Journal of Digital Convergence (디지털융복합연구)

The Society of Digital Policy and Management (한국디지털정책학회)
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A Study on the Relationship of Infection Control Performance in a Long Term Care Hospital Caregivers

일개 지역 요양병원 간병인의 감염관리수행도 관련성 연구

  • Received : 2019.10.22
  • Accepted : 2020.01.20
  • Published : 2020.01.28
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Abstract

The purpose of the study is to investigate infection management status of long term care hospitals and infection prevention knowledge of caregivers. This is descriptive study to investigate the factors affecting caregivers' infection control performance in long term care hospitals. The data collection period was from August, 2018, and a total of 197 caregivers from 8 long term care hospitals. The data analysis were done Win SPSS 20.0 with t-test, ANOVA, pearson's correlation coefficient, and hierarchical multiple regression analysis. Infection prevention knowledge was positively correlated with infection control performance (p=<.001). The factors influencing performance in a long term care hospital caregivers were over seventy years old (t=2.50, p=.013), eight-hour working time (t=-2.62, p=.010), nursing staffing First grades (t=2.48, p=.014), and infection prevention knowledge (t=2.96 p=.003), which explained 12.9% (F=6.70 p<.001). In summary, we recommend to develop infection education interventions to improve caregivers' infection control performance in long term care hospitals and to improve of the function in long term care hospitals.

본 연구의 목적은 일개 지역 요양병원 간병인의 일반적 특성, 감염관리 특성, 감염예방지식과 감염관리환경을 확인하고 감염관리 수행도에 미치는 요인을 확인하는데 있다. 연구대상자는 일개 지역 8개 요양병원의 간병인 197명이며, 자료수집은 자가기입 설문지를 이용하였으며, 2018년 8월에 진행되었다. 자료분석은 SPSS WIin 20.0을 이용하여 t-test, ANOVA, pearson's correlation coefficient, hierarchial multiple stepwise로 분석하였다. 연구결과 감염 예방지식은 감염관리수행도와 유의한 상관관계(p<.001)가 있었다. 요양병원 간병인의 감염관리수행도 영향요인은 70세 이상(t=2.50, p=.013), 8시간 근무(t=-2.62, p=.010), 1등급(t=2.48, p=.014), 감염예방지식(t=2.96 p=.003)이었으며, 제 변수들은 요양병원 간병인 감염관리수행도의 12.9%를 설명(F=6.70, p<.001)하였다. 본 연구결과는 요양병원 간병인의 감염관리수행도 영향요인을 확인함으로써 추후 간병인의 감염관리수행도 향상을 위한 교육프로그램 개발과 요양병원의 감염관리 수준을 향상시키는데 기초자료가 될 수 있다.

