A Survey on Performance of Infection Control by Workers in Nursing Homes for the Elderly

노인요양시설 종사자들의 감염관리에 대한 수행도 조사

  • Park, Eun-Ju (College of Nursing, Chonnam National University) ;
  • Lim, You-Jin (Department of Nursing, Gwangju Health College) ;
  • Cho, Bok-Hee (College of Nursing, Chonnam National University, Chonnam Research Institute of Nursing Science) ;
  • Sin, In-Ju (Gwangju Bohun Veterans-nursing Home) ;
  • Kim, Soo-Ok (Department of Nursing, Chunnam Techno College)
  • 박은주 (전남대학교 간호대학) ;
  • 임유진 (광주보건대학 간호과) ;
  • 조복희 (전남대학교 간호대학, 전남대학교 간호과학연구소) ;
  • 신인주 (광주보훈요양원 간호과) ;
  • 김수옥 (전남과학대학 간호과)
  • Published : 2011.08.30

Abstract

Purpose: This study was done to investigate worker's performance of infection control measures in nursing homes for elderly people. Methods: Between October 2009 to April 2010, data were collected using self-report questionnaires. Study participants were 203 workers in these nursing homes and 71.4% were direct caregivers. Data were analyzed using t-test, ANOVA, Duncan test with SPSS/WIN 12.0. Results: The overall mean for performance score for infection control was 3.65 (range 1-4) and the score for environmental management was 3.75, for urinary infection control, 3.70, for personal hygiene, 3.66, for respiratory infection control, 3.64, for drug and injection management, 3.63, for hand washing, 3.59, and for disinfection and supply management, 3.57. Gender, age, education level, occupation, need for infection control in the facility and education about infection control, and probability of being an infection carrier were significantly related to performance level. A high number (69%) of workers answered "not in the habit" as a reason for non-performance of hand washing. Conclusion: These results indicate a need to develop standard infection control guidelines and education programs for workers in nursing homes for elders. These guideline and program should lead to improvements in infection control activities of these workers.

