Influencing Factors on Nursing Practices for Healthcare-associated Infections Control in Intensive Care Unit

Soon Ok Kim; Jin Suk Ra

doi:10.14192/kjhaicp.2018.23.2.39

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Kim and Ra: Influencing Factors on Nursing Practices for Healthcare-associated Infections Control in Intensive Care Unit

Original Article

Korean Journal of Healthcare-Associated Infection Control and Prevention 2018; 23(2): 39-52.

Published online: 27 December 2018

DOI: https://doi.org/10.14192/kjhaicp.2018.23.2.39

Influencing Factors on Nursing Practices for Healthcare-associated Infections Control in Intensive Care Unit

Soon Ok Kim, Jin Suk Ra

College of Nursing, Chungnam National University, Daejeon, Korea.

Correspondence to: Jin Suk Ra, College of Nursing, Chungnam National University, 266 Munhwa-ro, Jung-gu, Daejeon 35015, Korea. Tel: 042-580-8333, Fax: 042-580-8309, jinsukra@cnu.ac.kr

Received 27 April 2018 Revised 12 July 2018 Accepted 17 October 2018

Korean Society for Healthcare-Associated Infection Control and Prevention

Abstract

Background

This study aimed to identify factors influencing nursing practices for controlling healthcare-associated infections (HAIs) among individual and organizational characteristics of registered nurses in intensive care units (ICUs).

Methods

Participants were 210 registered nurses who worked in ICUs of general hospitals. Data were collected using a self-administered questionnaire regarding nursing practices across individual (sociodemographic factors, knowledge, attitude, and recognition of nursing practices) and organizational characteristics (nursing culture, workload burden, recognition of nursing practice guidelines in the working hospital) from December 1, 2016, to January 31, 2017. Factors influencing the nursing practices were analyzed via hierarchical multiple regression analysis.

Results

Of the individual characteristics, the factors influencing nursing practices in ICUs were work experience of less than three years (β=−.203, P=.002), working in medical (β=.149, P=.013) and surgical (β=.176, P=.004) wards, and recognition of the nursing practices (β=.590, P<.001). Of the organizational characteristics, nursing culture (β=.196, P<.001) and recognition of nursing practice guidelines in the working hospital (β=.143, P=.005) were factors influencing the nursing practices. The explanation power of these variables was 56.1% (F=28.351, P<.001).

Conclusion

Nurses with less than three years work experience in ICUs must be trained regarding nursing practices. Education to enhance recognition of nursing practices and positive nursing culture and guidelines for nursing practices should also be established.

Keywords: Healthcare-associated infections, Infection control, Intensive care unit

Figures and Tables

Table 1

The nursing practices for controlling healthcare-associated infections in intensive care units nurses (N=210)

^*The nursing practices for controlling healthcare-associated infections.

Abbreviation: SD, Standard Deviation.

Table 2

Individual and organizational characteristics related with nursing practices for control of healthcare-associated infections in participants (N=210)

^*Educational experience of the nursing practices for controlling healthcare-associated infections.

Table 3

Knowledge of the nursing practices for controlling healthcare-associated infections in intensive care units nurses as individual characteristics

Total: M±SD of number of correct answers among 25 total items.

Abbreviation: See Table 1.

Table 4

Recognition of the nursing practices for controlling healthcare-associated infections in intensive care units nurses as individual characteristics (N=210)

Table 5

Attitude of the nursing practices for controlling healthcare-associated infections in intensive care units nurses as individual characteristics (N=210)

Table 6

Nursing culture of the nursing practices for controlling healthcare-associated infections in intensive care units nurses as organizational characteristics (N=210)

Table 7

Workload burden regarding the nursing practices for controlling healthcare-associated infections in intensive care units nurses as organizational characteristics (N=210)

Table 8

Differences in the nursing practices for controlling healthcare-associated infections in intensive care units nurses (N=210)

Table 9

Correlation of the nursing practices for controlling healthcare-associated infections in intensive care units nurses as individual and organizational characteristics

^*The nursing practices for controlling healthcare-associated infections. ^†Workload burden due to the nursing practices for controlling healthcare-associated infections. ^‡Nursing culture for the nursing practices for controlling healthcare-associated infections. ^§Attitude of the nursing practices for controlling healthcare-associated infections. ^∥Recognition of the nursing practices for controlling healthcare-associated infections. ^¶Knowledge of the nursing practices for controlling healthcare-associated infections.

Table 10

Influencing factors on nursing practices associated with the controlling healthcare-associated infections among the nurses working in intensive care units (N=210)

^*Knowledge of the nursing practices for controlling healthcare-associated infections. ^†Recognition of the nursing practices for controlling healthcare-associated infections. ^‡Attitude of the nursing practices for controlling healthcare-associated infections. ^§Nursing culture for the nursing practices for controlling healthcare-associated infections.

Model I: Adjusted R²=.103 (F=5.854, P<.001).

Model II: Adjusted R²=.498 (F=28.663, P<.001).

Model III: Adjusted R²=.561 (F=28.351, P<.001).

References group: Work experience: more than 10 years, Work place: combined intensive care unit.

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