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Factors influencing Healthcare-associated Infection Control of Caregivers

돌봄제공자의 감염관리를 위한 표준주의 이행도 영향요인

  • Received : 2021.01.31
  • Accepted : 2021.02.08
  • Published : 2021.02.28

Abstract

Purpose : The purposes of this study were to examine the relationships between knowledge, awareness, safe environment, and performance of standard precautions and identify factors associated with performance of standard precautions. Methods : This study was a descriptive research. A structured questionnaire on knowledge, awareness, safe environment, and performance of standard precautions was used for the survey with a convenience sample of 150 caregivers. Data were collected from July to August 2019 and were analyzed using descriptive statistics, independent t-test, one way ANOVA, Pearson's correlation coefficient, and multiple regression with SPSS/WIN 25.0 program. Results : The mean scores on knowledge, awareness, safe environment, and performance of standard precautions were 15.77±3.34, 7.35±1.91, 4.55±2.05, and 55.20±10.11 respectively. Performance of standard precautions showed a statistically significant positive correlation with knowledge (r=.54, p<.001), awareness (r=.54, p<.001), and safe environment (r=.50, p<.001). Awareness (β=.24, p=.025) and safe environment (β=.35, p<.001) were significantly associated with factors of performance of standard precautions. Also, education level (high school and above college), affiliated institution (private association), and importance of infection control education (moderate) were significantly associated with factors of performance of standard precautions. Conclusion : The results of the study indicate that factors influencing the performance of standard precautions of caregivers were awareness and safe environment. Therefore, to improve implementation of the standard precautions among caregivers, a safe environment within the hospital must be supported, and appropriate infection management education needs to be provided to caregivers to improve their knowledge and awareness of the standard precautions.

