Dongsan Medical Center, Division of Nursing, Keimyung University, Daegu 42601, Korea.
Department of Nursing, Keimyung University, Daegu 42601, Korea.
Int J Environ Res Public Health. 2021 Jun 7;18(11):6149. doi: 10.3390/ijerph18116149.
Standard precautions protect patients and nurses from infection. Nevertheless, compliance with standard precautions is lower among emergency department nurses than other nurses. We examined the individual and organizational factors that influence emergency department nurses' compliance with standard precautions via a cross-sectional study. A self-reported questionnaire survey was administered to 140 nurses working in nine emergency departments in South Korea. It included items regarding ethical awareness and standard precaution self-efficacy at the individual level as well as safety environment, organizational culture for infection control, and degree of compliance with standard precautions at the organizational level. Individual and organizational predictors were identified using a multilevel analysis. The results indicated that 81.1% of nurses' compliance with standard precautions was influenced by individual differences, while only 18.9% was influenced by organizational differences. Individual- and organizational-level predictors explained 46.7% and 55.4% of the variance in emergency department nurses' compliance with standard precautions, respectively. Emergency department nurses' compliance with standard precautions was predicted by ethical awareness and standard precaution self-efficacy at the individual level and by organizational culture for infection control at the organizational level. Our findings provide evidence for the need to improve facilities and human resource management as well as the organizational culture for infection control.
标准预防措施可保护患者和护士免受感染。然而，与其他科室的护士相比，急诊科护士的标准预防措施依从性较低。我们通过横断面研究，考察了影响急诊科护士标准预防措施依从性的个体和组织因素。在韩国的 9 个急诊科，对 140 名护士进行了自我报告的问卷调查，内容包括个体层面的伦理意识和标准预防自我效能，以及组织层面的安全环境、感染控制组织文化和标准预防措施的依从程度。采用多水平分析确定个体和组织的预测因素。结果表明，81.1%的护士标准预防措施的依从性受个体差异影响，而只有 18.9%受组织差异影响。个体和组织水平的预测因素分别解释了急诊科护士标准预防措施依从性的 46.7%和 55.4%的变异性。个体层面的伦理意识和标准预防自我效能以及组织层面的感染控制组织文化可以预测急诊科护士的标准预防措施依从性。我们的研究结果为改善设施和人力资源管理以及感染控制的组织文化提供了证据。
