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 Original Articles |
| A Survey on the Nurses' Level of Perceived Importance and on the Level of Performance on Measures Taken for the Prevention of Nosocomial Infection |
| Suck Hee Yoon, Chai Won Kang, Moung Ock Kim, Yong Soon Kim, Mee Soo Jurn |
| Member, Academic Committee, of the Korean Clinical Nurses' Association, Seoul, Korea |
Vol.24 Num.1 (p13~27)
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Mordern hospital is a place where patients with highly contagious disease as well as those highly susceptible to infections congregate.
Nurses are the ones responsible in the hospitals for preparation and management of the diagnostic, thrapeutic instruments, variaties of patient care supplies and utensils.
In order to development guidline for staff development and educational programs for nurses in preeventing noscomial infection, a 68-items, 5 point likert type tentative guidline is made on six nurse performance categories: "hand washing", "management and patient's clothes", "hospital house-keeping and environment control" and "handling of contaminated equipment and instrument".
The tentative guidline is used to assess nurses' on the perceived importance scores and on the performance scores on prevention of nosocomial infection and the disparity between the two scores.
Data were gethered from June. 25. through July. 16. from 347 convincedly sampled registerd nurses.
Result are summarized as follows;
1) The average perceived importance score(4.49), revealed to be significantly (P<.001) higher than that of performance score(4.17).
2) The highest perceived improtance score and performance score among the 6 nurse performance categories revealed to be "Administation of medication"(4.63, 4.36) followed by "sterilization and handling of aseptic supplies(4.58). The 3rd highest perceived importance scores revealed to be "hospital house-keeping and environment control"(4.57) where the 3rd highest performance score was "hand washing"(4.27).
The lowest perceived importance scores reveled to be "management and patient's clothes"(4.27) where the lowest performance scores was "hospital house-keeping and environment control"(3.96).
3) No significant difference was revealed in perceived importance and performance scores between ICU and non-ICU nurses. However among the perceived importance scores of the 6 categories; "hand washing" scores of ICU(4.48), nurses revealed to be significantly (p<0.034) higher then that of non-ICU nurses(4.40). Performance scores of ICU nurses on "handling contaminated instrument"(4.47) revealed to be significantly (p<0.001) higher than that non-ICU nurses(4.40).
4) The mean perceived importance and performance scores significantly differed to subject's age (p<0.0001, p<0.0315), and the length of clinical experience (p<0.0001, p<0.0067) respectively.
The older and the longer in the clinical experience revealed the higher scores.
5) The mean perceived importance scores of 4-nurse performance categories significantly differed according to subject's age; that 3 categories significantly differed according to subject's nursing position; all 6 categories significantly differed according to the length of clinical experience. The older, the higher in the nursing position and the longer the clinical experience reveled to be more concerned about the importance of preventive measures.
6) The mean performance scores of 1 to 4 nurse performance categories significantly differed according to subject's age, type of nursing education program, clinical specialty, length of clinical experience, as well as the hospital governing body.
Recommendations;
1) As the disparity between the level of perceived importance and the level of performance on prevention of nosocomial infection has been assessed, further investigation of preventive measure by nurses are recommended.
2) As the disparities are particularly significant according to age, length of clinical experience, nursing position, special emphasis on prevention of noscomial infection, staff development programs for the newly employed, younger nurses be developed.
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