Purpose This study is to establish a structural model for standard precautions compliance of nursing students. This conceptual model was based on the IMB (Information-Motivation-Behavioral skills) model of Fisher and Fisher.
Methods: Data were collected from October 12 to December 1, 2020, and the subjects were nursing students from G metropolitan city and J province, and the data of a total of 334 subjects were analyzed. For data analysis, this study used the SPSS 24.0 and AMOS 24.0 programs.
Results: The hypothetical model showed a good fit to the data: x 2 =106.46 (p<.001), x 2 /df=2.54, RMSEA=.07, SRMR=.04, CFI=.96, TLI=.94. It was confirmed that the variables that have a statistically significant influence on the standard precautions compliance in nursing students were in the order of self-efficacy, social support, personal attitude, and standard precautions knowledge. The model explained 48.3% of the variance in standard precautions compliance of nursing students.
Conclusion: It is necessary to develop and apply various specialized extracurricular programs that can induce an individual attitude toward observing standard precautions compliance in a positive direction in relationships with teachers and peers and gain their support.
Purpose This concept analysis was conducted to clarify ‘parents’ treatment adherence for an epileptic child or adolescent’. Methods The analysis used a hybrid model comprising three phases: theoretical phase, fieldwork phase, and integration phase. In the theoretical phase, fifty studies were reviewed. Interviews with four parents of epileptic children or adolescents were conducted during the fieldwork phase. In the integration phase, the results derived from prior phases were synthesized and clarified. All phases were performed cyclically. Results The concept, ‘parents’ treatment adherence for an epileptic child or adolescent’ was defined as parents’ voluntary and goal-directed behavior towards the epilepsy treatment for their children: a collaborative decision-making process with health-care providers, establishing a support system, adaptability to the treatment plans, and appraisals of the child’s health condition. Conclusion This achievement is thought to contribute to improving the accuracy and validity of the concept measurement. It has implications for additional research on how the concept ‘treatment adherence’ differs in diverse health problems and other population groups than parents of children and adolescents with epilepsy.
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PURPOSE This study aimed to assess hand hygiene (HH) compliance among visitors at a long-term care hospital in South Korea. METHODS The study was conducted at a 502-bed long-term care hospital located in Gyeonggi-do Province. From July 1 to August 15, 2017, including more than 6 weekends and one holiday, a trained observer covertly assessed visitors' HH at all five units (360 beds in total) of the study hospital building until the completion of 1,000 HH opportunities (i.e., 200 opportunities per unit). The modified World Health Organization (WHO) HH observation form was used. Instead of professional categories and the “before clean/aseptic procedure†moment, the estimated age range for each visitor were recorded in four categories: children (<14 years old), adolescents (14~18), adults (19~64), and the elderly (≥65). The collected data were analyzed using SPSS 22.0. RESULTS A total of 1,000 HH opportunities were observed from 766 visitors (an average of 1.31 per visitor) and the overall HH compliance rate was 20.3%. Overall, 53.7% of the HH cases were performed with soap and water. Among the 4 HH moments, the “after body fluid exposure risk†moment showed the highest compliance rate (83.5%); 93.9% used soap and water. The most commonly exposed potential body fluid among visitors was saliva (48.1%). CONCLUSION For hospital visitors in long-term care hospitals, HH education programs including HH moments need to be developed and implemented. Further studies are necessary to evaluate visitors' HH compliance in various hospital settings and find the related variables influencing visitors' HH.
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PURPOSE The purpose of this study is to investigate adherence to the clean intermittent catheterization (CIC) and influencing factors on the adherence following a customized intensive education program (CIEP). METHODS This work is a retrospective descriptive study. The subjects were 226 emptying failure patients who learned in a CIEP from January 2012 to July 2014. The program developed in 2011 and consisted of 1) customized theoretical education; based on the results of urologic tests, underlying disease, or surgery of the patients, 2) hands-on practice until the trainees were able to master the techniques, 3) questions about the process of catheterization and what he/she needs to know. 4) at follow-up, the survey about adherence and barrier to CIC. Clinical characteristics; the level of satisfaction, understanding, and self-confidence; the barrier in medical records were reviewed. RESULTS The short-term adherence rate (median 22 days) is 87.6% and the long-term adherence rate (median 112 days) is 50.4%. The biggest obstacle is time management. The levels of satisfaction, understanding, and self-confidence are very high. The variable of Income is the only factor that has influence on adherence. CONCLUSION Despite the CIEP, the adherence rate is relatively low. In addition to the education, emotional and psychological supports and regular follow-up are needed to improve long-term adherence.
PURPOSE This study was conducted to evaluate the effects of an education program on the knowledge of medication and prevention of depression in the elderly at a local community. METHODS This study utilized the nonequivalent control group pretest-posttest design. Thirty consecutive people were included in this study for the experimental group, and another 30 people were allocated to the control group. The program was performed once a week for 3 weeks. Data were collected from March 15 to April 30, 2010 and statistical analyses were performed by chi2-test and independent t-test using the SPSS/WIN 12.0 program. RESULTS There were statistically significant differences in the knowledge of medication, depression and medication compliance between the experimental and control groups. CONCLUSION This study demonstrated that an education program for the knowledge of medication and prevention of depression in the elderly with chronic disease could improve their knowledge of medication and their medication compliance, and decrease their depression. These results suggest that education of knowledge with social psychology can be an effective and practical method of management to the elderly with chronic disease at local communities.
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PURPOSE The purpose of this study is to investigate compliance with prescribed medication in the elderly visiting public health centers. METHOD Data were collected from 665 elders living in Seoul and the Gyeonggi Province during the period from February 21 to June 30 in 2006. The data were collected through individual interviews and were analyzed using correlation and multiple regression analysis with the SAS 9.1 program. RESULTS The mean of medication compliance was 2.97(+/-.68) on a 5-point Likert scale. Specifically, compliance 3.14(+/-.70) for medication dose, 2.94(+/-.77) for medication frequency, and 2.84(+/-.79) for medication time. The elderly with a higher level of education (beta=.095, p<.001), with health insurance (beta=.208, p=.0009) and with a higher level of family support (beta=.040, p=.0306) showed a higher level of mediation compliance. Female elders (beta=.142, p<.001) kept higher medication compliance than male ones. CONCLUSION These findings suggest that people with low education, low socioeconomic status and less family support need more education before medication. The evaluation of medication compliance needs to be encouraged before starting medication to distinguish those who may not comply with medical prescription. Predictive factors identified in this study must be considered when designing interventions, program development and education for appropriate medication management for the elderly.