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系統識別號 U0026-1208201514141400
論文名稱(中文) 印尼急診護理人員對工作場域的感染控制之知識,態度和行為探討
論文名稱(英文) Knowledge, Attitude and Behavior Related To Healthcare-Associated Infections of Nurses Working in Emergency Department In Indonesia
校院名稱 成功大學
系所名稱(中) 護理學系
系所名稱(英) Department of Nursing
學年度 103
學期 2
出版年 104
研究生(中文) 費絲
研究生(英文) Hudzaifah Al Fatih
電子信箱 ns_fatih@yahoo.com
學號 T26027027
學位類別 碩士
語文別 英文
論文頁數 72頁
口試委員 指導教授-王靜枝
口試委員-柯乃熒
口試委員-王琪珍
中文關鍵字 none 
英文關鍵字 nurses knowledge  attitude  behavior  healthcare-associated infections 
學科別分類
中文摘要 none
英文摘要 Healthcare Associated Infections (HAIs) are considered as being among the most serious patient safety issues in health care settings. Especially in the Emergency Department (ED), nurses face greater risk of exposure to infectious pathogens. ED nurses’ daily intervention often involve contact with patients’ blood and/or other body fluids. To protect ED nurses from infectious agents, standard precautions are essential and also effective in reducing the number of HAIs. However, knowledge, attitude, behavior towards HAIs and relationships between these three variables among nurses working in EDs in developing countries such as Indonesia, has not yet been studied. Therefore, it is imperative to explore the knowledge, attitude, behavior towards HAIs and their relationships, among nurses working in EDs in Indonesia. In addition, the influence of demographic characteristics on nurses’ knowledge, attitude, and behavior were examined in this study.
A cross-sectional, self-reported survey was conducted and a total of 115 participants were recruited from four hospitals in Bandung City, Indonesia. The Healthcare Associated Infections Survey (HAIS) consisting of four domains: demographic characteristics, knowledge, attitude and behavior related to HAIs was used for the survey.
ED nurses’ overall performance on the knowledge portion was good, with a mean of 21.23±5.173 (range=9-30). They produced better scores on control measures and risk factors for HAIs, but did poorly on some questions about HAI source pathogens. 92.2% had positive attitudes and the mean score for behavior when practicing infection control was 37.7±5.570 (26-50). Marital status (Z = -2.838, p = 0.005) and working hours per week, influenced nurses’ knowledge of HAIs (rs = 0.185, p = 0.048). Work experience was found to have a negative relationship towards attitude (rs = -0.196, p = 0.035). While, type of hospital (F (113) = 5.560, p = 0.005) and working hours per week (r = 0.191, p = 0.04) influenced behavior. However, no significant relationship was found between knowledge, attitude and behavior towards HAIs.
Even though the majority of ED nurses in Indonesia believe that precautionary guidelines can reduce the risk of HAIs, in fact most nurses’ behavior was sub-optimal. Therefore, it is essential for healthcare institutions to conduct surveillance, monitor good behavior of infection control practices and provide continuous education for ED nurses. Furthermore, healthcare managers should consider nurses’ characteristics when developing an education plan.
論文目次 ABSTRACT I
TABLE OF CONTENTS III
LIST OF TABLES V
CHAPTER ONE INTRODUCTION 1
1.1 Research Background. 1
1.2 Significance of Study 3
1.3 Study Purposes 3
1.4 Operational Definitions 4
1.4.1 Knowledge 4
1.4.2 Attitude 4
1.4.3 Behavior 4
CHAPTER TWO LITERATURE REVIEW 5
2.1 Healthcare-associated infections 5
2.1.1 Sources of Healthcare-Associated Infections 7
2.1.2 Prevention of Healthcare-Associated Infections 9
2.2 Risk of infections for emergency department nurses 10
2.3 Relationship of healthcare-associated infections and nurses' knowledge, attitude and behavior 14
CHAPTER THREE RESEARCH DESIGN AND METHODOLOGY 17
3.1 Research Design 17
3.2 Sample and Setting 17
3.3 Instrument 17
3.3.1 Demographic Questionnaire 19
3.3.2 Knowledge about HAIs 19
3.3.3 Attitudes toward HAIs 19
3.3.4 Behavior toward standard precautions 19
3.4 Data collection procedures 20
3.5 Statistical analysis 20
CHAPTER FOUR RESEARCH RESULTS 22
4.1 Demographic and characteristics of participants 22
4.2 Knowledge, attitude, and behavior 23
4.3 Influence of demographic characteristics of nurses on their knowledge, attitude and behavior of HAIs 27
4.4 Relationship of nurses’ knowledge, attitudes and behavior toward HAIs 28
CHAPTER FIVE DISCUSSION 30
5.1 Demographic and occupational characteristics 30
5.2 Nurses’ knowledge, attitude, and behavior toward HAIs 32
CHAPTER SIX CONCLUSION AND RECOMMENDATION 35
6.1 Conclusion 35
6.2 Recommendations 36
6.3 Limitation 37
REFERENCES 38
APPENDICES 59
Appendix 1 IRB Approval 59
Appendix 2 Permission to use HAIs Survey Instrument 60
Appendix 3 Informed Consent (English Version) 61
Appendix 4 Inform Consent (Indonesia Version) 62
Appendix 5 Research Instrument (English Version) 64
Appendix 6 Research Instrument (Indonesia Version) 68
LIST OF TABLES
Table 4.1 Demographic and occupational characteristics of respondents 22
Table 4.2 Test of normality on variables 23
Table 4.3 Total score of knowledge, attitude and behavior of HAIs 24
Table 4.4 Proportion of correct answers of knowledge of HAIs by nurses 25
Table 4.5 Nurses’ behavior related to HAI 26
Table 4.6 Differences of ED nurses’ knowledge, attitudes and behavior by the demographic and occupational characteristics 27
Table 4.7 Correlation between continuous variables of demographic and occupational characteristics and ED nurses’ knowledge, attitudes and behavior 28
Table 4.8 Relationship of nurses’ knowledge, attitudes and behavior 29
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