장기요양시설 요양보호사를 위한 통합적 감염관리 교육프로그램의 효과
Impact of an Integrated Infection Control Education Program on Caregivers in Long-Term Care Facilities
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Purpose: This study aimed to develop and assess the impact of an integrated infection control education program on the awareness, attitudes, and performance of infection control among caregivers in long-term care facilities. Methods: Participants were recruited from two long-term care facilities with 25 caregivers in both the experimental group and the control group. This study used non-equivalent control group quasi-experimental pre-post design. The effectiveness of a developed Integrated Infection Control Education Program was evaluated based on infection control awareness, attitudes, and performance. Data were analyzed using SPSS/WIN 28.0 through descriptive statistics, chi-square tests, Fisher’s exact tests, and independent t-tests. Results: There was a statistically significant difference in the degree of awareness (t=-5.00, p<.001), attitude (t=-4.91, p<.001), and performance (t=-6.66, p<.001) of infection control between the two groups. Conclusion: Given these results, the integrated infection control education program significantly improved infection control awareness, attitudes, and performance among caregivers in long-term care facilities. This study is noteworthy because it provided comprehensive education on infection control practices to caregivers in environments that are particularly susceptible to infections, especially following COVID-19. This educational program is actively utilized and validated in practice, it would enhance the infection control performance of caregivers, thereby reducing infection rates within facilities, shortening the length of stay for elderly residents in long term care facilities, and contributing to the reduction of healthcare costs.
Abstract
Purpose: This study aimed to develop and assess the impact of an integrated infection control education program on the awareness, attitudes, and performance of infection control among caregivers in long-term care facilities. Methods: Participants were recruited from two long-term care facilities with 25 caregivers in both the experimental group and the control group. This study used non-equivalent control group quasi-experimental pre-post design. The effectiveness of a developed Integrated Infection Control Education Program was evaluated based on infection control awareness, attitudes, and performance. Data were analyzed using SPSS/WIN 28.0 through descriptive statistics, chi-square tests, Fisher’s exact tests, and independent t-tests. Results: There was a statistically significant difference in the degree of awareness (t=-5.00, p<.001), attitude (t=-4.91, p<.001), and performance (t=-6.66, p<.001) of infection control between the two groups. Conclusion: Given these results, the integrated infection control education program significantly improved infection control awareness, attitudes, and performance among caregivers in long-term care facilities. This study is noteworthy because it provided comprehensive education on infection control practices to caregivers in environments that are particularly susceptible to infections, especially following COVID-19. This educational program is actively utilized and validated in practice, it would enhance the infection control performance of caregivers, thereby reducing infection rates within facilities, shortening the length of stay for elderly residents in long term care facilities, and contributing to the reduction of healthcare costs.
참고문헌 (40)
- A basic study on developing adjustment mechanism for classification system and medical fee of long-term care hospital inpatients, "Lee DH", Health Insurance Review &Assessment Service, ~, pp.G000F8L -2021-147 (2021)
- "Survey on the elderly" (2020)[URL]
- "Welfare of Senior Citizens Act" (2007)[URL]
- Ga H, "Establishment of roles of long-term care hospitals and nursing homes", Healthcare Policy Forum, 15(2), pp.15~19 (2017)
- Wang SJ, "Epidemiological characteristics of COVID-19 reinfection cases in the republic of Korea. Public Health Weekly Report", The Korea Disease Control and Prevention Agency, 15(4), pp.235~244 (2022)
- Lee MH, "Integrated literature review on education needs of infection control of care worker in the long-term care facilities", Journal of the Korea Academia-Industrial cooperation Society, 22(12), pp.566~575 (2021)[DOI]
- Ilyas F, "Health care-associated infections and the radiology department", Journal of Medical Imaging and Radiation Sciences, 50(4), pp.596~606 (2019)[DOI]
- Bonanad C, "The effect of age on mortality in patients with COVID-19 : a meta-analysis with 611, 583 subjects", Journal of the American Medical Directors Association, 21(7), pp.915~918 (2020)[DOI]
- Shin MS, "A study on the perception and performance of infection control of care workers in nursing home", Korean Journal of Safety Culture, (17), pp.57~69 (2022)[DOI]
- Ryu BM, "The effects of infection prevention education program on infection prevention knowledge and attitude to nursing caregiver students", Journal of the Korea Industrial Information Systems Research, 15(5), pp.167~177 (2010)[DOI]
