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

TOOLS

Journal List > Korean J Healthc Assoc Infect Control Prev > v.23(2) > 1110774

Go to TopGo to Top Go to BottomGo to Bottom

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.

References

1. KCDC. Guidelines for prevention and control of Healthcare associated infection. Updated on 27 August 2018. http://www.cdc.go.kr/CDC/together/CdcKrTogether0302.jsp?menuIds=HOME006-MNU2804-MNU3027-MNU2979&fid=10713&q_type=&q_value=&cid=138061&pageNum=1.

2. World Health Organization. WHO guidelines on hand hygiene in health care [Internet]. Geneva: World Health Organization;2009. Updated on 2017 December 15. http://www.who.int/gpsc/5may/tools/9789241597906/en/.

3. Cho SH, Hwang JH, Kim YM, Kim JS. [Variations in nurse staffing in adult and neonatal intensive care units]. J Korean Acad Nurs. 2006; 36:691–700.

4. Adegboye MB, Zakari S, Ahmed BA, Olufemi GH. Knowledge, awareness and practice of infection control by health care workers in the intensive care units of a tertiary hospital in Nigeria. Afr Health Sci. 2018; 18:72–78.

5. Choi JH. Hospital infection control. 2nd ed. Seoul: Hyunmoon;2012. p. 281–293.

6. KONIS. Healthcare-associated infections in hospital settings, South Korea, 2006–2016. Updated on 24 August 2017. http://www.cdc.go.kr/CDC/info/CdcKrInfo0301.jsp?menuIds=HOME006-MNU3003-MNU2950-MNU2951&cid=75928.

7. Harbarth S, Sax H, Gastmeier P. The preventable proportion of nosocomial infections: an overview of published reports. J Hosp Infect. 2003; 54:258–266.

8. Ban KO. The effectiveness of an evidencebased nursing care program to reduce ventilator-associated pneumonia in a Korean ICU. Intensive Crit Care Nurs. 2011; 27:226–232.

9. Jeong IS, Park SM, Lee JM, Song JY, Lee SJ. Effect of central line bundle on central line-associated bloodstream infections in intensive care units. Am J Infect Control. 2013; 41:710–716.

10. Hong MH, Park JY. [Nurses' perception of accreditation, awareness and performance of infection control in an accredited healthcare system]. J Korean Acad Nurs Adm. 2016; 22:167–177.

11. Noritomi DT, Chierego M, Byl B, Menestrina N, Carollo T, Struelens M, et al. Is compliance with hand disinfection in the intensive care unit related to work experience? Infect Control Hosp Epidemiol. 2007; 28:362–364.

12. Suh YH, Oh HY. [Knowledge, perception, safety climate, and compliance with hospital infection standard precautions among hospital nurses]. J Korean Clin Nurs Res. 2010; 16:61–70.

13. Buffet-Bataillon S, Leray E, Poisson M, Michelet C, Bonnaure-Mallet M, Cormier M. Influence of job seniority, hand hygiene education, and patient-to-nurse ratio on hand disinfection compliance. J Hosp Infect. 2010; 76:32–35.

14. Moon JE, Jang KS. The performance of healthcare-associated infection control guideline among hospital nurses: a structural equation model. Iran J Public Health. 2018; 47:648–657.

15. Takahashi I, Turale S. Evaluation of individual and facility factors that promote hand washing in aged-care facilities in Japan. Nurs Health Sci. 2010; 12:127–134.

16. Galletta M, Portoghese I, D'Aloja E, Mereu A, Contu P, Coppola RC, et al. Relationship between job burnout, psychosocial factors and health care-associated infections in critical care units. Intensive Crit Care Nurs. 2016; 34:51–58.

17. Timen A, Hulscher ME, Rust L, van Steenbergen JE, Akkermans RP, Grol RP, et al. Barriers to implementing infection prevention and control guidelines during crises: experiences of health care professionals. Am J Infect Control. 2010; 38:726–733.

18. Faul F, Erdfelder E, Buchner A, Lang AG. Statistical power analyses using G*Power 3.1: tests for correlation and regression analyses. Behav Res Methods. 2009; 41:1149–1160.

19. Kim EJ, Kwak YG, Park SH, Kim SR, Shin MJ, Yoo HM, et al. Trends in device utilization ratios in intensive care units over 10-year period in South Korea: device utilization ratio as a new aspect of surveillance. J Hosp Infect. 2018; 100:e169–e177.

20. Cho GL, Choi JS. [Knowledge of and compliance with standard precautions by nurses in intensive care unit]. J Korean Acad Fundam Nurs. 2010; 17:73–81.

21. Kim JH, Lim KH. [The factors influencing compliance of multidrug-resistant organism infection control in intensive care units nurses]. Korean J Adult Nurs. 2015; 27:325–336.

22. Lee K, Kim H, Lee YW, Ham OK. [Factors influencing compliance with standard precautions in intensive care unit and emergency room nurses]. J Korean Acad Fundam Nurs. 2012; 19:302–312.

23. Aloush SM. Does educating nurses with ventilator-associated pneumonia prevention guidelines improve their compliance? Am J Infect Control. 2017; 45:969–973.

24. Carter EJ, Pouch SM, Larson EL. Common infection control practices in the emergency department: a literature review. Am J Infect Control. 2014; 42:957–962.

25. Labeau SO, Vandijck DM, Rello J, Adam S, Rosa A, Wenisch C, et al. Centers for Disease Control and Prevention guidelines for preventing central venous catheter-related infection: results of a knowledge test among 3405 European intensive care nurses. Crit Care Med. 2009; 37:320–323.

TOOLS

Similar articles