Factors Affecting the Performance of Healthcare-Associated Infections (HAIs) control - Focus on Empowerment and Awareness of General Hospital Nurses

Jeoung-Mi Kim,Young-In Han 국제문화기술진흥원 2019 International Journal of Advanced Culture Technolo Vol.7 No.3

The aims of the study to investigate the relationship between awareness, empowerment and performance of healthcare associated infections (HAIs) control and to identify factors influencing performance of HAIs among general hospital nurses. Data were collected from 230 nurses in two general hospitals in B city, with the questionnaire of an empowerment, awareness and performance of infection control tool. The data were analyzed by t-test, one-way ANOVA, Pearson's correlation coefficient and multiple regressions. The performance of infection control was significantly correlated with empowerment and awareness of infection control. The empowerment had a positive correlation with an awareness of infection control (r= .233, p <.001) respectively. The infection control performance was influenced by infection control awareness, empowerment and number of annual job training, which explained 42.2% of the performance of infection control. Infection management performance of general hospitals nurses is affected not only by infection awareness but also by empowerment and job education. Therefore, it suggests that HAIs management program could develop for the nurses and provide empowerment with job training to improve the management and performance of HAIs, also to reinforce via constant support by the hospital.

효과적인 치과병원 감염관리의 구성요소에 대한 고찰

배성숙 ( Sung Suk Bae ),이명선 ( Myung Sun Lee ) 한국치위생학회 2011 한국치위생학회지 Vol.11 No.4

Objectives : Based on the system and control activity for the monitoring system made of components for infection control at dental hospitals and infection rate reporting, and the role of trained infection control staff, this study tried to understand approaches to the effective infection control program by surveying infection control at dental hospitals in Korea. Methods : The survey was conducted from December 14,2010 to January 31,2011 for 121 dental hospitals in Korea. For statistical analysis, PASW Statistic 18 was used. Results : And following conclusions were reached. 1. As for the infection control system at dental hospitals, 54.7% has an infection control committee, 58.7% infection control staff, 78.5% infection control rules, and 39.7% annual infection control plan and record. 2. As for surveillance indexes to report infection rates, 50.4% has the reporting system for staff`s exposure to infectious disease and needle pricking. The average number of exposures to infectious disease was 0.28±2.23 and that of needle pricking was 1.83±5.39. 3. As for infection control indexes, it was reviewed whether infection control rules were implemented according to operation agents, general hospitals were more active in staff infection control, and hospitals annexed to a dental university or special legal entity were more active in microorganism control. As for use of personal protection gear, there was no significant difference among operation agents. More than 71% of operators and their assistants said they did not replace their masks between patients. 4. As for personnel indexes for effective infection control staff, most hospitals designated dental hygienists, which was followed by dental doctors (or doctors). Where their workload was reviewed, the ratio of other work such as treatment was relatively higher than that of infection control (n=71). Conclusions : These results show dental hospitals in Korea have a certain level of infection control system. As infection indexes are managed mainly for staff members, patient monitoring is needed, and trained and effective infection control staff should be designated. This study reviewed surveillance, infection control and personnel indexes. And further studies are needed in the future. (J Korean Soc Dent Hygiene 2011; 11(4): 557-569)

