Korean J healthc assoc Infect Control Prev.  2022 Jun;27(1):59-68. 10.14192/kjicp.2022.27.1.59.

Effect of On-site Consultation and Education on Infection Control in Nursing Homes in Korea

Affiliations
  • 1College of Nursing, Keimyung University, Daegu, Korea
  • 2Department of Nursing Science, Sun Moon University, Asan, Korea
  • 3Infection Control Team, Chung-Ang University Hospital, Seoul, Korea
  • 4Infection Control Team, Dankook University Hospital, Cheonan, Korea

Abstract

Background
This study aimed to evaluate the effect of on-site consultation and education by infection control nurses for infection prevention and control (IPAC) improvement in nursing homes.
Methods
Using a one-group, pretest-posttest design, this study was conducted in 47 nursing homes over 4 months. The program was introduced after evaluating educational needs following two times on-site visiting; monitoring of IPAC level, 2 h consultations on IPAC by infection control nurses, and 4 h face-to-face education based on the educational needs and firstvisit assessment. IPAC awareness and satisfaction with the on-site consultation and education program were evaluated before and after the program using structured questionnaires. The data were analyzed using the chi-square test, t-test, Fisher’s exact test, and paired t-test with SPSS Win 27 program.
Results
After introducing on-site consultation and education, significant improvement in the IPAC system level (83.5% vs. 88.2%, P<.001), awareness (4.54±0.32 vs. 4.78±0.43, P<.001), and performance (4.19±0.92 vs. 4.80±0.63, P<.001) of IPAC were noted. The level of satisfaction with the infection control due to on-site consultation and education was high (9.34±1.39).
Conclusion
This finding suggests that the on-site problem-solving education and consultation of the IPAC program had a significant impact on the level of IPAC system, awareness, and performance of IPAC in nursing homes. IPAC visiting education should be expanded to nursing homes.

Keyword

Nursing home; Aged care facilitiy; Infection control; On-site consultation

Figure

  • Fig. 1 Development of infection prevention and control consultation and education for nursing home care workers. Abbreviations: IPAC, Infection prevention and control; PPE, personal protective equipment.


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