DOI QR코드

DOI QR Code

Knowledge, Attitude and Performance on the Hand Washing by Pre-practicum Nursing Students

임상실습 전 간호대학생의 손씻기에 대한 지식, 태도 및 수행도

  • Received : 2013.09.05
  • Accepted : 2013.11.07
  • Published : 2013.11.30

Abstract

This study was done to investigate characteristics, knowledge, attitude, and performance on hand washing by nursing students who are prone to have clinical practice. Data were collected from 418 students in 3 nursing colleges from September to October, 2011 using questionnaire. The mean frequency and duration of hand washing were 7.2 times a day and 19.1 sec. The mean scores of knowledge, attitude, and performance on hand washing were 11.34(range 0~15), 3.42(range 1~5), 3.6(range 1~5), respectively. Above a half of students don't know about appropriate duration for hand washing and precautions after washing hands. Washing hands after rubbing nose, coughing, sneezing and handling the money and removing watch before hand washing were little performed. These results should be useful in development of education program for improving hand washing performance of nursing students.

본 연구는 임상실습 전 간호대학생의 손씻기 관련 특성과 손씻기 지식과 태도 및 수행도를 파악하여 올바른 손씻기 교육프로그램 개발에 관한 기초자료를 제공하고자 시행되었다. 3개 대학의 간호대학생 418명을 대상으로 2011년 9월부터 10월까지 설문지를 이용하여 자료수집을 하였다. 연구결과, 대상자의 1일 평균 손씻기 수는 7.2회, 시간은 평균 19.1초였다. 대상자의 손씻기 지식, 태도, 수행도 점수는 각각 11.34점(1~15), 3.42점(1~5), 3.6점(1~5)이었다. 손씻기에 적당한 소요시간, 손을 씻은 후의 주의사항 등에 대해서는 절반 이상의 대상자가 잘 모르고 있는 것으로 나타났으며, 손씻기 전 시계를 제거하는 것, 코를 만지거나 기침한 후, 돈을 만진 후에 손을 씻는 것 등은 수행이 잘 이루어지지 않는 것으로 조사되었다. 이상의 결과를 바탕으로 간호대학생들의 손씻기 수행도 증가를 위한 교육프로그램을 개발하여 반복교육을 실시함으로써 올바른 습관형성이 이루어지도록 해야 할 것이다.

