Journal of Korean Biological Nursing Science

Korean society of Biological Nursing Science (한국기초간호학회)
권호 표지

Influence of VRE Knowledge and Awareness with VRE Infection Control in Compliance with VRE Infection Control among Nurses in Intensive Care Units

중환자실 간호사의 VRE에 대한 지식과 감염관리 인지도가 감염관리 수행에 미치는 영향

  • Park, Young-Mi (Pusan National University Hospital) ;
  • Park, Kyung-Yeon (Department of Nursing, College of Medical and Life Science, Silla University)
  • 박영미 (부산대학교병원) ;
  • 박경연 (신라대학교 의생명과학대학 간호학과)
  • Received : 2009.03.05
  • Accepted : 2009.05.27
  • Published : 2009.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of this study was to identify the influence of Vancomycin-resistant enterococcus (VRE) knowledge and awareness with VRE infection control in compliance with VRE infection control among nurses in intensive care units. Method: Participants (N=154) were recruited in B city from August 2007 to October 2007. Data were analyzed with SPSS PC+. Result: The degree of VRE knowledge of the participants was 12.41 out of the total score, 17; that of awareness with VRE infection control was 3.87 out of the total score, 4; that of compliance with VRE infection control 3.75 out of the perfect score, 4. A significantly positive relationship between awareness of VRE infection control and compliance with VRE infection control has been observed. Awareness with VRE infection control and type of intensive care unitpredicted 21.1% of the variance in compliance with VRE infection control. Conclusion: The study indicated that awareness with VRE infection control has the most important impact on the compliance with VRE infection control for the participants. Based on the finding, a suggestion is made to continue the research on VRE knowledge and nosocomical infection on the subject of nurse and nurse managers who are responsible for infection control in a medical institution.

