산업융합연구 (Journal of Industrial Convergence)

  • 제21권1호
  • /
  • Pages.137-145
  • /
  • 2023
  • /
  • 2635-8875(pISSN)
  • /
  • 2672-0124(eISSN)
대한산업경영학회 (DAEHAN Society of Industrial Management)
권호 표지
DOI QR코드

DOI QR Code

간호대학생의 팬데믹에 대한 윤리인식과 표준주의 건강신념이 표준주의 수행도에 미치는 영향

Effect of Ethical Awareness about Pandemic and Health Beliefs of Standard Precaution on the Performance Standard Precaution of Nursing Students

  • 최동원 (인천가톨릭대학교 간호대학)
  • Dongwon Choi (School of Nursing, Incheon Catholic University)
  • 투고 : 2022.10.17
  • 심사 : 2023.01.20
  • 발행 : 2023.01.28
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

본 연구는 간호대학생의 팬데믹에 대한 윤리인식과 표준주의 건강신념 요인을 조사하고, 이들이 표준주의 수행도에 미치는 영향을 파악하기 위해 시도되었다. 연구대상자는 3개의 대학에 재학 중인 163명이었고, 구조화된 설문지를 통해 수집된 자료는 SPSS 25.0의 t-test, ANOVA, Pearson correlation 및 multiple regression을 사용하여 분석하였다. 연구결과, 대상자의 표준주의 수행도는 윤리인식(r=.17, p=.033), 지각된 민감성(r=.33, p<.001), 지각된 심각성(r=.24, p=.003) 및 지각된 유익성(r=.35, p<.001)과 양의 상관관계가, 지각된 장애성(r=-.31, p<.001)과 음의 상관관계가 있었다. 표준주의 수행도에 영향을 미치는 요인에 대한 회귀모형은 유의한 것으로 나타났고(F=8.09, p<.001), 지각된 유익성(β=.20, p=.014)과 지각된 장애성(β=-.20, p=.008)이 표준주의 수행도에 영향을 미치는 주요 요인으로 나타났으며, 회귀모형의 설명력은 18.1%이었다. 본 연구를 통해 간호대학생의 표준주의 수행도를 높이기 위해 윤리인식과 함께 표준주의 건강신념 요인 중 유익성 및 장애성을 고려한 체계적인 감염관리 교육프로그램 마련이 필요하다.

The purpose of this study was to find the effects of ethical awareness about pandemic and health beliefs of standard precaution on performance standard precaution of nursing students. The survey was performed on 163 nursing students in three universities. Data were collected using a structured questionnaires and analyzed using t-test, ANOVA, Pearson correlation coefficient, and multiple regression with SPSS 25.0 program. Study findings revealed that performance standard precautions was significantly correlated with ethical awareness about pandemic(r=.17, p=.033), perceived susceptibility(r=.33, p<.001), perceived severity (r=.24, p=.003), perceived benefits(r=.35, p<.001) and perceived obstruction(r=-.31, p<.001). The factors that had the influences on performance standard precaution were the perceived benefits(β=.20, p=.014)) and perceived obstruction(β=-.20, p=.008). And the explanation power of the regression model appeared as being 18.1%(F=8.09, p<.001). It is necessary to develop a systematic infection education program that considers ethical awareness, and perceived severity and obstruction among health beliefs of standard precaution to improve performance standard precaution of nursing students.

키워드

과제정보

This paper was supported by Incheon catholic university research grant in 2022.