Keywords

References

  1. Korea Center for Disease Control and Prevention, Nosocomial Infection Surveillance, 2012, Available From: http://www.cdc.go.kr/CDC/contents/CdcKrContentView.jsp?cid=14720&menuIds=HOME001-MNU0001-MNU0111-MNU0113. (accessed Oct., 11, 2012)
  2. J. H. Song, S. M. Kim, K. M. Kim, S. J. Choi, H. S. Oh, E. S. Park, J. S. Jeong, J. H. Choi, W. S. Shin, H. J. Cheong, W. J. Kim, M. N. Ha, H. J. Pai, S. M. Yoo, M. D. Oh, S. I. Lee, J. M. Kim, M. W. Kang, S. C. Park, C. H. Pai, K. W. Choe, "Prospective Estimation of Extra Health Care Costs and Hospitalization due to Nosocomial Infections in Korean Hospitals", Korean Journal of Nosocomial Infection Control, 4(2), pp.156-165, 1999.
  3. Korea Society for Nosocomial Infection disease Control(KOSNIC), Nosocomial Infection disease Control (3rd ed.), pp.89-97, Hanmimedicine, Seoul, 2006.
  4. J. S. Jeong, M. A, Choi, "Effect of hand washing improving programs on the adherence of hand washing and nosocomial infections in a surgical intensive care unit", Korean Journal of Nasocominal Infection Control, 9(2), pp.117-129, 2004.
  5. S. J. Schweon, S. L. Edmonds, J. Kirk, D. Y. Rowland, C. Acosta, "Effectiveness of a comprehensive hand hygiene program for reduction of infection rates in a long-term care facility, American Journal of Infection Control, Jun 30, 2012. DOI: http://dx.doi.org/10.1016/j.ajic.2012.02.010
  6. G. Kampf, H. Loffler, P. Gastmeier, "Hand hygiene for the prevention of nosocomial infections", Deutsches Arzteblatt International, 106(40), pp. 649-655, 2009.
  7. M. Snow, G. L. Jr. White, S. C. Alder, J. B. Stanford, "Mentor's hand hygiene practices influence student's hand hygiene rates", American Journal of Infection Control. 34(1), pp.18-24. 2006. DOI: http://dx.doi.org/10.1016/j.ajic.2005.05.009
  8. H. J. Cheong, C. M. Cho, "The study of Knowledge and performance about Preventive Action of the Nosocominal Infection in Nurses, 9(2), Clinical Nursing Research, pp 18-31, 2004. https://doi.org/10.1177/136140960400900104
  9. M Y. Kang, "A study on the performance of the management of nosocomial infection of the Hospital Nurses", Kongju University Unpublished master's thesis, 2010.
  10. G. L Kim, E. S Choi, "Recognition and performance for management of nosocomial infection among student nurse in Seoul", Korean Journal of Women Health Nursing, 11(3), pp. 232-240, 2005
  11. K. M. Elaziz, I. M. Bakr, "Assessment of knowledge, attitude and practice of hand washing among health care workers in Ain Shams University hospitals in Cairo", Journal of Preventive Medicine and Hygiene, 50(1), pp. 19-25, 2009.
  12. S. H. Han, D. H. Hong, G. J. Kim, "Actual Condition Investigation of Radiologist on the Hand Washing Management and Personal Hygiene Management", The Korea Contents Association, 12(1), pp. 409-415, 2012. https://doi.org/10.5392/JKCA.2012.12.01.409
  13. M. Ott, R. French, "Hand hygiene compliance among health care staff and student nurses in a mental health setting", Issues in Mental Health Nursing, 30(11), pp.702-704. 2009. DOI: http://dx.doi.org/10.3109/01612840903079223
  14. Y. R. Park, "Knowledge, Attitude and Self-Confidence of Student Nurses Regarding Nosocomial Infection Control", The Journal of Korean Academy Fundamental Nursing, 14(4), pp. 429-436, 2007.
  15. S. I. Choi, J. W. Yoon, "A Student on the Recognition and Performance of Nursing Student' Hand Washing", Korean Journal of Nosocomial Infection Control, 13(2), pp.97-104, 2008.
  16. I. S. Ko, K. S. Kang, I. J. Song, J. H. Park, S. Y. Youk, "Attitudes toward and Practice of Hand Washing by Student Nurses in Clinical Practice", The Journal of Korean Academy Fundamental Nursing, 9(2), pp.165-179, 2002.
  17. T. F. Mortel, E. Apostolopoulou, G. Petrikkos, "A comparison of the hand hygiene knowledge, beliefs, and practices of Greek nursing and medical students", American Journal of Infection Control. 38(1), pp.75-77, 2010. DOI: http://dx.doi.org/10.1016/j.ajic.2009.05.006
  18. R. Barrett, J. Randle, "Hand hygiene practices: nursing students' perceptions", Journal of Clinical Nursing, 17(14), pp.1851-1857, 2008. DOI: http://dx.doi.org/10.1111/j.1365-2702.2007.02215.x
  19. D. M. Vandijck, S. O. Labeau, J. De Somere, B. Claes, "Undergraduate nursing students' knowledge and perception of infection prevention and control", Journal of Hospital Infection. 68(1), pp.92-94, 2008. DOI: http://dx.doi.org/10.1016/j.jhin.2007.10.013
  20. Y. J. Choi, O. K. Jeon, "The Effects on Handwashing Education of Intensive Care Unit(ICU) Nurses", Clinical Nursing Research, 7(1), pp.171-191, 2001.
  21. S. M. Yu, S. Y. Kang, "A Study on the Development and Effects of Infection Prevention Knowledge Program on Nursing Caregiver Students for Health Care Information", Health Service Management, 4(2), pp.31-37, 2010. https://doi.org/10.18014/hsmr.2010.4.2.31
  22. P. A. Waltman, L. K. Schenk, T. M. Martin, J. Walker, "Effects of student participation in hand hygiene monitoring on knowledge and perception of infection control practices", Journal of Nursing Education. 50(4), pp. 216-221, 2011. DOI: http://dx.doi.org/10.3928/01484834-20110228-06
  23. Helder O. K, Latour J. M. "Undergraduate nurse students' education in infection prevention: is it effective to change the attitude and compliance with hand hygiene?", Nursing in Critical Care. 15(1), pp.39-40. 2010. DOI: http://dx.doi.org/10.1111/j.1478-5153.2009.00369.x
  24. K. Y. Park, "Influences of Perceived Behavior Control and Self-efficacy on Proper Hand Cleansing and Hand Washing Practices among Pre-practicum Nursing Students", The Journal of Korean Academy Fundamental Nursing, 19(3), pp. 313-321, 2012. DOI: http://dx.doi.org/10.7739/jkafn.2012.19.3.313
  25. N. Y. Lim., K. Y. Sohng, Y. H. Shon, J. I, Kim, M. O. Gu, "Education on Nosocomial Infection Control within the Content of Courses in Fundamentals of Nursing", The Journal of Korean Academy Fundamental Nursing, 12(1), pp.66-72, 2005.
  26. J. S. Jeong, J. K. Choi, I. S. Jeong, K. R. Paek, H. K. In, K. D. Park, "A Nationwide Survey on the Hand Washing Behavior and Awareness", Journal of Preventive Medicine and Public Health, 40(3), pp.197-204, 2007. DOI: http://dx.doi.org/10.3961/jpmph.2007.40.3.197
  27. WHO patient safety, WHO guidelines on hand hygiene in health care: a summary, 2009, Available From: http://www.who.int/gpsc/5may/tools/who_guidelines-handhygiene_summary.pdf. (accessed Dec., 20, 2012)

Cited by

  1. Moderation and Mediation Effects of Self-efficacy and Perceived Behavioral Control on the Relationship between Knowledge of and Compliance with Handwashing in Nursing Students vol.24, pp.3, 2017, https://doi.org/10.7739/jkafn.2017.24.3.219