기본간호학회지 (Journal of Korean Academy of Fundamentals of Nursing)

  • 제22권3호
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  • Pages.268-276
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  • 2015
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  • 1225-9012(pISSN)
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  • 2287-1802(eISSN)
기본간호학회 (Korean Academy of Fundamentals of Nursing)
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건강신념모델에 근거한 중환자실 간호사의 다제내성균주 감염관리 수행에 영향을 미치는 요인

Factors related to the Management of MultiDrug-Resistant Organisms among Intensive Care Unit Nurses: An Application of the Health Belief Model

  • 김수영 (이화여자대학교 임상보건과학대학원, 분당서울대학교병원 감염관리실) ;
  • 차지영 (이화여자대학교 건강과학대학 간호학부)
  • Kim, Suyoung (Clinical Health & Science University Graduate School, Ewha Womans University, Department of Infection Control, Seoul National University Bundang Hospital) ;
  • Cha, Chiyoung (Division of Nursing Science, College of Health Sciences, Ewha Womans University)
  • 투고 : 2015.07.12
  • 심사 : 2015.08.24
  • 발행 : 2015.08.31
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초록

Purpose: The purpose of this study was to identify factors which influence the management of MultiDrug -Resistant Organisms (MDROs) by nurses in Intensive Care Units (ICUs). Methods: Data were collected from December 8 to 20, 2013 and participants were 163 ICU nurses working in one general hospital. The Health Belief Model tool and knowledge and management of MDROs infection tools were used in the study. Descriptive statistics, t-test, analysis of variances, Pearson correlation coefficients and multiple regression were used to analyze the data. Results: Knowledge, perceived susceptibility, and perceived benefits had a significant influence on MRSA (Methicillin Resistant Staphylococcus Aureus,) and MDRAB (Multidrug Resistant Acinetobacter Baumannii) infection management when all the other variables were considered. Significant variable which had influence on VRE (Vancomycin Resistant Eenterococci) infection management were perceived susceptibility and perceived benefits. Conclusion: Perceived susceptibility and perceived benefits had significant influence on MDROs infection management. Emphasis needs to be on the perceived susceptibility and perceived benefits of MDROs infection management when providing an educational program for ICU nurses.

