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임상 간호사의 역할과부담과 기본간호술 수행 시의 무균술 이행의 관계

Relationship between Nursing Task Overload and Aseptic Technique Performance in Clinical Nursing Skills

  • Lee, Sun-Ok (Department of Nursing, College of Medical and Life Science, Silla University) ;
  • Park, Kyung-Yeon (Department of Nursing, College of Medical and Life Science, Silla University)
  • 발행 : 2009.06.30

초록

Purpose: The study was investigated to identify the relationship between nursing workload and aseptic technique performance by clinical nurses, and to decrease the incidence rate of nosocomial infection. Methods: Participants (N=283) were recruited in B city from April to June 2007. The data were collected by a structured questionnaire and analyzed with descriptive statistics, t-test, ANOVA and Pearson's correlation coefficient. Results: Nursing workload was rated 9.85 out of a total score of 15. The level of aseptic technique performance as the basis for insertion of a Foley catheter was 42.72 out of a total score of 50, and as basis for insertion of intravenous catheter for fluid therapy was 40.11 out of a total score of 55. There was not a significant relationship between aseptic technique performance and nursing workload. There was a significant positive relationship between the aseptic technique performance in insertion of Foley catheter and that of intravenous catheter for fluid therapy (r=.279, p<.001). Conclusions: Attention to asepsis by nurses is crucial in nosocomial infection-related clinical nursing skills.

