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Sun, Ji-Young, Sung, Myoung-Jin, Sung, and Og: Development and Implementation of an Education Program for Novice Infection Control Nurses
Original Article

J Nosocomial Infect Control 2013;21(1):18-30.

Published online: 3 May 2013

DOI: https://doi.org/10.14192/kjnic.2016.21.1.18

Development and Implementation of an Education Program for Novice Infection Control Nurses

Young Jeong Sun, Lee Ji-Young, Ran Kim Sung, Shin Myoung-Jin, Eun Lee Sung, Son Kim Og

1Department of Nursing, Konyang University, Daejeon, Korea

2Department of Infection Control, Catholic University Seoul St. Mary Hospital, Seoul, Korea

3Infection Control Unit, Korea University Guro Hospital, Seoul, Korea

4Infection Control Services, Seoul National University Bundang Hospital, Seongnam, Korea

5Infection Control Unit, Korea University Anam Hospital, Seoul, Korea

6Department of Nursing Science, KC University, Seoul, Korea

Address reprint requests to Og Son Kim, Department of Nursing Science, KC University, 47, 24-gil, Kkachisan-ro, Gangseo-gu, Seoul 07661, Korea Tel: 02-2600-2547, Fax: 02-2600-2524 E-mail: oskim-icp@hanmail.net

Received 20 March 2015       Accepted 2 May 2016

Copyright © 2013, the Korean Thyroid Association. All rights reserved.

This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http:// creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background

This study was performed to improve the working competencies of novice infection control nurses (ICNs) and thereby prevent healthcare associated infection. We developed and implemented an education program and then evaluated its effectiveness.

Methods

The education program was developed by conducting a literature review and four expert group discussions. The program was implemented twice, and included 3 days of lectures and 1 day of practice in Seoul and Pusan, for 157 ICNs with less than 3 years of experience. The knowledge of the participants before and after the educational program and overall satisfaction were measured. Data were analyzed using the SPSS WIN 18.0 program.

Results

The education program consisted of 12 lectures and 2 practices in total. The post-program knowledge score increased to 77.99 compared to 45.91 prior to participating in the program (P<.001). The scores for overall satisfaction, knowledge acquirement, and usefulness in field practice were 9.05, 8.97, and 9.01, respectively. The overall satisfaction was higher for the practice component (9.37) than the lectures (9.00). There were significant differences in surveillance knowledge according to age (F=3.94, P=.021), hospital career (F=3.71, P=.027), hospital type (F=5.36, P=.006), and hospital size (F=6.19, P=.003); and there were significant differences in hand hygiene knowledge according to age (F=4.14, P=.018) and hospital type (F=4.84, P=.009). However, there was no difference in overall satisfaction with the program.

Conclusion

To enhance working competencies and professionalism, education programs considering the characteristics and needs of the ICNs must be developed. Moreover, professional training courses are needed to nurture ICNs in small hospitals.

