임상병리사의 병원감염관리에 대한 인지도 및 수행도와 관련요인

Abstract

A Study on the Recognition and Performance of Nosocomial Infection among the Medical Technologists

Baek, Eun-Ja Advisor : Choi, Seong-Woo Department of Public Health Graduate School of Public Health, Chosun University

This study was conducted to investigate recognition and performance of nosocomial infection among the medical technologists working in hospitals (having 30 or more sickbeds) located in the City of Gwangju, to understand the current nosocomial infection management status, and to analyze the related factors in order to provide fundamental data for prevention of nosocomial infection and to help improve nosocomial infection management. A questionnaire survey was conducted with a total of 205 subjects between June 25 and August 25 in 2013. This study was conducted with self-reporting questionnaires with regard to nosocomial infection management. The questionnaire included a total of 99 questions including 12 questions about general characteristics, 7 questions about nosocomial infection management characteristics, 40 questions for the recognition of nosocomial infection, and 40 questions for the performance of nosocomial infection. The results obtained by collecting the questionnaires from the subjects are as follows. First, the results with respect to the correlation between the general characteristics of the subjects and the recognition and performance of nosocomial infection among the medical technologists showed that the recognition was significantly correlated with age, marriage, education, subjective health status, and number of sickbeds and the performance was significantly correlated with gender, age, marriage, education, subjective health status, working career, and number of sickbeds (p<0.05). Second, the results with respect to the correlation between nosocomial infection management characteristics and the recognition and performance of nosocomial infection showed that the recognition was significantly correlated with the department in charge of nosocomial infection, educational experience in infection management, access to information about patients’ disease, and nosocomial infection accident experience, and performance was significantly correlated with the department in charge of nosocomial infection, infection management guideline, educational experience in infection management, access to information about patients’ disease, and nosocomial infection accident experience (p<0.05). Third, the results with respect to the correlation between the six hospital infection management categories and the recognition and performance of nosocomial infection showed that ‘hand washing’ had the highest correlation with recognition and ‘cautions for bleeding’ had the highest correlation with performance. The average score for recognition (4.34 ±0.75) was higher than that of performance (4.23±0.87) in all categories. In addition, in all categories, because recognition was high, performance was also high, indicating that recognition and performance had a significant positive correlation with each other. Fourth, the variables affecting nosocomial infection management recognition Among these variables, those that showed significance were educational experience in infection management (p=0.004) and nosocomial infection accident experience (p=0.011). Fifth, the variables affecting nosocomial infection management performance were analyzed by including the whole hospital infection management recognition and the result showed that the variables having a significant correlation was educational experience in infection management (p=0.003), access to information about the patients’ disease (p=0.001), and the whole hospital infection recognition (p=<0.001). The results of this study indicate Thus, the variable affecting both recognition and performance was educational experience in infection management. Therefore, for effective nosocomial infection management, it is necessary to seek ways to increase performance to the level of recognition by means of cooperation and by the efforts of medical laboratory members. In addition, administrative support may be required to develop and conduct a continuous and systematic educational program for the improvement of nosocomial infection management recognition and performance.