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Study on Pediatric Nurses' Attitudes and Compliance with Hospital Infection Standard Precautions

아동병동 간호사의 병원감염 표준주의에 대한 인지도와 이행도

  • Received : 2011.09.06
  • Accepted : 2011.10.04
  • Published : 2011.10.31

Abstract

Purpose: The purpose of this study was to identify pediatric nurses' attitudes to, and compliance with, standard precautions in the prevention of hospital infections by enhancing their practice of standard precautions. Methods: The participants were 206 nurses who worked in pediatric nursing departments of a general medical institution in Seoul. The questionnaire was a modification of Kim (2008) and consisted of 18 questions about hand washing, personal protective equipment, sharps, linen and patient care equipment. Collected data were processed using SPSS 15.0 WIN. Results: Mean scores for attitudes to standard precautions and for compliance with standard precautions were 4.43 (${\pm}0.83$) and 4.22 (${\pm}0.44$) respectively. This difference was statistically significant (t=3.368, p=.001). The nurses' compliance with standard precautions differed significantly according to the general characteristics of age (F=8.705, p<.001), total clinical experience (F=9.426, p<.001), current department experience (F=6.555, p<.001), and education experience (t=0.616, p<.043). There was a positive correlation between attitudes to, and compliance with, standard precautions (r=.156, p=.025). Conclusion: The results of this study indicate that educational programs and policy on infection control and standard precautions for pediatric nurses are needed. Also these results should contribute to baseline data for establishing appropriate clinical policy on infection control.

Keywords

References

  1. Askarian, M., Honarvar, B., Tabatabaee, H. R., & Assadian, O. (2004). Knowledge, practice and attitude towards standard isolation precautions in Iranian medical students. Journal of Hospital Infection, 58, 292-296. https://doi.org/10.1016/j.jhin.2004.07.004
  2. Askarian, M., Memish, Z. A., & Khan, A. A. (2007). Knowledge, practice and attitude among Iranian nurse, midwives and students regarding standard isolation precautions. Infection Control and Hospital Epidemiology, 28, 241-244. https://doi.org/10.1086/510868
  3. Centers for Disease Control and Prevention. (2007). 2007 guideline for isolation precautions: Preventing transmission of infectious agents in health care settings. Retrieved 31 Aug, 2011, from http://www.cdc.gov/hicpac/2007ip/2007isolationprecautions .html
  4. Chan, R., Molassiotis, A., Chan, E., Chan, V., Ho, B., Lai, C. Y., et al. (2002). Nurses' knowledge of and compliance with universal precautions in an acute care hospital. International Journal of Nursing Studies, 39, 157-163. https://doi.org/10.1016/S0020-7489(01)00021-9
  5. Faul, F., Erdfelder E., Lang, A., & Buchner, A. (2007). G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39, 175-191. https://doi.org/10.3758/BF03193146
  6. Huang, J., Jiang, D., Wang, X., Liu, Y., Fennie, K., Burgess, J., et al. (2002). Changing knowledge, behavior and practice related to universal precautions among hospital nurses in China. Journal of Continuing Education in Nursing, 33, 217-224.
  7. Kermode, M., Jolley, D., Langkham, B., Thomas, M. S., Holmes, W., & Gifford, S. M. (2005). Compliance with Universal Standard Precautions among health care workers in rural north India. American Journal of Infection Control, 33, 27-33. https://doi.org/10.1016/j.ajic.2004.07.014
  8. Kim, Y. S. (2008). A study for nosocomial infection control in the emergency rooms. Seoul: Korea Centers for Disease control and Prevention.
  9. Korea Centers for Disease Control and Prevention. (2009). Guidelines for pediatrics. Medical guidelines compared to the pandemic of Influenza A(H1N1). Seoul.
  10. Korea Health Industry Development Institute. (2007). Guidelines for Hospital Evaluation Programme (Issue 2007-20). Seoul.
  11. Korean Society for Nosocomial Infection Control. (2001). Guideline for Nosocomial Infection: second edition. Seoul: Hanmibook.
  12. McCoy, K. S., Beekmann, S. E., Ferguson, K. J., Vaughn, T. E., Torner, J. C., Woolson, R. F., et al. (2001). Monitoring adherence to standard precautions. American Journal of Infection Control, 29, 24-31. https://doi.org/10.1067/mic.2001.111226
  13. Pittet, D., Mourouga, P., & Perneger, T. V. (1999). Compliance with handwashing in a teaching hospital. infection control program. Annal of Internal Medicine, 130, 126-130. https://doi.org/10.7326/0003-4819-130-2-199901190-00006
  14. Posfay-Barbe, K. M., Zerr, D. M., & Pittet, D. (2008). Infection control in pediatrics. The Lancet Infectious Diseases, 8, 19-31. https://doi.org/10.1016/S1473-3099(07)70310-9
  15. Richards, M. J., Edwards, J. R., Culver, D. H., & Gaynes, R. P. (1999). Nasocomial infection in medical intensive care units in the United States. national nasocomial infection surveillance system. Critical Care Medicine, 27, 887-892. https://doi.org/10.1097/00003246-199905000-00020
  16. Stegenga, J., Bell, E., & Matlow, A. (2002). The role of nurse understaffing in nosocomial viral gastrointestinal infections on a general pediatrics ward. Infection Control and Hospital Epidemiology , 23, 133-136. https://doi.org/10.1086/502022
  17. Stein, A. D., Makarawo, T. P., & Ahmad, M. F. (2003). A survey of doctors' and nurse' knowledge, attitude and compliance with infection control guidelines in Birmingham teaching hospitals. Journal of Hospital Infection, 54, 68-73. https://doi.org/10.1016/S0195-6701(03)00074-4
  18. Suh, Y. H., & Oh, H. Y. (2010). Knowledge, perception, safety climate and compliance with hospital infection standard precautions among hospital nurses. Journal of Korean Clinical Nursing Research, 16, 61-70.
  19. Sung, M. H., Kim, N. Y., & Choi, H. Y. (2007). Factors influencing performance of the nurses about the management of nosocomial infection. Korean Journal of Occupational Health Nursing, 16, 5-14.
  20. Winterberg, D. H., Wever, P. C., van Rheenen-Verberg, C., Kempers, O., Durand, R., Bos, A. P., et al. (2005). A boy with nosocomial malaria tropica contracted in a Dutch hospital. Journal of Pediatric Infectious Disease, 24, 89-91. https://doi.org/10.1097/01.inf.0000148881.92329.f6
  21. Yoo, M. S., Ban, K. O., & Yoo, I. Y. (2002). Recognition, self and objective evaluations of nosocomial respiratory infection control practices by ICU nurses. Journal of Korean Academy of Fundamentals of Nursing, 9, 349-359.
  22. Yoo, M. S., Son, Y. J., Ham, H. M., Park, M. M., & Um, A. H. (2004). A comparative study of nurses' recognition and practice level of general nosocomial infection, MRSA and VRE infection control. Journal of Korean Academy of Fundamentals of Nursing, 11, 31-40.

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