DOI QR코드

DOI QR Code

중소병원 임상간호사의 감염관리 지식과 표준주의 수행도

Infection Control Knowledge and Standard Precaution Practice among Clinical Nurses in Small and Medium-sized Hospital

  • Lee, Soon-Hee (Department of Nursing, Korea National University of Transportation) ;
  • Yang, In-Suk (Department of Nursing, Kyungil University)
  • 투고 : 2022.01.03
  • 심사 : 2022.02.20
  • 발행 : 2022.02.28

초록

본 연구의 목적은 중소병원 간호사의 감염관리 지식, 표준주의 수행도를 파악하고 표준주의 수행도에 미치는 영향 요인을 규명하기 위함이다. 본 연구는 횡단적 서술적 조사연구 방법으로 7개 중소병원 간호사 258명을 대상으로 수행되었다. 감염관리 지식은 평균 7.25점, 표준주의 수행도는 평균 3.61점이었으며, 임상경력(r=.123, p=.047)과 직위(F=5.356, p=.005)에 따라 표준주의 수행도에 차이를 보였다. 감염관리 지식과 표준주의 수행도 간에는 통계적으로 유의한 양의 상관관계가 있었으며(r=.421, p<.001), 표준주의 수행도에 영향을 미치는 요인은 직위(β=-.187, p=.025)와 감염관리 지식(β=.408, p<.001)으로 나타났다. 중소병원 간호사의 의료관련감염 관리를 위한 표준주의 수행도를 증진시키기 위한 방안으로 일반간호사를 대상으로 감염관리에 대한 융복합 교육이 요구된다.

The purpose of this study was to investigate the level of infection control knowledge and standard precaution practice and to identify effecting factors on standard precaution practice among nurses in small and midium-sized hospitals. A cross-sectional study was conducted with a sample of 258 nurses from 7 hospitals between July and August 2021. The mean score of infection control knowledge and standard precaution practice was 7.25 and 3.61, respectively. There were significant differences in standard precaution practice according to clinical experience (r=.123, p=.047) and position (F=5.356, p=.005). Infection control knowledge and standard precaution practice were closely correlated (r=.421, p<.001). Position (β=-.187, p=.025) and infection control knowledge (β=.408, p<.001) had an effect on standard precaution practice. It could be possible to enhance the standard precaution practice through convergence education program related to infection control among staff nurses.

키워드

과제정보

This work was supported by the National Research Foundation of Korea(NRF) grant funded by the Korea government(MSIT) (No. 2021R1F1A1047662)

