Purpose The purpose of this study was to investigate the awareness and educational demand regarding Vancomycin-Resistant Enterococci (VRE) infection control among nurses in wards with cohort isolation rooms. Methods A mixed-methods design was applied. Quantitative data were collected via structured questionnaires and data from 61 nurses and analyzed using SPSS for Windows version 23.0. An Importance-Performance Analysis (IPA) was conducted. Qualitative data were collected through focus groups with 12 nurses who worked in wards with VRE cohort isolation rooms, and content analysis was conducted. Results All items had lower performance scores than their importance scores, with significant differences. In the qualitative/descriptive analysis, the barriers to implementing VRE infection control were a lack of awareness of infection control, increased work burden, and lack of resources. Conclusion The findings indicate that it is necessary to develop systematic education tailored to nurses in wards with cohort isolation rooms. Furthermore, adequate resource support, distinct from the general infection control practices in other wards, is necessary. This includes considering additional infection control tasks and procedures when staffing the ward, as well as supplying equipment in accordance with cohort isolation requirements.
Purpose This study aimed to identify factors related to nurses’ preparedness to care for patients with highly infectious diseases in long-term care hospitals based on the Theory of Planned Behavior (TPB).
Methods: The participants were 226 nurses from 10 long-term care hospitals located in a metropolitan city in Korea. Core components of the TPB, organizational culture for infection control, nursing practice environment, and preparedness to care for patients with highly infectious diseases were measured using a structured online self-report questionnaire. Data were collected from October 25 to December 26, 2021 and were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson’s correlation coefficients, and multiple regression.
Results: The mean score of preparedness to care for patients with highly infectious diseases was 4.99±1.90 out of 10. The perceived behavioral control (β=.37, p<.001), control beliefs (β=.24, p<.001), attitude toward behavior (β=.18, p=.001), behavioral belief (β=.12, p=.035), and nursing practice environment (β=.12, p=.023) significantly predicted the nursing staff’s preparedness to care for these patients (Adj. R 2 =.62).
Conclusion: Theory-based interventions are needed to enhance the confidence of nurses in caring for the patients with highly infectious diseases and to improve their attitude and beliefs regarding positive outcomes in caring for these patients. High quality teamwork and support of resources are necessary to increase the preparedness to care for patients with highly infectious diseases in the nursing practice environment in long-term care hospitals.
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PURPOSE This study was to provide baseline data about nurses' Influenza A (H1N1) knowledge, awareness, andpractice of infection control and to identify the significant factor affecting the level of practice. METHODS The subjects of this study were 144 nurses who worked at Influenza A (H1N1) regional base Hospital in D city. Data were collected by self-reported questionnaires during September 2009. The collected data were analyzed using SPSS/WIN 12.0 program. RESULTS The knowledge of Influenza A (H1N1) was statistically different according to age, unit, career and experience of seasonal influenza vaccination during the last year. The awareness of infection control was statistically different according to age, career, experience of seasonal influenza vaccination for last year and intention to get seasonal influenza vaccination for this year. The practice of infection control was statistically different according to unit, experience of seasonal influenza vaccination for last year, intention to get seasonal influenza vaccination for this year and intention to get Influenza A (H1N1) vaccination for this year. There was positive correlation among knowledge, awareness and practice (p < .05). Awareness was the significant factor affecting the level of practice. CONCLUSION An educational program focusing on strategy to change nurse's awareness can be effective for infection control of Influenza A (H1N1) in regional base hospitals.
PURPOSE This study is to identify factors affecting on the level of practice on nosocomial infection management of operating room nurses. METHODS: The subjects of this study were 155 nurses who worked in operating rooms of six medical centers in located Gwangju and Chonanam area. Data were collected during October, 2006 by the questionnaire including a total of 124 questions. Data collected were analysed with use of SPSS 12.0 program. RESULTS: There was a significant difference of the level of practice by marital status(t=3.957, p=.048), education level(F=3.691, p=.027), position(F=6.588, p=.002), type of hospital(t=4.857, p=.029), number of nurse(F=4.243, p=.007), education about nosocomial infection management(F=3.069, p=.030), management council(t=6.397, p=.012) and management manual(t=6.961, p=.009). There were significant correlations between knowledge and practice (r=.389, p=.000), and between awareness and practice(r=.389, p=.000). Knowledge on nosocomial infection management, awareness of hands washing and positions were affecting factors on the level of practice. CONCLUSION: This study suggests that knowledge and awareness on nosocomial infection prevention and management of operating room nurses should be improved through consistent education. and support of administrator's of hospitals is needed.
This study was designed to compare the nurse and nurses aids on their perception and performance levels for nosocomial infection control and to evaluate the relevant variables. The study data were obtained from 246 nurses and 219 nurse aids working at two university hospitals in Seoul, by using a constructed questionnaire. The data was collected from March to April of 1998, and analyzed using the SAS program for t-test, two way ANOVA, Pearson's Correlation Coefficients. The results were as follows; 1. The mean score of the perception level for nosocomial infection control of the nurse(M= 4.72) was higher than that of the nurses aids(M= 4.56). 2. No significant association was found between the nurse and nurses aids on their performance level for nosocomial infection control. 3. The score of perception level showed significant interaction by age in all domains, by career in contaminated material and environmental management, and by department in sterile and environmental management. Regarding the performance levels, the score showed significant association between hand washing and clothing management by age and career. However, there was no significant difference by department. 4. A positive correlation was found in the perception and performance levels for nosocomial infection control between the nurse and nurse aids. In conclusion: the mean score of the perception level for nosocomial infection control in nurses was higher than that of their performance level. In the case of nurses aids, the mean scores of the perception and performance level for the nosocomial infection control were the same but lower than those of the nurses. It is suggested that appropriate hospital infection control programs should be developed by continuous systemic education and practice to improve the nurse and nurses aids' level of perception and performance for nosocomial infection control.
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