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Knowledge and Compliance on Hand Hygiene Moments of Nursing Care Workers in Geriatric Hospitals

노인요양병원 간호인력의 손위생 시행시점에 관한 지식 및 이행

  • Received : 2018.07.17
  • Accepted : 2018.08.10
  • Published : 2018.08.31

Abstract

Purpose: The study investigated the knowledge and compliance on hand hygiene moments among nursing care workers in geriatric hospitals. Methods: A total of 143 nursing care workers at geriatric hospitals were selected. Data collection was conducted from February 20 to March 20, 2017. Results: For all hand hygiene scenarios, the total correct answer rate was 71.5%. On the necessary hand hygiene moments, the compliance rate was 68.3%. With respect to the general characteristics of the participants, knowledge on hand hygiene moments showed a statistically significant difference according to clinical career(p=.001), and existence of infection controller or infection control office in the nursing home(p=.038). Compliance showed differences according to clinical career(p=.023), existence of infection controller or infection control office in the nursing home(p=.033), and training experience in hand hygiene(number of times/year)(p=.035). Knowledge and compliance showed a statistically significant positive correlation(r=.90, p<.001). Conclusions: It is necessary to develop and operate an infection control education program that can improve the knowledge and awareness of hand hygiene moments and considers the individual characteristics geriatric hospitals's nursing care workers.

