병원간호사의 의료관련감염 관리지침 수행에 관한 융합연구-계획된 행위이론(TPB) 기반
A Convergence Study about the Performance of Healthcare-Associated Infection Control Guidelines of Hospital Nurses-based on the Theory of Planned Behavior
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본 연구는 병원간호사의 의료관련감염 관리지침 수행에 관한 영향요인 간 상호 인과관계를 검증함으로써 수행 증진을 위한 전략을 제시하고자 시도된 융합연구이다. 연구 대상자는 국내 16개 상급종합병원 및 종합병원에서 모집된 388명의 병원간호사이다. 자료수집은 자가보고식 질문지를 이용하여 수집되었고, SPSS 21.0과 AMOS 21.0 프로그램을 이용하여 분석되었다. 연구결과, 모형 적합도는 χ2=99.64 (df=14, p<.01), GFI=.94, RMSEA=.10, NFI=.84, CFI=.90이였다. 의도에 대한 예측요인의 설명력은 23.8%였으며, 행위에 대한 예측요인의 설명력은 17.7%였다. 이상의 결과로 의료관련감염 관리지침 수행을 설명하는데 계획된 행위이론이 적절한 이론임을 알 수 있었으며, 향후 경력에 따른 다층모형검정과 사회적 특성이 강한 행위에 대한 조직차원의 영향요인을 포함한 반복 연구가 필요하다.
Abstract
This is a convergence study to present strategies for performance enhancement by verifying the causal relationship between the influencing factor on the performance of the healthcare-associated infection control guidelines in hospital nurses. Participants were 388 nurses recruited from 16 different tertiary and general hospitals in Korea. Data collection was conducted using self-report questionnaires and analyzed using SPSS 21.0 and AMOS 21.0 programs. The overall fitness was χ2=99.64 (df=14, p<.01), GFI=.94, RMSEA=.10, NFI=.84, CFI=.90. The explanatory power of predictive variables on intention were 23.8%, and those on behavior were 17.7%. As a result of this study, it was found that TPB is an appropriate theory to explain the performance of healthcare-associated infection control guidelines, and repeated studies including multi-level modeling of career experience and organizational influences on behavior with strong social characteristics are needed.
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