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Journal of Korean Critical Care Nursing 2018;11(1):89-100.
Published online February 28, 2018.

중환자실간호사의 다제내성균 감염관리지침 수행에 영향을 미치는 요인에 관한 경로 분석 ; 계획된 행위이론과 환자안전문화를 중심으로
구지은, 하이경, 황수호, 공경희
1부산대학교병원 응급중환자실
2부산대학교 간호대학
3부산대학교병원 응급중환자실
Path Analysis of Performance of Multidrug-Resistant Organisms Management Guidelines among Intensive Care Unit Nurses : With Focus on the Theory of Planned Behavior and Patient Safety Culture
Ji Eun Gu, Yi Kyung Ha, Su Ho Hwang, Kyung Hee Gong
1Staff Nurse, Emergency Intensive Care Unit, Pusan National University Hospital, Pusan, Korea.
2Assistant Professor, College of Nursing, Pusan National University, Yangsan, Korea. highk@pusan.ac.kr
3Unit Manager, Emergency Intensive Care Unit, Pusan National University Hospital, Pusan, Korea.
Abstract
PURPOSE
The purpose of this study was to analyze factors influencing the adherence to guidelines for intensive care unit (ICU) nurses to control infections due to multidrug-resistant organisms (MDRO).
METHOD
Participants were 194 ICU nurses at 3 university hospitals. Questions for the survey inquired about attitude, subjective norms, perception of patient safety culture to carry out MDRO management guidelines, perceived behavior control (PBC), and intention, based on the theory of planned behavior. Path analysis were utilized.
RESULTS
The path analysis presented that PBC, perception of patient safety culture, and intent had a direct effect on MDRO management guidelines. Attitude towards following the manual did not have any correlation. The hypothetical model based on the theory of planned behavior was revealed as applicable; the degree of the variance in explaining adherence to the manual was 23 %, and the variance in explaining intention to fulfill the manual was 33 %.
CONCLUSION
The results of this study suggest that we should develop a program to improve PBC to increase adherence to MDRO management guidelines. ICU nurses' perceptions of patient safety culture should also be surveyed.
Key Words: Intensive care units, Nurses, Infection control, Patient safety, Multidrug-resistant organisms
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