감염관리활동이 직무만족에 미치는 영향: 치과기공사를 대상으로

김지호 ( Kim Ji-ho ),오민재 ( Oh Min-jae ),최훈화 ( Choi Hun-hwa ) 경희대학교 경영연구원 2020 의료경영학연구 Vol.14 No.4

The present study aims to investigate the impact of infection control activities of dental technician on job satisfaction. The aim was to improve the working environment for dental technicians working in Seoul by recognizing the risk of infection, and interesting in the infection control activities and personal protection. In addition, infection control activities were aimed to influence job satisfaction to prevent ceasing of dental technician, and to be used as data to establish professional self-concept of dental technician and professional development for dental technician. The survey was distributed to 200 dental technicians in Gyeonggi-do, Seoul using a Google questionnaire, which is a form of mail and online questionnaire, and 143 of the collected questionnaires were analyzed using SPSS 21.0. The statistical analysis methods used in this study were based on frequency analysis, reliability analysis, and exploratory factor analysis. In addition, through independent sample t-test and one-way analysis of variance, differences between factors were identified, and multiple regression analysis was performed to determine the causal relationship between infection control activities (independent variables) and job satisfaction (dependent variables). The questionnaire of the previous studies, “Awareness and practice of infection control by dental technicians in Jeju Province” and “A study on the relationship between professional self-concept and job satisfaction of dental technicians” was used in the present study after correcting and supplementing. The questionnaire consisted of a total of 59 questions, including 16 questions related to infection control activities, 24 questions related to job satisfaction, and 10 general questions. The results of the effect of infection control activities on job satisfaction were 1. The compensation system for work, which is a factor of job satisfaction, was affected by the workplace environment. 2. Pride in work and positive social relationship were affected by the necessity of infection control. 3. Satisfaction of the workplace was affected by infection control program and the necessity of infection control. Based on the results of the present study, it is required to establish the workplace environment for infection control guidelines and infection control, and continuous infection control program should be conducted by continuing education.

119구급대원의 김염관리에 대한 인지도와 수행도 관계 연구

윤형완,정지연 사단법인 한국응급구조학회 2008 한국응급구조학회지 Vol.12 No.3

In order to protect Rescue 119 workers exposed on the spot from potential infection, this study identified their awareness and practices of infection control so that it could help preventing them from infection and also provide basic materials necessary for pre-hospital infection control. This study applied questionnaire survey to total 215 Rescue 119 workers at fire stations in Jeonbuk province, Jeonnam province and Gwangju city from July 14 to Sept. 14, 2006 for the benefit of data collection. The questionnaire about possible associations between awareness and practices of infection control consisted of total 46 times across 6 categories such as washing hands during emergency activities ; fluid therapy and injection ; respirator maintenance; individual hygienics ; disinfectant supplies and equipments maintenance ; and control of infectious wastes. And collected data were processed using SPSS statistic program to analyze frequency and percentage, mean and standard deviation, Pearson's correlation coefficient, t-test and one-way ANOVA. As a result, this study came to the following conclusions : In terms of awareness about infection control, our respondents showed highest awareness about infectious waste control, and also showed highest level of practices in washing hands during emergency activities. Throughout all domains, awareness means were higher than practice means. In particular, infectious waste control was the domain of significant differences between awareness and practices. In terms of associations between awareness and individual characteristics, it was found that female rescue worker group and hospital/general hospital career group (before joining the Rescue 119) showed significantly higher awareness on statistic level. In regard to associations between individual characteristics and practices, it was found that female rescue worker group showed higher level of practices than male group on statistic level. This study also analyzed correlations between rescue workers' awareness and practice of infection control. As a result, it was found that the higher awareness was in correlations with the higher practices across all 6 domains including washing hands. In addition, the higher awareness of a questionnaire item was in significantly positive correlations with the higher practice of other items. However, our respondents showed high awareness about anti-infection, but low practices in reality. This indicates necessity of devising possible solutions to improve the practices as much as awareness. Especially, it was noted that major reasons for insufficient practices of infection control guideline come from unhabituated practices and lack of supports for infection-preventing supplies and protective device (mask, etc). Hence, it is necessary to provide more infection-preventing supplies for local rescue workers sufficiently, in parallel with steady habituation of infection control. Furthermore, it is required to manage and study infection control policies even at pre-hospital step in efforts for effective infection control,