- Kim SO, "Factors affecting emergency response ability of caregivers", Journal of Korean Public Health Nursing, 36(1), pp.59~74 (2022)[DOI]
- Ko YM, "A study on the recognition and performance on infection control of caregivers in home visit care centers and aged care facilities in I city", master, pp.2014
- "Enforcement Rules of Welfare of Senior Citizens Act" (2010)[URL]
- Park EJ, "A survey on performance of infection control by workers in nursing homes for the elderly", Journal of Korean Gerontological Nursing, 13(2), pp.79~90 (2011)
- Herzig CT, "Infection prevention and control programs in us nursing homes : results of a national survey", Journal of the American Medical Directors Association, 17(1), pp.85~88 (2016)[DOI]
- Sharma H, "Nursing home profit margins and citations for infection prevention and control", Journal of the American Medical Directors Association, 22(11), pp.2378~2383 (2021)[DOI]
- Choi K, "Effect of infection control knowledge and nursing work environment on infection control performance among general hospital nurses", Journal of Muscle and Joint Health, 30(2), pp.120~128 (2023)[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]
- Ku SJ, "Factors influencing performance of standard precautions by general hospital nurses", Health &Welfare, 24(3), pp.259~277 (2022)[DOI]
- Kwon HM, "The influence of nurses’ knowledge and educational needs in relation to infection control on their COVID-19 infection control performance in COVID-dedicated hospitals", Journal of the Korea Academia-Industrial cooperation Society, 23(9), pp.586~593 (2022)[DOI]
- Lim HS, "Development and effects of a hand-washing program using role-playing for preschool children", Child Health Nursing Research, 25(2), pp.123~132 (2019)[DOI]
- Seo J, "Effects of infection control education for families of VRE patients", Journal of the Korean Academy of Fundamentals of Nursing, 19(2), pp.212~222 (2012)[DOI]
- Kang YS, "Development and effects of an educational program for caregivers on hygienic care for diapers", The Journal of the Korea Contents Association, 18(3), pp.421~431 (2018)[DOI]
- Fisher JD, "Changing AIDS-risk behavior", Psychological Bulletin, 111(3), pp.455~474 (1992)[DOI]
- Alzghoul BI, "Pain management practices by nurses : an application of the knowledge, attitude and practices(KAP)model", Global Journal of Health Sciences, 8(6), pp.154~160 (2015)[DOI]
- Kim YI, "Development and evaluation of a joint health self-management program for the elderly with knee osteoarthritis in communities : applying the IMB model", Research in Community and Public Health Nursing, 28(1), pp.55~68 (2017)[DOI]
- Ajzen I, "The theory of planned behaviour : reactions and reflections", Psychology & Health, 26(9), pp.1113~1127 (2011)[DOI]
- Park SJ, "Knowledge, attitude and practice on infection control by workers in nursing homes for the elderly", master, pp.2021
- Jeong EH, "Awareness and performance for standard precautions among outpatient clinics nursing staffs in a university-affiliated hospital", master, pp.2011
- Ko YS, "Awareness and performance level for healthcare-associated infection control among caregivers at medium and small hospitals", Korean Journal of Healthcare-Associated Infection Control and Prevention, 21(2), pp.74~84 (2016)[DOI]
- Song MS, "Development of infection control e-learning training program for preventing rmerging infectious diseases for long-term care facility care workers", Journal of Korean Academic Society of Home Health Care Nursing, 29(3), pp.329~338 (2022)[DOI]
- Choi JR, "Effect of on-site consultation and education on infection control in nursing homes in Korea", Korean Journal of Healthcare-Associated Infection Control and Prevention, 27(1), pp.59~68 (2022)[DOI]
- Gopal Rao G, "Effectiveness of short-term, enhanced, infection control support in improving compliance with infection control guidelines and practice in nursing homes : a cluster randomized trial", Epidemiology & Infection, 137(10), pp.1465~1471 (2009)[DOI]
- Baldwin NS, "Cluster randomized controlled trial of an infection control education and training intervention programme focusing on methicillin-resistant staphylococcus aureus in nursing homes for older people", Journal of Hospital Infection, 76(1), pp.36~41 (2010)[DOI]
- Hong KH, "Factors related to infection control performance of care workers in nursing homes", Journal of Kyungpook Nursing Science, 25(1), pp.47~55 (2021)[DOI]
- Kim JH, "A phenomenological study on the experiences of long term care facility workers during the COVID-19 pandemic", Journal of Korean Public Health Nursing, 35(1), pp.33~46 (2021)[DOI]
- Lee JH, "Nursing care workers’ experience of care giving infected patients in long-term care hospital", The Korean Journal of Rehabilitation Nursing, 24(2), pp.154~163 (2021)[DOI]
- Park YH, "Development of evidence-based guidelines for nursing home’s infection control in Korea", Journal of Muscle and Joint Health, 25(2), pp.135~147 (2018)[DOI]
- Kim KJ, "The influencing factors on infection management behavior of health worker in long term care facilities", Journal of Korean Academic Society of Home Health Care Nursing, 23(2), pp.155~165 (2016)[DOI]
- Lee MH, "Integrated literature review of infection control of nursing care workers in long-term care facilities", Korean Journal of Occupational Health Nursing, 29(3), pp.192~201 (2020)[DOI]