요양병원 간호사의 감염관리 지식, 인지도 및 수행도에 관한 연구

김현희,김남희 사단법인 인문사회과학기술융합학회 2017 예술인문사회융합멀티미디어논문지 Vol.7 No.11

The purpose of this study was to provide basic data for the development of educational programs which improve the nurses’ infection control performance by investigating the knowledge, awareness and performance of infection control and analyzing the correlation among nurses in long-term care hospital after accreditation program. The subjects of the study were working for the long-term care hospitals located in B city. The data collection period was from June 1, 2016 to July 30, 2016. A total of 160 questionnaires were distributed and 135 questionnaires were collected. 109 questionnaires were used for data analysis, except for 26 unreliable response questionnaires. The descriptive statistics were conducted using the SPSS 22.0 statistical program. The surgical asepsis marked the highest point with 0.96, while the staff infection control marked 0.1. The score of awareness of infection control marked 4.71 out of 5 points. The performance score of infection control was 4.60 out of 5 points. There was a statistically significant difference in positions(F=3.841, p=.025) of the knowledge of infection control according to general characteristics. The knowledge of infection control related to infection-control characteristics shows statistically significant difference according to the awareness(t=-2.60, p=0.22) of the guidelines. There was a statistically significant difference in the awareness according to infection control which is regarded as the most important and the ease of use of protective equipment(F=3.88, p=.024). There was a statistically significant difference in the level of infection control performance in the recognition of infection control guidelines(t=-2.021, p=.046). There is a statistically significant positive correlation between the awareness and performance of infection control, the higher the awareness, the higher the performance(r=.465, p<001). However, knowledge of infection control did not have a significant correlation with awareness and performance. Therefore, specific education plans and systems should be sought to improve awareness, the most influential factor in infection control performance, as this study shows. In addition, it shows that there is no correlation between infection control knowledge and performance. Therefore, it is suggested to develop standardized infection control knowledge measurement tool for long-term care hospital nurses. 본 연구는 병원 평가인증 실시 이후, 요양병원 간호사의 감염관리에 대한 지식, 인지도 및 수행도 조사하고 이들 간의 상관관계를 분석함으로써 요양병원 간호사의 감염관리에 대한 수행도를 높이기 위한 교육 프로그램 개발의 기초자료를 제공하고자 시도된 서술적 조사연구이다. 연구대상자는 B시에 위치한 요양병원에 근무하는 간호사를 편의표집하였다. 자료수집 기간은 2016년 6월 1일부터 7월 30일까지였다. 총 160부의 설문지를 배부하여 135부를 회수하였으며 불성실하게 응답한 26부를 제외한 109부를 자료 분석에 사용하였다. SPSS 22.0 통계프로그램을 이용하여 기술통계, 상관관계 분석을 실시하였다. 감염관리에 대한 지식 점수는 0.65점, 인지도의 점수는 4.71점, 수행도 점수는 4.60점이었다. 감염관리에 대한 영역별로는 ‘개인위생 및 의복관리’ 영역이 4.72점으로 가장 높았고 ‘호흡기 감염관리’ 영역이 4.47점으로 가장 낮았다. 일반적 특성에 따른 감염관리에 대한 지식은 직위(F=3.841, p=.025)에 따라 유의한 차이를 보였다. 감염관리 관련 특성에 따른 지식은 감염관리 지침에 대한 인식(t=-2.60, p=.022), 인지도는 보호장비 이용의 용이성(F=3.88, p=.024), 수행도는 감염관리 지침에 대한 인식(t=-2.021, p=.046)에 따라 유의한 차이가 있었다. 감염관리에 대한 인지도와 수행도는 통계적으로 유의한 양의 상관관계(r=.465, p<001)를 보였으나 감염관리에 대한 지식은 인지도 및 수행도와 유의한 상관관계를 보이지 않았다. 이상의 결과를 종합해 볼 때 요양병원 간호사의 감염관리에 대한 수행도는 인지도 보다 낮은 수준이었고, 감염관리에 대한 인지도는 수행도와 양의 상관관계가 있었으나 지식은 수행도와 유의한 상관관계가 없었다. 따라서 인지도를 높이기 위한 구체적인 교육 방안과 제도가 모색되어야 할 것이다.

Factors Affecting the Performance of Healthcare-Associated Infections (HAIs) control- Focus on Empowerment and Awareness of General Hospital Nurses

김정미,한영인 국제문화기술진흥원 2019 International Journal of Advanced Culture Technolo Vol.7 No.3

The aims of the study to investigate the relationship between awareness, empowerment and performance of healthcare associated infections (HAIs) control and to identify factors influencing performance of HAIs among general hospital nurses. Data were collected from 230 nurses in two general hospitals in B city, with the questionnaire of an empowerment, awareness and performance of infection control tool. The data were analyzed by t-test, one-way ANOVA, Pearson's correlation coefficient and multiple regressions. The performance of infection control was significantly correlated with empowerment and awareness of infection control. The empowerment had a positive correlation with an awareness of infection control (r= .233, p <.001) respectively. The infection control performance was influenced by infection control awareness, empowerment and number of annual job training, which explained 42.2% of the performance of infection control. Infection management performance of general hospitals nurses is affected not only by infection awareness but also by empowerment and job education. Therefore, it suggests that HAIs management program could develop for the nurses and provide empowerment with job training to improve the management and performance of HAIs, also to reinforce via constant support by the hospital.