우리나라 병원감염관리의 실태

이성은 서울대학교 간호대학 간호과학 연구소 1993 간호학 논문집 Vol.7 No.1

In Korea, the nosocomial infection control program is not well developed. The one of the main reasons of this situation is the medical cost paying system. Under FFS(Fee for service)system, there is no incentives for doctors and hospitals to do active nosocomial infection control. On the contrary, the doctors and hospitals get more profit with nosocomial infections. And the medical ethics is too weak incentives to change the medical personnel attitudes in nosocomial infection control. Funthermore there are many misunderstandings in the nosocomial infection control practices in Korea. For examples, some ineffective nosocomial infection control methods like fogging and air culture are still adapted in many hospitals. To decrease nosocomial infection occurrence and for effective uses of medical cost, active nosocomial infection programs is needed. This study was planned to investigate the nosocomial infection program in Korea. Mailing questionnaires were sended to all general hospitals(212 hospitals) in Korea. The result was as follows; 1) 106 general hospitals (75.7%) had infection control committees and only 83 general hospitals(54.4%) had infection control committee meetings since January of 1991. 2) Only one hospital had infection control nurse. In 53 general hospitals(37.9%), infection control personnels were assigned to dual positions. 3) There were some disagreements in infection control guidlines and infection control practices. For example, in 48 general hospitals(36.9%) had 'Hand washing policy' but only 4 general hospitals used 'paper towel' for hand washing. With those results, an effective nosocomial infection control program was suggested; 1) All general hospitals should have infection control committees and the infection control committee meeting have to be opened at least 4times per year. 2) Hospitals over 300 beds should have at least one infection control nurse. 3) To activate the nosocomial infection program, the changes of the national public health policy in needed, for example, medical cost paying system.

Factors associated with performance of infection control among some physical therapists

( Yoon-yee Seol ),( Mi Ah Han ),( Jong Park ),( So Yeon Ryu ) 대한물리치료학회 2016 대한물리치료학회지 Vol.28 No.2

Purpose: Infection management is important for physical therapists in order to protect patients and themselves since they often provide patient care and have physical contact with patients. This study examined the performance of infection control and associated factors among physical therapists. Methods: The study subjects were 174 physical therapists working in the G metropolitan city. The performance of infection control according to general characteristics, job-related characteristics, and infection-related characteristics were compared using t-test and ANOVA. Associations between awareness and performance of infection control were tested by correlation. Finally, multiple linear regression analyses were performed to examine the factors associated with performance of infection control. Results: Overall performance scores for personal and therapy room were 87.47±11.70 and 70.08±13.68, respectively. Both personal and therapy room infection control were lower for the degree of performance than the degree of awareness. In multiple linear regression analysis, the degree of performance at a personal level was related to current smoking status, type of charge therapy, supply of protection equipment, and awareness of personal infection control. The degree of performance of therapy room was related to injury experience in the workplace, supply of protection equipment, and awareness of therapy room infection control. Conclusion: Performance of therapy room infection control was lower than that of personal infection control. The performance was associated with the supply of protection equipment and awareness. Therefore, the degree of performance for infection control will be increased with proper supply of protection equipment in the hospital and increase the degree of awareness with adequate prevention edu-cation.

