Purpose: The Purpose of study is for establishing an effective and realistic intervention strategy of multidrug-resistant organisms infection management in the future by evaluating performance, knowledge of infection control on multidrug-resistant organisms, health beliefs and the related factors while nurses are performing multidrug-resistant organisms infection control in the public hospital systems.
Method: The study has conducted on 192 nurse practitioners who have more than 3 months of work experience in the public hospitals are in Seoul, Daegu, Daejeon, Busan and Gwangju. It was conducted from 1st of September to 30th of September 2020 using a self-written questionnaire consisting of infection control on multidrug-resistant organisms knowledge, health beliefs and performance tool. By using SPSS WIN 25.0, the collected data has been analyzed by Descriptive statistics, t-test, analysis of variances, Pearson correlation coefficients and stepwise multiple regression.
Result: First, Multidrug-resistant organisms infection control knowledge estimated 19.95(±2.39) out of 26 total. The highest scored section was hand disinfection and quarantine items management. On the other hand, changing gloves and take off personal protective gears in disinfectant were the lowest score section. Health beliefs in multidrug-resistant organisms infection management was scored in 3.47(±0.28) out of 5 which was relatively the highest portion of the perceived benefit section and lowest port of perceived barrier section. Performance in multidrug-resistant organisms infection management was scored 4.30(±0.46) out of 5 which were relatively the highest sections of hand disinfection and managing quarantined patients and the lower scored portion of sanitizing items from quarantined patients.
Second, There wasn't any meaningful statistical difference in general character of Multidrug-resistant organisms infection control knowledge. However, in the section of Health beliefs in multidrug-resistant organisms infection management, statically meaningful data has been shown when they have got recommendation or observed while they were on the duty (p=.026) and department(p=.021), intensive care unit was relatively high. Performance in multidrug-resistant organisms infection management has meaningful data in Age (p=〈.001), Education (p=.026), clinical experience (p=.002), conjugal condition (p=〈.001), Department (p=.040) and Position (p=〈.001).
Third, The correlation of multidrug-resistant organisms infection management knowledge, health beliefs and performance for the respondents, have indicated a positive correlation in between knowledge and performance (r=.39, p=〈.001) as well as health beliefs and performance (r=.36, p=〈.001). The bottom section of health beliefs have shown a positive correlation in perceived susceptibility (r=.19, p=〈.009), perceived severity (r=.31, p=〈.001) and perceived benefit (r=.48, p=〈.001).
Fourth, The influencing factors in multidrug-resistant organisms infection management performance have shown as perceived benefit (β=.36, p 〈.001), knowledge (β=.28, p 〈.001), conjugal condition (β=.16, p =.012) and Position (p=〈.001), the regression model (F=25.70, p 〈.001) has been proved as meaningful factor and explanation ability of the model was 34.6%.
Conclusoin: In the result of study, perceived benefit, knowledge, conjugal condition and position have recognized as the major factor of multidrug-resistant organisms infection management performance. To enhance the multidrug-resistant organisms infection management performance, organizing educational strategy that includes emphasizes by reduction of hospital stay and medical cost when performing infection control by reflecting social demands of the importance of the multidrug-resistant organisms infection management and establish an intervention strategy that highlighting perceived benefits by continuously providing feedback.