Keywords

References

  1. Cha KS, Cho OH, Yoo SY. Risk factors for surgical site infections in patients undergoing craniotomy. Journal of Korean academy of nursing. 2010;40(2): 298-305. http:/doi.org/10.4040/jkan.2010.40.2.298
  2. Park EJ, Lim YJ, Cho BH, Sin IJ, Kim SO. A survey on performance of infection control by workers in nursing homes for the elderly. Journal of Korean Gerontologic Nursing. 2011;13(2):79-90.
  3. Korea Disease Control and Prevention Agency. Guidelines for prevention and control of healthcare associated infections 2017 [Internet]. Osong: Korea Disease Control and Prevention Agency; 2017 [cited 2020 March 1]. Available from: http://www.cdc.go.kr/board.es?mid=a20507020000&bid=0019&act=view&list_no=138061
  4. Statistics Korea. Korean Social Trends 2019 [Internet]. Seoul: Statistics Korea; 2019 [cited 2020 March 1]. Available from: http://www.kostat.go.kr/sri/srikor/srikor_pbl/3/index.board?bmode=list&bSeq=&aSeq=&pageNo=4&rowNum=10&navCount=10&currPg=&searchInfo=&sTarget=title&sTxt=
  5. Hwang NM. An analysis of the debates on introduction of public caregivers' services in acute medical centers. Health and Welfare Policy Forum. 2010; 170(0):60-71.
  6. Kim CS. An exploratory study on quality of caregiving service with use of SERVQUAL-targeting inpatients of long-term care hospitals in Daejeon region. The Korean Journal of Health Service Management. 2011;5(1):45-60. https://doi.org/10.12811/kshsm.2011.5.1.045
  7. Kim J, Kim S, Park E, Jeong S, Lee E. Policy issues and new direction for comprehensive nursing service in the national health insurance. Journal of Korean Academy of Nursing Administration. 2017;23(3):312-22. https://doi.org/10.11111/jkana.2017.23.3.312
  8. Siegel JD, Rhinehart E, Jackson M, Chiarelle L. Guidelines for isolation precautions: prevention transmission of infectious agents in healthcare settings. American Journal of Infection Control, 2007;35(10): S65-164. https://doi.org/10.1016/j.ajic.2007.10.007
  9. Jeong YS, Kim OS, Lee JY. The status of healthcare-associated infection control among healthcare facilities in Korea. Journal of Digital Convergence. 2014;12 (5):353-66. https://doi.org/10.14400/JDC.2014.12.5.353
  10. Statistics Korea. Korean Social Trends 2020 [Internet]. Seoul: Statistics Korea; 2020 [cited 2021 January 29]. Available from: http://www.kostat.go.kr/sri/srikor/srikor_pbl/3/index.board?bmode=list&bSeq=&aSeq=&pageNo=1&rowNum=10&navCount=10&currPg=&searchInfo=&sTarget=title&sTxt=
  11. Correa I, Moralejo D, Barretti P, El Dib RP. Intervention to improve adherence to guidelines on 'Standard-Precautions' for the control of healthcare-associated infections. Cochrane Library. 2013;10: 1-13. https://doi.org/10.1002/14651858.CD010768
  12. Kwon J, Yang MS. A job analysis of acute care hospitals' formal caregiver. The Journal of Digital Policy & Management. 2013;11(10):639-51.
  13. Jang EJ, Kim SH. Delegation of nursing activities in long-term care hospitals. Journal of Korean Gerontologic Nursing. 2017;19(2):101-12. https://doi.org/10.17079/jkgn.2017.19.2.101
  14. Shin DS, Sung MS, Park SY, Ham OK. Nurses' perception on the performance and management of paid caregivers in acute hospitals. Journal of the Korean Data Analysis Society. 2012;14:247-58.
  15. Cho HJ, Hong YH. A study on the knowledge and performance status for healthcare associated infection control and prevention in caregivers. Korean Journal of Healthcare-Associated Infection Control and Prevention. 2020;25(1):29-39. https://doi.org/10.14192/kjicp.2020.25.1.29
  16. Lee HJ, Park EJ, Bak MH, Ju HY, Seo JW, Jeon MY. Influencing factors on the performance of healthcare-associated infection control and microbiological hand contamination among caregivers at a tertiary hospital. Journal of Muscle and Joint Health. 2019;26(3):241-50. https://doi.org/10.5953/JMJH.2019.26.3.241
  17. Hong NK, Kang KJ. A study on the relationship of infection control performance in a long term care hospital caregivers. Journal of Digital Convergence. 2020;18(1):187-98. https://doi.org/10.14400/JDC.2020.18.1.187
  18. Ko YS, Park B. Awareness and performance level for healthcare-associated infection control among caregivers at medium and small hospitals. Korean Journal of Healthcare-Associated Infection Control and Prevention. 2016;21(2):74-84. https://doi.org/10.14192/kjhaicp.2016.21.2.74
  19. Cho GL. Influencing factors on the compliance about standard precautions among ICU and ER nurses [master's thesis]. Seoul: Seoul National University;2007.
  20. Suh YH, Oh HY. Knowledge, perception, safety climate, and compliance with hospital infection standard precautions among hospital nurses. Journal of Korean Clinical Nursing Research. 2010;16 (1):61-70.
  21. Askarian M, Honarvar B, Tabatabae HR, Asadian O. Knowledge, practice and atitude towards standard isolation precautions in Iranian medical students. Journal of Hospital Infection. 2004;58(4):292-6. https://doi.org/10.1016/j.jhin.2004.07.004
  22. Kim YS. A study for nosocomial infection control in the emergency rooms [Internet]. Osong: Korea Disease Control and Prevention Agency; 2008 [cited 2019 March 30]. Available from: http://www.cdc.go.kr/board.es?mid=a40801000000&bid=0050&act=view&list_no=1309
  23. Jeong EH. Awareness and performance for the standard precautions among outpatient clinics nursing staffs in a university-affiliated hospital [master's thesis]. Ulsan: Ulsan University; 2011.
  24. Choi EA. Study on the effect of nurses in response to new respiratory infection disease on the performance of standard precaution. Journal of Digital Convergence. 2020;18(12):285-92. https://doi.org/10.14400/JDC.2020.18.12.285
  25. Lee K, Kim HS, Lee YW, Ham OK. Factors influencing compliance with standard precautions in intensive care unit and emergency room nurses. Journal of Korean Academy of Fundamentals of Nursing. 2012;19(3):302-12. https://doi.org/10.7739/jkafn.2012.19.3.302
  26. Gil HH, Choi JS. Affecting factors of hospital caregivers on the level of practice, knowledge, and importance of work under no guardian. Korean Journal of Occupational Health Nursing. 2012;21 (1):55-65. https://doi.org/10.5807/kjohn.2012.21.1.55
  27. Kim K, Lee O. 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. 2016;23(4):402-10. http://doi.org/10.7739/jkafn.2016.23.4.402
  28. Jeon EM, Lee SA, Gu JW. 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. 2017;18(1):336-44. https://doi.org/10.5762/KAIS.2017.18.1.336
  29. Kim YH. A study on elderly care labor market and Korean-Chinese migrant workers in Korea: focused on regulatory policy. Social Welfare Policy. 2018; 45(1):180-206. https://doi.org/10.15855/SWP.2018.45.1.180
  30. Kim JY, Kim BJ. Awareness and performance for standard precautions among health care workers in a general hospital. Journal of Korean Critical Care Nursing. 2012;5(2):49-60.