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참고문헌

  1. Hospital Infection Network. Korean Nosocomial Infections Surveillance System (KONIS) report: Data summary from July 2012 through June [Internet]. Seoul: KONIS system: 2012 [cited 2014 January 10]. Available from: http://konis.cdc.go.kr/konis/sub/reports_icu.htm.
  2. Vincent JL, Rello J, Marshall J, Silva E, Anzueto A, Martin CD, et al. International study of the prevalence and outcomes of infection in intensive care units. Journal of the American Medical Association. 2009;302(21):2323-2329. https://doi.org/10.1001/jama.2009.1754
  3. Lee MS. Developing standard guidelines for infection control in intensive care units. Korea Centers for Disease Control and Prevention Report. Chungju: Korea Centers for Disease Control and Prevention; 2011 September. Report No.: 2009-E00628-00.
  4. Yun KW, Lee MK, Yun SW, Chae SA, Lim IS, Choi ES, et al. Etiology of pediatric healthcare-associated infections in a single center (2007-2011). Korean Journal of Nosocomial Infection Control. 2012;17(1):13-20.
  5. Oh HS, Yi SE. National survey on the current status of infection control nurses and their activities in general hospitals with more than 300 beds. Korean Journal of Nosocomial Infection Control. 2005;10(1):32-42.
  6. Yoo MS, Son YJ, Ham HM, Park MM, Um AH. A comparative study of nurses' recognition and practice level of general nosocomial infection, MRSA and VRE infection control. Journal of Korean Academy of Fundamentals of Nursing. 2004;11(1):31-40.
  7. Cho GL, Choi JS. Knowledge of and compliance with standard precautions by nurses in intensive care unit. Journal of Korean Academy of Fundamentals of Nursing. 2010;17(1):73-81.
  8. Park YM, Park HS, Park KY. Factors influencing level of awareness and compliance with Vancomycin-Resistant Enterococcus infection control among nurses in intensive care units. Journal of Korean Academy of Fundamentals of Nursing. 2008;15(4):531-538.
  9. Kim JH, Lim KH. The factors influencing compliance of multidrug-resistant organism infection control in intensive care unit nurses. Korean Journal of Adult Nursing. 2015;27(3):325-336. http://dx.doi.org/10.7475/kjan.2015.27.3.325
  10. Song JO. Perception of multidrug-resistant organisms control in ICU nurses [master's thesis]. Seoul: Yonsei University; 2013. p. 16-30.
  11. Kim WJ. Control of Vancomycin-Resistant Enterococci (VRE) in intensive care units. Korean Journal of Nosocomial Infection Control. 2008;13(2):51-63.
  12. Glanz K, Rimer BK, Viswanath K. Health behavior and health education: Theory, research and practice. 3rd ed. San Francisco: Jossey-Bass; 2002. p. 45-66.
  13. Rosenstock IM, Strecher VJ, Becker MH. Social learning theory and the health belief model. Health Education Quarterly. 1988;15(2):175-183. https://doi.org/10.1177/109019818801500203
  14. Min H, Oh HY. A study on osteoporosis knowledge, health beliefs and health behaviors among female college students. Journal of Korean Academy of Community Health Nursing. 2011;22(2):111-120. http://dx.doi.org/10.12799/jkachn.2011.22.2.111
  15. Guvenc G, Akyuz A, Acikel CH. Health belief model scale for cervical cancer and pap smear test: Psychometric testing. Journal of Advanced Nursing, 2011;67(2):428-437. http://dx.doi.org/10.1111/j.1365-2648.2010.05450.x
  16. Mehta P, Sharma M, Lee RC. Designing and evaluating a health belief model-based intervention to increase intent of HPV vaccination among college males. International Quarterly of Community Health Education. 2013;34(1): 101-117. http://dx.doi.org/10.2190/iq.34.1.h
  17. Gilasi H, Babaee M, Gharlipour Z, Heidarian M, Tavassoli E. The effect of health education based on health belief model on mother's participation for neonatal hypothyroidism screening program. Iranian Journal of Endocrinology and Metabolism. 2013;15(3):329-336. http://ijem.sbmu.ac.ir/browse.php?a_code=A-10-1504-1&slc_lang=en&sid=1
  18. Chen MF, Wang RH, Schneider JK, Tsai CT, Jiang DDS, Hung MN, et al. Using the health belief model to understand caregiver factors influencing childhood influenza vaccinations. Journal of Community Health Nursing. 2011;28(1):29-40. http://dx.doi.org/10.1080/07370016.2011.539087
  19. van De Mortel TF, Kermode S, Progano T, Sansoni J. A comparison of the hand hygiene knowledge, beliefs and practices of Italian nursing and medical students. Journal of Advanced Nursing. 2012;68(3):569-579. http://dx.doi.org/10.1111/j.1365-2648.2011.05758.x
  20. Efstathiou G, Papastavrou E, Raftopoulos V, Merkouris A. Factors influencing nurses' compliance with standard precautions in order to avoid occupational exposure to microorganisms: A focus group study. BioMed Central Nursing. 2011;10(1):1-12. http://www.biomedcentral.com/1472-6955/10/1
  21. Erkin O, Ozsoy S. Validity and reliability of health belief model applied to influenza. Academic Research International. 2012;2(3):31-40.
  22. Sim HB. A study on the knowledge and performance of the clinical nurses for the MRSA infection control [master's thesis]. Pusan: Pusan National University; 2006. p. 17-31.
  23. Lee JS. A study on the knowledge and performance of the clinical nurses about the VRE isolation [master's thesis]. Seoul: Ewha Womans University; 2003. p. 14-15.
  24. Kang J, Cho J, Kim Y, Kim DH, Lee J, Park HK, et al. Hospital nurses' knowledge and compliance on multidrug-resistant organism infection control guideline. Journal of Korean Academy of Nursing. 2009;39(2):186-197. http://dx.doi.org/10.4040/jkan.2009.39.2.186
  25. Ott M, Wirick H. Vancomycin-Resistant Enterococci (VRE) and the role of the healthcare worker. Canadian Operating Room Nursing Journal. 2008;26(1):21-24, 26-29, 32.
  26. Choi YJ, Jung HS. Analysis of related factor with practice of handwashing by clinical nurses based on Health Belief Model. Journal of Korean Clinical Nursing Research. 2004;9(2):32-41.
  27. Farley JE, Doughman D, Jeeva R, Jeffries P, Stanley JM. Department of health and human services releases new immersive simulation experience to improve infection control knowledge and practices among health care workers and students. American Journal of Infection Control. 2012;40(3):258-259. http://dx.doi.org/10.1016/j.ajic.2011.03.024
  28. Ghanbari MK, Farazi AA, Shamsi M, Khorsandi M, Esharti B. Measurement of the Health Belief Model (HBM) in nurses hand hygiene among the hospitals. World Applied Sciences Journal. 2014;31(5):811-818.

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