Emergency Nurses' Perception and Performance of Tuberculosis Infection Control Measures

응급실 간호사의 결핵감염관리에 대한 인식과 수행

  • 김수정 (동아대학교의료원 응급실) ;
  • 강지연 (동아대학교 간호학과)
  • Received : 2009.07.23
  • Accepted : 2010.08.20
  • Published : 2010.08.31

Abstract

Purpose: The purpose of this study was to investigate the perception and performance of tuberculosis infection control measures among emergency department nurses. Methods: A structured questionnaire was administered to a convenience sample of 227 emergency department nurses from 20 hospitals in B City. Results: The mean perception score was 4.52 out of a possible 5, and the mean performance score was 3.31 out of a possible 5. There were big differences between the perception and performance score on the items regarding wearing a gown or mask, while there were small differences on the items regarding dealing with patients' articles or medication. Conclusion: Emergency nurses showed high perception and low performance score on the items related to facilities and regulation such as visitation restriction or patient isolation. There was a positive correlation between perception and performance score. Conclusion: For emergency nurses, perception is higher than performance of tuberculosis infection control measures. The findings indicate the importance of providing continuing education for emergency nurse professionals seeking to update and increase their knowledge and to develop evidence-based nursing protocols on tuberculosis infection control in emergency department.

Keywords

References

  1. Bernardo, L. M. (2007). Evidence-based emergency nursing practice: The journey begins. Journal of Emergency Nursing, 33, 375-376. https://doi.org/10.1016/j.jen.2007.03.016
  2. Centers for Disease Control and Prevention. (2005). Guidelines for preventing the transmission of Mycobacterium tuberculosis in health-care settings. MMWR (Morbidity and Mortality Weekly Report), 54(RR-17), 1-141.
  3. Choi, A. L. (2005). Recognition and performance of the clinical nurses about the management of nosocomial infection. Unpublished master's thesis, Ewha Womans University, Seoul.
  4. Choi, M. A. (2002). A Study on the level of recognition and performance of the clinical nurses about the management of nosocomial infection. Unpublished master's thesis, Chung-Ang University, Seoul.
  5. Dong-A University Medical Center. (2008). Guideline for prevention and management of infection. Busan; Dong-A University Medical Center.
  6. Gaeta, T. J., Webheh, W., Yazji, M., Ahmed, J., & Yap, W. (1997). Respiratory isolation of patients with suspected pulmonary tuberculosis in an inner-city hospital. Academic Emergency Medicine, 4, 138-141. https://doi.org/10.1111/j.1553-2712.1997.tb03721.x
  7. Han, M. D., Kim, W. H., & Jeong, S. Y. (2007). Press Release: Toward the World without Tuberculosis. Seoul: Ministry of Health and Welfare.
  8. Humphreys, H. (2007). Control and prevention of healthcareassociated tuberculosis: the role of respiratory isolation and personal respiratory protection. The Journal of Hospital Infection, 66, 1-5. https://doi.org/10.1016/j.jhin.2007.01.007
  9. Inje University Pusan Baik Hospital. (2008). Guideline for prevention and management of infection. Busan; Inje University Pusan Baik Hospital.
  10. Jo, G. R. (2007). Influencing factors on the compliance about standard precautions among ICU and ER nurses. Unpublished master's thesis, Seoul National University, Seoul.
  11. Kang, J., Cho, J., Kim, Y., Kim, D. H., Lee, J., Park, H. K., et al. (2009). Hospital nurses' knowledge and compliance on multidrug-resistant organism infection control guideline. Journal of Korean Academy of Nursing, 39, 186-197. https://doi.org/10.4040/jkan.2009.39.2.186
  12. Kim, B. H. (2003). A Study on the degrees of awareness and performance of the hospital infection control among clinical nurses in a middle-sized and in a small-sized hospital. Unpublished master's thesis, Yonsei University, Seoul.
