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博碩士論文 etd-0211107-234326 詳細資訊
Title page for etd-0211107-234326
論文名稱
Title
運用PRECEDE架構模式探究護理工作人員洗手行為之表現
A study of the performance in handwashing practice among nursing staffs by PRECEDE model
系所名稱
Department
畢業學年期
Year, semester
語文別
Language
學位類別
Degree
頁數
Number of pages
81
研究生
Author
指導教授
Advisor
召集委員
Convenor
口試委員
Advisory Committee
口試日期
Date of Exam
2007-01-24
繳交日期
Date of Submission
2007-02-11
關鍵字
Keywords
增強因子、PRECEDE架構模式、院內感染、使能因子、傾向因子、洗手行為、洗手、護理人員
enabling factor, PRECEDE model, reinforcing factor, handwashing, nursing staff, performance in handwashing practice, hospital-acquired infection, predisposing factor
統計
Statistics
本論文已被瀏覽 5776 次,被下載 5078
The thesis/dissertation has been browsed 5776 times, has been downloaded 5078 times.
中文摘要
洗手能預防醫院內感染的發生已是公認不爭的事實,是院內感染管制作業中最基本的措施。本研究是運用PRECEDE架構模式來探討影響護理工作人員洗手行為表現之因素。依橫斷性研究設計,採問卷調查方式蒐集資料,以北部某醫學中心全院有接觸病患的護理人員為研究對象,採配額取樣回收有效性問卷共212份進行分析。

本研究結果:(1)影響護理人員「洗手行為表現」之因素有積極性態度、消極性態度、共同工作者的回饋、和院內感染變化的回饋。(2)護理人員所屬的專業科性和工作單位特性會影響洗手行為表現。(3)護理人員最經常「洗手」的時機:接觸病人分泌物或排泄物之後;常會忽略的洗手時機:翻閱病歷後。(4)護理人員最經常「沒洗手」的重要原因:工作太忙碌、和需優先處理病人的需求。

本研究建議:(1)常規提供護理人員所屬單位之感染率或感染密度的變化,連結洗手監測的結果,單位能針對有異常的變化進行改善。(2)護理主管與同事間能重視彼此的洗手行為表現,互相鼓勵,提醒與支持。(3)上述兩項建議需長期執行,周而復始形成良性循環,良好結果會強化護理人員對洗手的重視和態度,進而持續良好的洗手行為表現。
Abstract
Handwashing is a well known practice to prevent the hospital-acquired infections, and it is also a basic procedure of the nosocomial infection control programs. This research is conducted to use PRECEDE model to investigate the factors affecting nurses’ performance in handwashing practices. We conducted a cross-sectional study to investigate 212 nurses working patients` heaithcare from a medical center of north Taiwan, and a quota sampling method was used to analyze nurses’ handwashing practices.

The results of this research includes (1) the major causes affect nursing staffs’ performance in handwashing practices include attitudes (enthusiastic and passive), encouragements from colleagues, and feedback of the nosocomial infection rate or density. (2) different perfessional department and different ward type also affect the performance of nurses’ handwashing practices. (3) nurses washed their hands often after contacting patients’ body substances, and they usually forget to wash their hands after checking patients’ medicine charts. (4) seif-reported factors for poor adherence with handwashing are heavy work loading and taking patients’ needs priority.

The suggestions of this research are (1) providing nurses the routine feedback information regarding the changes in nosocomial infection rate versus their performance in handwashing practices. (2) making nursing supervisors and their colleagues to understand the importance of handwashing practice as well as encouragement, reminding, and supporting. (3) the above two suggestions should be executed continually. From the positive feedback, it shall enhance nursing staffs` attitudes to improve their handwashing practices, and then, nursing staffs will be willing to keep excellent performance in handwashing practices.
目次 Table of Contents
目 錄
正文目錄-------------------------------------------------Ⅰ
表目錄---------------------------------------------------Ⅲ
圖目錄---------------------------------------------------Ⅳ


正 文 目 錄
第一章 緒論
第一節 研究背景與重要性------------------------------1
第二節 研究動機與目的--------------------------------2

第二章 文獻探討
第一節 PRECEDE架構模式-------------------------------5
第二節 洗手之概論------------------------------------8
第三節 洗手行為之影響因素---------------------------12
第四節 洗手行為之表現-------------------------------15
第五節 行為改變理論---------------------------------16
第六節 改善洗手之順從性-----------------------------17

第三章 研究方法
第一節 研究架構------------------------------------21
第二節 研究假設------------------------------------23
第三節 研究變項之定義與衡量------------------------24
第四節 研究工具之效度與信度檢定--------------------27
第五節 研究對象與抽樣------------------------------28
第六節 資料分析方法--------------------------------29

第四章 研究結果
第一節 各構面之描述性統計結果----------------------33
第二節 因素分析與信度分析結果----------------------47
第三節 個人屬性對洗手行為表現之單因子變異數分析結果51
第四節 各搆面之相關性分析結果----------------------54
第五節 洗手行為表現之迴歸分析結果------------------56

第五章 結論與建議
第一節 結論----------------------------------------61
第二節 建議----------------------------------------62
第三節 限制與未來研究建議--------------------------63

參考資料
中文文獻------------------------------------------------64
英文文獻------------------------------------------------66

附錄
附錄一 專家效度名單------------------------------------69
附錄二 研究工具----------------------------------------70
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