Keywords: Education, Infection control, Nurses

References

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Table 1.
Curriculum of education program
Topic Class times (min) Contents
Lectures
The roles of infection control department and nurses		 60 Definition and category of healthcare associated infection
Meaning and purpose of healthcare associated infection control
Component and role of the infection control committee
Role and function of infection control department
Role of infection control nurse
Understanding of pathogenic microorganisms 90 Diagnosis of infectious diseases (Microbiological testing)
Diagnosis of infectious diseases (Immunoassay analyzer)
Diagnosis of infectious diseases (Molecular genetic testing)
Isolation program 90 Isolation guidelines Revised background
Evolution of isolation guidelines
The type and method of isolation
Wear and removal of personal protective equipment
Isolation markings and procedures
Infection control program for health care worker 90 Health care worker safety program
Vaccination program
Infectious diseases management
Blood and body fluid exposure
Healthcare-associated infection surveillance 120 Definition Program configuration
Program effectiveness
Surveillance essential elements Surveillance examples
Diagnosis of urinary tract infections and cases
Diagnosis of bloodstream infections and cases
Diagnosis of pneumonia and examples
Diagnosis of surgical site infection and examples
Management of nationally no tifiable diseases 60 Overview
Report types and methods
Patient management
Infection control accreditation 60 International certification program status
Overview of Joint commission international
Overview of Korean healthcare accreditation
Items and contents of Korean healthcare accreditation
Disinfection and sterilization 90 Definition
Disinfectant classification and selection caution
Cleaning and disinfection of environmental surfaces
Type of sterilization and methods
Disinfectant type and usage instructions (examples)
Hand hygiene overview 75 Overview (meaning, how, when hand hygiene is required)
Hand hygiene promotion strategies
Environmental infection control 60 Air and water management
Hospital infection control during construction
Clean basic principles and methods
Laundry kinds of medical and management methods
Classified as medical waste management
Infection control of health care-associated pathogens 60 Significance and epidemiology of multidrug-resistant bacteria
Multidrug-resistant infection control guidelines
C. difficile infection Control Scabies infection Control
Planning and evaluation of infection control 90 Planning process and methods Infection control evaluation
Infection control scope and schedule
Job descriptions and job creation el menu Placing
Budget
Documents (reports, etc.)
Practice
Diagnosis of healthcare associated infection		 180 Pre and post test Infection rates calculated
Creating reports
Hand hygiene monitoring 180 Pre and post test Hand hygiene monitoring
Practice using video Creating reports
Table 2.
Levels of knowledge and satisfaction after education according to general characteristics of learners (N=157)
Characteristics Classification N (%) Knowledge Satisfaction
Surveillance Hand hygiene Overall satisfaction Knowledge acquiring Usefulness to field practice
MeanSD t/F/χ2 (P) post hoc MeanSD t/F/χ2 (P) post hoc MeanSD t/F/χ2 (P) post hoc MeanSD t/F/χ2 (P) post hoc MeanSD t/F/χ2 (P) post hoc
Age (years) ≤30a
31-40b
≥41c
No response
MeanSD		 26 (16.6)
74 (47.1)
53 (33.8)
4 (2.5)
37.607.42		 83.462.74
79.861.47
74.7215.55		 3.94 (.021)
a>c		 83.568.20
77.6612.81
74.9513.69		 4.14 (.018)
a>c		 8.910.76
9.050.93
9.120.94		 0.46 (.634) 8.890.92
8.980.99
9.011.02		 0.13 (.880) 8.920.84
9.020.95
9.060.99		 0.18 (.832)
Education level College
University
≥Graduate school
No response		 47 (29.9)
78 (49.7)
26 (16.6)
6 (3.8)		 77.2314.21
79.1714.60
79.2313.17		 0.30 (.739) 77.1911.70
79.0111.25
74.9218.06		 1.06 (.349) 9.140.94
8.930.92
9.270.91		 1.67 (.191) 9.071.01
8.831.01
9.050.99		 2.11 (.125) 9.050.99
8.910.97
9.310.75		 1.73 (.181)
Infection control practice career (years) <1
1-3
>3
No response
MeanSD		 105 (66.9)
30 (19.1)
1 (0.6)
21 (13.4)
0.340.79		 79.0013.70
76.1715.85
95.000.00		 1.15 (.321) 77.1611.87
78.2616.59
85.700.00		 0.28 (.754) 9.060.87
9.101.05
8.710.00		 .09 (.913) 8.990.96
9.011.14
8.500.00		 0.13 (.879) 9.030.93
9.101.04
8.710.00		 0.13 (.882)
Hospital career (years) <5a
5-10b
>10c
No response
MeanSD		 19 (12.1)
39 (24.8)
92 (58.6)
7 (4.5)
13.157.17		 86.5814.44
79.2313.06
76.9614.39		 3.71 (.027)
a>c		 81.2414.97
79.469.75
76.5513.24		 1.48 (.231) 8.801.09
8.930.95
9.140.84		 1.50 (.228) 8.691.16
8.861.07
9.080.88		 1.65 (.196) 8.731.12
8.961.00
9.090.94		 1.27 (.284)
Hospital type University Hospitala
General Hospitalb
Othersc
No response		 31 (19.8)
76 (48.4)
44 (28.0)
6 (3.8)		 85.9711.29
76.4514.94
77.7314.27		 5.36 (.006)
a>b,c		 83.619.86
75.3413.95
77.4911.36		 4.84 (.009)
a>b		 9.270.63
9.080.88
8.861.09		 3.01 (.222) 9.270.76
8.990.96
8.751.13		 2.55 (.081) 9.300.65
9.050.92
8.781.12		 3.95 (.139)
Hospital size <300a
300-999b
≥1,000c
No response		 81 (51.6)
60 (38.2)
11 (7.0)
5 (3.2)		 75.9914.44
80.0813.73
90.917.01		 6.19 (.003)
a<c		 76.6313.84
78.4812.06
82.455.89		 1.16 (.317) 8.930.96
9.150.87
9.260.53		 1.40 (.249) 8.831.02
9.120.94
9.150.78		 1.79 (.171) 8.860.99
9.180.94
9.220.66		 2.27 (.107)
Location of hospital Seoul
Gyeonggi/Incheon		 20 (12.7)
35 (22.3)		 80.5015.56
79.0012.59		 5.84 (.442) 81.5410.11
78.1212.21		 5.49 (.483) 8.920.83
8.850.99		 0.88 (.510) 8.950.95
8.661.08		 1.05 (.398) 8.970.95
8.771.05		 1.03 (.411)
Gyeongsang 40 (25.5) 80.0013.64 73.5417.83 9.280.80 9.210.87 9.270.83
Jeonla 26 (16.6) 77.3119.09 77.6210.17 8.950.96 8.941.04 8.890.98
Chungcheong 18 (11.5) 79.178.79 79.566.31 9.090.92 9.060.97 9.060.94
Gangwon 8 (5.1) 73.1314.38 83.396.07 9.071.03 8.981.00 9.030.99
Others 4 (2.5) 67.506.46 76.2211.38 9.290.78 9.200.93 9.290.82
No response 6 (3.8)
Experience of infection control training course Yes 52 (33.1) 79.5216.23 0.56 (.577) 77.3215.78 –0.05 (.963) 9.051.01 0.03 (.976) 8.951.08 –0.19 (.848) 9.011.02 –0.06 (.953)
No 105 (66.9) 78.1413.49 77.4211.38 9.050.84 8.980.93 9.010.90
Table 3.
Mean scores of learners on pre-post knowledge tests (N=157)
Educational content Pre-education Post-education P*
MeanSD MeanSD
Surveillance 50.0617.57 78.6014.49 <.001
Hand hygiene 41.7620.47 77.3912.95 <.001
Total 45.9115.09 77.9910.11 < .001

