adopted to analyze the data. Results: The results of the analysis confirmed that the influence of perceived sensitivity and cues to action influenced perceived threats of disease. Perceived threats and perceived barriers to compliance with the standard precautions and perceived benefits of compliance with the standard precautions significantly influenced the probability of compliance with the standard precautions. Conclusion: It was recommended that hospitals need to prepare plans to prevent the employees from infection in the hospitals. The plans must include education, regular exams, injury prevention, and provision of personal protective equipments.

• 한국병원경영학회지
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• 제19권2호
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• pp.34-43
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• 2014

This study was conducted to investigate the degree of nurses' knowledge, attitudes, and compliance with hospital infection standard precautions. The study subjects were nurses in a university hospital in Daegu, South Korea, and a self-administered survey was carried out using a standardized questionnaire from 1st to 15th August, 2012. A total of 187 questionnaires were used for analysis. Those who were injured by a syringe needle for the last year accounted for 29.96%, and those exposed to patients' blood or body fluid on their damaged skin/mucous membranes accounted for 26.2%. There were statistically significant differences in attitude and compliance according to safety environment for hospital infection standard precautions. The knowledge score of the subjects about standard precautions was $15.30{\pm}1.51$ on a 19 point scale and had significant difference according to the subjects' education level. The attitude score was $2.86{\pm}0.49$ on a 4 point scale and had significant difference depending on how experienced they were on the career. The compliance score was $3.41{\pm}0.38$ on a 4 point scale and had significant difference depending on their age and their experience on the career. In conclusion, it can be said that systematic and continuous practical training is required to improve compliance with standard precautions. Particularly, it is needed to provide less experienced nurses with educational opportunities along with their supervisors' ongoing attention and position personnel appropriately.

• 디지털융복합연구
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• 제18권9호
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• pp.229-237
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• 2020

본 연구의 목적은 중환자실 간호사의 도덕적 민감성과 셀프리더십, 피로도 및 표준주의지침 수행도의 상관관계를 파악하고 표준주의지침 수행도에 미치는 영향요인을 탐색하기 위함이다. 연구대상은 전국 의료기관의 중환자실 네트워크를 활용하여 15개 종합병원 중환자실 간호사 153명을 대상으로 하였으며, 자료수집은 2019년 3월 5일부터 2019년 3월 10일까지 시행하였다. 자료분석은 Descriptive statistics, Pearson's correlation coefficient, Stepwise multiple regression analysis를 이용하였다. 연구결과, 본 연구대상자의 표준주의지침 수행도에 셀프리더십(r=.17, p=.042)이 통계적으로 유의한 양의 상관관계를 보였다. 연구대상자의 표준주의지침 수행도에 영향을 주는 요인을 확인하기 위하여 단계적 회귀분석을 수행한 결과, 셀프리더십(β=.17, p=.042)이 유의한 요인으로 나타났으며, 설명력은 통계적으로 유의하였다(R²=.03, F=4.21, p=.042). 따라서 최근 간호사의 높은 수준의 표준주의지침 수행도를 유지하게 된 시점에 각 병원은 간호사들의 셀프리더십 역량 강화를 위한 노력이 필요하다.

• 한국간호교육학회지
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• 제23권4호
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• pp.378-388
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• 2017

Purpose: The aim of this study was to identify the status of performance on standard precautions among nursing students and to examine the mediating effects of internal health locus of control on the relationship between awareness and performance on standard precautions of hospital-acquired infection control. Methods: The participants in this study were 134 nursing students. The measurements included a standard precautions awareness and performance scale, and a multidimensional health locus of control scale. Data were analyzed using independent t-test, one-way ANOVA, $Scheff{\acute{e}}$ test, Pearson correlation coefficient, and simple and multiple regression techniques. Mediation analysis was performed by the Baron and Kenny's method and Sobel test. Results: The mean score of standard awareness, standard performance, and internal health locus of control about standard precaution were $174.30{\pm}9.08$; $169.48{\pm}12.04$; and $20.43{\pm}2.82$; respectively. There was a positive correlation between standard awareness and performance (r=.414, p<.001). Also, standard awareness was significantly correlated with internal health locus of control (r=.413, p=.014). Internal health locus of control showed partial mediating effects in the relationship between awareness and performance. Conclusion: The results indicate a need to improve the internal health locus of control of nursing students. Therefore, an internal health locus of control improvement program should improve performance on standard precautions for patients and themselves.

• 대한간호학회지
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• 제29권4호
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• pp.929-939
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• 1999