  13. Kim, B. Y. (2007). Knowledge, preventive infection control behavior and perceived vulnerability to AIDS of nurses. Unpublished master's thesis, Ewha Womans University, Seoul.
  14. Kim, G. L.,& Choi, E. S. (2005). Recognition and performance for management for nosocomial infections among nursing students. Korean Journal of Women Health Nursing, 11, 232-240.
  15. Kim, K. H.(2001). The Infection control and perceived vulnerability of nurses to AIDS. Unpublished master's thesis, Ewha Womans University, Seoul.
  16. Kim, N. S. (2000). A study on the knowledge and performance of clinical nurses on the control of nosocomial infection. Unpublished master's thesis, Kyung Hee University, Seoul
  17. Lee, A. J. (2008). Press Release for 278th Regular Session of the National Assembly of Korea. Retrieved at October 6, 2008, from http://www.leeaejoo.net/common/filedown.php?ix=24
  18. Lee, H. G. (2006). Nosocomial infection control and related factors among emergency room nurses. Unpublished master's thesis, Kyungpook National University, Daegu.
  19. Lopez, A. D., Mathers, C. D., Ezzati, M., Jamison, D. T., & Murray, C. J. (2006). Global and regional burden of disease and risk factors, 2001: systematic analysis of population health data. Lancet. 367, 1747-1757. https://doi.org/10.1016/S0140-6736(06)68770-9
  20. Ma, Y. J. (2006). Status and influencing factors of compliance for anti-tuberculosis therapy among public health center users. Unpublished master's thesis, Inje University, Busan.
  21. Ministry for Health and Welfare. (2005). Guideline for prevention and management of hospital infection. Seoul: Ministry for Health and Welfare of Korea. Retrieved at March 31, 2008, from http://www.mw.go.kr/front/jb/sjb030301vw.jsp?PAR_MENU_ID=03&MENU_ID=03030301&BOARD_ID=1003&BOARD_FLAG=02&CONT_SEQ=32947&page=1#fileDownLoad
  22. Moran, G. J., McCabe, F., Morgan, M. T., & Talan, D. A. (1995). Delayed recognition and infection control for tuberculosis patients in the emergency department. Annals of Emergency Medicine, 26, 290-295. https://doi.org/10.1016/S0196-0644(95)70074-9
  23. Pusan National University Medical Center. (2008). Guideline for prevention and management of infection. Busan; Pusan National University Medical Center.
  24. Pyeon, S. J. (2005). A study on recognition and practices level by nurses in critical care unit about nosocomial infection control & prevention - on General Infection, MRSA & VRE Infection Control -. Unpublished master's thesis, Ajou University, Suwon.
  25. Redd, J. T., & Susser, E. (1997). Controlling tuberculosis in an urban emergency department: A rapid decision instrument for patient isolation. American Journal of Public Health, 87, 1543-1547. https://doi.org/10.2105/AJPH.87.9.1543
  26. Siqueira-Batista, R., Gomes, A. P., Bisaglia, J. B., Borlot, P. E., D'avila Junior, H. X., Faria, C. G., et al. (2005). Screening for pulmonary tuberculosis in Teresopolis, RJ, Brazil: the search for respiratory symptomatic patients in emergency service of "Hospital das Clínicas de Teresopolis Costantino Ottaviano, Fundacao Educacional Serra dos Orgaos". Revista do Instituto de Medicina Tropical de Sao Paulo, 47, 117-118.
  27. Sokolove, P. E., Lee, B. S., Krawczyk, J. A., Banos, P. T., Gregson, A. L., Boyce, D. M., et al. (2000). Implementation of an emergency department triage procedure for the detection and isolation of patients with active pulmonary tuberculosis. Annals of Emergency Medicine, 35, 327-336. https://doi.org/10.1016/S0196-0644(00)70050-3
  28. Soung, M. S. (2000). Clinical nurse's awareness and practice of nosocomical infection management. Unpublished master's thesis, Dankook University, Cheonan.
  29. The National Institute of Korean Language. (2008). Standard Korean Language Dictionary. Retrieved at Apr 24, 2008, from http://stdweb2.korean.go.kr/search/List_dic.jsp
  30. Woolf, S. H. (1993). Practice guidelines: A new reality in medicine: III. Impact on patient care. Archives of Internal Medicine, 153, 2646-2655. https://doi.org/10.1001/archinte.153.23.2646