중소병원 간호사의 의료폐기물 관리에 대한 지식, 태도 및 안전문화가 의료폐기물 관리 실천에 미치는 영향 = The effect of knowledge, attitude, and safety culture on medical waste management practice in small and medium hospital nurses

다국어 초록 (Multilingual Abstract)

The purpose of this study are 1) to clarify the relationship between the knowledge and attitude of medical nurses and the safety culture related to medical wastes and the practice of medical waste management; 2) to improve medical waste management practice and provide basic data for medical waste guidelines.
The data collection was from August 3, 2018 to August 10, 2018, and 121 nurses from small and medium hospitals located in the southern part of Korea city B were included. The knowledge of medical waste management is the knowledge evaluation tool of Su Jeong Yu et al. (2017); attitude toward medical waste management is the tool of assessment of medical waste attitude of Kyung Hee Park (2004); safety culture related to medical waste is developed by AHRQ (2004) The HSPSC questionnaire was revised by Hyun Hee Park (2013); and the medical waste management practice was used as an evaluation tool of Kyung Hee Park (2004).
SPSS/Win 23.0 Program was used to analyze the frequency, percentage, mean, standard deviation, independent t-test, one-way ANOVA, Scheffe test, Pearson's correlation coefficients, and stepwise multiple regression.
The results are as follows:1) The mean score of the knowledge of medical waste management was 15.63± 2.33(range 0-20); the mean score of attitude toward medical waste management was 4.25±0.59(range 1-5); the mean score of safety culture related to medical waste was 3.62±0.39(range 1-5), a sub-area of the core safety culture of department was 3.66±0.42; direct correlation and managerial attitude was 3.70±0.61; communication was 3.79±0.42; safety culture among department was 3.41±0.57; the mean score of medical waste management practices was 4.20±0.51.
2) The subjects of this study did not have general characteristics that showed a difference in the knowledge of medical waste management. The attitude toward medical waste management showed significant differences according to age (F=3.50, p=.018), marriage (t=2.22, p=.028), job title (t=-2.19, p=.030), working experience (F=4.73, p=.004), provide medical waste containers and protective box(F=3.23, p=.043). The safety culture related to the medical waste of the subjects was significantly different according to the presence or absence of the medical waste guidelines (t=2.75, p=.007), the provision of medical waste containers and protective box (F=19.50, p<.001). The medical waste management practices were age (F=5.64, p=.001), marriage (t=2.54, p=.012), job title (t=-10.18, p<.001), working experience (F=5.43, p=.002), providing medical waste containers and protective boxes (F=3.11, p=.048).
3) Knowledge of medical waste management was positively correlated with safety culture (r=.24, p=.009) and attitude (r=.27, p=.003). Attitude was positively correlated with safety culture (r=.24, p=.008), knowledge (r=.27, p=.003), and practice (r=.34, p<.001). The safety culture was positively correlated with knowledge (r=.24, p=.009), attitude (r=.24, p=.008). Practice was positively correlated with safety culture (r= .42, p<.001) and attitude (r=.34, p<.001).
4) The most significant factor influencing the practice of medical waste management was safety culture (β=.43, p<.001), followed by job title (β=.47, p=.003), attitude towards medical waste management (β=.18, p=.010). The explanatory power by the factors was 29.6% (F=16.41, p<.001).
Conclusion: The results suggest that necessary to promote the safety culture related to medical waste in order to promote medical waste management practice.

목차 (Table of Contents)

• I. 서론 1
• 1. 연구 필요성 1
• 2. 연구 목적 3
• 3. 용어 정의 4
• II. 문헌고찰 7
• 1. 의료폐기물 7
• 2. 간호사의 의료폐기물 관리에 대한 지식, 태도 10
• 3. 의료폐기물 관련 안전문화 14
• 4. 의료폐기물 관리 실천 16
• Ⅲ. 연구 방법 18
• 1. 연구 설계 18
• 2. 연구 대상 18
• 3. 연구 도구 19
• 4. 자료 수집 방법 21
• 5. 자료 분석 방법 22
• 6. 윤리적 고려 23
• Ⅳ. 연구결과 24
• 1. 연구대상자의 특성 24
• 2. 의료폐기물 관리에 대한 지식, 태도, 의료폐기물 관련 안전문화 및 의료폐기물 관리 실천의 정도 27
• 3. 연구대상자의 특성에 따른 의료폐기물 관리에 대한 지식, 태도, 의료폐기물 관련 안전문화 및 의료폐기물 관리 실천의 차이 31
• 4. 의료폐기물 관리에 대한 지식, 태도, 의료폐기물 관련 안전문화 및 의료폐기물 관리 실천의 상관관계 36
• 5. 의료폐기물 관리 실천의 영향요인 37
• Ⅴ. 논의 39
• 1. 의료폐기물 관리에 대한 지식, 태도 39
• 2. 의료폐기물 관련 안전문화 42
• 3. 의료폐기물 관리 실천 43
• Ⅵ. 결론 및 제언 46
• 1. 결론 46
• 2. 제언 48
• 참고문헌 49