일 종합병원 근무자의 표준주의지침에 대한 지식과 태도
Knowledge and Attitude towards Pathogen Transmission Precautions among Healthcare Workers in a General Hospital
1
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
Background: Pathogen-transmission precautions (PTP), including standard precautions, have been introduced to control the transmission of pathogens among patients and healthcare workers. The aim of this study was to assess the level of knowledge regarding PTP and the attitude towards these precautions among healthcare workers in a hospital setting. Methods: A cross-sectional survey was performed from March to April 2007 using a self-administered questionnaire completed by 235 physicians, 491 nurses, and 117 laboratory technicians working at a large teaching hospital in urban area in Korea. Results: The overall percentage of correct answers to 13 knowledge-type questions was 66.3%, and the percentage of correct answers differed significantly depending on the profession of the respondents (P<0.001) and exposure to PTP training (P=0.003). The guidelines were the preferred source of information on PTP (57.3%)followed by infection control practitioners (32.0%). The most important obstacles to compliance with PTP guidelines were lack of time (67.5%), forgetfulness (46.8%), lack of knowledge (33.8%), and lack of means (11.0%). Conclusions: Level of knowledge on the PTP guidelines was low and required improvement. Lack of time was the most important factor reported leading to poor compliance with the PTP guidelines.
Abstract
Background: Pathogen-transmission precautions (PTP), including standard precautions, have been introduced to control the transmission of pathogens among patients and healthcare workers. The aim of this study was to assess the level of knowledge regarding PTP and the attitude towards these precautions among healthcare workers in a hospital setting. Methods: A cross-sectional survey was performed from March to April 2007 using a self-administered questionnaire completed by 235 physicians, 491 nurses, and 117 laboratory technicians working at a large teaching hospital in urban area in Korea. Results: The overall percentage of correct answers to 13 knowledge-type questions was 66.3%, and the percentage of correct answers differed significantly depending on the profession of the respondents (P<0.001) and exposure to PTP training (P=0.003). The guidelines were the preferred source of information on PTP (57.3%)followed by infection control practitioners (32.0%). The most important obstacles to compliance with PTP guidelines were lack of time (67.5%), forgetfulness (46.8%), lack of knowledge (33.8%), and lack of means (11.0%). Conclusions: Level of knowledge on the PTP guidelines was low and required improvement. Lack of time was the most important factor reported leading to poor compliance with the PTP guidelines.
참고문헌 (17)
- Garner JS, "Guideline for isolation precautions in hospitals. The Hospital Infection Control Practices Advisory Committee", Infect Control Hosp Epidemiol, 17(1), pp.53~80 (1996)
- Berhe M, "Practices and an assessment of health care workers' perceptions of compliance with infection control knowledge of nosocomial infections", Am J Infect Control, 33(1), pp.55~57 (2005)
- Bischoff WE, "Handwashing compliance by health care workers: the impact of introducing an accessible, alcohol-based hand antiseptic", Arch Intern Med, 160(7), pp.1017~1021 (2000)
- Kermode M, "Compliance with Universal", Standard Precautions among health care workers in rural north India, 2005, pp.33(1), 27~33
- Lipsett PA, "Handwashing compliance depends on professional status", Surg Infect (Larchmt), 2(3), pp.241~245 (2001)
- Jeong I, "Compliance with standard precautions among operating room nurses in South Korea", Am J Infect Control, 36(10), pp.739~742 (2008)
- "Occupational safety and health law" (2011)[URL]
- "Occupational health standard" (2011)[URL]
- 오향순, "National survey of the status of infection surveillance and control programs in acute care hospitals with more than 300 beds in the Republic of Korea", American Journal of Infection Control, 34(4), pp.223~233, Mosby Inc.
- Askarian M, "Assessment of knowledge, attitudes, and practices regarding isolation precautions among Iranian healthcare workers", Infect Control Hosp Epidemiol, 26(1), pp.105~108 (2005)
- Askarian M, "Knowledge, attitudes, and practices of contact precautions among Iranian nurses", Am J Infect Control, 33(8), pp.486~488 (2005)
- Sax H, "Knowledge of standard and isolation precautions in a large teaching hospital", Infect Control Hosp Epidemiol, 26(3), pp.298~304 (2005)
- Kim KM, "Knowledge and performance of the universal precautions by nursing and medical students in Korea", Am J Infect Control, 29(5), pp.295~300 (2001)
- Siegael JD, "2007 Guideline for isolation precautions: preventing transmission of infectious agents in health care settings", Am J Infect Control, 35(10 Suppl 2), pp.S65~S164 (2007)
- Lue MK, "A Survey of Occupational Exposures to Blood and Body Fluids in Health Care Workers", pp.2006
- National Survey and Development of Standardized Practice on the Infection Control in Korea, "Kang MW", Ministry of Health and Welfare, ~, pp.Tech. Rep. No. 03-PJ1-PG5-P08-0001 (2004)
- Shin YA, "Development of infection control education courses for small and medium-sized hospitals and health-related institutions in Korea", Rep Korea Natl Inst Health, 44, pp.281~283 (2007)