Keywords

References

  1. National Statistical offical. 2016 Major population index (gender ratio, population growth rate, population structure, dependency ratio etc)[Internet]. Daejeon: National Statistical offical; 2016[cited 2017 January 14]. Available from: http://kostat.go.kr/portal/korea/index.action
  2. Health Insurance Review & Assessment Service. Evaluation of appropriateness of nursing hospital in 2016[Internet]. Seoul: Health Insurance Review & Assessment Service; 2017[cited 2017 Mary]. Available from: https://www.hira.or.kr/bbs/bbsCDownLoad.do?apndNo=39611...2290...1...68
  3. Health Insurance Review & Assessment Service. Disclosure of evaluation results of national nursing hospitals[Internet]. Seoul: Health Insurance Review & Assessment Service; 2010[cited 2010 August 25]. Available from: www.hira.or.kr/ICSFiles/afieldfile/2010/08/25/201008251
  4. Kim YM, Lee JY, Kang HC. Impact of nurse, nurse' aid staffing and turn over rate on inpatient health outcomes in long term care hospitals. Journal of Korean Academy Nursing. 2014;44(1);21-30. https://doi.org/10.4040/jkan.2014.44.1.21
  5. Kwak YT, Han IW, Kim DS, Seo SH, Lee CS, Suk SH, et al. Clinical characteristics of geriatric patients admitted to yongin hyoja geriatric hospital. Journal of Korean Neurological Association. 2000;18(2):179-146.
  6. Allegranzi B, Pittet D. Role of hand hygiene in healthcare associated infection prevention. Journal of Hospital Infection, 2009;73:305-315. https://doi.org/10.1016/j.jhin.2009.04.019
  7. National institute of Health Center for Infectious Diseases Research Division of Antimicrobial resistance. Surveillance of infection control and prevalence of methicillin resistant Staphylococcus aureus carriers in long-term care facilities [Internet]. Cheongju: Korea Centers for Disease Control and Prevention; 2009[cited 2009 June 12]. Avaiable from: http://www.cdc.go.kr/CDC/contents/CdcKrContentLink.jsp?fid=31&cid=12291&ctype=6
  8. Lee DJ, Ko SH, Lee YH. Perception and practice of hospital infection control in nurses of geriatric hospital: for convergent approach. Journal of Digital Convergence. 2015;13(1):461-470. https://doi.org/10.14400/JDC.2015.13.11.461
  9. World Health Organization. WHO guidelines on Hand Hygiene in Health Care[Internet]. Geneva: World Health Organization; 2009 [cited 2009]. Available from: http://whqlibdoc.who.int/publications/2009/9789241597906_eng.pdf
  10. Sax H, Allegranzi B, Uckay I, Larson E, Boyce J, Pittet D. My five moments for hand hygiene: a user-centred design approach to understand, train, monitor and report hand hygiene. Journal of Hospital Infection. 2007;67(1):9-21. https://doi.org/10.1016/j.jhin.2007.06.004
  11. Sunkesula VCK, Meranda D, Kundrapu S, Zabarsky TF, McKee M, Macinaga DR, Donskey CJ. Comparison of hand hygiene monitoring using the 5 moments for hand hygiene method versus a wash in- wash out method. Journal of Hospital Infection. 2015; 43(1):16-19. https://doi.org/10.1016/j.ajin.2014.10.003
  12. Jung SY, Kim OS. The structural model for hand hygiene of infection prevention activities in hospital nurses. Korean Journal of Adult Nurse. 2012;24(2):119-129. https://doi.org/10.7475/kjan.2012.24.2.119
  13. World Health Organization. Instructions to use the training films in education sessions on health care-associated infections and hand hygiene for health care workers and observers[Internet]. Geneva: World Health Organization; 2009 [cited 2009]. Available from: http://www.who.int/gpsc/media/edu_film_instr_08_07.pdf
  14. Kang YJ. Knowledge on the moment of hand hygiene among nurses in the acute care hospital. [master's thesis]. Ulsan: Ulsan University; 2014.
  15. Lee A, Chalfine A, Daikos GL, Daikos L, Garilli S, Jovanovic B, Lemmen S, Martinez JA, Aumatell CM. Hand hygiene practices and adherence determinants in surgical wards across europe and israel: A multicenter observational study. American Journal of Infection Control. 2011;39(6):517-520. https://doi.org/10.1016/j.ajic.2010.09.007
  16. Kim JY. The effect of interventions using target solution tools on hand hygiene compliance and MDROs incidence in ICU workers[master's thesis]. Deajeon: Konyang University; 2015.
  17. Chun HK, Kim ML, Hwang JI. Hand hygiene promotion in a hospital setting through the WHO multimodal hand hygiene improvement strategy. Korean Journal Nosocomial Infection Control. 2014;19(1):1-14. https://doi.org/10.14192/kjnic.2014.19.1.1
  18. Kim MK. Factors associated with healthcare workers' hand hygiene compliance[master's thesis]. Seoul: Seoul National University; 2015.
  19. Center for Disease Control & Prevention. Guideline for Hand Hygiene in Health-Care Settings[Internet]. Uniter States: Center for Disease Control & Prevention; 2002 [cited 2002 October 25] Available from: http://www.cdc.gov/mmwr/PDF/rr/rr5116.pdf
  20. Oh HS. Analysis of hand hygiene practices of health care personnels. Journal of Korea Acsdemia-Industrial cooperation Society, 2015;16(9):6160-6168. https://doi.org/10.5762/KAIS.2015.16.9.6160
  21. Pittet D. Improving to Hand Hygiene Practice a Multidisciplinary Approach. Emerging Infection Diseases, 2001;7(2):234-240. https://doi.org/10.3201/eid0702.010217
  22. Shon JA, Park JH. Knowledge and compliance level of the multi-drug resistant organisms of ICU nurses. Journal of the Academia-Industral cooperation Society. 2016;17(7):208-292. https://doi.org/10.5762/KAIS.2016.17.7.280
  23. Kim CM, Lee JY, Ko RJ. Quality Dimension of long term care hospital. Journal of Korean Academy of Community Health Nursing. 2009;20(2):243-250.
  24. Cho MH, Kim KH. Preceotions of adequacy and job performance of nurse assistant nursing jobs according to registered nurses and nurse assistants in geriatric hospitals, and caregivers. Journal of Korean Academy of Nursing Administration. 2016:22(4):384-395. https://doi.org/10.11111/jkana.2016.22.4.384
  25. Cha KS. shin MJ. Lee JY, Chun HK. The roie of infection control nurse during emerging infection disease epidemic -focusing on the middle east respiratory syndrome. Korean Journal of Healthcare-Associated Infection Control and Prevention. 2017;22(1):31-41. https://doi.org/10.14192/kjhaicp.2017.22.1.31
  26. Kong HK, Park TJ, Park KY. Knowledge on blood-bone infection, awareness and compliance on blood-bone infection control, and factors influencing compliance among emergency nurses. Korean Journal Healthcare Associated Infection Control and Prevention. 2016;21(2):140-146. https://doi.org/10.14192/kjhaicp.2016.21.2.65
  27. Hwang ES, Park JH. The effect of scenario based hand hygiene education program on hand hygiene knowledge, hand hygiene perception, hand hygiene compliance and hand hygiene method in nursing students. Journal of Korean Academy Fundam Nurses. 2016;23(2):194-203. https://doi.org/10.7739/jkafn.2016.23.2.1.194

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