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코로나19 발생 상황에서 중소병원 간호사의 코로나19 환자 간호의도, 감염예방환경 및 사회심리적 건강이 코로나 관련 감염관리 수행도에 미치는 영향

Effect of medium sized hospital nurses' nursing intention, infection prevention environment, and social psychological well-being on infection control performance of COVID-19 outbreak

  • 투고 : 2023.01.25
  • 심사 : 2023.03.08
  • 발행 : 2023.03.31

초록

본 연구는 코로나19 발생 상황에서 중소병원 간호사의 코로나19 환자 간호의도, 감염예방환경 및 사회심리적 건강이 코로나 관련 감염관리 수행도에 미치는 영향을 파악하기 위해 시도되었다. 자료수집 기간은 2022년 5월 2일부터 5월 31일까지이며, 인천광역시 소재 중소병원인 I와 B병원에서 근무 중이며 본 연구 참여에 동의한 간호사 161명의 설문지가 분석되었다. 수집된 자료의 분석은 IBM SPSS/Win 25.0을 이용하였으며, 서술통계, t-test, ANOVA, Pearson 상관관계와 다중회귀분석을 하였다. 분석 결과, 코로나19 관련 감염관리 수행도에 감염예방환경(β=.225, p<.001)과 신종감염병 교육 참여 경험(β=.208, p=.008)이 유의한 영향을 주었으며, 이들 변수는 코로나 관련 감염관리 수행도에 대해 10.9%의 설명력이 있는 것으로 나타났다. 따라서, 코로나19의 감염병 발생 상황에서 감염예방을 위한 환경 조성과 지속적이고 다양한 감염병 관련 교육 제공이 중요하다.

This study was conducted to identify the effects of medium sized hospital nurses' nursing intention, infection prevention environment, and social psychological well-being on infection control performance of COVID-19 outbreak. The data collection period was from May 2 to May 31, 2022, and the questionnaires of 161 nurses who were working at I and B medium sized hospital in incheon and agree to participate in this study, were analyzed. Using the IBM SPSS/Win 25.0, the collected data was analyzed through the descriptive statistics, t-test, ANOVA, Pearson correlation, and multiple regreβion analysis. As a result, the infection prevention environment(β=.225, p<.001) and the experience of participating in new infectious disease education(β=.208, p=.008) had a significant effect and these variables were found to have 10.9% explanatory power for COVID-19 related infection control performance. Therefore, in the context of the outbreak of COVID-19, it is important to create an environment for infection prevention and to provide continuous and diverse education related to infectius diseases.

