감염교육이 감염관리 실천도에 미치는 영향: 감염관리 모니터링의 조절효과
The Effect of Infection Education on the Practice of Infection Control: Moderating effects of Infection Control Monitoring
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본 연구는 감염교육이 감염관리 실천도에 미치는 영향을 완충할 수 있는 요인으로 감염관리 모니터링의 조절효과를 검증하는데 목적을 두었다. 이를 위해 감염교육을 사내교육과 사내/외부 병행 교육으로 구분하고, 감염관리 실천도와의 관계에서 감염관리 모니터링의 조절효과를 검증하는 연구모형을 설정했다. 고양시 83개 장기요양시설의 524명 대상 조사자료를 바탕으로 한 분석결과, ① 감염관리 실천도는 감염교육 횟수와 감염관리 모니터링 강도에 따라 증가 추이를 보였다. ② 감염교육이 감염관리 실천도에 미치는 영향은 그 유형에 따라 차이를 보였다. 사내교육만을 실시할 경우는 그 횟수가 증가해도 감염관리 실천도 개선에는 아무런 영향을 미치지 못하나, 사내/외부 병행 교육은 감염관리 실천도 개선에 긍정적 영향을 미쳤다. ③ 감염관리 모니터링이 감염관리 실천도에 미치는 감염교육의 긍정적 영향에 조절효과를 갖는 것으로 나타났다. 단, 이 경우에도 감염교육 유형별 조절효과에 차이를 보였다. 사내/외부 감염교육을 병행하여 동시에 실시할 경우가 가장 크고, 사내 교육에 외부교육이 부분적으로 가미되어 전반적 감염교육 횟수가 증가할 경우가 그 다음이며, 내부 감염교육만을 실시할 경우는 조절효과를 갖지 못하는 것으로 나타났다. 이러한 결과를 토대로 본 연구에서는 취약한 노인요양시설의 감염관리 실천도 개선에 필요한 방향 및 향후 과제에 대해 논의 하였다.
Abstract
This study aimed to examine the moderating effects of infection control monitoring as a factor that can buffer the effect of infection education on infection control practice. To this end, I divided infection education into in-house education and external parallel education, and setup a research model to verify the moderating effect of infection control monitoring in the relationship with infection control practice. According to the results of the survey of 524 long-term care facilities in Goyang City, ① Infection control practice showed an increase according to the number of infection education and the intensity of infection control monitoring. ② The effect of infection education on infection control practice was different according to the types. In case of in-house education only, the increase in the number of education did not have any effect on the improvement of infection control practice, but external parallel education had a positive effect on the improvement of infection control practice. ③ It was found that infection control monitoring had a moderating effect on the positive effect of infection education on infection control practice, but there was a difference in the moderating effect by infection education types. Based on these results, this study discussed the direction and future tasks for improving the practice of infection control.
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