노인요양시설 간호사와 간호조무사의 손 위생 수행 영향요인

Abstract

Purpose: This study was performed to identify hand hygiene compliance factors of registered nurses and nurse aids in long-term care facilities. Methods: This descriptive and cross-sectional study was surveyed 128 participants including 78 registered nurses and 50 nurse aids who worked for more than 3 months from 46 long-term care facilities. Data was collected from October 1st to December 30th. The hand hygiene compliance was calculated 'the number of conducted hand hygiene at five moments' out of 'number of chance to conduct hand hygiene at five moments' multiplied 100 which is written by participants. The hand hygiene knowledge, perception, and infrastructure were measured by using the World Health Organization(WHO) hand hygiene knowledge, perception, and infrastructure tool(2009). Hand hygiene knowledge and perception were translated to Korean by Park & Kim(2012) and hand hygiene infrastructure was translated to Korean by Korea Disease Control and Prevention Agency(2014). Data were analyzed using independent t-test, one-way ANOVA, Spearman's rank correlations coefficients, and multiple linear regression using SPSS version 25.0. Results: 1. The hand hygiene compliance rate was 78.85±25.77%. The mean score of hand hygiene knowledge was 13.55±2.21points out of 25points. the hand hygiene perception means the score was 73.41±11.65points out of total of 96points. The mean score infrastructure of infrastructure was 32.42±5.18 points out of 40points. There was no statistical difference of hand hygiene knowledge, perception, and infrastructure score between registered nurses and nurse aids. 2. The hand hygiene compliance had a positive correlation with the hand hygiene perception(r=0.177, p=0.045) and the hand hygiene infrastructure(r=0.194, p=0.028). 3. Factors influencing the hand hygiene compliance of registered nurses and nurse aids were the hand hygiene infrastructure(β=0.223, p=0.042), and working in a special unit(β=0.221, p=0.013), which explained 5.9% of the total variance(F=2.584, p=0.029). Conclusion: Hand hygiene compliance was affected by hand hygiene infrastructure and working unit. Based on the results of this study, expanding the hand hygiene infrastructure and adequate nursing staffing in long-term care facilities are suggested to improve hand hygiene compliance.