影响韩国医院环境中护士遵守标准预防措施的因素。
Factors influencing the adherence of nurses to standard precautions in South Korea hospital settings.
机构信息
The UVIS Hospital, Incheon, South Korea.
Gachon University College of Nursing, Incheon, South Korea.
出版信息
Am J Infect Control. 2019 Nov;47(11):1346-1351. doi: 10.1016/j.ajic.2019.05.015. Epub 2019 Jul 16.
Abstract
BACKGROUND
Standard precautions (SPs) serve as the first line of defense against exposure to blood and body fluids. The objective of this study was to explore the adherence of nurses to SPs and to identify factors influencing adherence to SPs.
METHODS
This study was an exploratory cross-sectional survey. A total of 339 nurses from 9 general hospitals and 3 tertiary hospitals located in 3 South Korean cities were selected. Hierarchical regression was used to examine the effects of sociodemographic, individual, and institutional factors.
RESULTS
A higher, or positive, attitude was the strongest influencing factor in adherence to SPs in the final model, followed by administrative support, hospital types, and safety climate, in descending order. These 4 variables accounted for 26.0% of the variance in adherence to SPs.
CONCLUSIONS
The attitudes of nurses toward SPs is important for increasing the adherence to SP best practices. The adherence of nurses to SPs will improve if safe environments are created in different hospital types and if managerial support and administrative efforts are supportive and sustained.
摘要
背景
标准预防措施 (SPs) 是防止接触血液和体液的第一道防线。本研究旨在探讨护士对 SPs 的遵守情况，并确定影响 SPs 遵守情况的因素。
方法
这是一项探索性的横断面调查。从韩国 3 个城市的 9 家综合医院和 3 家三级医院中选择了 339 名护士。采用分层回归分析社会人口学、个体和机构因素的影响。
结果
在最终模型中，较高（或积极）的态度是遵守 SPs 的最强影响因素，其次是行政支持、医院类型和安全氛围，依次递减。这 4 个变量解释了遵守 SPs 行为的 26.0%的差异。
结论
护士对 SPs 的态度对于提高 SP 最佳实践的遵守非常重要。如果在不同类型的医院中营造安全的环境，并且管理支持和行政努力是支持和持续的，那么护士对 SPs 的遵守情况将会得到改善。
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