간호사의 주사제 사용 시 감염관리 수행도 및 관련요인

노명주,한미아,박종,류소연 한국병원약사회 2017 병원약사회지 Vol.34 No.4

Background : When nurses do not perform injections properly, it can cause fatal complications for patients depending upon the nature of the drug. The aim of this study was to investigate nurses’ performances related to infection control during injection protocols and related procedures. Methods : The study subjects were 391 nurses working in one of 3 general hospitals in“ D”and“ G” metropolitan cities. The data were collected using a self-report questionnaire data which was composed of general characteristics, work-related characteristics, health-related characteristics, infection- related characteristics, and performance of infection control during injections. The collected data were analyzed using the Statistical Package for Social Sciences (SPSS) software. Statistical analyses included descriptive analysis, t-tests, and analyses of variance (ANOVAs). A multiple linear regression was used to investigate the factors associated with the performance of infection control during injections after controlling for several covariates. Results : The overall performance score of infection control during injections was 4.56±0.38. The performance score of hand hygiene and infection control during administration were 4.45±0.47 and 4.62±0.38, respectively. The performance of infection control during injection was related to age, working unit, perceived importance of infection control for injection use, and experience of infection control education in a multiple linear regression analysis. Conclusion : The performance of infection control for injection was significantly associated with the nurses’experiences with infection control education. Therefore, in order to improve the performance of infection control during injections, it is necessary to develop a training program and continuously evaluate and monitor the training according to the changes in the infection control instruction.

치과위생사의 감염관리 인지도와 실천도에 영향을 미치는 요인

장경애 ( Kyeung-ae Jang ),박정현 ( Jung-hyun Park ) 한국치위생과학회 2016 치위생과학회지 Vol.16 No.2

본 연구는 2015년 8월 1일부터 10월 15일까지 부산광역시와 경상남도 일부 지역 치과병·의원에 근무하고 있는 치과위생사 228명을 대상으로 설문 조사하였다. 치과위생사의 감염관리 인지도와 실천도에 영향을 미치는 감염관리 구조 체계 요인을 조사하여 체계적인 감염관리 지침을 마련하는 데 기초자료를 제공하고자 하였다. 원내 감염관리에 대한 환자진료 준비시간 지원은 장비 및 시설 지원(r=0.434, p<0.01), 진료기술 및 정보 지원(r=0.231, p<0.01), 감염관리교육 지원(r=0.266, p<0.01), 감염관리 인지도(r=0.354, p<0.01), 감염관리 실천도(r=0.442, p<0.01)와 정적 상관을 보였고, 장비 및 시설 지원은 진료기술 및 정보 지원(r=0.418, p<0.01), 감염관리 교육 지원(r=0.422, p<0.01), 감염관리 인지도(r=0.404, p<0.01), 감염관리 실천도(r=0.454, p<0.01)와 정적 상관을 나타냈다. 원내 감염관리에 대한 감염관리 교육 지원은 감염관리 인지도(r=0.348, p<0.01), 감염관리 실천도(r=0.405, p<0.01)와 정적 상관을 보였고, 감염관리 인지도는 감염관리 실천도(r=0.879, p<0.01)와 정적 상관을 가지고 있었다. 감염관리 인지도에 영향을 미치는 요인은 환자진료 준비시간 지원, 장비 및 시설 지원, 진료 기술 및 정보 지원, 감염관리 교육 지원으로 나타났다. 감염관리 실천도에 영향을 미치는 요인은 환자진료 준비시간지원, 장비 및 시설 지원, 감염관리 교육 지원, 진료 기술 및 정보 지원으로 나타났다. 이상의 결과 치과위생사의 치과감염관리 인지도와 실천도를 높이기 위해서는 바람직한 감염관리 구조체계를 구축하여 활성화해야 한다. 치과의료기관 감염관리 구조체계의 엄격한 평가제도가 마련되어 바람직한 치과의료 환경을 조성하고, 환자의 건강과 안전을 보호할 필요가 있다고 생각된다. A total of 228 dental hygienists working in dental hospitals and clinics in the Busan and Gyeongnam areas were surveyed between August 1, 2015, and October 15, 2015. The factors influencing infection control awareness and implementation levels among the dental hygienists were investigated to prepare basic data with the goal of establishing guidelines for systemic infection control. Treatment preparation support for infection control positively correlated with equipment and facility support (r=0.4343, p<0.01), treatment skill and information support (r=0.231, p<0.01), infection control education support (r=0.266, p<0.01), infection control awareness (r=0.354, p<0.01), and infection control implementation levels (r=0.442, p<0.01). Equipment and facility support positively correlated with treatment skill and information support (r=0.418, p<0.01), infection control education support (r=0.422, p<0.01), infection control awareness (r=0.404, p<0.01), and infection control implementation levels (r=0.454, p <0.01). Infection control education support positively correlated with infection control awareness (r=0.348, p<0.01) and infection control implementation levels (r=0.405, p<0.01). Infection control awareness positively correlated with the infection control implementation level (r=0.879, p<0.01). The factors influencing the awareness of infection control include treatment preparation support, equipment and facility support, treatment skill and information support, and infection control education support. The influencing the infection control implementation level include treatment preparation support, equipment and facility support, infection control education support, and treatment skill and information support. To enhance the awareness of infection control and implementation levels amongdental hygienists, an infection control system must be established and implemented A rigorous system for evaluating dental clinics must also be established to ensure an ideal dental treatment environment and to protect patients’ health and safety.

