[논문]간호학생의 의료관련감염 관리지침 준수 영향요인에 관한 융합연구

송미옥; 문정은

doi:10.15207/jkcs.2019.10.11.189

간호학생의 의료관련감염 관리지침 준수 영향요인에 관한 융합연구
A Convergence Study on the Factor Influencing to Healthcare-Associated Infection Control Guidelines of Nursing Students 원문보기

한국융합학회논문지 = Journal of the Korea Convergence Society, v.10 no.11, 2019년, pp.189 - 198

송미옥 (남부대학교 간호학과) , 문정은 (호남대학교 간호학과)

초록
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이 연구는 임상실습 전 간호대학생의 의료관련감염 관리지침 수행에 관한 영향 요인을 파악하여 융합적 교육프로그램 개발을 위한 사전조사로서 시행된 연구이다. 자료수집은 일 지역 간호학과 2학년 183명을 대상으로 자가보고식 설문지를 이용하여 수행하였으며, 수집된 자료는 AMOS 21.0과 SPSS 21.0을 이용하여 분석하였다. 분석 결과 모형 적합도는 ${\chi}^2=52.06$(df=9, p<.01), GFI=.93, RMSEA=.16, NFI=.85, CFI=.90 이었으며, 설명력은 26.2%였다. 이를 통해 간호대학생의 의료관련감염 관리지침 수행의도의 설명에 계획된 행위이론이 적절함을 알 수 있었으며, 향후 간호 대학생의 의료관련감염 관리지침 준수를 높일 수 있도록 계획된 행위이론의 하위개념들을 강화할 수 있는 교육프로그램을 개발하고, 이의 효과를 검증할 수 있는 반복연구가 필요하다.

Abstract ▼ AI-Helper

In this preliminary study exploring the development of an convergent educational program, we identified the factors that affect adherence to healthcare-associated infection (HAI) control guidelines. The data were collected using a self-reported questionnaire of 183 nursing students. The collected data were analyzed using AMOS 21.0 and SPSS 21.0 program. The model fit was ${\chi}^2=52.06$ (df=9, p<.01), GFI=.93, RMSEA=.16, NFI=.85, and CFI=.90, and the explanatory power was 26.2%. As a result in this study, it was found that the theory of planned behavior(TPB) was appropriate for explaining the intention about healthcare-associated infection control guidelines. It is necessary to develop an education program that can reinforce the concepts of TPB, and iterate research to verify its effectiveness.

주제어

표/그림 (7)

표 Table 1. Reliability of the Theory of Planned Behavior Variables in Increasing Adherence to Healthcare-Associated Infection Control Guidelines
표 Table 2. General Characteristics of Participants and Descriptive Statistics of Variables (N=183)
표 Table 3. Correlation of Planned Behavioral Variables among Nursing Students (N=183)
그림 Fig. 1. Hyprotheical Model
표 Table 4. Goodness of Model Students
표 Table 5. Path Coefficient of Hypothetical Model
표 Table 6. Effects of Predict Variables on Endogenous variables in the Hypothetical Model

AI 본문요약
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문제 정의

Since the attitude, PBC, and subjective norms are not shaped instantly but develop over a long period of time, the researcher believes that it is necessary to study the intentions of nursing students to fulfil their obligations as nurses to carry out infection control guidelines. Of course, in the study of Moon and Jang[23], although the organizational factors such as organizational culture and resource support are influential factors in nurses’ performance of HAI control guidelines, the influence of individual attitudes, PBC, and subjective norms cannot be excluded.
Personal (behavioral) beliefs, attitudes, PBC expressed by confidence, and subjective norms of others might play a key role in implementation of HAI control guidelines. This study suggests that nursing students who are expected to be engaged in clinical practice in the future need strategies to strengthen positive attitudes, confidence, and desirable role modeling.
This study was conducted to identify the structural causal relationship between beliefs, attitudes, subjective norms, perceived behavioral control, and performance intentions for the implementation of HAI guidelines for nursing students. Therefore, we intend to use the results in designing an effective educational program that will enhance the expertise of nursing college students for accurate implementation of the HAI control guidelines.

제안 방법

We developed study questionnaires to determine the general characteristics and the TPB variables associated with implementation of HAI control guidelines such as behavioral beliefs, attitude, normative beliefs, subjective norm, control beliefs, perceived behavioral control and intention. Except for the questions related to general characteristics, we modified and revised the study questionnaire based on questionnaires that were originally developed by Whitby, McLaws, and Ross[7] and modified by Moon and Song[20]. Table 1 lists the definitions, item numbers, and confidence of each variable.
We measured internal consistency and reliability using Cronbach’s alpha, and measured the correlations between the predictors using Pearson’s correlation coefficient. Finally, in oder to confirm the estimation possibility of the structual equation model, the model identifiation evaluation was performed.
8% shown in similar previous studies[8,20,23]. The hypothetical model of this study can be judged as a suitable model for explaining and predicting the intention to perform HAI control guidelines.
The purpose of this study was to identify the factors influencing the intention of the nursing students, in implementing infection management guidelines.
We analyzed the participants’ general characteristics using descriptive statistics and reported the data as percentiles, means and, standard deviations.
We conducted this study as a preliminary study to identify variables that affect nursing students’ intentions to comply with HAI control guidelines before embarking on clinical practice.

