Perspect Nurs Sci.  2017 Apr;14(1):1-9. 10.16952/pns.2017.14.1.1.

Perception and Inner Struggle Experienced by Nursing Students in Relation with Infection Management through Observation and Performance of Infection Control Activities

• Kim MY
• Kim M
• Kim J
• Maeng J
• Park S
• Son J

• KMID: 2377962
• DOI: http://doi.org/10.16952/pns.2017.14.1.1

Abstract

PURPOSE
To study the internal psychological conflicts among nursing students during an infection control protocol carried out in the hospital by measuring their observation skills and performance during clinical training.
METHODS
Investigation of both pre- and post- infection control was conducted using questionnaires for clinical infection practices. We identified and evaluated the students' observation skills, clinical performance, clinical perception, and internal conflict regarding clinical infection control. We also interviewed the students as part of our study.
RESULTS
Among parameters such as clinical performance, observation skills, clinical perception, and internal conflict, the average observation skills (t=5.49, p<.001) were significantly lower, while internal conflict among students (t=−7.23, p<.001) was significantly higher than expected prior to clinical training. Generally, there was a negative correlation between observation skills and internal conflict in every aspect of infection control practice (r=−.281, p=.031). Internal conflict was significantly higher than expected in the context of hand hygiene (t=−2.135, p=.037), personal hygiene (t=−3.48, p=.002), and ventilator management (t=−3.69, p<.001). Clinical performance of students in the context of hand hygiene (t=4.69, p<.001), personal hygiene (t=2.06, p=.044), and ventilator management (t=2.68, p<.001) was significantly lower than expected prior to clinical training.
CONCLUSION
Our findings showed that internal psychological conflict is higher when infection control practices are observed or performed to a lesser degree. Therefore, reinforcing education regarding infection control among students, such as developing a systematic program, or consecutive training and monitoring, is suggested.

Keyword

Conflict; Infection; Practice; Nursing student

MeSH Terms

Clinical Competence
Education
Hand Hygiene
Humans
Hygiene
Infection Control*
Nursing*
Students, Nursing*
Ventilators, Mechanical

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