• Journal of Korean Critical Care Nursing
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• v.15 no.1
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• pp.35-46
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• 2022

Purpose : This study aimed to identify the factors affecting coronavirus disease 2019 (COVID-19) infection control practices of nurses in negative pressure isolation rooms. Methods : The participants were 150 nurses working in three hospitals with negative pressure isolation rooms. Data were collected using structured questionnaires and analyzed using an independent t-test, one-way ANOVA, Scheffé test, Pearson correlation coefficients, and multiple regression analysis using the SPSS/WIN 26.0 program. Results : Factors significantly influencing the subject's COVID-19 infection control practice include Being married (𝛽=.18, p =.016), working in a ward with negative pressure isolation rooms (𝛽=.44, p <.001), working in an ICU with negative pressure isolation rooms (𝛽=.27, p =.010), COVID-19 infection control attitude (𝛽=.28, p =.001), anxiety for COVID-19 (𝛽=.30, p <.001). The explanatory power of these variables for COVID-19 infection control practice was 24.6% (F=8.67, p <.001). Conclusion : It is expected that strategies that utilize positive attitudes which believe that COVID-19 disease may be overcome by COVID-19 infection control practice will help improve emerging infectious diseases infection control practice.

• Korean Journal of Adult Nursing
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• v.24 no.2
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• pp.119-129
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• 2012

Purpose: The purpose of this study was to test hand hygiene behavior model of hospital nurses, based on theory of planned behavior. Methods: Data were collected from 253 nurses from four university hospitals for the period of December 2010 to January 2011. Data were analyzed using of SAS (ver.9.1). Fitness of the study model was identified with SAS PROC CALIS. Results: The overall fitness was $x^2$=57.81 (df=13, $p$ <.001), GFI=.99, AGFI=.99, CFI=.95, NFI=.93. The variance of actual implementation of hand hygiene by predictor variables was 11.0% and the variance of intention to hand hygiene was 53.5%. Variable that had a direct effect on hand hygiene behavior was intention. Perceived behavior control and attitude affected hand hygiene behavior indirectly. Control belief had a direct effect on perceived behavior control and had an indirect effect on intention and behavior. Behavioral belief had a direct effect on attitude and an indirect effect on intention and behavior. Conclusion: The study provides basic information for understanding nurses' hand hygiene behavior. Further testing of the model will indicate which variables can contribute to improved hand hygiene.

• The Journal of Korean Academic Society of Nursing Education
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• v.18 no.2
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• pp.293-302
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• 2012

Purpose: The purpose of this study was to investigate nursing students' awareness and performance on standard precautions and to provide meaningful information for nursing students' education regarding hospital infection control. Method: Four hundred forty seven nursing students at 6 universities in D-city participated in this study. Data collection was conducted from March to April 2011. Students' awareness and performance on standard precautions of infection control in hospitals were measured using the modified 2007 CDC standard precautions guidelines. Data analysis was performed using the SPSS WIN 18.0 program, descriptive statistics, t-test, and ANOVA. Results: The level of students' awareness in the standard precautions was higher than performance. The higher levels of students' awareness and performance on standard precautions included patient care equipment, safe injection practices, and worker safety. The lower levels of students' awareness and performance on standard precautions included hand hygiene and personal protective equipment. There was no difference in the students' awareness and performance of standard precautions according to their characteristics. Conclusions: Based on the findings of this study, hand hygiene and personal protective equipment need to be stressed more within the program to improve nursing students' infection control techniques.

• Tuberculosis and Respiratory Diseases
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• v.79 no.4
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• pp.201-206
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• 2016

Active tuberculosis (TB) has a greater burden of TB bacilli than latent TB and acts as an infection source for contacts. Latent tuberculosis infection (LTBI) is the state in which humans are infected with Mycobacterium tuberculosis without any clinical symptoms, radiological abnormality, or microbiological evidence. TB is transmissible by respiratory droplet nucleus of $1-5{\mu}m$ in diameter, containing 1-10 TB bacilli. TB transmission is affected by the strength of the infectious source, infectiousness of TB bacilli, immunoresistance of the host, environmental stresses, and biosocial factors. Infection controls to reduce TB transmission consist of managerial activities, administrative control, engineering control, environmental control, and personal protective equipment provision. However, diagnosis and treatment for LTBI as a national TB control program is an important strategy on the precondition that active TB is not missed. Therefore, more concrete evidences for LTBI management based on clinical and public perspectives are needed.