The purpose of this study was to identify knowledge of universal precautions and its performance in practice. The research was conducted from November 2 to 30, 1998. A total 515 student nurses ; 249 from a baccalaureate nursing college and 266 from second and third year of a 3-year community nursing college were surveyed. The results are as following : 1. The average score for universal precautions knowledge was 270.41$\pm$19.43/300(range 150-300). The results showed that 99.2% of students avoid injury from used needles, 98.6% answered that they always wash their hands if they had contact with the patient's blood and they always dispose of used needles in special collectors (97.7%) for needles. But, 39.2% responsed that they dispose of used needles after recapping them. 2. The average score for universal precautions knowledge of the senior students in the 4-year college was the highest (277.65$\pm$13.99). 3. The average score for the performance of universal precautions knowledge was 53.18 $\pm$5.91(range 14-70). The items : ‘I cautiously avoid injury from the used needles’(4.92$\pm$0.33), ‘I always wash my hands if there has been contact with the patient's blood’(4.91$\pm$0.34), and ‘I always disposed of used needles in the appropriate collector’(4.89$\pm$0.42) showed the highest performance. However ‘I always dispose of used needles after recapping them’(2.19$\pm$1.39) and ‘I always use protection goggles when in danger of contamination’(2.19$\pm$1.20) showed low performance level. 4. The highest average score for universal precautions performance was shown among the second year students in 3-year nursing college (54.19$\pm$6.92) between the groups. It showed that the level of the universal precautions performance was higher for those who had education on university precautions prior to performance of the universal precautions than for those without any prior education. 5. The percentage of students who reported the experience of direct contact with patients' blood and/or body fluids was 42.30%. The experience of direct contact with blood and/or body fluids of the educational group was significantly higher than those were not educated. 6. The most frequent cause of the direct contact was ‘needle pricking and/or skin cut’(63.04%). The most frequent substance with which the students contact was ‘blood’(59.85%). The majority of the sample had answered that the mode of contamination was ‘unknown’(63.54%). The majority of the sample answered that strategies used after contamination included ‘washing with soap’(33.61%). Reviewing the chart of patients or asking other health professionals(28.85%). 7. The number of students who had the experience of a needle stick and/or skin cut was 145(28.16%). The clinical practice places where the incidents occurred were mainly in the internal medicine unit (45.07%) and the surgical unit (31.92%) followed by the intensive care unit and the emergency unit in order. The experience of a needle stick and/or skin cut happened during on intra-muscular injection 47.34% and intravenous injection 21.81%. The causes of the needle stick and/or skin cut were ‘putting the needle cap back on 77(35.81%)’. The number of students who took an appropriate post management blood test and/or vaccination was 27(18.62%). 8. The Pearson Correlation Coefficient between the knowledge of universal precautions and performance of universal precautions in practice showed a positive correlation.

• 한국산학기술학회논문지
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• 제20권11호
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• pp.425-435
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• 2019

본 연구의 목적은 중소병원에 근무하는 간호사의 표준주의에 대한 지식, 인지도, 안전환경 및 수행도를 조사하고 의료관련 감염관리 표준주의에 대한 수행도에 미치는 영향요인을 확인하여 중소병원의 표준주의 수행도를 증진시킬 수 있는 방안을 모색하기 위함이다. 본 연구의 대상자는 경기도와 충남에 소재하는 300병상 미만의 6개 중소종합병원에 1년 이상 근무한 간호사 총 151명을 대상으로 하였다. 자료수집은 2018년 1월 15일부터 2월 15일까지 연구의 목적을 이해하고 참여에 서면 동의한 간호사에 한해 자가 보고식 설문지를 사용하여 자료를 수집하였다. 연구결과 안전환경과 표준주의 수행도는 근무부서에 따라 유의한 차이를 보였으며 표준주의 수행도는 표준주의 지식(r=.19, p=.025), 표준주의 인지도(r=.27, p=.001), 표준주의 안전환경(r=.48, p=.000)과 유의한 양의 상관관계를 보였다. 표준주의 수행도에 영향을 미치는 주요 요인은 안전환경과 표준주의 인지도로 나타났으며 안전환경의 설명력은 21.6%였고 이 두 변수의 수행도에 대한 설명력은 23.3%였다. 이상의 연구결과로 볼 때 중소병원에서 간호사의 의료관련 감염관리를 위한 표준주의 수행도를 증진시키기 위해서는 안전환경의 개선 외에도 지속적인 교육프로그램과 행정적지지가 제공되어야 할 것이다.

• 한국산학기술학회논문지
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• 제19권3호
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• pp.364-375
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• 2018

본 연구는 간호사의 도덕적 민감성과 병원 안전 환경이 간호사의 감염 표준주의 이행도에 미치는 영향을 파악하기 위해 시행되었다. 연구대상자는 일 개 종합병원 간호사 214명이었으며 2017년 8월 1일부터 15일까지 도덕적 민감성, 표준주의 안전 환경, 감염 표준주의 이행도에 관한 자가 보고식 설문지로 자료 수집하였다. 수집한 자료는 평균과 표준편차, 빈도 등 서술통계, 독립표본 차이 검정, 피어슨 상관관계, 분산분석, 다중회귀분석 방법으로 분석하였다. 대상자의 도덕적 민감성 평균점수는 7점 만점에 5.05점이었으며, 표준주의에 대한 안전 환경은 7점 만점에 5.76점, 감염 표준주의 이행도는 5점 만점에 4.50점이었다. 감염 표준주의 이행도는 도덕적 민감성 및 표준주의 안전 환경과 유의한 양의 상관관계를 보였다. 감염 표준주의 이행도에 영향을 미치는 요인은 근무 부서(응급실, 중환자실), 나이, 표준주의 안전 환경이었다. 이들 변수의 설명력은 25.3%였으며, 도덕적 민감성은 영향 요인으로 확인되지 않았다. 따라서 감염 표준주의 이행도를 높이기 위해서는 신규간호사들을 대상으로 한 지속적인 교육프로그램, 부서별 특성에 따른 맞춤 증진활동이 필요하며 표준주의 안전 환경 확립을 위한 기관의 인적, 행정적 지원이 요구된다.