Keywords

References

  1. Caffrey, C. (2010). Potentially preventable emergency department visits by nursing home residents; United States, 2004. National Center for Health Statistics Data Brief, 33, 1-7.
  2. Centers for Disease Control and Prevention. (1990). Epidemiologic notes and reports nursing home outbreaks of invasive group a streptococcal infections - Illinois, Kansas, North Carolina, and Texas, Morbidity and Mortality Weekly Report, 39(34), 577-579.
  3. 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. Korean Journal of Occupational Health Nursing, 10(1), 5-23.
  4. Cho, W. S., Chen, J. H., & Kim, Y. J. (1999). Perceived importance and activated performance of nurses for the prevention of nosocomial infection. Inje Medical Journal, 20(1), 357-367.
  5. Choi, S. Y. (2009). Characteristics and risk factors of healthcareassociated infection in Korean nursing homes. Unpublished master's thesis, Seoul University, Seoul.
  6. Eldridge, N. E., Woods, S. S., Bonello, R. S., Clutter, K., Ellingson, L., Harris, M. A., et al. (2006). Using the Six Sigma process to implement the centers for disease control and prevention guideline for hand hygiene in 4 intensive care units. Journal General Internal Medicine, 21(2), 35-42. https://doi.org/10.1007/s11606-006-0273-y
  7. Hughes, J. M. (1988). Study on the efficacy of nosocomial infection control (SENIC Project): Results and implications for the future. Chemotherapy, 34(6), 553-561. https://doi.org/10.1159/000238624
  8. Kang, J. Y., Cho, J. W., Kim, Y. J., Kim, D. H., Lee, J. Y., Park, H. K., et al. (2009). Hospital nurse's knowledge and compliance on multi drug-resistant organism infection control guideline. Journal of Korean Academy Nursing, 39 (2), 186-197. https://doi.org/10.4040/jkan.2009.39.2.186
  9. Kim, G. L., & Choi, E. S. (2005). Recognition and performance on management for nosocomial infections nursing students. Korean Journal Women Health Nursing, 11(3), 232-240.
  10. Kim, J. K. (2009). Relationship between recognition and performance of a caregiver on management of nosocomial infection. Unpublished master's thesis, Konynag University, Nonsan.
  11. Kim, H. J. (1990). Evaluation on recognition & performance levels for the prevention of nosocomial infection among nurses. Unpublished master's thesis, Soonchunhyang University, Seoul.
  12. Kim, S. H. (2009). The effect of an educational hand hygiene program on the hand hygiene compliance and method of ICU nurses's hand hygiene. Unpublished master's thesis, Hanyang University, Seoul.
  13. Kim, Y. S., Chun, C. Y., Kim, C. J., & Park, J. W. (1990). A study on the awareness level and the performance level of the guidelines for the prevention of nosocomial infection. Infection and Chemotherapy, 22(3), 131-146.
  14. Korea National Statistical Office. (2010). 2010 Elderly statistics. Retrieved September 29, 2010, from http://www.stat.go.kr
  15. Lee, E. K. (2005). Effect of hand washing educational program on the hand washing practice of ICU nurses. Unpublished master's thesis, Catholic University, Seoul.
  16. Lim, O. B. (2004). Effect of education and feedback on the frequency and quality of hand hygiene. Unpublished master's thesis, Ulsan University, Ulsan.
  17. Lim, Y. S. (2010). The characteristics and continuing educational needs of care workers in long-term care facilities for the elderly in a city. Unpublished master's thesis, Chosun University, Gwangju.
  18. Makris, A. T., Morgan, L., Gaber, D. J., Richter, A., & Rubino, J. R. (2000). Effect of a comprehensive infection control program on the incidence of infection in long-term care facilities, American Journal of Infection control, 28 (1), 3-7. https://doi.org/10.1016/S0196-6553(00)90004-X
  19. Ministry of Health and Welfare. (2005). Prevention control guideline for hospital acquired infection. Retrieved August 15, 2009, 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
  20. Ministry of Health and Welfare. (2009). 2008 Survey on the living status and welfare needs of elders: Descriptive report. Retrieved March 16, 2011, from http://library.mw. go.kr/SkyBlueOpen/Component/Search/SearchResult Detail.aspx?MasterId=61879#
  21. National Health Insurance Corporation. (2010). 2010 The first half of the main long-term care statistics. Retrieved October 8, 2010, from http://www.nhic.or.kr/portal/ site/main/menuitem.a6d1d03ecb101584ea0c3326 b210101c
  22. Park, M. J. (2008). Recognition and practice level of hospital infection control among medium and small hospital nurses. Unpublished master's thesis, Inha University, Inchon.
  23. Park, Y. M., & Park, K. Y. (2009). Influence of VRE knowledge and awareness VRE infection control in compliance with VRE infection control among nurses in intensive care units. Journal Korean Biological Nursing Science, 11(1), 42-50.
  24. 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. Korean Academy of Fundamental of Nursing, 15(2), 153-160.
  25. Sung, M. H., Kim, N. Y., & Choi, H. Y. (2007). Factors influencing performance of the nurses about the management of nosocomial infection. Korean Journal of Occupational Health Nursing, 16(1), 5-14.
  26. Uhm, D. C., & Sung, S. K. (2009). A study on the need for emergency care education in nursing homes. The Journal of Infection Control, 34(7), 426-429.
  27. van den Broek, P. J., Cools, H. J., Wulf, M., & Das, P. H. (2010). How much time should long-term care and geriatric rehabilitation facilities(nursing home) spend on infection control?. American Journal of Infection Control, 38(9), 723-725. https://doi.org/10.1016/j.ajic.2010.03.008
  28. Wendt, C., Bock-Hensley, O., & Baum, H. (2006). Infection control in German nursing homes. American Journal of Infection Control, 34(7), 426-429. https://doi.org/10.1016/j.ajic.2005.08.014
  29. Yu, S. M., Jeon, S. S., Kang, I. S., & An, H. G. (2006). Status of nosocomial urinary tract infections in the ICU: Molecular epidemiology of Imipenem Resistant P. aeruginosa. Journal of Korean Academy of Nursing, 36(7), 1204-1214. https://doi.org/10.4040/jkan.2006.36.7.1204
  30. World Health Organization. (2004). Practical guidelines for infection control in health care facilities. Retrieved August 15, 2009, from http://www.wpro.who.int/NR/rdonlyres/ 006EF250-6B11-42B4-BA17-C98D413BE8B8/0/practical_ guidelines_infection_control.pdf