중소종합병원 중환자실 간호사의 중심정맥관 관련 혈류감염 감염관리 수행도에 영향을 미치는 요인
Factors Affecting Central Line-Associated Infection Control Performance among Intensive Care Unit Nurses in General Hospitals
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
연구목적 : 본 연구의 목적은 중소종합병원 중환자실 간호사를 대상으로 감염관리 조직문화, 감염관리 자원의 지원, 임파워먼트, 감염관리 지식이 중심정맥관 관련 혈류감염 감염관리 수행도에 미치는 영향 요인을 파악하기 위한 상관적 조사연구이다. 연구방법 : 본 연구는 중소종합병원 중환자실에 근무하는 간호사를 대상으로 2023년 7월 17일부터 8월 8일까지 연구를 진행하여 총 129부의 자료가 수집되었다. 연구결과 : 감염관리 조직문화 정도는 5점 만점에 평균 4.08점, 감염관리 자원의 지원은 5점 만점에 평균 3.81점 이었고, 임파워먼트는 5점 만점에 평균 3.63점이었다. 감염관리 지식 정도는 총 15점 만점에 평균 11.44점이었다. 중심정맥관 관련 감염관리 수행도는 5점 만점에 평균 4.24점이었다. 중심정맥관 관련 감염관리 수행도에 영향을 미치는 가장 주요한 요인은 감염관리 조직문화(β=.33, p<.001), 감염관리 자원의 지원(β=.24, p=.011), 임파워먼트(β=.23, p=.002), 근무부서(β=.14, p=.038) 순이었으며, 총설명력은 48.0%이었다(F=30.23, p<.001). 결론 : 본 연구결과 중소종합병원 중환자실 간호사의 감염관리 수행도 증진을 위한 가장 중요한 요인으로 조직 차원의 긍정적인 조직문화 조성이 필요함이 확인되었다. 의료현장에서 긍정적인 조직문화 조성을 위해서는 감염관리 지침 준수의 중요성에 대한 경영진과 리더그룹의 인식 변화가 무엇보다 중요하다.
Abstract
Purpose: The purpose of this study was to identify factors influencing the performance of central line-associated bloodstream infection (CLABSI) control among intensive care unit (ICU) nurses in small and medium-sized general hospitals, focusing on organizational culture and resource support for infection control, empowerment, and infection control knowledge. Methods: This study was conducted from July 17 to August 8, 2023 with 129 ICU nurses from general hospitals who voluntarily participated. Results: The average scores were 4.08 out of 5 for organizational culture, 3.81 out of 5 for resource support, 3.63 out of 5 for empowerment, and 11.44 out of 15 for infection control knowledge. The performance of CLABSI control averaged 4.24 out of 5. Factors influencing CLABSI control performance among ICU nurses were organizational culture (β=.33, p<.001), resource support (β=.24, p=.011), empowerment (β=.23, p=.002), and working department (β=.14, p=.038). These factors collectively explained 48.0% of the variance in the performance of CLABSI control (F=30.23, p<.001). Conclusion: The findings of this study suggest that enhancing CLABSI control performance in general hospitals requires fostering a positive organizational culture for infection control at the institutional level. This can be achieved by increasing awareness among hospital management and leader group regarding the importance of actively adhering to infection control guidelines.
