본문 바로가기
KERD
논문KCI 등재

장기요양시설 요양보호사의 감염관리 수행에 영향을 미치는 요인

The Influencing Factors on Infection Management Behavior of Health Worker in Long Term Care Facilities

1

조회

0

다운로드

16

인용

0

참고문헌

키워드

주제분류간호학

초록

Purpose: The purpose of this study was to investigate factors influencing health workers’ infection management behavior in long-term care facilities. Methods: A descriptive cross-sectional survey was conducted with 180 health workers who are employed in long-term care facilities. The data were collected from April, 25 until July, in 2016. Results: Infection management behavior positively correlated with the perceived importance of infection management (r=.77, p<.001), but role conflict negatively correlated with infection management behavior (r=.28, p<.001). The hierarchical regression model with general characteristics (first step) and perceived importance of infection management, work environment, and role conflict (second step) against infection management behavior was statistically significant (F=31.93, p<.001). This model could explain 62.8% of infection management behavior (R2=.62, ∆R2=.39). Particularly, perceived importance of infection management was identified as factors influencing infection management behavior(β=.70, p<.001). Conclusion: The findings of this study imply that systemic education about infection control and monitoring should be considered, so as to encourage proper infection management behaviors among health workers in long-term care facilities.

Abstract

Purpose: The purpose of this study was to investigate factors influencing health workers’ infection management behavior in long-term care facilities. Methods: A descriptive cross-sectional survey was conducted with 180 health workers who are employed in long-term care facilities. The data were collected from April, 25 until July, in 2016. Results: Infection management behavior positively correlated with the perceived importance of infection management (r=.77, p<.001), but role conflict negatively correlated with infection management behavior (r=.28, p<.001). The hierarchical regression model with general characteristics (first step) and perceived importance of infection management, work environment, and role conflict (second step) against infection management behavior was statistically significant (F=31.93, p<.001). This model could explain 62.8% of infection management behavior (R2=.62, ∆R2=.39). Particularly, perceived importance of infection management was identified as factors influencing infection management behavior(β=.70, p<.001). Conclusion: The findings of this study imply that systemic education about infection control and monitoring should be considered, so as to encourage proper infection management behaviors among health workers in long-term care facilities.

참고문헌 (32)

  1. Abela, N, "Impact on hand hygiene compliance following migration to a new hospital with improved resources and the sequential introduction of World Health Organization recommendations", American Journal of Infection Control, 40(8), pp.737~741 (2012)
  2. Cho, K. R, "Influencing factors on the compliance about Standard Precautions among ICU and ER nurses", master, pp.2007
  3. Choi, S, "Characteristics and risk factors of healthcare -associated infections in Korean nursing homes", master, pp.2009
  4. Cimiotti, J. P, "Nursing staffing burnout, and health care-associated infection", American journal of infection control, 40(6), pp.486~490 (2012)
  5. Galletta, M, "Relationship between job burnout, psychosocial factors and health care-associated infections in critical care units", Intensive Care and Critical Care Nursing, 34(3), pp.51~58 (2016)
  6. Ha, S. J, "The effect of role conflict and ambiguity on the relationship between nursing staff and caregivers'perception on the importance of patient safety management and their safety care activities in long term care hospital setting", master, pp.2015
  7. Hackman, J. R, "Work Redesign" (1980), Addison-Wesley
  8. 한정원, "요양보호사의 전문성 향상방안 연구", 여성학연구, 21(2), pp.197~235 (2011), 여성연구소
  9. High, K. P, "Clinical practice guideline for the evaluation of fever and infection in older adult residents of long-term care facilities : 2008 update by the infections diseases society of america", Journal of Compilation, 57(3), pp.375~394 (2009)
  10. Jang. K. Y, "A study on the influence of the employees'conflict level upon their job satisfaction and commitment at sanatoriums for the aged", master, pp.2006
  11. 정선영, "국내 의료기관의 의료관련감염 관리 실태", 디지털융복합연구, 12(5), pp.353~366 (2014), 한국디지털정책학회[DOI]
  12. 강정희, "사회복지시설의 감염관리 현황과 감염교육 효과 분석: 병원 감염관리와의 비교", 국가정책연구, 29(1), pp.107~135 (2015), 국가정책연구소
  13. Ko, Y. M, "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
  14. Kwak, M. J, "A study on influence factors for job satisfaction and service quality of care nurses in corporate and private long term care facilities in the metropolitan area", doctor, pp.2013
  15. 이덕자, "노인요양병원 간호사의 병원감염관리에 대한 인지도 및 실천도: 융복합적 접근 방안 모색", 디지털융복합연구, 13(11), pp.461~470 (2015), 한국디지털정책학회[DOI]
  16. 이영주, "요양보호사 직무교육의 필요성과 교육방안", 노인복지연구, (61), pp.339~358 (2013), 한국노인복지학회[DOI]
  17. "2015 Current state of elderly social welfare care facilities" (2015)[URL]
  18. "2016 Training guideline for care helper" (2016)[URL]
  19. "Management guideline for long term care insurance, long term care facilites" (2008)[URL]
  20. 박은주, "노인요양시설 종사자들의 감염관리에 대한 수행도 조사", 노인간호학회지, 13(2), pp.79~90 (2011), 노인간호학회
  21. 박경일, "노인요양시설 위험사고 발생가능성에 영향을 미치는 요인에 관한 탐색적 연구: 부산지역 요양보호사를 대상으로", 한국노년학, 34(3), pp.475~493 (2014), 한국노년학회
  22. Park, S. J, "A study on the stress of medical social workers and the effect of management strategy on satisfaction in the work", master, pp.2004
  23. Poghosyan, L, "Nurse burn-out and quality of care : cross-national investigation in six countries", Research in Nursing Health, 33(4), pp.288~298 (2010)
  24. Rizzo, J. R, "Role conflict and ambiguity in complex organizations", Administrative Science Quarterly, 15(2), pp.150~163 (1970)
  25. Ryu, B. M, "The effects of infection prevention education program on infection prevention knowledge and attitude to nursing caregiver students", Journal of the Korea industrial information systems society, 15(5), pp.167~176 (2010)
  26. 신은희, "요양보호사의 역할갈등이 직무만족에 미치는 영향", 한국케어매니지먼트 연구, (9), pp.43~64 (2013), 한국케어매니지먼트학회
  27. Stachel, A. G, "Characteristics, services, and infection control practice of New York city assisted living facilities", Journal of American Geriatric Society, 60(2), pp.284~289 (2012)
  28. 서영희, "병원간호사의 감염예방 표준주의지침 지식, 인식, 안전환경 및 수행도에 관한 연구", 임상간호연구, 16(1), pp.61~70 (2010), 병원간호사회
  29. Ward, D. J, "The role of education in the prevention and control of infection : a review of the literature", Nurse Education Today, 31(1), pp.9~17 (2011)
  30. Woo, H. S, "Treatment of caregivers payments Study on the Effect of employee turnover", Korean Academy of Practical Human Welfare, 11, pp.119~144 (2013)
  31. Zimlichman E, "Health care-associated infections: a meta-analysis of costs and financial impact on the US health care system", JAMA Internal Medicine, 173(22), pp.2039~2046 (2013)

관련 논문AI추천

이 간행물의 다른 논문 (13건)