Factors Affecting the Performance of Healthcare-Associated Infections (HAIs) control- Focus on Empowerment and Awareness of General Hospital Nurses

Kim, Jeoung-Mi,Han, Young-In The International Promotion Agency of Culture Tech 2019 International Journal of Advanced Culture Technolo Vol.7 No.3

The aims of the study to investigate the relationship between awareness, empowerment and performance of healthcare associated infections (HAIs) control and to identify factors influencing performance of HAIs among general hospital nurses. Data were collected from 230 nurses in two general hospitals in B city, with the questionnaire of an empowerment, awareness and performance of infection control tool. The data were analyzed by t-test, one-way ANOVA, Pearson's correlation coefficient and multiple regressions. The performance of infection control was significantly correlated with empowerment and awareness of infection control. The empowerment had a positive correlation with an awareness of infection control (r= .233, p <.001) respectively. The infection control performance was influenced by infection control awareness, empowerment and number of annual job training, which explained 42.2% of the performance of infection control. Infection management performance of general hospitals nurses is affected not only by infection awareness but also by empowerment and job education. Therefore, it suggests that HAIs management program could develop for the nurses and provide empowerment with job training to improve the management and performance of HAIs, also to reinforce via constant support by the hospital.

요양병원 감염관리 현황 및 감염관리 담당자의 중요도 인식 조사

김유정(You-Jeong Kim),박정숙(Jeong-Sook Park) 한국산학기술학회 2017 한국산학기술학회논문지 Vol.18 No.7

본 논문은 요양병원의 감염관리 현황을 파악하기 위하여 2016년 5월 1일부터 7월 31일까지 영남지역의 인증평가를 받은 156개 요양병원을 대상으로 자료 수집을 하였다. 현황 파악에서 있으면 ‘예’, 없으면 ‘아니오’, 중요도 인식은 5점 척도의 총 85문항으로 구성된 설문지를 이용하였다. 자료 분석에 사용된 설문지는 107부이며 자료 분석은 SPSS/WIN 22.0 Program을 이용하였다. 감염관리위원회는 80.4%에서 있다고 하였으며 중요도는 3.79로 나타났고, 감염관리 담당자는 86.0%에서 있으며 대부분 겸임이다. 감염관리규정은 손위생을 포함한 7개 문항에서 100% 구비하고 있으며 규정에 대한 중요도는 손위생이 4.47로 가장 높게 인식하고 있다. 감염관리 활동은 직원교육이 시행 빈도와 중요도 인식에서 가장 높게 나타났으며, 감염관리 수행률은 멸균물품 유효기간 준수율이 96.3%이고 중요도가 4.64로 가장 높게 나타났다. 요양병원의 감염관리 규정은 어느 정도 갖추어져 있으나 감염관리 전담인력 부족과 요양병원에서 적용 가능한 감염관리 규정 미비로 감염관리 활동이 제대로 이루어지지 못하고 있는 것으로 나타났다. 그러므로 요양병원에 적용 가능한 감염감시기준 및 감염관리 가이드라인 개발과 이를 적용할 감염관리 전담인력이 필요하다. The purpose of this study was to investigate the status of infection control in long term care hospitals. Data were gathered from 156 long term care hospitals that received certification evaluation from May 1, 2016 to July 31, 2016. We used a questionnaire consisting of 85 items regarding the status and perceived importance ofinfection control. The data were analyzed using the SPSS / WIN 21.0 program. All of the hospitals have infection control regulations, 80.4% of them have an infection control committee and 86.0% of them employ an ICP(infection control practitioner) who holdsthis position in addition to another. Hand hygiene showed the highest score at 4.47 in the perceived importance of infection control. Employee education and compliance with thevalidity period of sterilized products showed the highest frequency and perceived importanceamong theinfection control activities. The above results show that almost all of the long term care hospitals have infection control regulations,but that theseregulations are not properly implemented, because of the lack of applicable regulationson thepolicy level. Therefore, it is necessary to develop infection monitoring standards and infection control guidelines for long term care hospitals and provide the infection control practitionerswith trainingin how to apply them.

