Division of Nursing, Chung-Ang University Hospital, Seoul 06974, Korea.
Red Cross College of Nursing, Chung-Ang University, Seoul 06974, Korea.
Int J Environ Res Public Health. 2019 Nov 27;16(23):4744. doi: 10.3390/ijerph16234744.
Standard precautions should be applied to prevent health care-associated infections during every nursing activity. However, adherence to standard precautions was reported to be inadequate. Therefore, this study aimed to identify the rates of standard precaution adherence and the association between perception of patient safety management and standard precaution adherence. In this cross-sectional descriptive study, a convenience sample of nurses was recruited from a university-affiliated teaching hospital in Seoul, Korea. Data were collected using a structured self-report questionnaire. Among the 332 questionnaires returned (response rate: 94.9%), a total of 329 nurses were analyzed. In the present study, the overall standard precaution adherence rate was approximately 53.5%. The multiple linear regression results revealed that participants' perceptions of patient safety management were only significantly associated with standard precaution adherence after adjusting other covariates ( = 0.412, < 0.001). Nurse supervisors should focus more on raising awareness about nurses' perception of patient safety management based on the specific work environment, such as the total number of nurses working together and the nurse-to-patient ratio. Nurse educators should develop integrated curricula to help graduate nurses transition smoothly into professional practice and enhance adherence to standard precautions in diverse health care settings.
标准预防措施应应用于每一项护理活动,以预防医源性感染。然而,据报道,标准预防措施的实施并不充分。因此,本研究旨在确定标准预防措施的实施率,并探讨对患者安全管理的认知与标准预防措施实施之间的关系。本研究采用横断面描述性研究方法,从韩国首尔的一所大学附属医院中抽取便利样本,选取护士作为研究对象。采用结构自陈式问卷收集数据。共发放 332 份问卷(应答率为 94.9%),最终对 329 名护士进行了分析。本研究中,标准预防措施的总体实施率约为 53.5%。多线性回归结果显示,在调整其他协变量后,护士对患者安全管理的认知仅与标准预防措施的实施显著相关(β=0.412,<0.001)。护士长应更加关注根据特定工作环境(如共同工作的护士总数和护士与患者的比例)提高护士对患者安全管理的认知。护理教育者应制定综合课程,帮助毕业护士顺利过渡到专业实践,并在各种医疗保健环境中增强对标准预防措施的实施。