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Knowledge, Perceptions, and Self-reported Performance of Hand Hygiene Among Registered Nurses at Community-based Hospitals in the Republic of Korea: A Cross-sectional Multi-center Study

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Objectives: To assess the nurses’ hand hygiene (HH) knowledge, perception, attitude, and self-reported performance in small- and medium-sized hospitals after Middle East Respiratory Syndrome outbreak. Methods: The structured questionnaire was adapted from the World Health Organization’s survey. Data were collected between June 26 and July 14, 2017. Results: Nurses showed scores on knowledge (17.6±2.5), perception (69.3±0.8), self-reported HH performance of non-self (86.0±11.0), self-reported performance of self (88.2±11.0), and attitude (50.5±5.5). HH performance rate of non-self was Y1=36.678+ 0.555X1 (HH performance rate of self) (adjusted R2=0.280, p<0.001). The regression model for performance was Y4=18.302+0.247X41 (peception)+0.232X42 (attitude)+0.875X42 (role model); coefficients were significant statistically except attitude, and this model significant statistically (adjusted R2=0.191, p<0.001). Conclusions: Advanced HH education program would be developed and operated continuously. Perception, attitude, role model was found to be a significant predictors of HH performance of self. So these findings could be used in future HH promotion strategies for nurses.

Abstract

Objectives: To assess the nurses’ hand hygiene (HH) knowledge, perception, attitude, and self-reported performance in small- and medium-sized hospitals after Middle East Respiratory Syndrome outbreak. Methods: The structured questionnaire was adapted from the World Health Organization’s survey. Data were collected between June 26 and July 14, 2017. Results: Nurses showed scores on knowledge (17.6±2.5), perception (69.3±0.8), self-reported HH performance of non-self (86.0±11.0), self-reported performance of self (88.2±11.0), and attitude (50.5±5.5). HH performance rate of non-self was Y1=36.678+ 0.555X1 (HH performance rate of self) (adjusted R2=0.280, p<0.001). The regression model for performance was Y4=18.302+0.247X41 (peception)+0.232X42 (attitude)+0.875X42 (role model); coefficients were significant statistically except attitude, and this model significant statistically (adjusted R2=0.191, p<0.001). Conclusions: Advanced HH education program would be developed and operated continuously. Perception, attitude, role model was found to be a significant predictors of HH performance of self. So these findings could be used in future HH promotion strategies for nurses.

참고문헌 (26)

  1. "WHO guidelines on hand hygiene in health care: first global patient safety challenge clean care is safer care"[URL]
  2. "Overview: health care-associated infections"[URL]
  3. Pittet D, "Evidence-based model for hand transmission during patient care and the role of improved practices", Lancet Infect Dis, 6(10), pp.641~652 (2006)[DOI]
  4. Kirk J, "Point of care hand hygiene-where's the rub? A survey of US and Canadian health care workers' knowledge, attitudes, and practices", Am J Infect Control, 44(10), pp.1095~1101 (2016)[DOI]
  5. Ki M, "2015 MERS outbreak in Korea: hospital-to-hospital transmission", Epidemiol Health, 37, pp.e2015033~ (2015)[DOI]
  6. Kim KH, "Middle East respiratory syndrome coronavirus (MERS-CoV) outbreak in South Korea, 2015: epidemiology, characteristics and public health implications", J Hosp Infect, 95(2), pp.207~213 (2017)[DOI]
  7. Oh HS, "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", Am J Infect Control, 34(4), pp.223~233 (2006)[DOI]
  8. 정선영, "손위생에 대한 병원간호사의 지식과 신념", 한국직업건강간호학회지, 22(3), pp.198~207 (2013), 한국직업건강간호학회
  9. 오향순, "소아병원 종사자의 손 위생 수행", Pediatric Infection and Vaccine, 22(3), pp.186~193 (2015), 대한소아감염학회
  10. Kim EK, "P161: knowledge and perception toward hand hygiene among health-care workers in teaching hospital, Korea", Antimicrob Resist Infect Control, 2(Suppl 1), pp.161~ (2013)[DOI]
  11. Burnett E, "Perceptions, attitudes, and behavior towards patient hand hygiene", Am J Infect Control, 37(8), pp.638~642 (2009)[DOI]
  12. White KM, "Key beliefs of hospital nurses' hand-hygiene behaviour: protecting your peers and needing effective reminders", Health Promot J Austr, 26(1), pp.74~78 (2015)[DOI]
  13. 이승순, "Improved Hand Hygiene Compliance is Associated with the Change of Perception toward Hand Hygiene among Medical Personnel", Infection and Chemotherapy, 46(3), pp.165~171 (2014), 대한감염학회
  14. "Hand hygiene knowledge questionnaire for health-care workers"[URL]
  15. "Perception survey for health-care workers"[URL]
  16. 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)[DOI]
  17. 정선영, "국내 의료기관의 의료관련감염 관리 실태", 디지털융복합연구, 12(5), pp.353~366 (2014), 한국디지털정책학회[DOI]
  18. Oh HS, "Development and application of evaluation indices for hospital infection surveillance and control programs in the Republic of Korea", Infect Control Hosp Epidemiol, 28(4), pp.435~445 (2007)[DOI]
  19. "Reference material"[URL]
  20. Nabavi M, "Knowledge, attitudes, and practices study on hand hygiene among Imam Hossein Hospital's residents in 2013", Iran Red Crescent Med J, 17(10), pp.e19606~ (2015)
  21. White KM, "Understanding the determinants of Australian hospital nurses' hand hygiene decisions following the implementation of a national hand hygiene initiative", Health Educ Res, 30(6), pp.959~970 (2015)[DOI]
  22. Tai JW, "Nurses and physicians' perceptions of the importance and impact of healthcare-associated infections and hand hygiene: a multi-center exploratory study in Hong Kong", Infection, 37(4), pp.320~333 (2009)[DOI]
  23. 오향순, "의료기관 종사자의 손 위생 수행 분석", 한국산학기술학회논문지, 16(9), pp.6160~6168 (2015), 한국산학기술학회[DOI]
  24. Diwan V, "Understanding Healthcare workers self-reported practices, knowledge and attitude about hand hygiene in a medical setting in rural India", PLoS One, 11(10), pp.e0163347~ (2016)[DOI]
  25. Alp E, "Importance of structured training programs and good role models in hand hygiene in developing countries", J Infect Public Health, 4(2), pp.80~90 (2011)[DOI]
  26. Asadollahi M, "Nurses' knowledge regarding hand hygiene and its individual and organizational predictors", J Caring Sci, 4(1), pp.45~53 (2015)

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