Korean Journal of Military Nursing Research (군진간호연구)

Military Health Policy Research Center (국군간호사관학교 군건강정책연구소)
권호 표지

Influencing Factors on the Compliance with Standard Precautions among Nursing Officers in the Korean Military Hospitals

군병원 간호장교들의 표준주의지침 수행도에 미치는 영향요인

  • Published : 2012.09.30
⟨ Previous Next ⟩

Abstract

Purpose: This study aimed to identify the influencing factors on the nursing officer's compliance with the standard precautions as a way to come up with measures to improve their compliance in military hospitals. Method: Using a structured survey, data were collected from 324 nursing officers working in military hospitals. Data were collected data were analyzed with SPSS 12.0. Results: The results were as follows: 1) 23.1% of the subjects had been exposed to patients' blood or other body fluids and injured by needles or other sharp tools used on patients for the last year; 2) The mean score of the 'knowledge of standard precautions' is 22.9(88.1%) out of 26. The subjects demonstrated the lowest scores on 'reusable gloves or gowns that can be used after being cleaned; 3) The mean score of the 'attitudes towards standard precautions' was 13.6(85.1%) out of 16; 4) The mean of the 'level of safety environment for the compliance with standard precautions' was 5.1(72.9%) out of 7; 5) The mean score of the 'compliance with standard precautions' was 49.7(82.8%) out of 60; 6) The most influential factors of nursing officers' compliance with the standard precautions were 'safety environment' and 'report of exposure of the source of infection'. Conclusion: It would be necessary to create a safer environment to improve compliance with the standard precautions in the military hospitals.

Keywords

References

  1. 김남이(1986). 문헌고찰을 통한 우리나라 병원감염의 역학적 특성 연구. 한국역학회지, 9, 127-146.
  2. 서영희(2009). 병원간호사의 감염예방 표준주의지침수행도에 대한 영향요인(석사학위). 을지대학교, 대전.
  3. 서영희, 오희영(2010). 병원간호사의 감염예방 표준주의지침 지식, 인식, 안전환경 및 수행도에 관한 연구. 임상간호연구, 16(1), 61-70.
  4. 신혜연(2010). 소아병동 간호사의 표준주의에 대한 인지도와 이행도에 관한 연구(석사학위). 중앙대학교, 서울.
  5. 양경희(2010). 일 대학병원 간호사의 감염관리 표준주의 인지도와 이행도(석사학위). 전북대학교, 전주.
  6. 임현술, 안연순(2003). 업무상 질병으로 요양 승인된 의료기관 종사자 및 질병의 특성. 대한산업의학학회지, 15(2), 196-204.
  7. 의무사령부(2008). 감염관리지침.
  8. 의무사령부 의료관리실(2010). '06-'10년 통계연보.
  9. 의무사령부 기획과(2011). '11년 사업계획서/운용도표 하달(내부공문).
  10. 조귀래(2007). 중환자실과 응급실 간호사의 표준주의 수행도에 대한 영향요인(석사학위). 서울대학교, 서울.
  11. 최애리(2005). 임상간호사의 병원감염관리에 대한 인지도 및 수행도(석사학위). 이화여자대학교, 서울.
  12. Askarian, M., Honarvar, B., Tababaee, H. R. & Assadian, O. (2004). Knowledge, practice, and attitude towards standard isolation precautions in Iranian medical students. Journal Hospital Infection, 58(4), 292-296. https://doi.org/10.1016/j.jhin.2004.07.004
  13. Beltrami, E. M., Willams, I. T., Shapiro, C. M. & Chamberiand, M. E. (2000). Risk management of blood borne infections in Health Care Workers. Clinical Microbiology Reviews, 13(3), 385-407. https://doi.org/10.1128/CMR.13.3.385-407.2000
  14. Centers for Disease Control(2007). http://www.cdc.gov/ ncidod/dhqp/ isolation2007.pdf.
  15. Chan, R., Molassiotis, A., Eunice, C., Virene, C., Becky, H., Chit-ying, L., Pauline, L., Frances, S. & Iry, Y. (2002). Nurses' knowledge of and compliance with universal precautions in an acute care hospital. Intenational Journal of Nursing Studies, 39(2), 157-163. https://doi.org/10.1016/S0020-7489(01)00021-9
  16. Department of Health(2003). Winning Ways. Working Together to Reduce Healthcare Associated Infections in England. Department of Health, London.
  17. Gammon, J. & Gould, D. (2005). Universal precautions: a review of knowledge, compliance and strategies to improve practice. Journal Research in Nursing, 10, 529-547. https://doi.org/10.1177/136140960501000503
  18. Healthcare Infection Control Practice Advisory Committee: HICPAC(2005). Standard precaution guidelines. Retrieved April 19, 2007, from http://www.cdc.gov/ncidod/hicpac_pubs.html
  19. Ji, G., Yin, H. & Chen, Y. (2005). Prevalence of and risk factors for non-compliance with glove utilization and hand hygiene among obstetrics and gynaecology workers in rural China. Journal of Hospital Infection, 59(3), 235-241. https://doi.org/10.1016/j.jhin.2004.09.027
  20. Kermode, M., Jolley, D., Langkham, B., Thomas, M. S., Holmes, W. & Gifford, S. M. (2005). Compliance with universal/standard Precautions among health care workers in rural north India. American Journal of Infection Control, 33(1), 27-33. https://doi.org/10.1016/j.ajic.2004.07.014
  21. Sax, H., Perneger, T., Hugonnet, S., Herrault, P., Chraiti, M. N. & Pittet, D. (2005). Knowledge of standard precaution and isolation precautions in a large teaching hospital. Infection Control and Hospital Epidemiology, 26(3), 298-304. https://doi.org/10.1086/502543
  22. Stein, A. D., Makarawo, T. P. & Ahmad, M. F. (2003). A survey of doctors' and Nurse' knowledge, attitudes and compliance with infection control guidelines in Birmingham teaching hospital. Journal Hospital Infection, 54(10), 68-73. https://doi.org/10.1016/S0195-6701(03)00074-4
  23. Taylor, D. L. 3rd(2006). Bloodborne pathogen exposure in the OR what research has taught us and where we need to go. AORN Journal, 83(4), 834-838.
  24. Welsh Assembly Government(2004). Healthcare Associated Infections-A Strategy for hospital in Wales. WAG, Cardiff.