• Neonatal Medicine
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• v.28 no.3
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• pp.116-123
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• 2021

Purpose: The aim of this study was to estimate the effect of targeting risk factors for the control of central line-associated bloodstream infection (CLABSI) among high-risk infants in a tertiary neonatal intensive care unit (NICU). Methods: Infants admitted to the NICU and diagnosed with CLABSI from January to December 2013 were eligible for inclusion to the study. The CLABSI group (n=47) was matched in a 1:2 ratio to the control group (n=94) based on gestational age, birth weight, and Score for Neonatal Acute Physiology-II. Risk factors for CLABSI were identified using the Cox proportional hazard model, and analysis of the effect of these risk factors targeting infection control was performed. Results: The risk factors associated with CLABSI were prolonged central line dwell days (adjusted hazard ratio [HR], 1.028; 95% confidence interval [CI], 1.011 to 1.045; P=0.001), use of a silicone catheter (adjusted HR, 5.895; 95% CI, 1.893 to 18.355; P=0.002), surgical treatment (adjusted HR, 3.793; 95% CI, 1.467 to 9.805; P=0.006), and less probiotic supplementation (adjusted HR, 0.254; 95% CI, 0.068 to 0.949; P=0.042). By targeting these risk factors with a quality improvement initiative, the mean CLABSI incidence rate per 1,000 catheter-days decreased from 6.6 to 3.1 (P=0.004). Conclusion: Targeting risk factors for infection control significantly reduced the rate of CLABSI among high-risk infants in the NICU.

• Journal of Digital Convergence
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• v.16 no.5
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• pp.299-307
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• 2018

This study survey research of infection control, wastewater management, and instrument disinfection according to characteristic at Daegu, Gyeongbuk Province In 2012 and 2017, the same 114 dental clinics to identify the infection management behavior and prevent infection of dental medical institutions. Scored mean 3.37 points on 8 items of infection control, 95.5% in "records of the patient's medical history", 1.8% in "presence of a wastewater facility." Scored 94.7% in "disinfection of metal trays", 17.5% in "storage from a spitting receptacle in the waste bin and commissioned management.", Scored higher in of infection control, wastewater management and instrument disinfection according to general characteristics and dental characteristics in 2017 than in 2012. Points were higher dental hygienist, University graduation, Type of duty was counseling and management, hospital or higher, Number of dentist(dental hygienist, chair, patient) was high. Therefore raise a need for infection control into consideration the dental characteristics and education and promotion regardless of the hospital size.

• Journal of Korean Clinical Nursing Research
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• v.21 no.1
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• pp.1-10
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• 2015

Purpose: This study was done to identify the impact of emotional labor, social support, pay satisfaction and professional concept on burnout and intention to stay for infection control nurses and to identify the relationship between burnout and intention to stay. Methods: Participants were 146 nurses who consented and faithfully responded to the research questions. Data were analyzed using SPSS 18.0 and AMOS 20.0. Results: The variables affecting burnout and intention to stay in infection control nurses were identified. Emotional labor (B=.424) had a positive impact on burnout, social support (B=-.528), professional self-concept (B=-1.056) and pay satisfaction (B=-.072) had negative impacts on burnout, social support (B=.392)and pay satisfaction (B=.136) had positive impacts on intention to stay, and burnout had a negative impact on intention to stay. Conclusion: As a result, in order to reduce burnout in infection control nurses and increase their intention to stay, the infection control nurses themselves must invest in education and self-improvement to become specialists while hospitals and the government should make efforts to develop specialists by holding workshops and seminars. In addition, institutional procedures should be put in place so as to oblige hospitals to hire nurse specialists for infection control work in infection control units.