Keywords

References

  1. Health insurance review and assessment service. (2018). Statistics, Accessed 31, March, 2018, from http://www.hira.or.kr/
  2. National statute information center, Medical law : medical institution, from https://www.law.go.kr/lsSc.do?tabMenuId=tab18#J3:0
  3. S. T. Cho & H. R. Na. (2017). Genitourinary problems in the elderly in geriatric hospitals. Journal Korean Medical Association, 60(7), 536-541. https://doi.org/10.5124/jkma.2017.60.7.536
  4. B. Y. Jeon, H. S. Kim & S. N. Kwon. (2016). Patient and Hospital Characteristics of Long-Stay Admissions in Long-Term Care Hospitals in Korea. Health Policy and Management, 26(1), 39-50. https://doi.org/10.4332/KJHPA.2016.26.1.39
  5. E. J. Jang & S. H. Kim. (2017). Delegation of Nursing Activities in Long-term Care Hospitals. Journal of Korean Gerontologic Nursing, 19(2), 101-112. https://doi.org/10.17079/jkgn.2017.19.2.101
  6. S. J. You et al. (2007). Study of the Utilization Strategy of Nursing Personnel by Types of Medical Institutions. Clinical Nursing Research, 13(1), 157-172.
  7. Ministry of Health and Welfare. (2019). The standard textbook for the caregiver, from : http://www.mohw.go.kr/react/jb/sjb030301vw.jsp
  8. National statute information center, Medical law 38 : appendix 5, from https://www.law.go.kr/lsSc.do?tabMenuId=tab18&query=%EC%9D%98%EB%A3%8C%EB%B2%95%20#J38:0
  9. S. J. Lee. (2018). Effects of care-giver's knowledge level of infection control, infection prevention environment for practice level of infection control in geriatric hospitals. Master thesis. Kyungpook National University, Daegu.
  10. J. Lim. (2013). The reality and quality improvement of care labor in nursing homes. Monthly Wellfare Trend, 174, 49-55.
  11. N. M. Whang. (2010, July). Issues and Tasks of Institutionalization of Care Service. Welfare, Issue & Focus. 47. Retrieved April 6, 2018, https://www.kihasa.re.kr/web/publication/periodical/issue_view.do?menuId=50&tid=38&bid=21&searchForm=Y&keyField=writer&searchStat=2019&key=%ED%99%A9%EB%82%98%EB%AF%B8&aid=47&ano=1
  12. J. H. Lee & G. E. Lee. (2012). Perception and Practice of Hospital Infection Control of Nursing Staff depending on the Supplementation of Nurses in Long-term Care Hospitals. Korean Academic Society of Occupational Health Nursing, 21(3), 308-316. https://doi.org/10.5807/kjohn.2012.21.3.308
  13. S. H. Yang & Y. R. Kwen. (2014). Recognition of Skin Infection and Infection Management Practice on Caregivers in Geriatric Hospital. JOURNAL OF THE KOREA CONTENTS ASSOCIATION, 14(12), 808-817. https://doi.org/10.5392/JKCA.2014.14.12.808
  14. A. G. Stachel, K. Bornschlegel & S. Balter. (2012). Characteristics, services, and infection control practice of New York city assisted living facilities, Journal of American Geriatric Society, 60(2), 284-289. https://doi.org/10.1111/j.1532-5415.2011.03817.x
  15. K. J. Kim & S. W. Park. (2016). The Influencing Factors on Infection Management Behavior of Health Worker in Long Term Care Facilities. Journal of Korean Academic Society of Home Health Care Nursing, 23(2), 155-165. https://doi.org/10.22705/jkashcn.2016.23.2.155
  16. K. S. Baik. (2015). Effects of Nurses' Knowledge, Administrative Support and Environment for Infection Control on Compliance of Standard Precautions in Geriatric Hospital. Master thesis. Yonsei University, Seoul.
  17. Y. J. Kim & J. S. Park. (2017). Survey on Infection Control Status and Perceived Importance of ICP (infection control practitioner) in Long Term Care Hospital, Journal of the Korea Academia-Industrial cooperation Society, 18(7), 466-475. https://doi.org/10.5762/KAIS.2017.18.7.466
  18. Y. S. Ko & B. H. Park. (2016). Awareness and Performance Level for Healthcare-associated Infection Control among Caregivers at Medium and Small Hospitals. Korean Journal Healthcare Association Infection Control Prevention, 21(2), 74-84. https://doi.org/10.14192/kjhaicp.2016.21.2.74
  19. J. K. Kim. (2009). Relationship between Recognition and Performance of a Caregiver on Management of Nosocomial Infection. Master thesis. Konyang University, NonSan.
  20. Y. M. Ko. (2014). A Study on the Recognition and Performance on Infection Control of Caregivers in Home Visit Care Centers and Aged Care Facilities in I City. Master thesis. Gachon University. Incheon.
  21. K. H. Hong. (2015). Factors Related to Infection Control Performance of Care Workers in Long term Care Facilities, Master thesis. Jeju National University, Jeju.
  22. K. Lee. (2018). The performance of infection control and related factors among some care workers in long-term care hospitals. Master thesis. Chosun University, Gwangju.
  23. H. H. Gil & J. S. Choi. (2012). Affecting Factors of Hospital Caregivers on the Level of Practice, Knowledge, and Importance of Work under No Guardian. Korean Journal of Occupation Health Nursing, 21(1), 55-65. https://doi.org/10.5807/kjohn.2012.21.1.55
  24. B. M. Ryu & S. M. Ryu. (2010). The Effects of Infection Prevention Education Program on Infection Prevention Knowledge and Attitude to Nursing Caregiver Students. Journal of the Korea Industrial Information Systems Research 15(5), 167-177.
  25. M. Askarian, Z. A. Memish & A. A. Khan (2007). Knowledge, practice, and attitude among Iranian nurses, midwives, and students regarding standard isolation precautions. Infection Control Hospital Epidemiology, 28(2), 241-244. https://doi.org/10.1086/510868
