Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
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Hospital Nurses' Knowledge and Compliance on Multidrug-resistant Organism Infection Control Guideline

일 대학병원 간호사의 다약제 내성균 감염관리지침에 대한 지식과 수행정도

  • Published : 2009.04.28
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Abstract

Purpose: This study was done to investigate nurses' knowledge of, and compliance with the multidrug-resistant organism (MDRO) infection control guidelines. Methods: A survey questionnaire was developed based on the institutional and national guidelines and was administered to a convenience sample of 306 nurses in a university hospital. Results: The mean score for knowledge was 33.87 (percentage of correct answers: 82.61%). The percentages of correct answers for basic concepts, route of transmission, hand washing/protective devices and environment management were 74.27%, 94.29%, 92.90% and 75.54% respectively. The mean compliance score was 4.15 (range: 1-5). The compliance scores for education, communication, contact precaution, disinfection, surveillance culture, and hand washing were 3.29, 4.05, 4.20, 4.50, 4.40 and 4.48 respectively. Nurses indicated "lack of time (30.06%)", "lack of means (10.78%)" and "lack of knowledge (9.48%)" as reasons for noncompliance. Conclusion: While most educational programs have focused on hand washing or use of protective devices to prevent transmission of MDRO in acute care settings, hospital nurses' knowledge of the basic concepts of MDRO and environmental management has remained insufficient. Nurses are relatively non-compliant to the guidelines in the areas of education (staff, patient, family) and communication. Comprehensive educational programs are needed to decrease hospital infection rates and to improve the health of patients.

