OPINIONS, KNOWLEDGE, AND SELF-REPORTED PRACTICES RELATED TO INFECTION-CONTROL AMONG NURSING PERSONNEL IN LONG-TERM-CARE SETTINGS

被引:35
作者
ALVARAN, MS
BUTZ, A
LARSON, E
机构
[1] Jenkins Memorial Incorporated, Baltimore, MD
[2] The Johns Hopkins University School of Nursing, Baltimore, MD
[3] Georgetown University School of Nursing, Washington, DC
关键词
D O I
10.1016/0196-6553(94)90036-1
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background: Because educational needs of staff in long-term care facilities regarding infection control have, not been well studied, we conducted this study to measure long-term care staff members' knowledge, self-reported practices, and opinions about infection control and handwashing. Methods: A pilot study was conducted with 24 staff members of one long-term care facility to examine psychometric properties of study instruments. All nursing staff members (n = 105) from two additional long-term care facilities then completed a 14-item knowledge questionnaire, 22-item opinion survey, and 26-item survey of self-reported handwashing practices. Results: Respondents were predominantly female with mean age of 46 years; most had completed high school. Mean length of employment in the study facility was 12.4 years. Registered nurses and licensed practical nurses scored significantly higher on knowledge (p = 0.0002) but significantly lower on self-reported practices (p = 0.01) than did trained nursing assistants. There was no significant correlation between self-reported practices and opinions regarding handwashing (p = 0.55). Neither level of knowledge nor positive opinion about the value of handwashing was associated with self-reported increases in handwashing practices. Conclusion: We conclude that education alone is not likely to be associated with changes in handwashing behavior. Instruments developed and tested in this study can be used in further research to correlate self-reported with observed behavior and to evaluate the effects of interventions on knowledge, opinions, and self-reported handwashing behavior.
引用
收藏
页码:367 / 370
页数:4
相关论文
共 15 条
  • [1] US Bureau of the Census, Statistical abstract of the United States, (1990)
  • [2] Skipwith, Major community health problems of the older adult, Community health nursing, pp. 648-665, (1984)
  • [3] Larson, Edwards, Infections, Am J Gerontol Nurs, 12, pp. 17-22, (1986)
  • [4] Jackson, Fierer, Infections and infection risk in residents of long-term care facilities, Am J Infect Control, 13, pp. 63-77, (1985)
  • [5] Health Care Financing Administration, Nurse aide training and competency program, Publication no 7, transmittal no 223, (1989)
  • [6] Goldrick, Larson, Assessing the need for infection control programs: a diagnostic approach, J Longterm Care Admin, 20, pp. 20-23, (1992)
  • [7] Green, Kreuter, Deeds, Partridge, Health education planning: a diagnostic approach, (1980)
  • [8] Goldrick, Effectiveness of an infection control programmed unit of instruction in nursing education, Am J Infect Control, 15, pp. 16-19, (1987)
  • [9] Goldrick, Steven, Larson, Infection control programmed instruction: an alternative to classroom instruction in baccalaureate nursing education, J Nurs Educ, 29, pp. 20-25, (1990)
  • [10] McLaughlin, SMOG grading: a new readability formula, J Reading, 12, pp. 639-646, (1969)