참고문헌

  1. Korea Disease Control and Prevention Agency. (2021). Healthcare-Associated Infection. Korea Disease Control and Prevention Agency (Online). https://www.kdca.go.kr/contents.es?mid=a20301080100
  2. Korean Law Information Center. (2020). Medical Service Act, Article 47. Korean Law Information Center (Online). https://www.law.go.kr/%EB%B2%95%EB%A0%B9/%EC%9D%98%EB%A3%8C%EB%B2%95/%EC%A0%9C47%EC%A1%B0
  3. Korean Law Information Center. (2012). Enforcement Regulations of the Medical Service Act, Article 43 & 46. Korean Law Information Center (Online). https://www.law.go.kr/%EB%B2%95%EB%A0%B9/%EC%9D%98%EB%A3%8C%EB%B2%95%20%EC%8B%9C%ED%96%89%EA%B7%9C%EC%B9%99
  4. S. Y. Jeong, O. S. Kim, & J. Y. Lee. (2014). The status of Healthcare-associated Infection Control among Healthcare Facilities in Korea. Journal of Digital Convergence, 12(5), 353-366. DOI : 10.14400/JDC.2014.12.5.353
  5. J. C. Lee. (2020). The Present and Future of Infection Control Policy in Korea. The Korean Journal of Healthcare-Associated Infection Control and Prevention, 25(2), 70-78. DOI :10.14192/kjicp.2020.25.2.70
  6. Infection Control Consulting Network. (2021). History of Infection Control Consulting Network. Infection Control Consulting Network (Online). https://www.iccon. or.kr/sub01/sub01.html
  7. J. E. Oh & J. Y. Park. (2018). Influencing Factors on Performance for Standard Precaution of Healthcare Workers of General Hospital for Infection Control. Journal of Digital Convergence, 16(4), 231-249. DOI : 10.14400/JDC.2018.16.4.231
  8. S. Y. Jung. (2011). How to Prevent Transmission of Infectious Agents in Healthcare Settings. Hanyang Medical Reviews, 31(3), 190-199. https://doi.org/10.7599/hmr.2011.31.3.190
  9. E. S. Park, K. S. Kim, W. J. Lee, S. Y. Jang, J. Y. Choi, & J. M. Kim. (2005). The Economical Impacts of Surgical Site Infections. Korean Journal of Nosocomial Infection Control, 10(2), 57-64.
  10. K. H. Lee, J. O. Choi, K. S. Lee, J. A. Hur, & T. W. Hwang. (2014). Nurses' Knowledge, Attitude, and Compliance with Hospital Infection Standard Precautions. Korean Society of Hospital Management, 29(2), 34-43.
  11. E. Y. Choi & M. S. Song. (2019). Factors Influencing the Infection Control Performance of Catheter-Associated Urinary Tract Infection of Nurses in Hospitals. Journal of Korean Clinical Nursing Research, 25(3), 303-313. DOI : 10.22650/JKCNR.2019.25.3.303
  12. M. K. Sim. (2019). Knowledge, Awareness, Safety-climate and Performance of Standard Precautions for Healthcare Associated Infection Control among Nurses in Small and Medium Hospitals. Journal of the Korea Academia- Industrial cooperation Society, 20(11), 425-435. DOI : 10.5762/KAIS.2019.20.11.425
  13. G. Y. Cho & H. J. Moon. (2020). The Effect of on the Performance of Standard Precautions for Infection Prevention in Small and Medium-sized Hospital Nurses. The Journal of the Korean Society for Fisheries and Marine Sciences Education, 32(5), 1263-1275. DOI : 10.13000/JFMSE.2020.10.32.5.1263
  14. Korean Society for Healthcare-associated Infection Control. (2017). Healthcare-Associated Infection Standard Precautions. The Korean Society of Infectious Disease (Online). https://www.ksid.or.kr/rang_board/list.html?num=2758&start=15&code=pds
  15. J. H. Yoo. (2018). Principle and Perspective of Healthcare-associated Infection Control. Journal of the Korean Medical Association, 61(1), 5-12. DOI : 10.5124/jkma.2018.61.1.5
  16. J. I. Lee & J. K. Kim. (2021). Factors Affecting Nurses' Performance of Standard Precautions for Infection in Public Medical Institutions: Focusing on Knowledge and Safety Environment. The Journal of the Korea Contents Association, 21(7), 238-247. DOI : 10.5392/JKCA.2021.21.07.238
  17. H. Y. 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. DOI : 10.14257/ajmahs.2017.11.08.
  18. O. S. Kim, S. Y. Jeong, & K. M. Kim. (2020). Educational Needs of Infection Control Nurses in Long-term Care Hospitals in Korea. Korean Journal of Healthcare-Associated Infection Control and Prevention, 25(2), 137-145. DOI : 10.14192/kjicp.2020.25.2.137
  19. Center for Disease Control and Prevention. (Updated on 26 January, 2016). Standard Precautions for All Patient Care. Center for Disease Control and Prevention (Online). https://www.cdc.gov/infectioncontrol/basics/standard-precautions.html
  20. C. Houghton, P. Meskell, H. Delaney, M. Smalle, C. Glenton, & A. Booth et al. (2020). Barriers and facilitators to healthcare workers' adherence with infection prevention and control (IPC) guidelines for respiratory infectious diseases: a rapid qualitative evidence synthesis. Cochrane Database Syst Rev. 4(4), CD013582. DOI : 10.1002/14651858.CD013582
  21. D. Moralejo, R. El Dib, R. A. Prata, P. Barretti, & I. Correa. (2018). Improving adherence to Standard Precautions for the control of health care-associated infections. Cochrane Database Syst Rev. 2(2), CD010768. DOI : 10.1002/14651858.CD010768.pub2.
  22. S. Gomarverdi, M. Khatiban, A. Bikmoradi, & A. R. Soltanian. (2019). Effects of a multi-component educational intervention on nurses' knowledge and adherence to standard precautions in intensive care units. J Infect Prev. 20(2), 83-90. DOI : 10.1177/1757177419830780