치과위생사의 감염관리 인지 및 실천도 연구 : 인증치과병원과 비인증치과병원의 비교

양진주,문상은,김윤정,김선영,조혜은,강현주 한국치위생학회 2019 한국치위생학회지 Vol.19 No.5

Objectives: The purpose of this study was to examine the perception of dental hospital accreditation and the awareness and practice of infection control in dental hygienists. Methods: A self-reported questionnaire was completed by 238 dental hygienists working at dental hospitals in Gwangju·Jeonnam and analyzed from October 24, 2016 to September 22, 2017. Data were analyzed with the independent t-test, one-way analysis of variance, Pearson's correlation analysis, and multiple regression analysis using the Statistical Package for the Social Sciences software, version 21.0. Results: Compared to non-accredited dental hospitals, all three variables were high for accredited dental hospitals. In accredited dental hospitals, healthcare accreditation expectancy effects correlated to awareness (r=0.407) and practice (r=0.533) of infection control, and awareness of infection control correlated to its practice (r=0.725). In non-accredited dental hospitals, healthcare accreditation expectancy effects correlated to awareness of infection control (r=0.239), and awareness of infection control correlated to its practice (r=0.481). Accredited dental hospitals showed healthcare accreditation expectancy effects (β=0.258) and awareness of infection control (β=0.556), and non-accredited dental hospitals were influenced by the number of employees (β=0.567) and awareness of infection control (β=0.376). Conclusions: It is necessary to develop efficient and systematic infection control programs to improve the awareness and practice of infection control in dental hygienists and patient’s safety in the clinical field.

종합병원 의료종사자의 병원감염관리 인지도 및 실천도 연구

강연희(Yeon-Hee Kang),구재흥(Jae-Heung Koo) 한국방사선학회 2021 한국방사선학회 논문지 Vol.15 No.3

본 연구는 부산 시내에 있는 종합병원에 근무하는 종사자들을 대상으로 병원감염관리에 대한 인지도 및 실천도에 대해 파악하여 병원감염관리 방안 및 교육 등에 대한 기초자료를 제공하고자 설문조사를 실시하고 이를 분석하였다. 일반적인 변수의 차이를 보기 위한 t-test 및 일원분산분석(one way ANOVA)을 실시한 결과 대체적으로 개인 위생관리에 대한 인지도와 실천도가 낮게 나타났고, 장비 위생관리의 인지도와 실천도는 높게 나타났다. 남성의 개인위생관리를 제외한 전 영역에서 인지도가 실천도보다 높게 나타나 병염감염관리의 인지도에 비해 실천도는 부족하다는 것을 확인하였다. Pearson 상관분석을 통한 결과로는 감염관리에 관한 인지도가 높은 사람이 실천도도 높은 결과를 나타내 병원 종사자들의 감염관리에 대한 인지도를 높이는 것이 병원감염예방에 효과적인 것으로 생각되었다. 따라서 병원감염관리에 대하여 지속적인 교육으로 종사자들의 감염관리에 대한 인지도를 상승시키고, 이를 실천하기 위한 병원 종사자들의 노력도 필요한 것으로 사료된다. In this study, a survey was conducted and analyzed to provide basic data on hospital infection control measures and education by identifying awareness and practice of hospital infection control among workers at general hospitals in Busan. As a result of conducting a t-test and one-way ANOVA to see the difference in general variables, the awareness and practice of personal hygiene management were generally low, and the awareness and practice of equipment hygiene management were high. In all areas except for men s personal hygiene management, the level of awareness was higher than the level of practice, confirming that the level of practice was insufficient compared to the level of awareness of infection control. As a result of Pearson s correlation analysis, people with high awareness of infection control showed a high level of practice, so it was thought that raising the awareness of infection control among hospital workers would be effective in preventing hospital infection. Therefore, it is considered that it is necessary to raise the awareness of infection control among workers through continuous education on hospital infection control, and to make efforts of hospital workers to practice it.

아동병원간호사의 병원감염관리에 대한 지식, 인지도 및 실천도

주애란,백형원 인문사회 21 2022 인문사회 21 Vol.13 No.3

아동병원간호사의 병원감염관리에 대한 지식, 인지도 및 실천도주 애 란*ㆍ백 형 원** 요약: 본 연구는 아동병원간호사의 병원감염관리에 대한 지식, 인지도 및 실천도를 파악하여 이를 근거로 병원감염관리 교육프로그램 개발을 위한 기초자료를 제시하기 위해 시도된 서술적 상관관계 조사연구이다. 연구 결과, 아동병원간호사의 병원감염관리 인지도와 실천도의 관계가 양의 상관관계를 나타내므로 현재보다 감염관리에 대한 인지도와 실천도를 높일 수 있도록 병원감염 예방을 위한 전문화된 감염관리 교육이 정기적으로 필요하겠다. 향후 본 연구는 신규간호사 교육프로그램에서 손씻기 영역을 강화하고, 중견급 간호사 외 간호인력, 환자와 보호자를 대상으로 하는 포괄적인 병원감염관리 교육프로그램 개발에 기초자료로 활용될 것으로 기대된다. 핵심어: 아동병원간호사, 지식, 인지도, 실천도, 병원감염관리 □ 접수일: 2022년 5월 11일, 수정일: 2022년 6월 10일, 게재확정일: 2022년 6월 20일* 주저자, 서영대학교 간호학과 교수(First Author, Professor, Seoyeong Univ., Email: jgorae@daum.net)** 교신저자, 인천재능대학교 보건의료행정과 교수(Corresponding Author, Professor, Incheon Jaeneung Univ., Email: canreg@daum.net) Correlations Among Knowledge, Awareness, and Performanceof the Hospital Infection Control in Children’s Hospital NursesAeran Joo & Hyungwon Baek Abstract: This study is a descriptive correlation research study attempted for the development of hospital infection control education programs based on the knowledge, awareness, and practice of nurses at children’s hospital. The results of this study reveal that awareness was related to practice of hospital infection control among nurses at children’s hospital. Therefore, it is necessary to regularly provide opportunities for practical education and develop relevant programs to improve the performance of hospital infection control. This study is expected to be used as basic data to strengthen the hand washing area in the new nurse education program and to develop a comprehensive hospital infection control education program for nursing personnel, patients and caregivers other than mid-level nurses. Key Words: Hospital, Nurses/Pediatric, Health Knowledge/Attitudes/Practice, Awareness, Cross Infection/Prevention & control

