Journal of Korean Biological Nursing Science

Korean society of Biological Nursing Science (한국기초간호학회)
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Factors influencing the involvement of intensive care unit nurses in antimicrobial stewardship programs in Korea: a cross-sectional study

중환자실 간호사의 항생제 적정사용 관리 참여 영향요인: 횡단적 연구

  • Dogeon Jung (Infection control team, Kyungpook National University Hospital.Department of Nursing, Graduate School of Keimyung University) ;
  • Nahyun Kim (College of Nursing, Keimyung University)
  • 정도건 (경북대학교병원 감염관리팀.계명대학교 대학원 간호학과) ;
  • 김나현 (계명대학교 간호대학)
  • Received : 2025.06.18
  • Accepted : 2025.08.10
  • Published : 2025.08.31
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Abstract

Purpose: This study aimed to identify personal and organizational factors influencing intensive care unit (ICU) nurses' involvement in antimicrobial stewardship programs (ASPs). Methods: This descriptive cross-sectional study analyzed survey data for 159 ICU nurses during September 8 to October 23, 2023. Data analysis involved descriptive statistics, the t-test, analysis of variance, the Scheffé test, Pearson correlation coefficients, and multiple regression analysis. Results: The variables influencing participants' ASP involvement were ASP perceptions (β = .35, p < .001), among personal factors, and patient safety culture (β = .18, p = .023) among organizational factors. The total explanatory power of these variables was 25.0% (F = 8.36, p < .001). Conclusion: The results of this study suggest that increasing ASP involvement requires improving ASP perceptions by clearly defining nurses' roles in ASPs and providing professional ASP education. Proactive organizational efforts are also required to form a positive patient safety culture through the provision of educational programs.

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Acknowledgement

This article is based on a part of the first author's master's thesis from Keimyung university.