*Paired t-test.

Table 4.
Levels of overall satisfaction, knowledge acquiring, and usefulness to field practice (N=157)
Content MeanSD
Overall satisfaction Knowledge acquiring Usefulness to field practice
Lecture
The roles of infection control department and nurses 9.141.04 9.001.14 8.981.11
Understanding of pathogenic microorganisms 8.891.35 8.981.29 8.761.41
Isolation programs 8.981.19 8.921.17 8.971.16
Infection control programs for health care worker 9.061.05 9.001.06 9.011.08
Disinfection and sterilization 8.851.23 8.811.25 8.821.23
Hand hygiene overview 9.381.01 9.381.05 9.391.03
Healthcare-associated infection surveillance 8.951.22 8.981.25 8.961.24
Management of nationally notifiable diseases 8.811.36 8.821.20 8.761.23
Infection control accreditation 8.781.28 8.781.36 8.721.29
Environmental infection control 9.001.26 8.971.15 8.971.23
Infection control of healthcare-associated pathogens 9.021.16 9.021.15 9.001.21
Planning and evaluation of infection control 9.091.07 9.041.09 8.911.41
Total (lecture) 9.000.95 8.970.98 8.940.99
Practice
Diagnosis of healthcare associated infection 9.550.97 Not check 9.501.06
Hand hygiene monitoring 9.191.50 Not check 9.421.14
Total (practice) 9.371.06 Not check 9.460.78
Total (lecture and practice) 9.050.90 8.970.98 9.010.94
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