대상 데이터

The participants included 154 (84.2%) females and 29 (15.8%) males, with a mean age of 21.85±4.09 years.

데이터처리

As a result, The analysis of the estimates of the parameters confirmed the non-standardized coefficient (B) and the rejection rate (C.R.) [24], and the effectiveness analysis of the model was tested using the standardized coefficient (β).
We measured internal consistency and reliability using Cronbach’s alpha, and measured the correlations between the predictors using Pearson’s correlation coefficient.

이론/모형

Attitudes were evaluated on a 7-point semantic differential scale. All other variables were measured with a 5-point Likert scale.

성능/효과

) [24], and the effectiveness analysis of the model was tested using the standardized coefficient (β). As a result of hypothesis test, all the path toward the intention about perform of HAI guidelines was statistically significant. Specifically, behavioral beliefs, normative beliefs, and control beliefs are characterized by attitudes (β=.
First, it is noteworthy that in the correlation analysis between variables, control beliefs did not show a significant correlation with intention. Control beliefs reflect confidence in the ability to access relevant resources for compliance with the guidelines under any circumstance, whereas normative beliefs suggest peer pressure to follow the guidelines.
Results suggested that the intention to adhere to HAI control guidelines was significantly correlated with behavioral beliefs, normative beliefs, attitude, subjective norms, and PBC. Personal (behavioral) beliefs, attitudes, PBC expressed by confidence, and subjective norms of others might play a key role in implementation of HAI control guidelines.

후속연구

First, additional research is needed, involving instructors and team members in practical class, to expand the range of influential groups that can affect student beliefs and behavior.
007)[3], it is necessary to repeat the study on how the knowledge of infection control of nursing students affects performance intention. This requires reconfirming how knowledge of nursing college students relate to the components of TpB, and therefore, further research is needed to recognize awareness of HAI control guidelines and the current level of education among nursing college students. In addition, there is a need to develop and apply convergent educational contents composed of theoretical knowledge and practical education about infection control guidelines applied in the clinical settings of nursing students.

참고문헌 (27)

Korea Centers for Disease Control &Prevention. (2016). Disease Control White Paper 2014-2015. KCDC [Online]. https://www.cdc.go.kr/menu.es?mida20602070000
Korea Institute for Healthcare Accreditation. (2017). Accreditation Standard for 2nd Cycle in Acute Care Hospital. [Ver 2.1]. KOIHA [Online]. http://www.koiha.or.kr/member/kr/board/establish/establish_BoardView.do
Joint Commision International. (2016). Joint Commission International Accreditation Standards for Hospital. [6th ed.]. Joint Commision International [Online]. https://www.jointcommissioninternational.org/jci-accreditation-standards-for-hospitals-6th-edition/
O. S. Kim. (2017). Convergence Study on the Knowledge, Compliance of Infection Prevention and Influence Factors of Compliance to Methicillin-Resistant Staphylococcus aureus in Nursing Student with Clinical Practice Experience. Journal of Convergence for Information Tachnology, 7(4), 19-26. DOI : 10.22156/CS4SMB.2017.7.4.019

상세보기
I. Ajzen. (2005). Attitude, Personality, and behavior(2nd ed.). New York : McGraw-Hill International Open University Press.
A. Bandura. (1994). Selfefficacy. Encyclopedia of human behavior. [Online]. https://www.uky.edu/-eushe2/Bandura/BanEncy.html
M. Whitby, M. L. McLaws & M. W. Ross. (2006). Why Healthcare Workers Don't Wash Their Hands: a Behavioral Explanation. Infection Control and Hospital Epidemiology, 27(5), 484-492. DOI: https://doi.org/10.1086/503335

상세보기
C. A. O'Boyle, S. J. Henly & E. Larson. (2001). Understanding adherence to hand hygiene recommendations: the theory of planned behavior. American Journal of Infection Control, 29(6), 352-360. DOI : 10.1067/mic.2001.18405

상세보기
J. Y. Yoo, E. G. Oh, H. K. Hur & M. N. Choi. (2012). Level of Knowledge on Evidence-based Infection Control and Influencing Factors on Performance among Nurses in Intensive Care Unit. The Korean Academic Society of Adult Nursing, 24(3), 232-243. DOI: 10.7475/kjan.2012.24.3.232

원문보기 상세보기
K. M. Kim, O. S. Kim & M. Y. Jeon. (2012). Knowledge and Compliance Level of the Multidrug-resistant Organisms of Nursing Students. Journal of Korean Biological Nursing Science, 14(1), 8-15. DOI : 10.7586/jkbns.2012.14.1.8

