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목차

제1장 서론 9

제1절 연구의 필요성 9

제2절 연구목적 12

제3절 용어의 정의 13

1. 신종감염병(Emerging Infectious Disease, EID) 13

2. 신종감염병 관련 감염관리 수행도 13

3. 도덕적 민감성 14

4. 소진 14

5. 감염예방환경 15

제2장 문헌고찰 16

제1절 신종감염병과 간호사의 감염관리 수행도 16

제2절 신종감염병 관련 감염관리 수행도의 영향요인 19

1. 간호사의 소진 19

2. 도덕적 민감성 21

3. 감염예방환경 23

제3장 연구방법 26

제1절 연구설계 26

제2절 연구대상 26

제3절 연구도구 27

1. 일반적 특성 27

2. 신종감염병 관련 감염관리 수행도 27

3. 소진 27

4. 도덕적 민감성 28

5. 감염예방환경 28

제4절 자료수집 및 연구윤리 29

제5절 자료분석 방법 30

제4장 연구의 결과 31

제1절 대상자의 일반적 특성 31

제2절 대상자의 소진, 도덕적 민감성, 감염예방환경, 신종감염병 관련 감염관리 수행도 정도 33

제3절 대상자의 일반적 특성에 따른 신종감염병 관련 감염관리 수행도의 차이 36

제4절 대상자의 소진, 도덕적 민감성, 감염예방환경과 신종감염병 관련 감염관리 수행도 간의 상관관계 40

제5절 신종감염병 관련 감염관리 수행도에 미치는 영향요인 42

제5장 논의 44

제6장 결론 및 제언 50

제1절 결론 50

제2절 제언 52

참고문헌 54

Abstract 66

부록 69

부록 1. 연구대상자 설명문 69

부록 2. 연구대상자 동의서 71

부록 3. 측정도구(설문지) 73

부록 4. 측정도구 사용 승인서 81

부록 5. 기관생명윤리심의위원회 심의결과 통지서(최종) 83

표목차

Table 1. General characteristics 32

Table 2. The level of variables 34

Table 3. Differences in performance of infection control related to emerging infectious diseases according to the subject's general characteristics 37

Table 4. Correlations among the variables 41

Table 5. Factors affecting performance of infection control related to emerging infectious diseases 43

초록보기

This study is a descriptive investigation study to identify impacts of burnout, moral sensitivity, and infection prevention environment on emerging infectious disease-related infection control performance of nurses working in national and public hospitals.

The subjects of this study were 193 nurses working in national and public hospitals in P city, Korea specifically dedicated to fighting infectious diseases. Data was collected between May 11 and May 19, 2022 using self-report questionnaires.

The collected data was analyzed using frequency, percentage, mean, standard deviation, t-test, ANOVA, Pearson's Correlation Coefficient, and Multiple regression analysis with the SPSS/WIN 28.0 program.

The results of this study are as follows.

1. The subjects' infection control related to emerging infectious diseases was 4.37±0.53 out of 5 points, burnout was 3.12±0.47 out of 5 points, moral sensitivity was 4.92±0.55 out of 7 points, and infection prevention environment was 4.13±0.56 out of 5 points.

2. The general characteristics of age (F＝3.75 p＝.012), job position(F＝7.89, p＜.001), and monitoring and feedback on duffing and donning personal protective equipment (t＝2.91, p＝.004) showed statistically significant differences in infection control related to emerging infectious diseases.

3. Infection control performance related to emerging infectious diseases was found to be correlated with burnout, moral sensitivity, infection prevention environment factors. Infection control performance showed a significant negative correlation with burnout (r＝-.30, p＜.001) whereas it showed significant positive correlations with moral sensitivity (r＝.33, p＜.001) and infection prevention environment (r＝.59, p＜.001).

4. Hierarchical regression analysis showed that the factors impacting emerging infectious disease-related infection control performance were moral sensitivity (β＝.16, p＜.014) and infection prevention environment(β＝.48 p＜.001), indicating that the model was significant and its explanatory power was 37%.

As a result of this study, infection prevention environment and moral sensitivity have been identified as significant factors impacting emerging infectious disease-related infection control performance of nurses working in national and public hospitals.

Therefore, to increase infection control performance related to emerging infectious diseases among nurses, it is necessary to provide continuous moral sensitivity educational programs for nurses, monitoring and feedback on donning and duffing personal protective equipment, and customized programs considering position characteristics and administrative support of institutions to enhance infection prevention environment.

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