Korean J healthc assoc Infect Control Prev.  2020 Dec;25(2):137-145. 10.14192/kjicp.2020.25.2.137.

Educational Needs of Infection Control Nurses in Long-term Care Hospitals in Korea

• Kim OS
• Jeong SY
• Kim KM

• KMID: 2510139
• DOI: http://doi.org/10.14192/kjicp.2020.25.2.137

Abstract

Background
This study was conducted to identify the educational needs of infection control nurses (ICNs) in long-term care hospitals and to develop educational programs that reflect their needs.
Methods
This was a descriptive survey. The participants were 104 ICNs in long-term care hospitals. Data were collected between June and August 2019. A paired t-test was used to compare differences between the importance and knowledge of infection control. Educational needs were analyzed by applying the Borich needs assessment model.
Results
The contents of infection control education were judged important for all 43 items with scores of 8.5 or higher. The level of educational needs was followed by microbiology, ICNs’ role and function, and antimicrobial-resistant bacteria management, when the Borich formula of the Borich needs assessment model was applied. When applying the locus for focus model, there were high educational needs for isolation precautions, environmental management of isolation rooms, use of personal protective equipment, infection control of healthcareassociated pathogens, management of antibacterial-resistant bacteria, and tuberculosis infection control.
Conclusion
Based on this study, developing and operating education programs that are suitable for the characteristics of nursing hospitals will help increase the infection control capabilities of long-term care hospital ICNs.

Keyword

Long-term care; Hospitals; Infection control; Nurses; Education

Figure

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  Fig. 1 Infection control education contents priority using The Locus for Focus Model. 1. Composition and role of infection con­trol committee, 2. Role and function of infection control department, 3. Role and function of infection control nurse, 4. Major micro­organisms causing infection, 5. Microbiological test, 6. Standard precatution, 7. Transmission based precaution, 8. Management of isolation room, 9. Personal protective equipment, 10. MRSA infection control, 11. VRE infection control, 12. Infection control of other antimicrobial resistant organisms, 13. Tuberculosis infection control, 14. Influenza infection control, 15. Scabies infection control, 16. Infection control program for employee, 17. Immunization program, 18. Management of exposure to infectious diseases, 19. Management of exposure to blood and body fluid, 20. Definition of HAIs, 21. Diagnosis of HAIs, 22. Surveillance of HAIs and re­porting, 23. Bacteremia, 24. Peumonia, 25. Urinary tract infection, 26. Infection control of endoscopy unit, 27. Infection control of dialysis unit, 28. Infection control of intensive care unit, 29. Infection control of rehabilitation services, 30. Notifiable disease and reporting, 31. Classification and selection of disinfectants of instruments, 32. Cleaning, disinfection and sterilization, 33. Management of sterilizer and sterile items, 34. Hand hygiene, 35. Hand hygiene monitoring, 36. Hand hygiene promotion activities, 37. Clean/contamination area management, 38. Laundry management, 39. Waste management, 40. Infecion control program planing, 41. Reporting system of infection control, 42. Risk management, 43. Reporting.

Reference

1. Kim OS, Jeong SY, Kim JY, So YR. 2018; Status of infection control and educational needs of nurses in long term care facilities in Korea. Korean J Rehabil Nurs. 21:1–11. DOI: 10.7587/kjrehn.2018.1.

2. KOSIS. Status of long term care facilities by province. http://kosis.kr/statHtml/statHtml.do?orgId=350&tblId=TX_35003_A002 . Updated on 29 November 2019.

3. Lee DH, Lee JS. 2012; Long term care center and geriatric illness. Korean J Clin Ger. 13:133–52.

4. Gaspard P, Mosnier A, Simon L, Ali-Brandmeyer O, Rabaud C, Larocca S, et al. 2019; Gastroenteritis and respiratory infection outbreaks in French nursing homes from 2007 to 2018: morbidity and all-cause lethality according to the individual characteristics of residents. PLoS One. 14:e0222321. DOI: 10.1371/journal.pone.0222321. PMID: 31550261. PMCID: PMC6759171.

5. Parrón I, Álvarez J, Jané M, Cornejo Sánchez T, Razquin E, Guix S, et al. 2019; A foodborne norovirus outbreak in a nursing home and spread to staff and their household contacts. Epidemiol Infect. 147:e225. DOI: 10.1017/S0950268819001146. PMID: 31364566. PMCID: PMC6625192.

6. Mor Z, Nuss N, Savion M, Nissan I, Lidji M, Maneshcu S, et al. 2018; Tuberculosis outbreak in a nursing home involving undocumented migrants and Israeli citizens. Isr J Health Policy Res. 7:36. DOI: 10.1186/s13584-018-0219-y. PMID: 30007410. PMCID: PMC6046096.

7. Jeong SY, Kim OS, Choi JH, Lee SJ. 2018; Infection control tasks, difficulties, and educational needs of infection con­trol practitioners in long term care facilities in Korea. Heal­th Soc Welfare Rev. 38:331–62. DOI: 10.15709/hswr.2018.38.3.331.

8. Korea Ministry of Government Legislation. Medical law enforcement regulation article 46. Operation of infection control office, etc. http://www.law.go.kr/%EB%B2%95%EB%A0%B9/%EC%9D%98%EB%A3%8C%EB%B2%95%20%EC%8B%9C%ED%96%89%EA%B7%9C%EC%B9%99 . Updated on 24 April 2020.

9. Kim KM, Choi JS. 2014; Factors affecting core competencies among infection control nurses in Korea. Korean J Adult Nurs. 26:11–21. DOI: 10.7475/kjan.2014.26.1.11.

10. Herzig CT, Stone PW, Castle N, Pogorzelska-Maziarz M, Larson EL, Dick AW. 2016; Infection prevention and control programs in US nursing homes: results of a national survey. J Am Med Dir Assoc. 17:85–8. DOI: 10.1016/j.jamda.2015.10.017. PMID: 26712489. PMCID: PMC4696513.

11. Kim YJ, Park JS. 2017; Survey on infection control status and perceived importance of ICP (infection control practitioner) in long term care hospital. J Korea Acad Industr Coop Soc. 18:446–75.

12. Korea Centers for Disease Control and Prevention. 2018. Korean antimicrobial resistance monitoring system: KARMS 2016 annual report. Korea Centers for Disease Control and Prevention;Cheongju: 53–6.

13. Hammerschmidt J, Manser T. 2019; Nurses' knowledge, behaviour and compliance concerning hand hygiene in nursing homes: a cross-sectional mixed-methods study. BMC Health Serv Res. 19:547. DOI: 10.1186/s12913-019-4347-z. PMID: 31382968. PMCID: PMC6683349.

14. Oh HS. 2019; Knowledge, perception, performance, and attitude regarding hand hygiene and related factors among infection control nurses in South Korea: a cross-sectional study. Am J Infect Control. 47:258–63. DOI: 10.1016/j.ajic.2018.09.006. PMID: 30415804. PMCID: PMC7124298.

15. Cha KS, Ko JW, Han SH, Jung KH. 2018; A survey of nurses' hand hygiene knowledge, perception and hand hygiene performance rate. J Korean Crit Care Nurs. 11:101–9.