護理主管對感染管制認知、態度與行為及其相關因素探討

A Survey of the Facotrs Associated with Cognition, Attitude, and Behavior of Nursing Administrators in Infection Control

莊慧瑛(Hui-Ying Chuang) ； 蔡鎮吉(Chen-Chi Tsai) ； 賴重彰(Chorng-Jang Lay) ； 黃雪莉(Hsueh-li Huang) ； 劉波兒(Po-Erh Liu)

《感染控制雜誌》 21卷3期 (2011/06) Pp. 157-166

https://doi.org/10.6526/ICJ.201106_21(3).0002

摘要

In a hospital, nurses are the first-line members involved in controlling infection, and nursing administrators are directors of that daily practice. The purpose of this study was to explore the relevant factors and relationships of cognition, attitude, and behavior among the nursing administrators while controlling infection. The research design involved a cross-sectional questionnaire survey in the four hospitals assessed above the level of regional hospital, from June to August 2008. We sent out 160 questionnaires, 150 of which were returned. The rate of return was 93.8% and 149 of the returned questionnaires were valid. This study showed that the nursing administrators had poor cognition regarding disinfection and precautionary procedures for avian flu. Nearly all of them considered infection control as important but not sufficiently convenient to be executed. The nursing administrators of the regional hospital and those with little concern for teaching infection control programs had worse scores on attitude questionnaires. Those administrators with experience of less than 1 year had worse scores on behavior questionnaires. On analysis with Pearson's product-moment correlation, it was found that cognition can affect attitude, and that attitude can in turn affect behavior. However, cognition does affect behavior directly. This research suggests that the transformation from cognition to attitude is most important for strengthening behavior in infection control. For the nursing administrators with experience of less than 1 year, special guidance or supervising may be needed to improve their behavior in infection control. With the help of nursing administrators, infection control can be an everyday practice, promoting the quality of medical care in hospitals.

關鍵字

護理主管 ； 感染管制 ； 行為 ； 態度 ； 認知

並列摘要

In a hospital, nurses are the first-line members involved in controlling infection, and nursing administrators are directors of that daily practice. The purpose of this study was to explore the relevant factors and relationships of cognition, attitude, and behavior among the nursing administrators while controlling infection. The research design involved a cross-sectional questionnaire survey in the four hospitals assessed above the level of regional hospital, from June to August 2008. We sent out 160 questionnaires, 150 of which were returned. The rate of return was 93.8% and 149 of the returned questionnaires were valid. This study showed that the nursing administrators had poor cognition regarding disinfection and precautionary procedures for avian flu. Nearly all of them considered infection control as important but not sufficiently convenient to be executed. The nursing administrators of the regional hospital and those with little concern for teaching infection control programs had worse scores on attitude questionnaires. Those administrators with experience of less than 1 year had worse scores on behavior questionnaires. On analysis with Pearson's product-moment correlation, it was found that cognition can affect attitude, and that attitude can in turn affect behavior. However, cognition does affect behavior directly. This research suggests that the transformation from cognition to attitude is most important for strengthening behavior in infection control. For the nursing administrators with experience of less than 1 year, special guidance or supervising may be needed to improve their behavior in infection control. With the help of nursing administrators, infection control can be an everyday practice, promoting the quality of medical care in hospitals.

並列關鍵字

Nursing administrator ； infection control ； knowledge ； attitude ； behavior