참고문헌

  1. M. Devinani, A. K. Gupta & B. Devinani. (2011). Planning and response to the influenza A (H1N1) pandemic: Ethics, equity. Indian Journal of Medical Ethics, 8(4), 237-240. DOI : 10.20529/IJME.2011.088
  2. JS-C. Shiao, D. Koh, L. H. Lo, M. K. Lim & Y. L. Guo. (2007). Factors predicting nurses' consideration of leaving their job during the SARS outbreak.. Nursing Ethics, 14(1), 5-17. DOI : 10.1177/0969733007071350
  3. E. J. Yoon & Y. M. Park. (2018). Factors Influencing Nursing Students' Performance of Standard Precaution for Healthcare-Associated Infection Control. Journal of Convergence for Information Technology, 8(5), 19-27. DOI : 10.22156/CS4SMB.2018.8.5.019
  4. J. D. Siegal, E. Rhinehart, M. Jackson & L. Chiarello. (2007). Guideline for isolation precautions: Preventing transmission of infectious agents in health care settings. American Journal of Infection Control, 35(10), S65-S164. DOI : 10.1016/j.ajic.2007.10.007
  5. Y. Y. Kim. (2021). Effect of Health Beliefs and Critical Thinking Disposition on the Performance of Taking Standard Precautions of Nursing Students. Journal of Convergence for Information Technology, 11(11), 85-94 DOI : 10.22156/CS4SMB.2021.11.11.085
  6. O. M. Al-Rawajfah, A. Tubaishat. (2017). A concealed observational study of infection control and safe injection practices in Jordanian governmental hospitals. American Journal of Infection Control, 45(10), 1127-1132. DOI : 10.1016/j.ajic.2017.04.293
  7. S. Seyed Nematian, C. J. Palenik, S. K. Mirmasoudi, N. Hatam, M. Askarian. (2017). Comparing knowledge and self-reported hand hygiene practices with direct observation among Iranian hospital nurses. American Journal of Infection Control, 45 (6), e65-e67. DOI : 10.1016/j.ajic.2017.03.007
  8. J. Y. Song, I. S. Jeong. (2015) The Hawthorne Effect on the Adherence to Hand Hygiene. Perspectives in Nursing Science, 12(1), 7-13. DOI : 10.16952/pns.2015.12.1.7
  9. Bae, J. M. (2015). Establishing public health ethics related to disclose information for 352 controlling epidemics on 2015 MERS epidemics in Korea. Korean Public Health Research, 41(4), 15-20. DOI : 10.22900/kphr.2015.41.4.002
  10. J. H. Moon & S. H. Yoon (2018). Factors influencing patient safety nursing activities of nurses in long-term care hospitals. Journal of Korean Academy of Nursing Administration, 24(4), 307-318. DOI : 10.11111/jkana.2018.24.4.307
  11. J. Y. Kim. (2017). Nurses' Experience of Middle East Respiratory Syndrome Patients Care. Journal of Korea Academia-Industrial Cooperation Society. 18(10), 185-196. DOI : 10.5762/KAIS.2017.18.10.185
  12. Y. Y. Shin & D. Y. Choi. (2022). The Influential Factors on Nursing Students' Behavioral Intention of Recommended Immunizations for Health Care Personnel. Journal of Convergence for Information Technology, 12(3), 270-279. DOI : 10.22156/CS4SMB.2022.12.03.270
  13. Y. S. Lee, D. K. Shin. (2020). An investigation of the implementation of online classes in the untact era caused by the COVID-19 pandemic. The Journal of Curriculum and Evaluation., 23(4), 39-57. DOI : 10.29221/jce.2020.23.4.39
  14. S. Y. Kim, C. Cha. (2015). Factors related to the Management of MultiDrug-Resistant Organisms among Intensive Care Unit Nurses: An Application of the Health Belief Model. Journal of Korean Academy of Fundamentals of Nursing, 22(3), 268-276. DOI : 10.7739/jkafn.2015.22.3.268
  15. J. H. Jeon. E. H. Choi, Y. H. Yom. (2020). Factors Influencing on Handwashing Performance among Nursing Students. The Journal of Muscle and Joint Health, 27(2), 132-141. DOI : 10.5953/JMJH.2020.27.2.132
  16. S. H. Ryu. (2017). Factors influencing on compliance with standard precaution in clinical nurses : An Application of the Health Belief Model. Master's Thesis. Pusan National University, Pusan. http://www.riss.kr/link?id=T14460186
  17. J. H. Kim, H. S. Song & Y. H. Park. (2020). Knowledge on Nosocomial Infection, Awareness and Performance of Standard Precautions in Nursing Students. Journal of Learner-Centered Curriculum and Instruction, 20(3), 669-687. DOI : 10.22251/jlcci.2020.20.3.669
