응급실 간호사의 감염관리 수행도 및 관련 요인

다국어 초록 (Multilingual Abstract)

Purpose: This study was done to examine the level of compliance and the relation of related factors of nosocomial infection control among nurses in emergency rooms. The data will provide fundamental information for developing program s for nosocomial infection control in the emergency room. Method: Study participants were 183 nurses working in emergency rooms in general hospitals that had more than 500 beds and were located in Daegu, Daejeun, and Pusan. The survey was carried out from March 7 to March 26, 2006 and a structured questionnaire was used. Descriptive statistics, t-test, ANOVA and Sheffe test with SPSS 14.0 were used to analyze the data. Results: The average level for practice of infection control was relatively low. Levels of compliance were high when the participants had: 1) regular conferences for nosocomial infection control, 2) positive perception of protection devices, 3) knowledge of whom to report and experiences of reporting needle stick injuries, 4) hospital guidelines for infection control and 5) enough equipment supplies from the hospital. Conclusion: Nosocomial infection control among emergency room nurses could be improved via personal, psychosocial, and organizational factors and related education.

참고문헌 (Reference)

1 Center for Disease Control and Prevention(CDC), "Updated U.S public health service guidelines for the management of occupational exposure to HBV, HCV, HIV and recommendations for postexposure prophylaxis" CDC MMWR 2001

2 Danchaivijitr, S, "Universal precaution: Costs for protective equipment" 25 (25): 44-50, 1997

3 Cheong, H. J, "The study of knowledge and performance about preventive action of the nosocomial infection in nurses" 9 (9): 18-31, 2004

4 Golan, Y, "The impact of gown-use requirement on hand hygiene compliance" 42 (42): 370-376, 2006

5 Litjen, T, "Report of the council on scientific affairs: Preventing needle stick injuries in health care settings" 161 (161): 929-936, 2001

6 Chung,M.S, "Relationship between knowledge and performance of infection control among nurses in the neonatal intensive care unit. Unpublished master's thesis" Yonsei University 2002

7 Choi, A. L, "Recognition and performance of the clinical nurses about the management of nosocomial infection. Unpublished master's thesis" Ewha Woman's University 2005

8 Center for Disease Control and Prevention(CDC), "Public health focus: Surveillance, prevention and control of nosocomial infections" 41 : 783-787, 1992

9 Knight, V. M, "Perceptions and practice of universal blood and body fluid precautions by registered nurses at a major Sydney teaching hospital" 27 : 746-751, 1998

10 Cho, W. S, "Perceived importance and activated performance of nurses for the prevention of nosocomial infection" 20 (20): 357-367, 1999

11 "Korean Nurses Association, (2005). Distribution of nurses registered by province & age: 2005. Retrieved Mar. 20, 2008"

12 Korean Society for Nosocomial Infection Control, "Introduction of nosocomial infection control" Hanmi Medical 118-124, 1996

13 Pittet,D, "Improving adherence to hand hygiene practice: A multidisciplinary approach" 7 (7): 234-240, 2001

14 Al-Damouk, M, "Hand hygiene and aseptic technique in the emergency department" 56 : 137-141, 2004

15 Kang,H.S, "Fundamental Nursing.Soomoonsa" Soomoonsa 2006

16 Michalsen, A, "Compliance with universal precautions among physicians" 39 (39): 130-137, 1997

17 Gershon, R. R, "Compliance with universal precautions among health care workers at three regional hospitals" 23 : 225-236, 1995

18 Chong,C.U, "Compliance level of universal precautions to hospital infection and related factors of health care workers in hospital. Unpublished master's thesis" Yonsei University 2004

19 Whang, H, "A study on the needlestick injuries in hospital personnel" 3 (3): 69-81, 1997

20 Jo,H.S, "A study on the level of recognition and performance of the clinical nurses about the prevention of nosocomial infection. Unpublished master's thesis" Soonchunhyang University 2000

21 Choi,M.A, "A study on the level of recognition and performance of the clinical nurses about the management of nosocomial infection. Unpublished master's thesis" Chung-Ang University 2002

22 Park, H. M, "A study on the level of recognition and performance of the clinical nurses about the management of nosocomial infection. Unpublished master's thesis" Chunnam National University 2004

23 Kang,M.K, "A study on the level of awareness and practice of the operating room nurses about the management of nosocomial infection, Unpublished master´s thesis" Chung-Ang University 2003

24 Kim, K. J, "A study on the job activities of the emergency nurses" 25 (25): 709-728, 1995

25 Lee, Y. H, "A study on the awareness and performance levels on the prevention of hospital infection among intensive care unit nurses" 6 (6): 197-210, 2002