2016년도 국내 150병상 이상 의료기관의 감염관리간호사 현황 및 감염관리 활동 영향 요인
The Status of Infection Control Nurses and Factors Affecting Infection Control Activities in Healthcare Facilities with more than 150 Beds in 2016 in KOREA
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목적: 감염관리간호사 현황 및 감염관리 활동 실태를 기술하고 활동 수준에 영향을 미치는 요인을 파악하기 위함이다. 방법: 2016년 6월 24일부터 7월 26일까지 199개 병원을 대상으로 자료를 수집하였다. 구조화된 설문지는 감염관리간호사 운영과 감염관리 활동 실태 및 수준을 포함하였다. 결과: 평균 병상 수는 525.35였고 의료기관의 36.1%는 300병상 미만이었다. 의료기관 중 86.4%에서 감염관리실이 있었다. 감염관리간호사의 병원 경력은 평균 14.62년이었고 감염관리 실무 경력은 평균 4.94년이었다. 감염관리간호사의 85.6%는 전임 형태로 근무했으며 감염관리간호사 1인 당 평균 병상 수는 311.21병상이었다. 병상 규모에 따라 감염관리실 여부, 감시, 유행조사, 음압 격리실, 손위생 모니터링, 소독 및 멸균은 유의한 차이가 있었다. 감염관리 활동 수준은 감염관리간호사의 수가 더 많고, 근무 유형이 전임이었을 때, 그리고 병원이 의료기관인증을 받았을 때 더 높았다. 설명력은 37.5 %였다. 결론: 이 결과는 2015년 중동호흡기증후군 발생 이후 규모가 작은 병원에서 감염관리 체계를 수립하기 위한 기초 자료를 제공 할 것이다.
Abstract
Purpose: The purpose of this study was to describe the status of infection control nurses (ICNs) and their activities, and to identify the factors affecting the level of infection control activities. Methods: Data were collected from 199 hospitals from June 24 to July 26, 2016. The structured questionnaires included status of infection control nurses, type and level of infection control activities. Results: Most participating hospital were advanced general hospital (20.1%) and general hospital (67.8%). Among the hospitals, 86.4% had an infection control department (ICD). The average hospital work experience of ICNs was 14.62 years, and their average infection control career was for 4.94 years. Among the ICNs, 85.6% worked in full time and the average number of beds per ICN was 311.21. There were significant differences in the existence of ICD, infection control activities including surveillance, outbreak investigation, negative pressure room, hand hygiene monitoring, disinfection, and sterilization according to hospital size. The level of infection control activities was higher with more number of ICNs, ICN employment as full time, and healthcare institution accreditation status. The explanatory power was 37.5%. Conclusion: These results of this study which reflect infection control status of healthcare facilities with more than 150 beds in 2016 will provide baseline data to establish infection control system in small to medium sized hospitals after the Middle East Respiratory Syndrome outbreak in 2015.
참고문헌 (19)
- Kim EJ, "Infection control and prevention in healthcare facilities", pp.3~21 (2011), Hanmimedical
- 김윤, "중동호흡기증후군 사태 이후 병원감염관리를 강화하기위한 의료정책과 의료이용문화 개선", 대한의사협회지, 58(7), pp.598~605 (2015), 대한의사협회[DOI]
- "Medical law article 47 (prevention of hospital infection)" (2016)[URL]
- 정선영, "국내 의료기관의 의료관련감염 관리 실태", 디지털융복합연구, 12(5), pp.353~366 (2014), 한국디지털정책학회[DOI]
- Oh HS, "Korean Association of Infection Control Nurse (KAICN) text of infection control", pp.3~9 (2012), Hyunmoonbook
- "National defense system reform, including emerging infectious diseases corresponding 24-hour emergency control room installations" (2015)[URL]
- Hughes JM, "Study on the efficacy of nosocomial infection control (SENIC Project): Results and implications for the future", Chemotherapy, 34(6), pp.553~561 (1988)
- O’Boyle C, "Staffing requirements for infection control programs in US health care facilities: Delphi project", American Journal of Infection Control, 30(6), pp.321~333 (2002)[DOI]
- Yoon YK, "Current status of personnel and infrastructure resources for infection prevention and control programs in the Republic of Korea: A national survey", American Journal of Infection Control, 44(11), pp.e189~e193 (2016)[DOI]
- National survey and development of standardized practice on the infection control in Korea. Ministry of Health and Welfare Final Report of Health and Medical Technology R & D Project, "Kang MW", The Catholic University of Korea, ~, pp.03-PJ1-PG5-P08-0001 (2004)
- Oh HS, "A study on the nosocomial infection control and development of evaluation indices and model in Korea", pp.2005
- Stone PW, "Staffing and structure of infection prevention and control programs", American Journal of Infection Control, 37(5), pp.351~357 (2009)[DOI]
- "Details on the criteria and method of application of medical care benefits" (2016)[URL]
- "2-cycle acute hospitals certification survey standard ver 2.1" (2016)[URL]
- "Medical law enforcement regulations article 43" (2016)[URL]
- Zingg W, "Hospital organisation, management, and structure for prevention of health-care-associated infection: A systematic review and expert consensus", The Lancet Infectious Disease, 15(2), pp.212~224 (2015)[DOI]
- "Infectious diseases surveillance yearbook, 2015" (2017)[URL]
- Stone PW, "State of infection prevention in US hospitals enrolled in the National Health and Safety Network", American Journal of Infection Control, 42(2), pp.94~99 (2014)[DOI]
- Hall L, "Roles, responsibilities and scope of practice: Describing the 'state of play' for infection control professionals in Australia and New Zealand", Healthcare Infection, 20(1), pp.29~35 (2015)[DOI]