  18. J. A. Kim. (2011). Healthcare Professionals' Perception of Ethical Issues in Pandemic Response. Master's thesis. Hanyang University, Seoul. http://www.riss.kr/link?id=T12507712
  19. Y. J. Park & S. R. Lee. (2021). Factors influencing the behavioral beliefs to care for emerging infectious disease (COVID-19) patients. Journal of the Korea Academia -Industrial cooperation Society, 22(2), 522-528. DOI : 10.5762/KAIS.2021.22.2.5226
  20. O. Erkin & S. Ozsoy. (2012). Validity and Reliability of Health Belief Model Applied to Influenza. Academic Research International, 2(3), 31-40. https://www.researchgate.net/publication/283072539_VALIDITY_AND_RELIABILITY_OF_HEALTH_BELIE F_MODEL_APPLIED_TO_INFLUENZA
  21. S. Y. Jung. (2011). The structural model for hand hygiene of infection prevention activities in hospital nurses. Doctoral Dissertation, Ewha Womans University. Seoul. http://www.riss.kr/link?id=T1245225 
  22. S. Y. Pak. (2021). The influence of nursing students and nurses' awareness and practice of emerging infectious diseases, and ethical awareness on ethical decision-making. Journal of the Korea Convergence Society, 12(5), 61-70. DOI : 10.15207/JKCS.2021.12.5.061
  23. Y. S. Kim & S. S. Hong. (2019). Awareness about pandemic infectious diseases, ethical awareness, and ethical decision-making among nursing students. Journal of Korean Public Health Nursing, 33(3), 326-339. DOI : 10.5932/JKPHN.2019.33.3.326
  24. Y. S. Song. et al. (2021). The Effect of Health Belief, Safety Motivation, and Safety-climate on the Performance of Taking Standard Precautions on Nursing College Students. Journal of The Korea Socity of Health Informatics and Statistics, 46(1), 36-43. DOI : 10.21032/jhis.2021.46.1.36
  25. M. O. Jang. (2020). Factors Affecting the Compliance of Standard Precautions in Long Term care Hospital nurses. Master's thesis. Kwangju Women's University, Kwangju. http://www.riss.kr/link?id=T15465970
  26. J. W. Lee. (2018). The Effects of Structural Empowerment, Health Beliefs and Knowledge about Standard Precaution on Compliance with Standard Precautions in Clinical Nurses. Master's thesis. Gachon University, Seongnam. http://www.riss.kr/link?id=T14914985&outLink=K
  27. J. Y. Ahn. (2021). Influence of Knowledge, Health Belief, Nursing Professionalism on the Performance Standard Precaution in Nursing Student. Master's thesis. Daejeon University, Daejeon. http://www.riss.kr/link?id=T12452255
  28. D. L. Han, K. S. Seo, E. S. Kim & H. E. Kim. (2018). Influences of Moral Sensitivity and Safety Environment on Compliance with Standard Precautions among Nurses. Journal of Korea AcademiaIndustrial cooperation Society, 19(3), 61-71. DOI : 10.5762/KAIS.2018.19.3.364
  29. K. S. Jang, S. Choi & J. O. Lee. (2020). Knowledge, Health Belief, Self Efficacy and Performance on Standard Precautions of Infection Control in Nursing Students. The Journal of Learner- Centered Curriculum and Instruction, 20(12), 743-763. DOI : 10.22251/jlcci.2020.20.12.743
  30. K. Glanz, B. K Rimer & K. Viswanath. (2008). Theory, research, and practice in health behavior and health education. San Francisco : Jossey-Bass. https://psycnet.apa.org/record/2008-17146-000
  31. Deborah L. Finfgeld. (2003). Metasynthesis: The State of the Art-So Far. SAGE journals, 13(7), 893-904. DOI : 10.1177/1049732303253462
  32. M. J. Kim & S. J. Yun. (2018). A Convergence Study on the Factors Influencing Nursing Students' Attitudes toward Standard Precautions: Focusing on the Health Belief Model. Journal of the Korea Convergence Society, 9(6), 77-88. DOI : 10.15207/JKCS.2018.9.6.077
  33. K. Lutzen, M. Evertzon, C. Nordin. (1997). Moral sensitivity in psychiatric practice. Nursing Ethics, 4(6), 472-482. DOI : 10.1177/096973309700400604
  34. S. S. Han, J. Kim, Y. S. Kim, S. Ahn. (2010). Validation of a Korean version of the Moral Sensitivity Questionnaire. Nursing Ethics, 17(1), 99-105. DOI : 10.1177/0969733009349993
  35. F. Borhani, A. Abbaszadeh, E. Mohamadi, E. Ghasemi & M. J. Hoseinabad-Farahani (2017). Moral sensitivity and moral distress in Iranian critical care nurses. Nursing Ethics, 24(4), 474-482. DOI : 10.1177/0969733015604700