참고문헌 (29)
- Jain M, "Decline in ICU adverse events, nosocomial infections and cost through a quality improvement initiative focusing on teamwork and culture change", BMJ Quality & Safety, 15(4), pp.235~239 (2006)[DOI]
- "Central Lineassociated Bloodstream Infection (CLABSI) Basics"[URL]
- Kim MH, "Study on central line bundle cognition, knowledge and performance level of infection management on central venous catheter among intensive care nurses", Korean Journal of Healthcare-Associated Infection Control and Prevention, 22(1), pp.21~30 (2017)[DOI]
- Kim MH, "Effects of organizationl and individual factors on nurses' practice of cental line-associated bloodstream infection prevention", American Journal of Infection Control, 52(4), pp.443~449 (2024)[DOI]
- Kim MJ, "Factors influencing the nursing performance of central line-associated bloodstream infection in intensive care unit nurses", master, pp.2022
- Ha HJ, "Knowledge and performance level of infection control guidelines on indwelling urinary catheter, central venous catheter and ventilator among intensive care nurses", Journal of the Korea Academia-Industrial cooperation Society, 17(6), pp.113~120 (2016)[DOI]
- Yoo JY, "Level of knowledge on evidence-based infection control and influencing factors on performance among nurses in intensive care unit", Korean Journal of Adult Nursing, 24(3), pp.232~243 (2012)[DOI]
- Bonello RS, "An intensive care unit quality improvement collaborative in nine Department of Veterans Affairs hospitals : Reducing ventilator-associated pneumonia and catheter-related bloodstream infection rates", Joint Commission Journal on Quality and Patient Safety, 34(11), pp.639~645 (2008)[DOI]
- Hatler CW, "Using evidence and process improvement strategies to enhance healthcare outcomes for the critically ill : A pilot project", American Journal of Critical Care, 15(6), pp.549~555 (2006)[DOI]
- Kim JY, "Influencing factors on nursing performance for infection control in intensive care unit", master, pp.2023
- Moon JE, "A convergence study about the performance of healthcare-associated infection control guidelines of hospital nurses-based on the theory of planned behavior", Journal of the Korea Convergence Society, 8(5), pp.117~125 (2017)[DOI]
- Kim HR, "The impact of Healthcare accreditation on patient safety and improvement of healthcare quality, organizational culture, hospital administrative activities", master, pp.2012
- Chi X, "Prevention of central line-associated bloodstream infections : A survey of ICU nurses'knowledge and practice in China", Antimicrobial Resistance and Infection Control, 9, pp.186~ (2020)[DOI]
- Esposito MR, "Knowledge, attitudes, and practice on the prevention of central line-associated bloodstream infections among nurses in oncological care : A crosssectional study in an area of southern Italy", PLoS One, 12(6), pp.e0180473~ (2017)[DOI]
- Kim SO, "Influencing factors on nursing practices for healthcare-associated infections control in intensive care unit", Korean Journal of Healthcare-Associated Infection Control and Prevention, 23(2), pp.39~52 (2018)[DOI]
- Kim HH, "The effects of organizational culture for infection control and self-efficacy on compliance with standard precautions of emergency room nurses", Journal of Korean Biological Nursing Science, 21(1), pp.46~53 (2019)[DOI]
- Lee MY, "Organizational culture, awareness, and nursing practice of infection control among nurses in the emergency departments", Journal of Korean Academy of Fundamentals of Nursing, 28(2), pp.186~194 (2021)[DOI]
- Ferguson JK, "Preventing healthcare-associated infection : Risks, healthcare systems and behaviour", Internal Medicine Journal, 39(9), pp.574~581 (2009)[DOI]
- Conger JA, "The empowerment process : Integrating theory and practice", Academy of Management Review, 13(3), pp.471~482 (1988)[DOI]
- Koo OH, "An analysis of the concept 'empowerment'", Journal of Korean Academy of Nursing, 28(1), pp.37~46 (1998)
- Park HJ, "Factors influencing performance about respiratory system nosocomial infection control among ICU nurses", Journal of the Korean Data Analysis Society, 15(2), pp.949~963 (2013)
- Kim JH, "The factors influencing compliance of multidrug-resistant organism infection control in intensive care units nurses", Korean Journal of Adult Nursing, 27(3), pp.325~336 (2015)[DOI]
- Yun BK, "Effects of empowerment, infection control organizational culture and infection control awareness on performance among nurses in long-term care hospitals", Journal of Korean Clinical Nursing Research, 28(2), pp.146~156 (2022)[DOI]
- Labeau SO, "Centers for Disease Control and Prevention guidelines for preventing central venous catheter-related infection : Results of a knowledge test among 3405 European intensive care nurses", Critical Care Medicine, 37(1), pp.320~323 (2009)[DOI]
- Oh EJ, "Factors influencing the adnerence of nurses to standard precautions in South Korea hospital settings", American Journal of Infection Control, 47(11), pp.1346~1351 (2019)[DOI]
- Jung YW, "The relationship of nurse's awareness, performance for nosocomial infection control and psychological empowerment", Kosin Medical Journal, 23(2), pp.85~91 (2008)
- Kim JH, "Influence of full-time intensivist and the nurse-to-patient ratio on the implementation of severe sepsis bundles in Korean intensive care units", Journal of Critical Care, 27(4), pp.414~ (2012)
- Lee HJ, "The association of nurse staffing levels and patient outcome in intensve care units", Acute and Critical Care, 28(2), pp.75~79 (2013)[DOI]
- Rae PJ, "Outcomes sensitive to critical care nurse staffing levels : A systematic review", Intensive and Critical Care Nursing, 67, pp.103110~ (2021)[DOI]