치과위생사의 감염관리 인지 및 실천에 따른 비교 연구

전정숙,최성미,이윤희 사단법인 인문사회과학기술융합학회 2018 예술인문사회융합멀티미디어논문지 Vol.8 No.12

In this paper is to examine the infection control cognition and to practice that dental infection control of dental hospital accreditation. The subjects on the study were dental hygienists in Daegu and Kyungbuk cities from April to May 2015. The questionnaires of this study, with reference to the previous studies, modified and complemented. Data analysis was conducted with SPSS 20.0. First, factors of dental infection control according to workplace depended existence chief of dental infection management in small numbers and almost of these don't have programs and education of dental infection control. Thus these found out cognition of not hospital accreditation but also infection control rules in that. Also cognition and to practice of dental infection control showed in difference according to workplace that the protection individual, asepsis procedure, control of dental equipment, control of infectious waste and laundry. Thus these differed that was according to whether or not cognitive and to practice dental hospital accreditation and infection control rules in dental hospital accreditation. Finally dental hospital more than dental clinic was awareness that was infection control rules in dental hospital accreditation of cognition and to practice of the infection control. thus that was higher in cognition and to practice of infection control. As above results, in order to minimize the infection prevention in the dental clinic, the regular infection control system and infection control education. In the end these dental infection control guidelines should be placed in hospitals to increase cognition and practice. 본 연구는 치과의료기관에 근무하는 치과위생사들을 대상으로 치과감염관리의 인지 및 실천의 실태, 치과감염관리 인증제 및 감염관리 규정의 인지 여부에 따른 인지도 및 실천도의 차이를 비교·분 석하고자 하였으며, 2015년 4월부터 5월까지 대구·경북치위생사들을 선정하였다. 연구대상자의 근무지 내에 감염관리 담당자는 소수이며 대부분 치과위생사로 진료시간이 길어져 감염관리의 시간적 여유가 없어 소홀히 이루어졌으며, 대부분 감염관리 부서나 감염관리 프로그램이 없다고 하였고, 치과위 생사 대부분이 치과의료기간 인증제 및 인증제 내 감염관리 규정의 유무를 인지하지 못했다. 치과위 생사들은 인증제를 실시하여도 치과 감염 통제의 인식과 실천은 개인 방어, 멸균과정, 치과 장비, 감염관리의 실천도와 인지도는 차이를 보였다. 향 후 치과감염관리의 최소화를 위해서 체계화 된 치과 감염관리 제도와 교육이 필요하며, 이러한 치과감염관리 인증 지침이 병원에 배치되어 인지도 보다 실천도를 높여야 한다.

