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Kang, Cho, Kim, Kim, Lee, Park, Jung, and Lee: Hospital Nurses' Knowledge and Compliance on Multidrug-resistant Organism Infection Control Guideline
Original Article
Journal of Korean Academy of Nursing

Journal of Korean Academy of Nursing 2009; 39(2): 186-197.

Published online: 28 April 2009

DOI: https://doi.org/10.4040/jkan.2009.39.2.186

Hospital Nurses' Knowledge and Compliance on Multidrug-resistant Organism Infection Control Guideline

Jiyeon Kang1, Jinwan Cho2, Yujung Kim2, Dong-Hee Kim2, Jiyoung Lee2, Hey-Kyung Park2, Sung-Hee Jung3, Eun-Nam Lee4

1Assistant Professor, Department of Nursing, Dong-A University, Busan, Korea.

2Nurse, Dong-A University Medical Center, Busan, Korea.

3Full-time Lecturer, Department of Nursing, Namseoul University, Cheonan, Korea.

4Professor, Department of Nursing, Dong-A University, Busan, Korea.

Address reprint requests to: Kang, Jiyeon. Department of Nursing, Dong-A University, 1 Dongdaesin-dong 3ga, Seo-gu, Busan 602-714, Korea. Tel: 82-51-240-2871, Fax: 82-51-240-1947, jykang@dau.ac.kr

Received 4 August 2008       Accepted 13 February 2009

Copyright © 2009 Korean Society of Nursing Science

Abstract

Purpose

This study was done to investigate nurses' knowledge of, and compliance with the multidrug-resistant organism (MDRO) infection control guidelines.

Methods

A survey questionnaire was developed based on the institutional and national guidelines and was administered to a convenience sample of 306 nurses in a university hospital.

Results

The mean score for knowledge was 33.87 (percentage of correct answers: 82.61%). The percentages of correct answers for basic concepts, route of transmission, hand washing/protective devices and environment management were 74.27%, 94.29%, 92.90% and 75.54% respectively. The mean compliance score was 4.15 (range: 1-5). The compliance scores for education, communication, contact precaution, disinfection, surveillance culture, and hand washing were 3.29, 4.05, 4.20, 4.50, 4.40 and 4.48 respectively. Nurses indicated "lack of time (30.06%)", "lack of means (10.78%)" and "lack of knowledge (9.48%)" as reasons for noncompliance.

Conclusion

While most educational programs have focused on hand washing or use of protective devices to prevent transmission of MDRO in acute care settings, hospital nurses' knowledge of the basic concepts of MDRO and environmental management has remained insufficient. Nurses are relatively non-compliant to the guidelines in the areas of education (staff, patient, family) and communication. Comprehensive educational programs are needed to decrease hospital infection rates and to improve the health of patients.

Keywords: Infection control, Knowledge, Compliance, Education

Figures and Tables

Table 1
Knowledge and Compliance by General Characteristics (N=306)
jkan-39-186-i001

*p<.05; **p<.001; †Scheffe's test; ‡Z of Mann Whitney U test.

ICU=intensive care unit; Non-ICU included medical, surgical, pediatric, obstetric/gynecology unit.

Table 2
Knowledge & Compliance Scores on Multidrug-resistant Organism Infection Control Guidelines (N=306)
jkan-39-186-i002
Table 3
Top 10 High-ranking and Bottom 10 Low-ranking Items of Knowledge and Compliance Scales (N=306)
jkan-39-186-i003

MRSA=Methicillin-resistant Staphylococcus aureus; MDRO=multidrug-resistant organism; VRE=Vancomycin-resistant enterococcus; BP=blood pressure.

Table 4
Stepwise Multiple Regression for Knowledge and Compliance
jkan-39-186-i004

*p<.05; **p<.001.

Table 5
Reasons for Noncompliance (N=306)
jkan-39-186-i005

MDRO=multidrug-resistant organism.

Notes

This study was supported by research funds from Dong-A University.

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