키워드

참고문헌

  1. J.H. Baik, "A study on Nursing Intension and Konwledge, Attitudes about COVID-19 and Personal Protective Equipment of Nurses in General Hospitals", Unpublished master's thesis, Hansei University, Gunpo-city, 2021.
  2. J.H. Hyun, J.H. Lee, Y.J. Park and E.K. Jung, " Interim Epidemiological and clinical characteristic of COVID-19 28 cases in South Korea", Public Health Weekly Report, Vol. 13, No. 9, pp. 464-474, 2020.
  3. H.J. Kim, and H.R. Park, "Factors Affecting Post-Traumatic Stress of General Hospital Nurses after the Epidemic of Middle East Respiratory Syndrome Infection", Journal of Korean Clinical Nursing Research, Vol. 23, No. 2, pp. 179-188, 2017.
  4. K.J. June, and E.S. Choi, "Infection Control of Hospital Nurses: Cases of Middle East Respiratory Syndrome", Korean Journal of Occupational Health Nursing, Vol. 25, No. 1, pp. 1-8, 2016. DOI: https://doi.org/10.5807/kjohn.2016.25.1.1
  5. Shiao, Koh, Lo, Lim, & Guo, "Factors predicting nurses' consideration of leaving their job during the SARS outbreak", Nursing Ethics, Vol. 14, No. 1, pp. 5-17, 2007. https://doi.org/10.1177/0969733007071350
  6. H.J. Jung, A.L. Choi, G.J. Lee, J.Y. Kim, and S.Y. Jeong, "Turnover intention of nurses that were cohort quarantined during the Middle East Respiratory Syndrome(MERS) outbreak", Journal of the Korea Academia-Industrial cooperation Society, Vol. 18, No. 3, pp. 175-184, 2017. DOI: https://doi.org/10.5762/KAIS.2017.18.3.175
  7. H.M. Kwon, T.H. Kim, M.R. Choi, B.J. Kim, H.W. Kim, O.S. Song, and H.J. Eun, "The Effects of MERS(Middle East Respiratory Syndrome) Event on the Psychosocial Wellbeing of Healthcare Workers and the Public with the Mediating Effect of Resilience", Korean journal of psychosomatic medicine, Vol. 25, No. 2, pp. 111-119, 2017. DOI: https://doi.org/10.22722/KJPM.2017.25.2.111
  8. J.Y. Lee, M.J. Lee, and S.Y. Park, "The Impact of Psychosocial Health and Self-nurturance on Graduate Nurse Experience", Journal of Korean academy of nursing administration, Vol. 21, No. 5, pp. 459-468, 2015. DOI: https://doi.org/10.11111/jkana.2015.21.5.459
  9. Y. Huang, and N. Zhao, "Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 outbreak in China: aweb-based cross-sectional survey", Psychiatry Research, 288, 112954. 2020. DOI: https://doi.org/10.1016/j.psychres.2020.112954
  10. M. Nemati, B. Ebrahimi, and F. Nemati, "Assessment of Iranian nurses' knowledge and anxiety toward COVID-19 during the current outbreak in Iran", Archives of Clinical Infectious Diseases, 2020. DOI:https://doi.org/10.5812/archcid.102848
  11. Y.H. Choi, "Hospital Infection Control Practice in the COVID-19 Era: An Experience of University Affiliated Hospital", The Korean Journal of Medicine, Vol. 95, No. 5, pp. 308-314, 2020. DOI: https://doi.org/10.3904/kjm.2020.95.5.308
  12. H.Y. Lee, J.W. Heo, S.W. Kim, J.H. Lee, and J. H. Choi, "A Lesson from temporary closing of a single university-affiliated hospital owing to in-hospital transmission of coronavirus disease", Journal of Korean Medical Science, Vol. 35, No. 13, e145, 2020. DOI: https://doi.org/10.3346/jkms.2020.35.e145
  13. Reliable Ministry of Government legislation, Korean Law Information Center, Medical Law Enforcement Rules. 43, from https://www.law.go.kr/LSW/lsSc.do?section=&menuId=1&subMenuId=15&tabMenuId=81&eventGubun=0601&query=의료법+시행규칙#undefined
  14. J.S. Ahn, Y.H. Kim, and M.J. Kim, "Performance of Preventive Actions to be Exposed to Infection in Emergency Nurses and its Influencing Factors", The Journal of Muscle and Joint Health, Vol. 22, No. 1, pp. 40-47, 2015. DOI: https://doi.org/10.5953/JMJH.2015.22.1.40
  15. Korea Institute for Healthcare Accreditation, Criteria for Healthcare Institute Accreditation, 2018.fromhttps://www.koiha.or.kr/web/kr/library/establish_board.do.
  16. H.J. Bahk, H.S. Koo, S.J. Lee, and H.M. Lee, "Status of healthcare-associated infection control by type of healthcare facilities in 2018", Public Health Weekly Report, Vol. 12, No. 31, pp. 1054-1061, 2019.
  17. H.R. Yoo, B.E. Kwon, Y.S. Jang, and H.K. Youn, "Validity and Reliability of an Instrument for Predictive Nursing Intention for SARS Patient Care", Journal of Korean Academic Nursing, Vol. 35, No. 6, pp. 1063-1071, 2005. DOI: https://doi.org/10.4040/jkan.2005.35.6.1063
  18. E.O. Han, and I.O. Moom, "A protective behavior model against the harmful effects of radiation for radiological technologists in medical centers", Journal of Radiation Protection, Vol. 34, No. 3, pp. 95-101, 2009.
  19. D.P. Goldberg, "Manual of the General Health Questionnaire", Windsor, England : NFER Publishing, 1978.
  20. S.J. Jang, "Research on Data Collection of Health Statistics and the Standardization of the Measurement", Gyechuk Munwhasa, Seoul, pp. 37, 2000.
  21. Korea Disease Control and Prevention Agency, "Resonse Guidelines To Prevent the Spread of COVID-19 for medical institution", 2020. Retrieved from https://www.ksid.or.kr/rang_board/list.html?num=4348&start=15&code=ncov_notice
  22. S.R. Yun, "Correlations between Nurses' Knowledge of COVID-19 and Infection Control Compliance, Resilience, and Psychosocial Well-being", Unpublished master's thesis, Chung-Ang University, Seoul, 2020.
  23. T.H. Kim, "Factors associated with Nurse's Intention to care COVID-19 Patients", Unpublished master's thesis, Ajou University, Suwon, 2021.
  24. K.H. Kim, "Influencing the Intention of Nurses In Caring For patients with Emerging Infectious Diseases", Kyungpook National Universit Unpublished master's thesis, Forensic and Investigative Science, Kyungpook National University, Daegu, 2020.
  25. D.E. Grimes and E.P. Mendias, "Nurses' intentions to respond to bioterrorism and other infectious disease emergencies", Nursing Outlook, Vol. 58, No. 1, pp. 10-16. 2010. https://doi.org/10.1016/j.outlook.2009.07.002
  26. E.J. Kim, "The influences of Grit, Patient Safety Culture, Environment for Infection Control and Awareness of Standard Precautions on Performance of Standard Precautions in Hospital Nurses", Unpublished master's thesis, CHA University, 2020.
  27. M.H. Lee, M.Y. Kim, Y.J. Go, D.R. Kim, H.N. Lim, K.H. Lee, and S.Y. Yang, "Factors Influencing in the Infection Control Performance of COVID-19 in Nurses", Journal of Digital Convergence, Vol. 19, No. 3, pp. 253-261. 2021. https://doi.org/10.14400/JDC.2021.19.3.253
  28. Y.A. Lim, "The Effect of Infection Prevention Environment and Self-efficacy on Turnover Intention of Hospital Staff", The Journal of Humanities and Social Sciences, Vol. 12, No. 2, pp. 2323-2336. 2021. DOI http://dx.doi.org/10.22143/HSS21.12.2.16
  29. J.G. Lee, "The Present and Future of Infection Control Policy in Korea", Korean J healthc assoc Infect Control Prev, Vol. 25, No. 2, pp. 70-78. 2020. https://doi.org/10.14192/kjicp.2020.25.2.70