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 The purpose of this study was to identify risk factors for nosocomial Vancomycin-Resistant Enterococcus (VRE) infections in patients with hematologic cancer in Korea.
Methods A total of 232 patients (77 in the case group and 155 in the control group) from a tertiary teaching hospital participated in this study from January 2011 to December 2017. Data concerning the disease, treatment, and nursing care were collected from electronic medical records using the coding form.
Results VRE infections were found to be associated with leukemic-type cancer, longer hospital stays, high-risk antibiotic use, low-risk antibiotic use, oral antifungal agent use within one month of admission, lower serum albumin levels, and dependent self-care.
Conclusion The implication of this study’s results is that VRE infections are associated with factors other than VRE colonization, which is known to be the main influencing factor. Considering these factors, it is crucial to develop programs for VRE prevention and management. In particular, oncology nurses should adhere to precaution guidelines when they have contact with patients who are undergoing a prolonged hospital stay, are having difficulties with self-care activities, or are more likely to have depressed immunity because of intensive chemotherapy and nutritional deficiency. Tools to screen risk factors for VRE infections and programs to encourage nurses’ adherence to guidelines need to be evaluated and provided continuously.
Citations
Citations to this article as recorded by
Effect of Virtual-Reality Simulation of Indwelling Catheterization on Nursing Students’ Skills, Confidence, and Satisfaction Soohyun Park, Hyeon Gyeong Yoon Clinical Simulation in Nursing.2023; 80: 46. CrossRef
PURPOSE This study was conducted to identify factors influencing compliance of multidrug-resistant organism infection control in intensive care units (ICU) nurses. METHODS Data were collected from 254 ICU nurses who were working at 6 general and advanced general hospitals in D city and G Province. RESULTS 77.2% and 84.4% of the subjects correctly answered to questions about Methicillin-Resistant Staphylococcus Aureus (MRSA) and Vancomycin-Resistant Enterococcus (VRE), respectively. The scores of MRSA infection control compliance and VRE infection control compliance were 3.41 and 3.43, respectively. The factors influencing MRSA infection control compliance were empowerment, environmental safety recognition, and education satisfaction, which explained 30% of MRSA infection control compliance. The factors significantly related to VRE infection control compliance were empowerment, hospital types, environmental safety recognition, number of education sessions, and neonatal ICU, which explained 37% of VRE infection control compliance. CONCLUSION It is necessary to develop efficient educational programs for infection control including educational contents to improve empowerment and environmental safety recognition of nurses. Furthermore, administrative support for those infection control programs is also necessary.
Citations
Citations to this article as recorded by
Factors Affecting the Performance of Infection Control of Multi-drug Resistant Organisms in Intensive Care Unit Nurses of General Hospitals based on the Theory of Planned Behavior: The Mediating Effect of Intention Nam-Sook Kim, So-Eun Choi Research in Community and Public Health Nursing.2023; 34: 183. CrossRef
Factors Associated with Vancomycin-ResistantEnterococcusInfections in Hematologic Cancer Patients in Korea: A Retrospective Case-Control Study Jiyoung Kim, Ja Yun Choi Korean Journal of Adult Nursing.2022; 34(1): 97. CrossRef
Factors Affecting Use of Personal Protective Equipment related to Acute Respiratory Infections in General Hospital Nurses Jungeun Kang, Jiyoung Kim Journal of Korean Academy of Fundamentals of Nursing.2020; 27(3): 277. CrossRef
Factors associated with Oncology Nurses' Adherence to Chemotherapy-Induced Neutropenia Guidelines based on Pender's Health Promotion Model Gyeong-Jin Kim, Ja Yun Choi Korean Journal of Adult Nursing.2019; 31(4): 389. CrossRef
Influencing Factors on Nursing Practices for Healthcare-associated Infections Control in Intensive Care Unit Soon Ok Kim, Jin Suk Ra Korean Journal of Healthcare-Associated Infection Control and Prevention.2018; 23(2): 39. CrossRef
Development of Hospital Nurses' Job Description based on DACUM Method: Focusing on General Ward and Intensive Care Unit Sun Mi Lee, Yeon Hee Kim, Yu Mi Shim, Jin Sun Choi, Mi Yu Journal of Korean Academy of Nursing Administration.2017; 23(5): 535. CrossRef
Factors Influencing Performance of MultiDrug-Resistant Organisms Infection Control in Nurses of General Hospital* Jeonglim Ryu, Yu Kyung Ko Journal of Korean Academy of Fundamentals of Nursing.2016; 23(2): 149. CrossRef
Effect of Education on Infection Control for Multidrug Resistant Organism on Infection Control by NICU Nurses Jihee Lim, Kyung-Sook Bang Child Health Nursing Research.2016; 22(3): 172. CrossRef
Knowledge and Compliance Level of the Multi-drug resistant Organisms of ICU nurses Joung-A Shon, Jin Hee Park Journal of the Korea Academia-Industrial cooperation Society.2016; 17(7): 280. CrossRef
Factors related to the Management of MultiDrug-Resistant Organisms among Intensive Care Unit Nurses: An Application of the Health Belief Model* Suyoung Kim, Chiyoung Cha Journal of Korean Academy of Fundamentals of Nursing.2015; 22(3): 268. CrossRef
The purpose of the study was to explore the effect of 2 hour infusion of vancomycin(1g) in 200ml of isotonic saline every 12 hour on the frequency of "red man syndrome", phlebitis and length of peripheral catheter placement of infected patients, in order to provide safe infusion method for reducing vancomycin-induced RMS and phlebitis. The subjects of the study consisted of 16 hospitalized patients; 3 oncology and gastro-intestinal patients, 1 neurological patient, 6 thoracic surgical patients and 6 orthopedic patients, who had received vancomycin from July to October in 1999 at S-hospital. The dependent variables were the incidence of RMS, phlebitis and the length of peripheral catheter placement. The incidence of RMS was checked by an inspector at the first night whenever the infusion method of vancomycin was changed. RMS was observed every 15 minutes during an hour for symptoms of RMS such as itching, erythema, chest pain and systolic blood pressure. Incidence of phlebitis was assessed by inspector twice a day from the insertion of peripheral catheter to the removal of the catheter. The data were analyzed by percentage, mean, X2-test, t-test, repeated ANOVA, and logistic regression analysis using the SPSSWIN program. The results are summarized as follows; 1. No significant difference was identified in frequency of RMS between the experimental group and control group. 2. There was no significant difference in the change of systolic blood pressure as the time goes on between the experimental group and control group. 3. The incidence of phlebitis was significantly lower in the experimental group than in the control group. 4. The length of peripheral catheter placement was significantly longer in the experimental group than in the control group. 5. Other drugs administrated with vancomycin didn't influence the occurrence of phlebitis. However, the infusion method of vancomycin influenced the occurrence of phlebitis. The results suggest that 2 hour infusion of vancomycin(1g) in 200ml of isotonic saline every 12 hours may decrease the incidence of phlebitis and increase the length of peripheral catheter placement compared to 1 hour infusion of vancomycin(1g) in 100ml of isotonic saline every 12 hours. However, it does not reduce the incidence of RMS.
E-SUBMISSION
First
Prev