• Journal of Korean Academy of Nursing
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• v.17 no.3
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• pp.227-240
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• 1987

Infection has assumed increased importance as a cause of death among thermally injured individuals. Decreased treatment effectiveness and an increase in mortality are the hallmarks of nosocomial infection. Infection control is a monumental task that must be achieved to reduce mortalities. This was a retrospective study to survey the epidemiological features of nosocomial infections in a burn unit and to identify the possibilities for infection control. During the past 6 year 2 month period from July, 1981 to August, 1987, 306 burn patients were treated in the burn unit of university hospital. Among of these, 290 cases were the subjects of this study. The data were collected from the patients' records after discharge. All data collected were analyzed using percent, x$^2$-test, t-test with SPSS program. The results of this study are summariged as follows: 1) Infection rate was 40%. According to site, there were 67 cases of wound infection, 60 cases of post-operative skin graft infection, 20 cases of septicemia and 20 cases of donor site infection. As far as the burn size was concerned, the infection rate for patients whose burn size ranged 61 to 70%, was shown to be 100%, followed by the infection rate of 93.8%, for patients whose burn size ranged from 41~50%. As far as the period of time over which the infection developed, 5 to 7 days showed the highest frequency. Further infection was the main cause of deaths and complications. 2) Based upon the results obained by comparing the general characteristics, between a hospital infection-group and non-hospital infection group, there was a significant defference according to age, the time of the year when the accident happened, the place of accident or length of hospital-admission. And according to the result obtained by comparing the general characteristics of the burn, there was a significant difference according to burn size, burn depth, burn type, and burn site. And also based upon the result obtained by comparing the two groups according to method of treatment, there was a significant difference according to the use of antibiotics and to the type of wound-treatment, and for the 8 different binds of treatment related to infection, there was a significant difference for all. In conclusion, age, length of hospital-admission, burn size, burn type, burn site, burn depth, type of woundtreatment and the 8 different binds of treatment, which are related to burns, were shown to be the factors which affect the infection rate in burn patients.

• Journal of Korean Clinical Nursing Research
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• v.18 no.3
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• pp.381-390
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• 2012

Purpose: This study was conducted to examine the effects of simulation-based infection control training on the ICU nurses' perception, clinical performance, and self-efficacy of infection control. Methods: Thirty-eight nurses were assigned into two groups using a career stratified randomization. In the experimental group, the subjects received a simulation-based infection control training, whereas the control group participated in a conventional lecture-based training. Two weeks after the completion of the training sessions, the participants were evaluated for perception, clinical performance, and self-efficacy regarding the infection control. Results: The experimental group that received simulation-based infection control training showed an improvement in perceiving the infection control compared to that of the control group, but the difference was not statistically significant. In terms of the clinical performance, the experimental group and the control group scored $26.05{\pm}3.22$ and $18.53{\pm}3.37$ points respectively, demonstrating a statistical significance (p<.001). There was no significant difference between the two groups in regards to the self-efficacy. Conclusion: The developed simulation-based infection control training showed positive effects in improving clinical performance of infection control over conventional lecture-based training, confirming that a simulation-based training is an effective method in advancing the practical performance of ICU nurses.

• Journal of the Korean Society of Radiology
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• v.11 no.2
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• pp.131-138
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• 2017

This study surveyed the medical staffs in Busan with regard to their awareness and to their performances of infection control in health care facilities. As a result of the survey, the level of awareness and performances showed a high scale regardless of the relation to infection control department, infection control guidelines, and infection control education in the health care facilities. Especially, the group educated on the infection control had shown a statistically significant result of 0.001 in the awareness and performances. The main reasons to failure on infection control practice resulted with a heavy workload and a lack of time. Moreover, it is concluded that the self-consciousness on the infection control have increased in reason that the 99.7% responded a need to infection control education. In general, level of the performance analyzed lower than the level of awareness and it seems that reforming such policy feasible is needed and being active in performing infection control individually is necessary in order to decrease the nosocomial infection.