종합병원 병동에서 국지적 감염 통제의 전역적 감염 예방 효과에 관한 연구

김서영,권지훈 대한건축학회지회연합회 2018 대한건축학회연합논문집 Vol.20 No.3

본 연구의 목적은 종합병원의 병동 내 이용자 간 감염에 주목하여 국지적 공간에 감염 통제를 했을 때 전역적 공간의 감염 예방 효과를 알아보는 것이다. 이를 위해, 기능별 면적, 간호사와 방문객의 이동 동선 체계를 도출하였다. 감염 노출 빈도가 집중되는 지점을 도출하기 위해 병원 내 보균자에게 노출될 가능성을 고려한 공간 분석을 실시한 후 도출한 지점을 중심으로 국지적인 감염 통제 공간으로 설정하였다. 설정한 감염 통제 공간 내에서는 감염 노출의 가능성이 감소되도록 설정하였다. 국지적 감염의 통제 공간을 설정하기 전과 후의 감염 노출 빈도를 비교 분석하였다. 또한 평균의 차이를 검정하기 위해 대응 표본 t-test를 수행하였다. 그 결과, 간호사와 방문객의 이동 동선이 혼잡한 부분에 감염의 노출 가능성이 높게 나타났다. 분석 대상 병원에서 중복도 형태가 이중 복도 형태보다 감염에 노출되기 쉬운 형태이며 이중 복도 형태는 간호 접수대 중심으로 감염 예방이 이루어지고 중복도 형태일 경우에는 감염 노출 빈도가 집중되는 공간에 이루어져야 할 것으로 판단되었다. 비교적 감염에 노출되기 쉬운 공간 구조의 형태라도 국지적 감염 통제 공간을 적용함으로써 감염 노출 빈도가 감소했다. 대응 표본 t-test의 결과, 국지적 감염 통제의 적용 전과 이후에 평균이 통계적 유의 수준 하에서 차이가 있는 것으로 나타났다. 이는 국지적인 감염 통제 공간을 적용함으로써 전체 공간에서 보균자의 이동으로 인한 감염에 노출될 가능성이 낮아질 수 있다는 것으로 판단할 수 있었다. The purpose of this study is to identify the effects of infection prevention in the global space when infection control is placed in local spaces, paying attention to the inter-user infection in the ward of the general hospital. For this purpose, the space by function, the moving system of nurses and visitors was derived to know the space composition of the hospital. To derive the point where the frequency of infection was concentrated, a spatial analysis was performed considering the possibility of exposure to carriers in the hospital, and a local infection control space was established based on the point derived. Within the established infection control space, the likelihood of infection exposure is reduced. The frequency of infection exposure before and after establishing a controlled space for local infections was compared. As a result, the movements of nurses and visitors were highly likely to be exposed to infections in congested areas. In the hospital to be analyzed, the Middle corridor type was more likely to be exposed to infection than the double corridor type. and It may be judged that the Double corridor type should be in a space where infection prevention is centered on the nurse station and, in the case of Middle corridor type, infection exposure frequency is concentrated. Even in the form of a spatial structure that is relatively susceptible to infection, the frequency of infection exposure was reduced by applying local infection control spaces. The Paired T-test t-test showed that the mean differs under the statistical significance level before and after the application of local infection control. This could be judged that the application of a local infection control space would reduce the likelihood of exposure to infections caused by the movement of carriers in the entire space.