Korean J healthc assoc Infect Control Prev.  2016 Dec;21(2):65-73. 10.14192/kjhaicp.2016.21.2.65.

Knowledge on Blood-Borne Infection, Awareness and Compliance on Blood-Borne Infection Control, and Factors Influencing Compliance among Emergency Nurses

• Kong HK
• Park TJ
• Park KY

• KMID: 2362899
• DOI: http://doi.org/10.14192/kjhaicp.2016.21.2.65

Abstract

BACKGROUND
Emergency nurses are at risk of blood-borne infection as they are often exposed to blood and potential infections. The purpose of this study was to identify knowledge of blood-borne infections, awareness and compliance on infection control, and predictors of compliance with infection control among nurses in emergency rooms.
METHODS
Participants (N=169) in emergency rooms were recruited in B city from September 26 to October 26, 2012. The emergency nurses' knowledge levels on blood-borne infections and awareness and compliance on infection control were retrospectively investigated.
RESULTS
The significant predictors of compliance on blood-borne infection control among emergency nurses were use of personal protective equipment (β=0.28, P<0.001), awareness on blood-borne infection control (β = 0.28, P<0.001), confirmation of whether patients suffered from blood-borne infections prior to nursing care (β=0.26, P<0.001), experience in infection control education (β=0.16, P=0.022), and history of blood exposure (β=-0.14, P=0.040).
CONCLUSION
The results showed that in addition to improving nurses' personal efforts to prevent blood-borne infections, systematic support in medical administration is needed; this may include preparing standardized assessment forms to distinguish patients with blood-borne infections at the first hospital visit and increasing use of personal protective equipment for blood-borne infection control.

Keyword

Blood borne; Emergency; Infection control; Nurse

MeSH Terms

Compliance*
Education
Emergencies*
Emergency Service, Hospital
Humans
Infection Control*
Nursing Care
Personal Protective Equipment
Retrospective Studies

Reference

1. Jo GR. In: Influencing factors on the compliance about standard precautions among ICU and ER nurses [Unpublished master's thesis]. Seoul: Seoul National University; 2007.

2. Ayranci U, Kosgeroglu N. Needlestick and sharps injuries among nurses in the healthcare sector in a city of western Turkey. J Hosp Infect. 2004; 58:216–223.

3. Kosgeroglu N, Ayranci U, Vardareli E, Dincer S. Occupational exposure to hepatitis infection among Turkish nurses: frequency of needle exposure, sharps injuries and vaccination. Epidemiol Infect. 2004; 132:27–33.

4. Lue MK. In: A survey of occupational exposure to blood and body fluids in health care workers [Master's thesis]. Ulsan: Ulsan University; 2005.

5. Park MR, Kim JE, Park ES, Choi JS, Jung SY, Song YG, et al. A multicenter descriptive study of bloodborne exposures among health care workers in Seoul and Gyeonggi-Do. Korean J Nosocomial Infect Control. 2003; 8:35–45.

6. Lopez RA, Rayan GM, Monlux R. Hand injuries during hand surgery: a survey of intraoperative sharp injuries of the hand among hand surgeons. J Hand Surg Eur Vol. 2008; 33:661–666.

7. Choi JS. In: Development and evaluation of web-based, blood-borne infection control program [PhD dissertation]. Seoul: Seoul National University; 1998.

8. Yassi A, McGill M. Determinants of blood and body fluid exposure in a large teaching hospital: hazards of the intermittent intravenous procedure. Am J Infect Control. 1991; 19:129–135.

9. Park SY, Shin DS, Lee HG, Kim HS. Compliance with nosocomial infection control and related factors among emergency room nurses. J Korean Acad Fundam Nurs. 2008; 15:153–160.

10. Yoo MS, Son YJ, Ham HM, Park MM, Um AH. A comparative study of nurses\' recognition and practice level of general nosocomial infection, MRSA and VRE infection control. J Korean Acad Fundam Nurs. 2004; 11:31–40.

11. Park YM, Park KY. Influence of VRE knowledge and awareness with VRE infection control in compliance with VRE infection control among nurses in intensive care units. J Korean Biol Nurs Sci. 2009; 11:42–50.

12. Park S, Jeong IS, Jun SS. Effect of sharps injury prevention program on the incidence and reporting of sharp injury among nurses. Korean J Nosocomial Infect Control. 2013; 18:15–25.

13. An JY, Lee YM, Song JH. A study on performance level for universal precautions on bloodborne infections among nurses in hospitals. J Korean Acad Soc Nurs Edu. 2010; 16:92–100.

14. Park SJ, Kim KS. The knowledge, perception and compliance to prevent from blood borne infection for operating room nurses. J Korean Acad Adult Nurs. 2009; 2:28–41.

15. Choi OH, Lee GE. Factors influencing for the compliance of preventing bloodborne infection for operating nurses. Korean J Occup health Nurs. 2006; 15:30–39.

16. Ahn JS, Kim YH, Kim M. Performance of preventive actions to be exposed to infection in emergency nurses and its influencing factors. J Muscle Jt Health. 2015; 22:40–47.

17. Janjua NZ, Razaq M, Chandir S, Rozi S, Mahmood B. Poor knowledge--predictor of nonadherence to universal precautions for blood borne pathogens at first level care facilities in Pakistan. BMC Infect Dis. 2007; 7:81.

18. Jo HS, Yu KH. A study on the level of recognition and performance of the clinical nurses about the prevention of nosocomial infection. Korean J Occup Health Nurs. 2001; 10:5–23.

19. Seo YH, Oh HY. Knowledge, perception, safety climate, and compliance with hospital infection standard precaution among hospital nurses. J Korean Clin Nurs Res. 2010; 16:61–70.

20. Cheong HJ, Cho CM. The study of knowledge and performance about preventive action of the nosocomial infection in nurses. J Korean Clin Nurs Res. 2004; 9:18–31.

21. Gerberding JL. Clinical practice. Occupational exposure to HIV in health care settings. N Engl J Med. 2003; 348:826–833.

22. Sax H, Perneger T, Hugonnet S, Herrault P, Chraïti MN, Pittet D. Knowledge of standard and isolation precautions in a large teaching hospital. Infect Control Hosp Epidemiol. 2005; 26:298–304.