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Knowledge and Practice of Middle East Respiratory Syndrome Isolation Precaution among Hospital Nurses

병원 간호사의 중동호흡기증후군 격리 지침에 대한 지식과 수행도

  • Kim, Sunju (Chungnam National University Hospital) ;
  • Song, Rhayun (College of Nursing Chungnam National University)
  • Received : 2017.06.10
  • Accepted : 2018.02.01
  • Published : 2018.02.28

Abstract

Purpose: The purposes of the study were to examine the knowledge and practice about Middle East Respiratory Syndrome (MERS) isolation precaution, and to explore influencing factors of the isolation practice among hospital nurses. Methods: A total of 182 nurses were recruited from four general hospitals where MERS patients had been treated. The knowledge and practice of MERS isolation precaution were measured by the scales developed based on the CDC guidelines. The collected data were analyzed by SPSS/WIN 22 with descriptive statistics, T-test, One-way ANOVA, Pearson correlation coefficients, and hierachical multiple regression analysis. Results: The nurses were 30 years old in average, and half of them had less than 5 years of clinical experience. and knowledge on droplet precautions (${\beta}=.171$, p=.019) were the significant predictors, explaining 19.6% of variance in the MERS isolation guideline practice. Clinical experience (${\beta}=.225$, p=.002), working at infection unit (${\beta}=-.203$, p=.011). Conclusion: The knowledge on droplet precaution and general knowledge on MERS were the important modifiable factor to improve the MERS isolation guideline practice among hospital nurses, even after adjusting clinical experience and demographic variables. It is necessary to develop an efficient education program on specific guidelines for prevention and management of infection by improving the knowledge on infectious disease such as MERS as well as droplet precaution which are modifiable factors.