  26. Y. S. Kim. (2008). A Study for Nosocomial Infection Control in the Emergency Rooms. Ulsan. http://www.cdc.go.kr/CDC/cms/content/mobile/09/1309_view.html
  27. E. M. Jeon, S. A. Lee & J. W. Gu. (2017). The Factors Related to Musculoskeletal Symptoms of Family Care-Givers who Have a Patient with Brain Damage. Journal of the Korea Academia -Industrial cooperation Society, 18(1), 336-344. https://doi.org/10.5762/KAIS.2017.18.1.336
  28. S. C. Song. (2016, 9 10). The elderly nursing hospital was called bad due to neglected nursing care expenses. Retrieved November 30, 2018, from http://www.doctorsnews.co.kr/news/articleView.html?idxno=112596
  29. S. Y. Jeong, O. S. Kim, J. H. Choi & S. J. Lee. (2018). Infection Control Tasks, Difficulties, and Educational Needs of Infection Control Practitioners in Long Term Care Facilities in Korea. Health and Social Welfare Review, 38(3), 331-362. https://doi.org/10.15709/hswr.2018.38.3.331
  30. Y. H. Kim. (2018). A Study on Elderly Care Labor Market and Korean-Chinese Migrant Workers in Korea: Focused on Regulatory Policy. Social Welfare Policy, 45(1), 180-206. https://doi.org/10.15855/swp.2018.45.1.180
  31. Y. E. Kim. (2016). A comparative study of changes in care helper Duty satisfaction - Focused on Jeju facility care helpers, Korean Journal of Care Management, 20, 93-119.
  32. S, J, Jang & J. H. Jang. (2018). Knowledge, Attitudes and Compliance Regarding Infection Preventive Behaviors for MERS among Staff in Long-term Care Hospitals. Journal of the Korea Industrial Information Systems Research, 19(6), 334-344. https://doi.org/10.5762/KAIS.2018.19.6.334
  33. C. Y. Kwak, S. J. Kim, K. A. Kang & E. S. Lim. (2013). A Study of the Status and Problems of Formal Caregiving System by Hospitals in South Korea. Journal of the Korean Data Analysis Society, 15(2), 827-839.
  34. S. S. Kim. (2015). Work and Vocational Education and Training of Health Care Workers in South Korea, The Korean-Japanese Journal of Economics & Management Studies, 69, 97-123.
  35. C. S. Kim. (2011). An Exploratory Study on Quality of Care-Giving Service with Use of SERVQUAL -Targeting Inpatients of Long-Term Care Hospitals in Daejeon Region, The Korean Journal of Health Service Management, 5(1), 45-60. https://doi.org/10.12811/kshsm.2011.5.1.045
  36. J. S. Han & H. J. Han. (2017). Factors Affecting Burnout of Caregivers in Geriatric Hospitals. Journal of Korean Academic Society of Home Health Care Nursing, 24(1), 79-86. https://doi.org/10.22705/jkashcn.2017.24.1.079
  37. D. H. Kim & H. J. Lee. (2014). Effects on Long-Term Care Hospital Staff Mixing Level after Implementing Differentiated Inpatient Nursing Fees by Staffing Grades. Journal of Korean Academy of Nursing Administration, 20(1), 95-105. https://doi.org/10.11111/jkana.2014.20.1.95
  38. M. R. Sim & K. H. Kim. (2010). Job Satisfaction, Self-Esteem, and Nursing Task Performance among Registered Nurses and Nurse Assistants in Long-Term Care Hospitals, Journal of Korean Academy of Nursing Administration, 16(4), 446-454. https://doi.org/10.11111/jkana.2010.16.4.446
  39. E. H. Kim & E. J. Lee. (2015). Nursing outcomes of inpatient on level of nursing staffing in long term care hospitals. Journal of the Korean Data Information Science Society, 26(3), 715-727. https://doi.org/10.7465/jkdi.2015.26.3.715
  40. H. H. Kim & N. H. Kim. (2017). A Study of the Knowledge, Awareness and Performance of the Infection Control among Nurses in Long-term Care Hospital. Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology, 7(11), 457-471. https://doi.org/10.14257/ajmahs.2017.11.08.
  41. M. K. Anthony, T. Standing & J. E. Hertz. (2000). Factors Influencing Outcomes After Delegation to Unlicensed Assistive Personnel. Journal of Nursing Administration, 30(10), 474-481. https://doi.org/10.1097/00005110-200010000-00005
  42. National statute information center, Medical law 43: infection control committee, https://www.law.go.kr/lsSc.do?tabMenuId=tab18&quer y=%EC%9D%98%EB%A3%8C%EB%B2%95%20#J43:0
  43. Y. J. Kim, S. Y. Ann, J. H. Yee & C. O. Kim. (2016). Clinical Finding and Antimicrobial Resistance in Bacteria Associated Geriatric Hospital, Korean Journal of Clinical Geriatrics, 16(2), 63-68. https://doi.org/10.15656/kjcg.2015.16.2.63
  44. E. M. Harrison et al. (2016). Transmission of methicillin-resistant staphylococcus aureus in long-term care facilities and their related healthcare networks. Genome Medicine, 8(102), 1-9. https://doi.org/10.1186/s13073-016-0353-5
  45. D. M. Murphy et al. (2012). Competency in infection prevention: A conceptual approach to guide current and future practice. American Journal of Infection Control, 40(4), 296-303. https://doi.org/10.1016/j.ajic.2012.03.002
  46. N. Abela, & M. A. Borg. (2012). Impact on hand hygiene compliance followin g migration to a new hospital with improved resources and the sequential introduction of World Health Organization recommendations. American Journal of Infection Control, 40(8) , 737-741. https://doi.org/10.1016/j.ajic.2011.09.012
  47. K. N. Kim & O. C. Lee. (2016). Knowledge, Attitudes and Perceptions of Nurses on Personal Protective Equipment: Response to the Middle East Respiratory Syndrome Coronavirus, Journal of Korean Academy of Fundamentals of Nursing, 23(4), 402-410. https://doi.org/10.7739/jkafn.2016.23.4.402