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Original Article

Korean J healthc assoc Infect Control Prev 2018; 23(2): 39-52

Published online December 31, 2018 https://doi.org/10.14192/kjhaicp.2018.23.2.39

Copyright © Korean Society for Healthcare-associated infection Control and Prevention

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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

Received: April 27, 2018; Revised: July 12, 2018; Accepted: October 17, 2018

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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

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