Keywords

References

  1. Broadhead, J. M., Parra, D. S., & Skelton, P. A. (2001). Emerging multiresistant organisms in the ICU: Epidemiology, risk factors, surveillance, and prevention. Crit Care Nurs Q, 24(2), 20-29. https://doi.org/10.1097/00002727-200108000-00004
  2. Centers for Disease Control and Prevention (CDC). (2004). NNIS System. National nosocomial infection surveillance system (NNIS) report, data summary from January 1992 through June 2004, issued October 24. Am J Infect Control, 32, 470-485. https://doi.org/10.1016/j.ajic.2004.10.001
  3. Cetinkaya, Y., Falk, P., & Mayhall, C. G. (2000). Vancomycin- resistant enterococci. Clin Microbiol Rev, 13, 686-707. https://doi.org/10.1128/CMR.13.4.686-707.2000
  4. Cho, H. S., & Yoo, K. H. (2001). A study on the level of recognition and performance of the clinical nurses about the prevention of nosocomial infection. J Korean Occup Health Nurs, 10, 5-23.
  5. Choi, A. R. (2005). Recognition and performance of the clinical nurse of nosocomial infection management. Unpublished master's thesis, Ewha Womans University, Seoul.
  6. Choi, J. S., Seo, Y. M., & Kwon, I. S. (2006). Effects of education on knowledge and practice of caregivers of the stroke patient. J Korean Acad Nurs, 36, 1175-1182. https://doi.org/10.4040/jkan.2006.36.7.1175
  7. Chung, M. S. (2002). Relationship between knowledge and performance of infection control among nurses in the neonatal intensive care unit. Unpublished master's thesis, Yonsei University, Seoul.
  8. Curry, V. J., & Cole, M. (2001). Applying social and behavioral theory as a template in containing and confining VRE. Crit Care Nurs Q, 24(2), 13-19. https://doi.org/10.1097/00002727-200108000-00003
  9. Kim, M. Y., & Jeong, C. M. (2002). The level of the awareness and the compliance on the nosocomial infection control among clinical nurses in the hospital. Korean J Nosocomial Infect Control, 7, 133-141.
  10. Kim, S. O., & Cho, S. H. (1997). A study on clinical nurses level of perception of importance, performance and satisfaction in the control of nosocomial infection. J Korean Acad Nurs, 27, 765-776.
  11. Korean Society for Nosocomial Infection Control. (2006). Management of nosocomial infect. 3rd ed. Seoul: Han-Mi Medical Publishing.
  12. Lee, J. S. (2003). A study on the knowledge and performance of the clinical nurses about the VRE isolation. Unpublished master's thesis, Ewha Womans University, Seoul.
  13. Lee, Y. H., & Kim, I. S. (2002). A study on the awareness and performance levels on the prevention of hospital infection among intensive care unit nurses. J Korean Soc Matern Child Health, 6, 197-210.
  14. Ministry for Health Welfare and Family Affairs. (2005). A management guide for prevention of nosocomial infection. Retrieved March 16, 2008, from the Bokjitimes Web Site:http://bokjitimes.com/library/ gov_pub/view.php?idxno=35&menuno=3&pageno=1&menuno=3&q=&qfield=&ordertype=&orderfield=
  15. Oh, E. G., Bang, S. Y., Hyun, S. S., Chu, S. H., Jeon, J. Y., & Kang, M. S. (2008). Knowledge, perception, and health behavior about metabolic syndrome for an at risk group in a rural community area. J Korean Acad Nurs, 35, 790-800.
  16. Otero, R. B. (2007). Vancomycin-resistant enterococcus (VRE) infection control-prevention of spread. Retrieved December 31, 2008, from the Web site: http://www.cinetwork.com/otero/vre.html
  17. Pan, A., Carnevale, G., Catenazzi, P., Colombini, P., Crema, L., Dolcetti, L., Ferrari, L., Mondello, P., Signorini, L., Tinelli, C., Roldan, E. Q., & Carosi, G. (2005). Trends in methicillin-resistant Staphylococcus aureus (MRSA) bloodstream infections: effect of the MRSA "search and isolate" strategy in a hospital in Italy with hyperendemic MRSA. Infect Control Hosp Epidemiol, 26, 127-133.
  18. Park, S. Y., Shin, D. S., Lee, H. G., & Kim, H. S. (2008). Compliance with nosocomial infection control and related factors among emergency room nurses. J Korean Acad Fundam Nurs, 15, 153-160.
  19. Pittet, D. (2001). Improving adherence to hand hygiene practice: A multidisciplinary approach. Emerg Infect Dis, 7, 234-240. https://doi.org/10.3201/eid0702.010217
  20. Pyeon, S. J. (2005). The level of the awareness and performance of the intensive care unit nurse's on the nosocomical infection. Unpublished master's thesis, Ajou University, Suwon.
  21. Regina, C., Molassiotis, A., Eunice, C., Virene, C., Becky, H., Chit-ying, L., Pauline, L., Frances, S., & Ivy, Y. (2002). Nurses' knowledge of and compliance with universal precautions in an acute care hospital. Int J Nurs Stud, 39, 157-163. https://doi.org/10.1016/S0020-7489(01)00021-9
  22. Scherer, Y. K., & Bruce, S. (2001). Knowledge, attitudes, and self-efficacy and compliance with medical regimen, number of emergency department visits, and hospitalizations in adults with asthma. Heart Lung, 30, 250-257. https://doi.org/10.1067/mhl.2001.116013
  23. Song, M. S. (2001). A study on the awareness and practice of the nurse's on the nosocomical infection. Unpublished master's thesis, Dankook University, Yongin.
  24. Tabachnick, B. G., & Fidell, L. S. (2001). Using multivariate statistics, 4th ed. Boston: Allyn & Bacon.
  25. Yang, K. S., Fong, Y. T., Lee, H. Y., Kurup, A., Koh, T. H., Koh, D., & Lim, M. K. (2007). Predictors of vancomycin- resistant enterococcus (VRE) carriage in the first major VRE outbreak in Singapore. Ann Acad Med Singapore, 36, 379-383.
  26. Yoo, M. S., Son, Y. J., Ham, H. M., Park, M. M., & Um, A. H. (2004). A comparative study of nurses' recognition and practice level of general nosocomial infection, MRSA and VRE infection control. J Korean Acad Fundam Nurs, 11, 31-40.
  27. Yu, J. O. & Cho, Y. B. (2005). The effect of an internet community on knowledge, self-efficacy, and self care behavior in workers with hypertension. J Korean Acad Nurs, 35, 1258-1267. https://doi.org/10.4040/jkan.2005.35.7.1258
  28. Zhou, Q., Moore, C., Eden, S., Tong, A., McGeer, A., & Mount Sinai Hospital Infection Control Team (2008). Factors associated with acquisition of vancomycin-resistant enterococci (VRE) in roommate contacts of patients colonized or infected with VRE in a tertiary care hospital. Infect Control Hosp Epidemiol, 29, 398-403. https://doi.org/10.1086/587187