Journal of Korean Academic Society of Home Health Care Nursing (가정간호학회지)

Korean Academic Society of Home Health Care Nursing (한국가정간호학회)
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Factors Affecting Performance of the Infection Control of Carbapenem Resistant Enterobacteriaceae of Nursing Staffs in Long-term Care Hospitals

요양병원 간호인력의 카바페넴 내성 장내세균속균종 감염관리 수행 정도에 미치는 요인

  • Kim, Gyuri (Gyeonggi Infectious Disease Control Center) ;
  • Lee, Jong-Eun (College of Nursing, The Catholic University of Korea)
  • 김규리 (경기도 감염병관리지원단) ;
  • 이종은 (가톨릭대학교 간호대학)
  • Received : 2022.07.06
  • Accepted : 2022.07.29
  • Published : 2022.08.31
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Abstract

Purpose: This study aimed to identify factors affecting the carbapenem-resistant enterobacteriaceae (CRE) infection control performance of nursing staff, who closely contact patients with CRE in long-term care hospitals. Methods: A cross-sectional study design was used. A total of 135 nursing staffs working in seven long-term care hospitals in the southern and northern areas of the K province in Korea were included. We measured the CRE infection control general characteristics, knowledge, perception, and performance. Results: The main factors affecting the CRE infection control performance were education, knowledge, and perception. The model explained the 60.8% total variance in CRE infection control. Conclusion: Appropriate infection control strategies should be prepared to provide high quality nursing care and prevent the spread of CRE infection in long-term care hospitals. Establishing an efficient infection control system in long-term care hospitals is necessary.