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References

  1. Blok, H., Troelstra, A., Kamp-Hopmans, T. E., Gigengack-Baars, A. C., Vandenbroucke-Grauls, C. M., Weersink, A. J., et al., (2003). Role of health care workers in outbreaks of methicillinresistant Staphylococcus aureus: A 10-year evaluation from a Dutch university hospital. Infection Control and Hospital Epidemiology, 24, 679-685 https://doi.org/10.1086/502275
  2. Cheong, H., Song, J., Eom, J., Kim, W., Choi, S., Choi, J., et al. (2002). Colonization rate, risk factor for acquisition and genetic diversity of Vancomycin-resistant enterococci (VRE) isolated from rectal culture of patients in intensive care units from ten large hospitals in Korea. Korean Journal of Infectious Disease, 34, 276-284
  3. Clancy, M., Graepler, A., Wilson, M., Douglas, I., Johnson, J., & Price, C. S. (2006). Active screening in high risk units is an effectiveand cost-avoidant method to reduce the rate of MRSA infection in the hospital. Infection Control and Hospital Epidemiology, 27, 1009-1017 https://doi.org/10.1086/507915
  4. DiazGranados, C. A., Zimmer, S. M., Klein, M., & Jernigan, J. A. (2005). Comparison of mortality associated with vancomycinresistant and vancomycin-susceptible enterococcal bloodstream infections: A meta-analysis. Clinical Infectious Diseases, 41, 327-333 https://doi.org/10.1086/430909
  5. Dong-A University Medical Center. (2008). Guideline for prevention and management of infection. Busan: Author
  6. Easton, P. M., Sarma, A., Williams, F. L., Marwick. C. A., Phillips, G., & Nathwani, D. (2007). Infection control and management of MRSA: Assessing the knowledge of staff in an acute hospital setting. Journal of Hospital Infection, 66, 29-33 https://doi.org/10.1016/j.jhin.2006.12.016
  7. Engemann, J. J., Carmeli, Y., Cosgrove, S. E., Fowler, V. G., Bronstein, M. Z., Trivette, S. L., et al. (2003). Adverse clinical and economic outcomes attributable to methicillin resistance among patients with Staphylococcus aureus surgical site infection. Clinical Infectious Diseases, 36, 592-598 https://doi.org/10.1086/367653
  8. Farr, B. (2006). Doing the right thing (and figuring out what that is). Infection Control and Hospital Epidemiology, 27, 999-1003 https://doi.org/10.1086/508672
  9. Jeong, J., & Choe, M. (2004). The effect of hand washing improving programs on the adherence of hand washing and nosocomial infection. Korean Journal of Nosocomial Infection Control, 9, 117-129
  10. Jung, M., & Yoon, S. (2003). Analysis on the transmission paths of vancomycin resistant enterococci infection in a health care environment in Korea. Journal of Korean Society of Living Environment System, 10, 125-130
  11. Kim, J. K., Kim, C. H., Han, S. Y., Byun, H. W., Park, W. J., Woo, H. J., et al. (2005). Clinical characteristics in patients with vancomycin- resistant enterococci colonization or infection during 5 years in a private general hospital. Korean Journal of Critical Care Medicine, 20, 54-62
  12. Kim, K., Cha, K., Lee, J., Yoo, S., Choi, O., Wie, S., et al. (2004). Knowledge and performance of infection control guidelines. Korean Journal of Nosocomial Infection Control, 9, 139-150
  13. Kim, M., & Jeong, C. (2002). The level of the awareness and the compliance on the nosocomial infection control among clinical nurses in the hospital. Korean Journal of Nosocomial Infection Control, 7, 133-141
  14. Kim, N. C., & Choi, K. O. (2002). Effects on nurses' hand washing behavior and reduction of respiratory isolation rate of MRSA of the hand washing education. Journal of Korean Academy of Adult Nursing, 14, 26-33
  15. Kim, S. O., & Cho, S. H. (1997). A study on clinical nurses level of perception of importance, performance and satisfaction in the control of nosocomial infection. Journal of Korean Academy of Nursing, 27, 765-776
  16. Kim, Y. H., Jeon, S. S., Jeong, I. S., Chang, C. H., Kim, J. H., & Huh, J. A. (2003). The effect of hand washing improving program and MRSA carrier screening program on the MRSA infection rates in an intensive care unit. Journal of Korean Acade my of Nursing, 33, 686-692
  17. Klevens, R. M., Edwards, J. R., Tenover, F. C., McDonald, L. C., Horan, T., Gaynes, R., et al. (2006). Changes in the epidemiology of MRSA in intensive care unit in US hospitals, 1992-2003. Clinical Infectious Diseases, 42, 389-391 https://doi.org/10.1086/499367
  18. Ministry for Health and Welfare. (2005). Guideline for prevention and management of hospital infection. Seoul: Author
  19. Muto, C. A., Jernigan, J. A., Ostrowsky, B. E., Richet, H. M., Jarvis, W. R., Boyce, J. M., et al. (2003). SHEA guideline for preventing nosocomial transmission of multidrug-resistant strains of staphylococcus aureus and enterococcus. Infection Control and Hospital Epidemiology, 24, 362-386 https://doi.org/10.1086/502213
  20. National Health Insurance Corporation. (2008). Regulations about National Health Insurance Payment for medical treatment (Rev. July 11, 2008). Seoul: Author
  21. NNIS. (2003). National Nosocomial Infections Surveillance (NNIS) System Report, data summary from January 1992 through June 2003. American Journal of Infection Control, 31, 481-498 https://doi.org/10.1016/j.ajic.2003.09.002
  22. Office of Profession. (2008). Mandated training related to infection control. Retrieved July 2, 2008, from http://www.op.nysed.gov/icmemo.htm
  23. Oh, H. (2005). 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, 10, 78-86
  24. Ott, M., Shen, J., & Sherwood, S. (2005). Evidenced-based practice for control of methicillin-resistant Staphylococcus aureus. AORN Journal, 81, 361-372
  25. Sax, H., Perneger, T., Hugonnet, S., Herrault, P., Chraiti, M. N., & Pittet, D. (2005). Knowledge of standard and isolation precautions in a large teaching hospital. Infection Control and Hospital Epidemiology, 26, 298-304 https://doi.org/10.1086/502543
  26. Shitrit, P., Gottsman, B. S., Katzir, M., Kilman, A., Ben-Nissan, Y., & Chowers, M. (2006). Active surveillance for MRSA decreases the incidence of MRSA bacteremia. Infection Control and Hospital Epidemiology, 27, 1004-1008 https://doi.org/10.1086/507914
  27. Siegal, J., Rhinehart, E., Jackson, M., Chiarello, L., & HICPAC. (2006). Management of multidrug-resistant organisms in healthcare settings, 2006. Retrieved April 2, 2007, from http://www.cdc.gov/ncidod/dhqp/pdf/ar/mdroGuideline2006.pdf
  28. van Gemerg-Pijnen, J., Hendrix, M. G., van der Palen, J., & Schellens, P. J. (2005). Performance of methicillin-resistant Staphylococcus aureus protocols in Dutch hospitals. American Journal of Infection Control, 33, 377-384 https://doi.org/10.1016/j.ajic.2004.10.009
  29. Woolf, S. (1993). Practice guidelines: A new reality in medicine: III. Impact on patient care. Archives in Internal Medicine, 153, 2646-2655 https://doi.org/10.1001/archinte.153.23.2646
  30. Yoon, H. S. (1996). A survey on the performance of surgical hand scrubs. Journal of Korean Academy of Nursing, 26, 591-604

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