아동병동 간호사의 병원감염 표준주의에 대한 인지도와 이행도 = Study on Pediatric Nurses’ Attitudes and Compliance with Hospital Infection Standard Precautions

다국어 초록 (Multilingual Abstract)

Purpose: The purpose of this study was to identify pediatric nurses’ attitudes to, and compliance with, standard precautions in the prevention of hospital infections by enhancing their practice of standard precautions. Methods: The participants were 206 nurses who worked in pediatric nursing departments of a general medical institution in Seoul. The questionnaire was a modification of Kim (2008) and consisted of 18 questions about hand washing, personal protective equipment, sharps, linen and patient care equipment. Collected data were processed using SPSS 15.0 WIN. Results: Mean scores for attitudes to standard precautions and for compliance with standard precautions were 4.43 (±0.83) and 4.22 (±0.44) respectively. This difference was statistically significant (t=3.368, p=.001). The nurses’ compliance with standard precautions differed significantly according to the general characteristics of age (F=8.705, p<.001), total clinical experience (F=9.426, p<.001), current department experience (F=6.555, p<.001), and education experience (t=0.616, p<.043). There was a positive correlation between attitudes to, and compliance with, standard precautions (r=.156, p=.025). Conclusion: The results of this study indicate that educational programs and policy on infection control and standard precautions for pediatric nurses are needed. Also these results should contribute to baseline data for establishing appropriate clinical policy on infection control.

참고문헌 (Reference)

1 서영희, "병원간호사의 감염예방 표준주의지침 지식, 인식, 안전환경 및 수행도에 관한 연구" 병원간호사회 16 (16): 61-70, 2010

2 성미혜, "간호사의 병원감염 관리에 대한 수행도에 영향을 미치는 요인" 한국직업건강간호학회 16 (16): 5-14, 2007

3 Stegenga, J., "The role of nurse understaffing in nosocomial viral gastrointestinal infections on a general pediatrics ward" 23 : 133-136, 2002

4 Yoo, M. S., "Recognition, self and objective evaluations of nosocomial respiratory infection control practices by ICU nurses" 9 : 349-359, 2002

5 Chan, R., "Nurses’ knowledge of and compliance with universal precautions in an acute care hospital" 39 : 157-163, 2002

6 Richards, M. J., "Nasocomial infection in medical intensive care units in the United States. national nasocomial infection surveillance system" 27 : 887-892, 1999

7 McCoy, K. S., "Monitoring adherence to standard precautions" 29 : 24-31, 2001

8 Askarian, M., "Knowledge, practice and attitude towards standard isolation precautions in Iranian medical students" 58 : 292-296, 2004

9 Askarian, M., "Knowledge, practice and attitude among Iranian nurse, midwives and students regarding standard isolation precautions" 28 : 241-244, 2007

10 Posfay-Barbe, K. M., "Infection control in pediatrics" 8 : 19-31, 2008

11 Korea Centers for Disease Control and Prevention, "Guidelines for pediatrics" Medical guidelines compared to the pandemic of Influenza A(H1N1) 2009

12 Korea Health Industry Development Institute, "Guidelines for Hospital Evaluation Programme (Issue 2007-20)" Seoul 2007

13 Korean Society for Nosocomial Infection Control, "Guideline for Nosocomial Infection: second edition" Hanmibook 2001

14 Faul, F., "G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences" 39 : 175-191, 2007

15 Pittet, D., "Compliance with handwashing in a teaching hospital. infection control program" 130 : 126-130, 1999

16 Kermode, M., "Compliance with Universal Standard Precautions among health care workers in rural north India" 33 : 27-33, 2005

17 Huang, J., "Changing knowledge, behavior and practice related to universal precautions among hospital nurses in China" 33 : 217-224, 2002

18 Stein, A. D., "A survey of doctors’ and nurse’ knowledge, attitude and compliance with infection control guidelines in Birmingham teaching hospitals" 54 : 68-73, 2003

19 Kim, Y. S., "A study for nosocomial infection control in the emergency rooms" Korea Centers for Disease control and Prevention 2008

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

21 Winterberg, D. H., "A boy with nosocomial malaria tropica contracted in a Dutch hospital" 24 : 89-91, 2005

22 Centers for Disease Control and Prevention, "2007 guideline for isolation precautions: Preventing transmission of infectious agents in health care settings"