임상간호사의 기후 건강 관련 인지행동이 신종감염병 감염관리 수행에 미치는 영향 = Association between Climate Health-Related Cognitive Behaviors and Infection Control Practices for Emerging Infectious Diseases among Clinical Nurses

다국어 초록 (Multilingual Abstract)

Abstract

Association between Climate Health-Related Cognitive Behaviors and Infection Control Practices for Emerging Infectious Diseases among Clinical Nurses

Hyunjeong Kim
Advisor : Prof. Kim, Jin Hee. Ph.D.
Department of Nursing
Graduate School of Chosun University

Purpose: This study aimed to explore clinical nurses’ climate‑health-related cognitive behaviors and their infection control practices for emerging infectious diseases, and to determine the factors affecting emerging infectious disease infection control performance based on the associations between these variables.

Methods: A descriptive cross-sectional correlational design was employed. The sample comprised 201 clinical nurses from a tertiary hospital in South Korea. Data were collected using a structured self-report questionnaire that assessed demographic characteristics, nursing-related characteristics for emerging infectious diseases, climate health–related cognitive behaviors, and infection control practices for emerging infectious diseases. Data were analyzed using SPSS version 29.0, including independent t-tests, one-way ANOVA, Pearson’s correlation coefficients, and hierarchical multiple regression analysis.

Results: Climate health-related cognitive behaviors and educational level were identified as significant factors associated with emerging infectious disease infection control performance. Climate health-related cognitive behaviors were positively correlated with emerging infectious disease infection control performance (r=.25, p<.001) and remained a significant predictor in the final model (β=.224, p=.002). Having a master’s degree or higher was also a significant predictor (β=.254, p=.002). The final model explained 12.5% of the variance in emerging infectious disease infection control performance (R²=.125, Adj. R²=.089). In an additional subdomain analysis, perception (β=.238, p=.002) and educational level (β=.234, p=.005) were identified as significant predictors. The subdomain model explained 15.6% of the variance in emerging infectious disease infection control performance (R²=.156, Adj. R²=.102).

Conclusion: Clinical nurses’ climate health-related cognitive behaviors and higher educational level were identified as key factors associated with infection control performance for emerging infectious diseases. In particular, perception of the relationship between climate change and health was identified as a significant predictor of emerging infectious disease infection control performance. These findings suggest that enhancing nurses’ understanding of climate-related health impacts may strengthen infection prevention and control in clinical practice. Incorporating climate-health content into undergraduate and in-service nursing curricula and supporting advanced education for nurses may therefore be effective strategies to improve infection control performance for emerging infectious diseases and contribute to climate-resilient healthcare systems.

Key words: Climate and health, Climate health-related cognitive behaviors, Climate-health perception, Emerging infectious diseases, Infection control practices, Clinical nurses

목차 (Table of Contents)

• Ⅰ. 서론 1
• A. 연구의 필요성 1
• B. 연구의 목적 4
• C. 용어의 정의 5
• Ⅱ. 문헌고찰 6
• A. 기후변화가 건강에 미치는 영향 6
• B. 기후변화와 신종감염병 8
• C. 기후변화와 임상 현장 11
• D. 임상간호사의 기후 건강 관련 인지행동과 신종감염병 감염 관리 14
• Ⅲ. 연구방법 20
• A. 연구 설계 20
• B. 연구 대상 21
• C. 연구 도구 22
• D. 자료 수집 방법 및 절차 23
• E. 자료 분석 방법 24
• F. 윤리적 고려 25
• Ⅳ.연구결과 26
• A. 대상자의 일반적 특성 26
• B. 주요 연구 변수들의 기술통계 28
• C. 대상자의 일반적 특성에 따른 신종감염병 감염관리 수행의 차이 30
• D. 주요 변수 간 상관관계 32
• E. 대상자의 신종감염병 감염관리 수행에 영향을 미치는 요인 34
• F. 기후 건강 관련 인지행동 하위영역이 신종감염병 감염관리 수행에 미치는 영향 38
• Ⅴ.논의 41
• Ⅵ.결론 및 제언 47
• A. 결론 47
• B. 제언 48
• 참고문헌 49
• 부록 63