Keywords

References

  1. Korea Ministry of Government Legislation. Article 36 of Medical Law Enforcement Regulations of the Medical Service Act [Internet]. Sejong: Korea Ministry of Government Legislation; 2010 [cited 2020 Jul 30]. Available from : https://www.law.go.kr/LSW/lsInfoP.do?efYd=20211231&lsiSeq=239133#0000
  2. Health Insurance Review and Assessment Serivice. Number of Providers by City/Province and Provider Type[Internet]. Health Insurance Review and Assessment Serivice; 2020 [cited 2020 Jul 30]. Available from: https://kosis.kr/statHtml/statHtml.do?orgId=117&tblId=DT_117030_001&vw_cd=MT_ZTITLE&list_id=D16_A002&scrId=&seqNo=&lang_mode=ko&obj_var_id=&itm_id=&conn_path=MT_ZTITLE&path=%252FstatisticsList%252FstatisticsListIndex.do
  3. Kim YJ, Park JS. Survey on Infection Control Status and Perceived Importance of ICP(infection control practitioner) in Long Term Care Hospital. Journal of the Korea Academia - Industrial. 2017;18(7):466-475. https://doi.org/10.5762/KAIS.2017.18.7.466
  4. KCDC. Prevention and management of medical-related infections in nursing hospitals [Internet]. Cheongju: KCDC; 2020 [cited 2020 Jul 30]. Available from: http://www.kdca.go.kr/board/board.es?mid=a20507020000&bid=0019&act=view&list_no=3676074
  5. KCDC. Continuous increase in bacterial infections in Carbapenem Resistant Enterobacteriaceae, and strengthen infection control. [Internet]. Cheongju: KCDC; 2020. [cited 2020 Sep 30]. https://kdca.go.kr/board/board.es?mid=a20501010000&bid=0015&act=view&list_no=367997
  6. CDC. Facility guidance for control of carbapenem-resistant Enterobacteriaceae (CRE) 2015 [Internet].US: CDC; 2015 [cited 2020 Jul 20]. Available from: https://www.cdc.gov/hai/pdfs/cre/
  7. Tischendorf J, de Avila RA, Safdar N. Risk of infection following colonization with carbapenem-resistant Enterobactericeae: A systematic review. Am J Infect Control. 2016;44(5):539-543. http://doi.org/10.1016/j.ajic.2015.12.005
  8. Chen HY, Jean SS, Lee YL, Lu MC, Ko WC, Liu PY, et al. Carbapenem-resistant Enterobacterales in long-term care facilities: A global and narrative review. Front Cell Infect Microbiol. 2021;11:601968. http://doi.org/10.3389/fcimb.2021.601968
  9. KCDC. Guidelines for Management of Medical-Related Infectious Diseases [Internet]. Cheongju: KCDC; 2021 [cited 2020 Jul 21]. Available from : https://kdca.go.kr/board/board.es?mid=a20507020000&bid=0019&act=view&list_no=712842
  10. KCDC. Statutory Infectious Disease Report. 2019 [Internet]. Cheongju: KCDC; 2019 [cited 2020 Aug 1]. Available from: https://kosis.kr/statHtml/statHtml.do?orgId=177&tblId=DT_117052_A001&vw_cd=MT_ZTITLE&list_id=F_24_001&scrId=&seqNo=&lang_mode=ko&obj_var_id=&itm_id=&conn_path=MT_ZTITLE&path=%252FstatisticsList%252FstatisticsListIndex.do
  11. Temkin E, Adler A, Lerner A, Carmeli Y. Carbapenem-resistant Enterobacteriaceae: biology, epidemiology, and management. Ann N Y Acad Sci 2014;1323(1):22-42. http://doi.org/10.1111/nyas.12537
  12. Korea Ministry of Government Legislation. Article 46 of Medical Law Enforcement Regulations of the Medical Service Act [Internet]. Sejong: Korea Ministry of Government Legislatio.; 2020 [cited 2022 Jun 25]. Available from : https://www.law.go.kr/LSW/lsInfoP.do?efYd=20211231&lsiSeq=239133#0000
  13. Jeong SY, Kim OS, Choi JH, Lee SJ. Infection Control Tasks, Difficulties, and Educational Needs of Infection Control Practitioners in Long Term Care Facilities in Korea. Health and Social Welfare Review. 2018;38(3):331-62. http://dx.doi.org/10.15709/hswr.2018.38.3.331
  14. Kim BY. The Factors Influencing CRE Infection Control in Nurses in a University Hospital. [Master's thesis] Daegu: Keimyung University; 2016.
  15. Kang JY, Cho JW, Kim YJ, Kim DH, lee JY, Park HK, et al. Hospital Nurses' Knowledge and Compliance on Multidrug-resistant Organism Infection Control Guideline. Journal of Korean Academy of Nursing. 2009;39(2):186-97. http://doi.org/10.4040/jkan.2009.39.2.186
  16. Kang JY, Lee YO, Yun SY, Kang JH, Park SH. Nursing Students' Knowledge and Compliance with Multidrug-resistant Organism Infection Control Guidelines. Journal of Korean critical care nursing. 2010;3(1):67-78.
  17. Kim HH, Kim NH. 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. 2017;7(11):457-71. http://doi.org/10.35873/ajmahs.2017.7.11.045
  18. Kim SE, Lee YM. A Study on Knowledge, Recognition and Performance for Vancomycin Resistant Enterococci(VRE) Infection Control of the Medical Members. Journal of The Korean Data Analysis Society. 2011;13(4):1881-92.
  19. Kim EH. A Study on the Awareness and Performance of Infection Control Among Convalescent Hospital Workers Using IPA. The Korean Society of Health and Welfare 2020;22(2):123-40. http://doi.org/10.23948/kshw.2020.06.22.2.123
  20. 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(11):461-470 https://doi.org/10.14400/JDC.2015.13.11.461
  21. Ben-David, D., Masarwa, S., Adler, A., Mishali, H., Carmeli, Y., & Schwaber, M. (2014). A National Intervention to Prevent the Spread of Carbapenem-Resistant Enterobacteriaceae in Israeli Post-Acute Care Hospitals. Infection Control & Hospital Epidemiology, 35(7), 802-809. https://doi.org/10.1086/676876
  22. Park SW. Knowledge, beliefs and behaviors on Carbapenem-Resistant Enterobacteriaceae(CRE) infection control among nurses. [Master's thesis] Daejeon:The Graduate school of Konyang University,; 2018.
  23. Ryu DJ, Ryu EJ. Awareness and Competency of Multi-Drug Resistant Organisms Infection Control in Nursing Students with Clinical Practice. Journal of Korean biological nursing science. 2019;21(4):283-91. http://doi.org/10.7586/jkbns.2019.21.4.283
  24. Lee JS. A Study on the Knowledge and Performance of the Clinical Nurses about the VRE Isolation. [Master's thesis] Seoul: The Graduate School of Ewha Womans University; 2003.
  25. Ministry of Health and Welfare. Guide to the establishment of medical institutions and establishment of medical corporations. 2019 [Internet] Sejong: Ministry of Health and Welfare; 2019 [cited 2021 Sep 20] Available from : http://www.mohw.go.kr/react/jb/sjb0406vw.jsp?PAR_MENU_ID=03&MENU_ID=030406&CONT_SEQ=349379
  26. Jang OS, Pack JM. The Influence of Health Belief and Knowledge on Performance of the Infection Control among Nursing Staffs in Long-Term Care Hospital. 2021;19(10):501-508. https://doi.org/10.14400/JDC.2021.19.10.501
  27. Lee SJ, Kim MR. Factors Influencing Self-Confidence in Performance of Infection Control for Multi-Drug Resistant Organisms among Nurses in Long-Term care Hospitals. The Korean journal of fundamentals of nursing. 2021;28(2):226-236. https://doi.org/10.7739/jkafn.2021.28.2.226
  28. Ministry of Health and Welfare. Central Disaster Management Headquarters, a press release. 2021 [Internet] Sejong: Ministry of Health and Welfare; 2021 [cited 2021 Jan 7] Available from : http://ncov.mohw.go.kr/tcmBoardView.do?brdId=&brdGubun=&dataGubun=&ncvContSeq=362868&contSeq=362868&board_id=140&gubun=BDJ
  29. Choi MJ, Jeong HS, Joung YS, Lee HY. Analysis of Needs for Infection Control Education in Long-Term Care Hospitals for the Epidemic of COVID-19: Borich Priority Formula and The Locus for Focus Model. Health and Social Welfare Review. 2021;41(1):8-21. https://doi.org/10.15709/hswr.2021.41.1.8