간호학생의 무균술 수행 중 두발 형태에 따른 오염 위험성: 관찰연구 = The risk of contamination according to hairstyle during aseptic procedures in nursing students: an observational study

다국어 초록 (Multilingual Abstract)

Purpose: This study investigated the relationship between the risk of contamination during aseptic procedures performed by nursing students and the hairstyle type of the student performing the procedure.
Methods: This study employed an observational design. The participants were 139 nursing students recruited from two colleges. Participants with short hair were assigned to the short-hair group (Group 1) without randomization. The remaining participants were randomly assigned to one of three groups: those who put their hair in a hairnet (Group 2), those who had their hair tied back (Group 3), and those who had their hair untied (Group 4). Raters used a checklist to assess participants’ performance of aseptic procedures and contamination-related behaviors.
Results: Compared to the group wearing a hairnet (Group 2), more contamination occurred in the group with long hair tied back (Group 3) or not tied up (Group 4) (p<.001). Hair-related contamination risk behaviors were significantly more common in students with untied long hair (Group 4) than in the other three groups (Group 1, 2, and 3) (p<.001).
Conclusion: These results suggest that when performing aseptic procedures, measures are needed to prevent hair-related contamination by restraining the hair or using a hair cap.

참고문헌 (Reference)

1 Sanders AM, "Use of hair nets and face masks to decrease blood culture contamination rates" 95 (95): 15-19, 2019

2 Blanco N, "Transmission pathways of multidrug-resistant organisms in the hospital setting : a scoping review" 40 (40): 447-456, 2019

3 McLure HA, "The effect of facial hair and sex on the dispersal of bacteria below a masked subject" 55 (55): 173-176, 2000

4 Davidson T, "Taking your work home with you : potential risks of contaminated clothing and hair in the dental clinic and attitudes about infection control" 32 (32): 137-142, 2017

5 Spruce L, "Surgical head coverings : a literature review" 106 (106): 306-316, 2017

6 Kong KA, "Statistical methods : reliability assessment and method comparison" 40 (40): 9-16, 2017

7 Hyun Kang, "Sample size determination and power analysis using the G* Power software" 18 : 114215-, 2021

8 Mitchell AM, "Role of healthcare apparel and other healthcare textiles in the transmission of pathogens:a review of the literature" 90 (90): 285-292, 2015

9 이선옥 ; 박경연, "Relationship between nursing task overload and aseptic technique performance in clinical nursing skills" 15 (15): 18-25, 2009

10 Kukimedical, "Regulations still in place despite criticism of nurses'hairnet 'decoration work'" Kukimedical

11 Scheflan M, "Over troubled water : an outbreak of infection due to a new species of Mycobacterium following implant-based breast surgery" 137 (137): 97-105, 2016

12 Mantyh CR, "Minimizing hair dispersal : Is this an opportunity for improvement in health careacquired infection prevention?" 45 (45): 308-310, 2017

13 Yu S, "Interventions and strategies to prevent catheter-associated urinary tract infections with shortterm indwelling urinary catheters in hospitalized patients : an integrative review" 26 (26): e12834-, 2020

14 Kim HS, "Interrater reliability in the content analysis of preparatory information for mechanically ventilated patients" 5 (5): 269-279, 1998

15 김옥선 ; 김경미 ; 김태형 ; 이재갑 ; 정선영 ; 차경숙 ; 최정현 ; 홍성정, "Infection control knowledge, awareness, and self-confidence in performance among nursing and medical students in Korea" 27 (27): 168-176, 2022

16 Rowley S, "How widely has ANTT been adopted in NHS hospitals and community care organisations in England and Scotland?" 29 (29): 924-932, 2020

17 Korea Centers for Disease Control, "Healthcare associated infection" Korea Disease Control and Prevention Agency

18 Korea Centers for Disease Control, "Guidelines for prevention and control of healthcare associated infections" Korea Disease Control and Prevention Agency

19 Potter PA, "Fundamentals of nursing" Elsevier Health Sciences 447-450, 2021

20 Mase K, "Firm adherence of Staphylococcus aureus and Staphylococcus epidermidis to human hair and effect of detergent treatment" 44 (44): 653-656, 2000

21 Boyce JM, "Evidence in support of covering the hair of OR personnel" 99 (99): 4-8, 2014

22 Fernandez S, "Does long hair belong in a clinical setting?" 49 (49): 53-55, 2019

23 Korean Accreditation Board of Nursing Education, "Core clinical nursing skill evaluation items for Korean nursing education accreditation assessment" Korean Accreditation Board of Nursing Education

24 Goyal S, "Bacterial contamination of medical providers' white coats and surgical scrubs : a systematic review" 47 (47): 994-1001, 2019

25 Kerk SK, "Bacteria display differential growth and adhesion characteristics on human hair shafts" 9 : 2145-, 2018

26 Crossley K, "An outbreak of infections caused by strains of Staphylococcus aureus resistant to methicillin and aminoglycosides. II. Epidemiologic studies" 139 (139): 280-287, 1979