Keywords

References

  1. Khan MU, Shah S, Ahmad A, Fatokun O. Knowledge and attitude of healthcare workers about Middle East Respiratory Syndrome in multispecialty hospitals of Qassim, Saudi Arabia. BMC Public Health. 2014;14(1281):1-7. https://doi.org/10.1186/1471-2458-14-1281
  2. Centers for Disease Control and Prevention (CDC). Interim infection prevention and control recommendations for hospitalized patients with Middle East Respiratory Syndrome Coronavirus [Internet]. Atlanta, GA: CDC; 2015 [cited 2015 October 19]. Available from: https://www.cdc.gov/coronavirus/mers/downloads/MERS-Infection- Control-Guidance-051414.pdf.
  3. Assiri A, McGeer A, Perl TM, Price CS, Al Rabeeah AA, Cummings DA, et al. Hospital outbreak of Middle East respiratory syndrome coronavirus. New England Journal of Medicine. 2013;369(5):407-416. https://doi.org/10.1056/NEJMoa1306742
  4. WHO statement on the Ninth Meeting of the IHR Emergency Committee regarding MERS-CoV [Internet]. Philippines: WPRO; 2015 [cited 2015 November 10]. Available from: http://www.wpro.who.int/mediacentre/mers-hlmsg/en/.
  5. Lee JH, Lee CS, Lee HB. An appropriate lower respiratory tract specimen is essential for diagnosis of Middle East Respiratory Syndrome(MERS). Journal of Korean Medicine Science. 2015;30(8):1207-1208. https://doi.org/10.3346/jkms.2015.30.8.1207
  6. Kim KM, Cha KS, Lee JY, Yoo SY, Choi OJ, Wie SH, et al. Knowledge and performance of infection control guidelines. Hospital Infection Control. 2004;9(2):139-150.
  7. Kim MY, Jeong CM. The level of the awareness and the compliance on the nosocomial infection control among clinical nurses in the hospital. Hospital Infection Control. 2002;7(2):133-141.
  8. Stirling BV, Harmston J, Alsobayel H. An educational programme for nursing college staff and students during a MERScoronavirus outbreak in Saudi Arabia. BMC Nursing. 2015; 14(20):1-7. https://doi.org/10.1186/s12912-015-0065-y
  9. Liu M, Jiang C, Donovan C, Wen Y, Sun W. Middle East Respiratory Syndrome and medical students: Letter from China. International Journal of Environmental Research and Public Health. 2015;12(10):13289-13294. https://doi.org/10.3390/ijerph121013289
  10. Daugherty EL, Perl TM, Rubinson L, Bilderback A, Rand CS. Survey study of the knowledge, attitudes, and expected behaviors of critical care clinicians regarding an Influenza pandemic. Infection Control and Hospital Epidemiology. 2009;30 (12):1143-1149. https://doi.org/10.1086/648085
  11. Yap J, Lee VJ, Yau TY, Ng TP, Tor PC. Knowledge, attitudes and practices towards pandemic influenza among cases, close contacts and healthcare workers in tropical Singapore: A cross-sectional survey. BMC Public Health. 2010;10(442):1-8. https://doi.org/10.1186/1471-2458-10-442
  12. Kim SJ, Kang JY. Emergency Nurses' Perception and Performance of Tuberculosis Infection Control Measures. Journal of Korean Academy of Fundamentals of Nursing. 2010;17(3):351-361.
  13. Yoo MS, Son YJ, Ham HM, Park MM, Um AH. 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. 2004;11(1):31-40.
  14. Kang JY, Cho JW, Kim YJ, Kim DH, Lee JY, Park HK, et al. Hospital Nurses’ Knowledge and Compliance on Multidrugresistant Organism Infection Control Guideline. Journal of Korean Academy of Nursing. 2009;39(2):186-197. https://doi.org/10.4040/jkan.2009.39.2.186
  15. Kim KN, Lee OC. Knowledge, attitudes and perceptions of nurses on personal protective equipment: Response to the Middle East Respiratory Syndrome Corona virus. Korean Academy of Fundamentals of Nursing. 2016;23(4):402-410. https://doi.org/10.7739/jkafn.2016.23.4.402
  16. Kim JS, Choi JS. Factors influencing emergency nurses' burnout during an outbreak of Middle East Respiratory Syndrome Coronavirus in Korea. Asian Nursing Research. 2016;10(4): 295-299. https://doi.org/10.1016/j.anr.2016.10.002
  17. Kim JS, Choi JS. Factors influencing emergency nurses' ethical problems during the outbreak of MERS-CoV. Nursing Ethics. 2016;1-11. https://doi.org/10.1177/0969733016648205
  18. Middle East respiratory syndrome-related knowledge, preventive behaviors and risk perception among nursing students during outbreak. Journal of Clinical Nursing. 2016;25 (17):2542-2549. https://doi.org/10.1111/jocn.13295
  19. Faul F, Erdfelder E, Buchner A, Lang AG. Statistical power analyses using G*Power 3.1: tests for correlation and regression analyses. Behavior Research Methods. 2009;41(4):1149-1160. https://doi.org/10.3758/BRM.41.4.1149
  20. Park MS. Knowledge, awareness and performance of Tuberculosis infection control and prevention among nurses in wards of high TB risk. [master's thesis]. Seoul: Kyung Hee University; 2014. p. 1-61.
  21. Vartti AM, Oenema A, Schreck M, Uutela A, de Zwart O, Brug J, et al. SARS knowledge, perceptions, and behaviors: A comparison between Finns and the Dutchduring the SARS outbreak in 2003. International Journal of Behavioral Medicine. 2009;16:41-48. https://doi.org/10.1007/s12529-008-9004-6
  22. So WK, Chan SS, Lee AC, Tiwari AF. The knowledge level and precautionary measures taken by older adults during the SARS outbreak in Hong Kong. International Journal of Nursing Studies. 2004;41(8):901-909. https://doi.org/10.1016/j.ijnurstu.2004.04.004
  23. Kim BH. A study on the degrees of awareness and performance of the hospital infection control among clinical nurses in a middle-sized and in a small-sized hospital. [master's thesis]. Seoul: Yonsei University; 2003. p. 1-86.
  24. Imai T, Takahashi K, Hasegawa N, Lim MK, Koh D. SARS risk perceptions in healthcare workers in Japan. Emerging Infectious Diseases. 2005;11(3):404-410. https://doi.org/10.3201/eid1103.040631
  25. Quah SR, Hin-Peng L. Crisis prevention and management during SARS outbreak, Singapore. Emerging Infectious Diseases. 2004;10(2):364-368. https://doi.org/10.3201/eid1002.030418
  26. Office of Profession. Mandated training related to infection control [Internet]. NY: NYSED; 2008 [cited 2015 October 19]. available from: http://www.op.nysed.gov/icmemo.html.

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