Park Yoonjeong, Choi Seunghye
Intensive Care Nursing Department, Gachon University Gil Medical Center, 21, Namdong-daero, Yeonsu-gu, Incheon 21565, Republic of Korea.
College of Nursing, Gachon University, 191 Hambakmoero, Yeonsu-gu, Incheon 21936, Republic of Korea.
Healthcare (Basel). 2025 Apr 24;13(9):988. doi: 10.3390/healthcare13090988.
BACKGROUND/OBJECTIVES: This descriptive study investigated the influence of intensive care unit (ICU) nurses' knowledge and perception of the importance of patient safety management, nursing professionalism, and infection control organizational culture on the direct and indirect performance of centrally inserted central catheter (CICC) infection control. Direct performance encompasses immediate infection control interventions administered to patients, whereas indirect performance constitutes physician communication and documentation protocols.
A structured questionnaire was used to survey 176 ICU nurses from a tertiary hospital in Korea.
There were no significant differences in CICC infection control performance according to participants' general characteristics. The direct performance of CICC infection control showed a significant positive correlation with clinical experience ( = 0.006), ICU work experience ( = 0.020), the perception of the importance of patient safety management ( < 0.001), nursing professionalism ( < 0.001), and infection control organizational culture ( < 0.001). The indirect performance of CICC infection control did not show any significant correlation with participants' general characteristics; however, it showed significant positive correlations with the perception of the importance of patient safety management ( < 0.001), nursing professionalism ( < 0.001), and infection control organizational culture ( < 0.001). The factors affecting the direct performance of CICC infection control were the perception of the importance of patient safety management and infection control organizational culture. The perception of the importance of patient safety management affected the indirect performance of CICC infection control.
To enhance overall infection control performance among ICU nurses, it is crucial to raise the perception of the importance of patient safety management and implement systematic strategies targeting both the direct and indirect performance of CICC infection control. Healthcare institutions should establish more detailed guidelines distinguishing between direct and indirect performance of CICC infection control and continuously educate ICU nurses on the importance of compliance with both aspects.
背景/目的：本描述性研究调查了重症监护病房（ICU）护士对患者安全管理重要性的知识和认知、护理专业性以及感染控制组织文化对中心静脉导管（CICC）感染控制直接和间接绩效的影响。直接绩效包括对患者实施的即时感染控制干预措施，而间接绩效则包括与医生的沟通和文件记录规程。
采用结构化问卷对韩国一家三级医院的176名ICU护士进行调查。
根据参与者的一般特征，CICC感染控制绩效无显著差异。CICC感染控制的直接绩效与临床经验（=0.006）、ICU工作经验（=0.020）、对患者安全管理重要性的认知（<0.001）、护理专业性（<0.001）以及感染控制组织文化（<0.001）呈显著正相关。CICC感染控制的间接绩效与参与者的一般特征无显著相关性；然而，它与对患者安全管理重要性的认知（<0.001）、护理专业性（<0.001）以及感染控制组织文化（<0.001）呈显著正相关。影响CICC感染控制直接绩效的因素是对患者安全管理重要性的认知和感染控制组织文化。对患者安全管理重要性的认知影响了CICC感染控制的间接绩效。
为提高ICU护士的整体感染控制绩效，提高对患者安全管理重要性的认知并针对CICC感染控制的直接和间接绩效实施系统策略至关重要。医疗机构应制定更详细的指南，区分CICC感染控制的直接和间接绩效，并持续对ICU护士进行关于遵守这两方面重要性的教育。