노인요양시설 요양보호사의 감염관리 인지도 및 수행도

신미숙,송경화 사단법인 한국안전문화학회 2022 안전문화연구 Vol.- No.17

Purpose : Elderly people in nursing homes typically have multiple conditions that increase their risk for infection, including chronic diseases and depressed immune systems. Infections are common in nursing homes and contribute significantly to resident morbidity and mortality. Therefore, controlling of infections in nursing homes is an important issue and it is necessary to educate that can improve infection control for care workers. The objectives of this study are to describe the level of perception and performance of infection control of care workers in nursing home and to provide the basic data of the infection control education program for care workers. Methods : A descriptive cross-sectional survey was conducted with 120 care workers who are employed in 8 nursing homes. The data were collected by using self-report questionnaires from March 2 to June 15, 2021. Descriptive statistics, independent t-test, one-way ANOVA, and pearson correlation coefficient, stepwise multiple regression performed using SPSS Windows for 22.0 program. Results : The mean scores of perception and performance of infection control of care workers were 4.13±0.44 and 4.05±0.47. There were statistically significant differences in the perception of infection control according to age(F=3.35, p=.038), education level(F=4.33, p=.015) and nursing home size(F=4.34, p=.015). There were statistically significant differences in the performance of infection control according to nursing home size(F=6.85, p=.002). Performance of infection positively correlated with the perception of infection control(r=.92, p<.001). Perception of infection control and nursing home size were the primary factors that impacted the care worker’s performance of infection control by explaining 85.5% of the variance. Particularly, perception of infection control was identified as factors influencing performance of infection control(β=.90, p<.001). Conclusion : Findings from this study provide valuable information regarding perception of infection control was the major factor that impacts infection control performance. Therefore, it is necessary to increase the perception of infection control and provide systematic education about infection control.

치과 감염관리 전담자의 주요업무와 교육 필요도

강민경,김선경,김지혜,박보영,최마이,유완수,조은주,김현아,이민선,최유리,문소정 한국치위생감염관리학회 2022 한국임상치위생학회지 Vol.10 No.1

Objectives: This study aimed to clarify the main tasks of a dental infection-control coordinator and investigate the awareness and educational needs of dental infection-control coordinators. Methods: A questionnaire was prepared through an extensive review of the literature on dental infection-control coordinators and administered to 351 dental hygienists working in dental institutions. We analyzed the working status of dental infection-control coordinators, the relevance of their work, and their perceptions of education. Results: Among the dental infection-control coordinators, 92.7% were dental hygienists and more than 90% of the respondents said that the task of dental infection-control coordinators was appropriate. Dental hygienists were reported as the most suitable occupation for dental infection control (90.9%), and 92.6% of the respondents said that a training course for dental infection-control coordinators was necessary. Conclusions: This study summarized the main tasks of dental infection-control coordinators. The findings in this study suggest that it is necessary to establish a curriculum for dental infection-control coordinators. In addition, more specific standards are required for dental infection-control coordinators.

요양병원 간호사의 도덕적 민감성, 감염관리 조직문화가 감염관리 수행도에 미치는 영향

백설화,이미향,심문숙,임효남 한국가정간호학회 2023 가정간호학회지 Vol.30 No.1

Purpose: This study investigated the organizational culture in hospital for infection control, moral sensitivity, and the degree of infection control among long-term care hospital nurses, and to identified the factors associated with infection control perfomance. Methods: 186 nurses who directly care for patients at seven Long-Term Care Hospitals in D Metropolitan City participated in the survey. Data were collected using self-reported questionnaires and analyzed using the IBM SPSS 26.0 software. Results: Moral sensitivity showed statistically significant differences in age (F=5.473, p=.065), clinical experience (F=8.890, p=.031), nursing hospital work experience (F=6.520, p=.038), religion (t=-2.01, p=.046) and position (t=-2.96, p=.003). Correlation analysis revealed that with moral sensitivity and effect of organizational culture on infection control, there was a positive correlation between infection control and patient-centered nursing (r=.201, p<.006), professionalism (r=.149, p<.042), benevolence (r=.303, p<.001), infection control organizational culture (r=.556, p<.001). Benevolence of moral sensitivity (β=.21, p=.001) and infection control organizational culture (β=.54, p<.001) were associated with infection control perfomance. Moral sensitivity (including patient-centered nursing, professionalism, and benevolence) and infection control organizational culture explained 33.8% of the variance in infection control (F=24.57, p<.001). Conclusion: It is important to improve the moral sensitivity of nurses and a positive organizational culture for better infection control. We need to develop intervention strategies and establish systematic and administrative support.