원문정보
초록
영어
Objectives : This study was conducted to measure the effects of healthcare accreditation (HA) on the changes in infection control (IC). Methods : Questionnaires were e-mailed to 60 hospitals from 23 October to 23 December, 2011. Data were analyzed by SPSS 12.0. Results : Finally 50 hospitals (83.0%) were enrolled in the study: Seoul area (40.0%), tertiary (76.0%), and >500 beds (98.0%). Nine hospitals (18.0%) had a full time infection control nurse[ICN] with 300 beds. Among various factors, ICN (36.0%), hospital facilities (66.0%), instruments (32.0%) and supplies (88.0%) all improved. Hand hygiene increased (53.1% vs 83.2%, p<.001), but it was continued only in 34.1% of hospitals. Healthcare-associated infection (68.4%), multi drug resistant organisms (42.1%) and outbreaks (26.3%) decreased. Reasons for difficulties in satisfying the HA standards were inadequate support which included hospital facilities, instruments, budget, and a shortage of ICNs and healthcare workers (HCWs). Conclusions : HA had effects on the IC, but they were transient. Staffing in ICN and HCW staffing, hospital facilities, instruments, and supplies all need to be improved.
목차
Ⅰ. 서론
1. 연구의 필요성
2. 연구의 목적
Ⅱ. 연구방법
1. 연구 설계
2. 연구 대상
3. 연구 도구
4. 자료 수집 방법
5. 자료 분석 방법
Ⅲ. 연구결과
1. 일반적 특성
2. 의료기관 인증제 도입에 따른 감염관리 변화
3. 의료기관 인증제의 추적조사방법이 감염관리변화에 기여한 정도
4. 의료기관 인증 조사 준비 시 대상자가 지각한 어려움
5. 감염관리 개선활동의 지속성
Ⅳ. 고찰
Ⅴ. 결론
REFERENCES