중환자실 간호사의 반코마이신 내성 장구균 감염관리에 대한 인지도, 이행도 및 관련요인

다국어 초록 (Multilingual Abstract)

Purpose: The purpose of this study was to identify factors influencing Vancomycin-resistant enterococcus infection control among nurses in intensive care units. Method: Data were collected from August 15 to October 14, 2007 from 188 nurses working in intensive care units. The nurses answered a 26 item-questionnaire, which included management of the cohort (14 items), hand washing (6 items) and management of the environment (6 items). Descriptive statistics, t or F test, ANOVA, and mu ltiple regression analysis were used with SPSS PC+ 14.0 to analyze the data. Results: The participant's level of awareness of Vancomycin-resistant enterococcus infection control was 3.87; that of compliance was 3.74. Significant factors influencing the level of compliance with Vancomycin-resistant enterococcus infection control were ‘the level of the awareness’ and ‘the type of intensive care unit’. These two variables accounted for 21.0% of variance for compliance with the Vancomycin-resistant enterococcus infection control among the participants. Conclusion: In order to develop a strategy to increase the compliance with Vancomycin-resistant enterococcus infection control, it is necessary to be concerned about ‘the level of the awareness’, ‘the type of intensive care unit’, and ‘experiences of caring for patients with Vancomycin-resistant enterococcus’.

참고문헌 (Reference)

1 Chavers, L. S., "Vancomycinresistant enterococci. 15 years and counting" 53 (53): 159-171, 2003

2 Cetinkaya, Y., "Vancomycinresistant enterococci" 13 (13): 686-707, 2000

3 Tabachnick, B. G., "Using multivariate statistics, 4th ed" Allyn & Bacon 2001

4 Kim, K. M., "The nationwide surveillance results of nosocomial infections along with antimicrobial resistance in intensive care units of sixteen university hospitals in Korea, 2004" 11 (11): 79-86, 2006

5 Kim, M. Y., "The level of the awareness and the compliance on the nosocomial infection control among clinical nurses in the hospital" 7 (7): 133-141, 2002

6 Pyeon, S. J, "The level of the awareness and performance of the intensive care unit nurse's on the nosocomical infection" Ajou University 2005

7 Panhotra, B. R., "The effect of a continuous educational program on handwashing compliance among healthcare workers in an intensive care unit" 5 (5): 15-18, 2004

8 Kennedy, A. M., "Survey of knowledge, beliefs, and practices of neonatal intensive care unit healthcare workers regarding nosocomial infections, central venous catheter care, and hand hygiene" 25 (25): 747-752, 2004

9 Choi, A. R., "Recognition and performance of the clinical nurse of nosocomial infection management" Ewha Womans University 2005

10 Yang, K. S., "Predictors of vancomycin-resistant enterococcus (VRE) carriage in the first major VRE outbreak in Singapore" 36 (36): 379-383, 2007

11 Berhe, M., "Practices and an assessment of health care workers' perceptions of compliance with infection control knowledge of nosocomial infections" 33 (33): 55-57, 2005

12 Oh, H. S., "National survey on nurses' knowledge of infection control in general hospitals and analysis of variables to impact on their knowledge" 10 (10): 78-86, 2005

13 Korean Society for Nosocomial Infection Control, "Management of nosocomial infection. 3rd ed" Han-Mi Medical Publishing 2006

14 Noskin, G. A., "Enterococcus faecium and Enterococcus faecalis bacteremia;Acquisition and outcome" 20 (20): 296-301, 1995

15 Broadhead, J. M., "Emerging multi-resistant organisms in the ICU: Epidemiology, risk factors, surveillance, and prevention" 24 (24): 20-29, 2001

16 Park, S. Y., "Compliance with nosocomial infection control and related factors among emergency room nurses" 15 (15): 153-160, 2008

17 Patel, R., "Clinical impact of vancomycin-resistant enterococci" 51 (51): iii13-iii21, 2003

18 Curry, V. J., "Applying social and behavioral theory as a template in containing and confining VRE" 24 (24): 13-19, 2001

19 Byeon, Y. S., "Analysis on basic nursing content required for the clinical performance by novice nurses" 10 (10): 427-436, 2003

20 Lee, J. S., "A study on the knowledge and performance of the clinical nurses about the VRE isolation" Ewha Womans University 2003

21 Song, M. S., "A study on the awareness and practice of the nurse's on the nosocomical infection" Dankook University 2001

22 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

23 Ministry for Health Welfare and Family Affairs, "A management guide for prevention of nosocomial infection"

24 Yoo, M. S., "A comparative study of nurses' recognition and practice level of general nosocomial infection, MRSA and VRE infection control" 11 (11): 31-40, 2004