키워드

참고문헌

  1. Beehr, T. A., Walsh, J. T., & Taber, T. D. (1976). Relationship of stress to individually and organizationally valued states: Higher order needs as a moderator. The Journal of Applied Psychology, 61, 41-47. https://doi.org/10.1037/0021-9010.61.1.41
  2. Bissett, L. (2005). Reducing the risk of catheter-related urinary tract infection. Nursing Times, 101, 64-65.
  3. Center for Disease Control and Prevention. (1995). National nosocomial infections surveillance semiannual report. American Journal of Infection Control, 23, 377-385. https://doi.org/10.1016/0196-6553(95)90270-8
  4. Choi, M. A., & Park, K. S. (2002). A study on the level of recognition and performance of the clinical nurses about the management of nosocomial infection. Journal of Korean Academy of Society Nursing Education, 8,314-324.
  5. Hallett, C. E. (2000). Infection control in wound care: A study of fatalism in community nursing. Journal of Clinical Nursing, 9, 103-109. https://doi.org/10.1046/j.1365-2702.2000.00316.x
  6. Hampton, S. (2004). Nursing management of urinary tract infections for catheterized patients. British Journal of Nursing, 13, 1180-1184. https://doi.org/10.12968/bjon.2004.13.20.17007
  7. Kim, J. M., Park, O. S., Jeong, J. S., Kim, K. M., Oh, H. S., & Yoon, S. W. (1997). National nosocomial infection surveillance in Korea. Korean Journal of Nosocomial Infection Control, 2, 157-176.
  8. Kim, K. M., Yoo, J. H., Choi, J. H., Park, E. S., Kim, K. S., & Kim, K. S. (2006). The nationwide surveillance results of nosocomial infections along with antimicrobial resistance in intensive care units of sixteen university hospitals in Korea, 2004. Korean Journal of Nosocomial Infection Control, 11, 79-86.
  9. Kim, M. S., Kang, M. J., Park, S. M., Kim, J. S., & Park, N. H. (2003). A study of nursing malpractice in perioperative nursing activities. Clinical Nursing Research, 9, 6-16.
  10. Kim, M. Y., & Chun, C. M. (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.
  11. Korea Health Industry Development Institute. (2006, March). Hospital sennces evaluation. Retrived February 26, 2008, from the Korea Health Industry Development Institude Web site: http:// www.khidi.or.kr/etc/nofice_medical_ view.jsp?mainNum=8&pageNum=1
  12. Korean Academy of Nursing. (1995). The great encyclopediaof nursing science. Seoul: Korea Dictionary Research Publishing.
  13. Korean Society for Nosocomial Infection Control. (2006). Management of nosocomial Infection. 3rd ed. Seoul: Han-Mi Medical Publishing.
  14. Kozier, B., Erb, G., Berman, A., & Snyder, S. (2005). Fundamentals of nursing. 7th ed. New York: Pearson Prentice Hall.
  15. Lee, E. H., Chung, Y. H., Kim, J. S., Song, R. Y., & Hwang, K. Y. (2002). Statistical methods for health care research. Seoul:Koonja Publishing.
  16. Lee, E. O., Lim, N. Y., & Park, H. A. (1998). Nursing, medical research and statistic analysis. 3rd ed. Seoul: Soomoonsa.
  17. Lee, H. J., Eo, Y. S., Park, N. H., & Lee, G. Z. (2002). Factors discriminating nurses' depression among personal and environmental characteristics. Journal of Korean Academy of Nursing, 32, 867-877. https://doi.org/10.4040/jkan.2002.32.6.867
  18. Lee, S. O. (1993). A survey on hospital infection. Journal of Korean Academy of Nursing, 23, 325-338.
  19. Lee, Y. H., & Kim, I. S. (2002). A study on the awareness and performance levels on the prevention of hospital infection among intensive care unit nurses. Journal of Korean Society of Maternity and Child Health, 6, 197-210.
  20. Lim, N. Y., Sohng, K. Y., Shon, Y. H., Kim, J. I., Gu, M. 0., Kim, K. H., et al. (2005). Education on nosocomial infection control within the content of courses in fundamentals of nursing. Journal of Korean Academy of Fundamentals of Nursing, 12, 66-72.
  21. Meurier, C. E., Vincent, C. A., & Parmar, D. G. (1997). Learning from errors in nursing practice. Journal of Advanced Nursing, 26, 111-119. https://doi.org/10.1046/j.1365-2648.1997.1997026111.x
  22. Ministry for Health, Welfare and Family Affairs. (2005, Marek). A management guide for prevention of nosocomial infection. Retrieved March 16, 2008, from the Bokjitimes Web site: http://bokjitimes.com/library/gov_pub/view.php?idxno=35&menuno=3&pageno=35&menun=3&pageno=1&menuno=3&q=&qfield=&ordertype=&orderfield=
  23. Muratani, T., & Matsumofo, T. (2004). Bacterial resistance to antimicrobials in urinary isolates. International Journal of Antimicrobial Agents, 24, 28-31. https://doi.org/10.1016/j.ijantimicag.2004.02.001
  24. Oh, C. A., & Yoon, H. S. (2007). Perception and experience of medication errors in nurses with less than one year job experience. Journal of Korean Academy of Fundamentals of Nursing, 14, 6-17.
  25. Oh, H. S., & Yi, S. E. (2005). National survey on the current status of infection control nurses and their activities in general hospitals with more than 300 beds. Korean Journal of Nosocomial Infection Control, 10, 32-42.
  26. Park, S. Y., Shin, D. S., Lee, H. G., & Kim, H. S. (2008). Compliance with nosocomial infection control and related factors among emergency room nurses. Journal of Korean Academy of Fundamentals of Nursing, 15, 153-160.
  27. Reingardiene, D. (2004). Intravenous catheters and nosocomial in-fection. Medicina: Kaunas. 40, 84-91.
  28. Santell, J. P., Hicks, R. W., McMeekin, J., & Cousins, D. D. (2003). Medication errors: Experience of the united states pharmacopeia (USP) MEDMARK reporting system. Journal of Clinical Pharmacology, 43, 760-767. https://doi.org/10.1177/0091270003254831
  29. Shorr, A. F., Tabak, Y. P., Killian, A. D., Gupta, V., Liu, L. Z., & Kollef, M. H. (2006). Healthcare-associated bloodstream infection: A distinct entity? Insights from a large U.S. database. Critical Care Medicine, 34, 2588-2595. https://doi.org/10.1097/01.CCM.0000239121.09533.09
  30. Song, M. S., Kim, M. J., Park, Y. S., Lee, E. O., Hah, Y. S., Han, K. J., et al. (2003). Comparison of nursing activities reflected in nursing nofes and in-depth interviews of nurses in an acute hospital. Journal of Korean Academy of Fundamentals of Nursing, 33, 802-811. https://doi.org/10.4040/jkan.2003.33.6.802
  31. The National Assembly of the Republic of Korea. (2005, June). Knowledge management system: medical law. Retrieved March 30,2005, from http://search.assembly.go.kr/law/presentlaw