원문보기 상세보기
S. Y. Hong, Y. S. Kwon & H. Park. (2012). Nursing Students' Awareness and Performance on Standard Precautions of Infection Control in the Hospital. Journal of Korean Academic Society of Nursing Education, 18(2), 293-302. DOI : 10.5977/jkasne.2012.18.2.293

원문보기 상세보기
M. H. Jeong. (2015). Survey of Exposure to Blood and Body Fluids, Knowledge, Awareness and Performance on Standard Precautions of Infection Control in Nursing Students. Journal of the Korea Contents Association, 15(4), 316-329. DOI : 10.5392/JKCA.2015.15.04.316
J. Y. Oh, J. Y. Mun & H. K. Oh. (2016). Affecting Factors on Performance of Nursing Students regarding Standard Precautions for Healthcare associated Infection Control and Prevention. Journal of Health Informatics and Statistics, 41(3), 270-277. DOI : 10.21032/jhis.2016.41.3.2707
Y. Kim, M. Y. Kim & Y. H. Seo. (2016). The Effects of an Intensive Education Program on Hospital Infection Control on Nursing Students' Knowledge, Attitude, and Confidence in Infection Control. Journal of Korean Biological Nursing Science, 18(4), 318-326. DOI : 10.7586/jkbns.2016.18.4.318

원문보기 상세보기
J. R. Choi, I. S. Ko & Y. Y. Yim. (2016). Factors Influencing Nursing Students' Performance of Infection Control. Journal of the Korean Academy of Fundamentals of Nursing, 23(2), 136-148. DOI : 10.7739/jkafn.2016.23.2.136

원문보기 상세보기
J. Wilson, A. Bak, A. Whitfield, A. Dunnett & H. Loveday. (2017). Public Perceptions of the Use of Gloves by Healthcare Workers and Comparison with Perception of Students Nurses. Journal of Infection Prevention, 18(3), 123-132. DOI : 10.1177/1757177416680442

상세보기
J. S. Sundal, A. G. Aune, E. Storving, J. K. Aasland, K. L. Fjeldsater & K. Torjuul. (2017). The hand hygiene compliance of student nurses during clinical placement. Journal of Clinical Nursing. 26(23-24), 4646-4653. DOI : 10.1111/jocn.13811

상세보기
H. Aboumatar, P. Ristaino, R. O. Davis & C. B. Thompson. (2012). Infection Prevention Promotion Program based on the PRECEDE Model: Improving Hand Hygiene Behaviors among Healthcare Personnel. Infection Control of Hospital Epidemiology, 33(2), 144-151. DOI : 10.1086/663707

상세보기
D. M. Korniewicz & M. El-Masri. (2010). Exploring the Factors Associated with Hand Hygiene Compliance of Nurses during Routine Clinical Practice. Applied Nursing Research, 23(2), 86-90. DOI : 10.1016/j.apnr.2008.06.002

상세보기
J. E. Moon & M. O. Song. (2017). A Convergence Study about the Performance of Healthcare-Associated Infection Control Guidelines of Hospital Nurses-based on the Theory of Planned Behavior. Journal of the Korea Convergence Society, 8(5), 117-125. DOI : 10.15207/JKCS.2017.8.5.117
M. J. Kim. (2017). The Convergence Study of Nursing Students' Knowledge, Attitudes and Preventive Behaviors against MIDDLE EAST RESPIRATORY SYNDROME (MERS) in South Korea. Journal of the Korea Convergence Society, 8(4), 149-157. DOI : 10.15207/JKCS.2017.8.4.149
S. Y. Jeong & O. S. Kim. (2012). The Structural Model of Hand Hygiene Behavior for the Prevention of Healthcare-associated Infection in Hospital Nurses. Korean Journal of Adult Nursing 24(2): 119-129. DOI : 10.7475/kjan.2012.24.2.119

원문보기 상세보기
J. E. Moon & K. S. Jang. (2018). The Performance of Healthcare-associated Infection Control Guideline among Hospital Nurses: A Structural Equation Model. Iranian Journal of Public Health, 47(5), 645-657.
T. M. Song & G. S. Kim. (2012). Structural Equation Modeling for Health & Welfare Research., Seoul : Hannarae Publishing Co.
J. J. Francis et al. (2004). Constructing Questionnaires based on the Theory of Planned Behaviour: A Manual for Health Services Researcher. Newcastle upon Tyne : Centre for Health Services Research.
Y. H. KO. (2016). Physical activity, Social Support and Participation of Women Knowledge about Cervical Cancer Screening, the Screening Attitude Multiplicative Influence of Cervical Cancer Screening, Journal of Digital Convergence, 14(7), 439-449, DOI : 10.14400/JDC.2016.14.7.439
C. J. Armitage & M. Conner. (2001). Efficacy of the Theory of Planned Behaviour: A MetaAnalytic Review. British Journal of Social Psychology, 40(4), 471-499. DOI : 10.1348/014466601164939

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