ICT 1 21 ICT., Cooper, Dawson

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1 - - - [email protected] Readiness and educational program for infection control link nurse Namiko Mori-YoshikawaMidori Nishioka National College of Nursing, Japan ; - - Umezono, Kiyose-shi, Tokyo, -, Japan Keywords infection control link-nurse educational program readiness Infection Control Committee; ICC Infection Control Team; ICT Infection Control doctor; ICD Infection Control Nurse; ICN ICT Dawson, Hospital Infection Working Group of the Department of Health and Public Health Laboratory Service, ICT Hospital Infection Working Group of the Department of Health and Public Health Laboratory Service, Comptroller and Auditor General, Comptroller and Auditor General, Cooper, ICT ICN Comptroller and Auditor General, Jones, Cooper, J Nurs Studies NCNJ Vol. No.

2 ICT 1 21 ICT., Cooper, Dawson

3 - p <. SPSS IBM ver N N95 J Nurs Studies NCNJ Vol. No.

4 1 21 p <. p <

5 2 (%) n = 258(%) p n = 245(%) p a), c) 7,171(82.1) 103(39.9) 95(38.8) 1,568(17.9) 155(60.1) 150(61.2) a), c) 167 (1.9) 97(37.6) 91(37.1) 8,572(98.1) 161(62.4) 154(62.9) a), d) 1,225(14.0) 37(14.3) 35(14.3) 2,071(23.7) 57(22.1) 48(19.6) 1,235(14.1) 43(16.7) 42(17.1) 1,399(16.0) 51(19.8) 47(19.2) 1,176(13.5) 28(10.9) 29(11.8) 1,633(18.9) 42(16.3) 44(18.0) b), c) ICC (98.4) 256(99.2) 241(98.4) ICT (56.2) 223(86.4) 191(74.0) 208(84.9) 151(61.6) (5.7) (27.5) (11.9) 105(40.7) 85(32.9) 156(63.7) 81(33.1) a) (2009) b) (2008) c) d) 2 p < 0.05, p < 0.01, no significance J Nurs Studies NCNJ Vol. No.

6 3 P a) n = 97 n = (99.0) 149(92.5) 74(76.3) 116(72.0) 74(76.3) 111(68.9) ICT 62(63.9) 108(67.1) 52(53.6) 102(63.4) 50(51.5) 107(66.5) ICT 47(48.5) 93(57.8) ICT 38(39.2) 77(47.8) 32(33.0) 57(35.4) 28(28.9) 52(32.3) ICT ICT 28(28.9) 20(20.6) 2 (2.1) 8 (8.2) 70(43.5) 66(41.0) 24(14.9) 7 (4.3) a) p < 0.05, p < 0.01, no significance 4 P a) n = (68.0%) n = (72.0%) n = 66 b) 1 4 c) (1-13) d) 10 c) (1-12) d) 1 30 c) (10-120) d) 120 c) (15-720) d) a) 66 (100%) 36 (54.5%) 16 (24.2%) 11 (16.7%) n = c) (1-24) d) 8 c) (1-24) d) 60 c) (15-180) d) 180 c) ( ) d) 111 (95.7%) 72 (62.1%) 31 (26.7%) 17 (14.7%) a) b) - c) d) p < 0.05, p < 0.01, no significance

7 5 n = 66(%) n = 116(%) P a) 66 (100) 114(98.3) 61(92.4) 98(84.5) 45(68.2) 64(55.2) n.s 44(66.7) 73(62.9) 44(66.7) 55(47.4) 41(62.1) 75(64.7) 39(59.1) 78(67.2) n.s 37(56.1) 74(63.8) n.s 36(54.5) 83(71.6) 36(54.5) 58(50.0) 27(40.9) 60(51.7) 27(40.9) 55(47.4) 19(28.8) 35(30.2) 16(24.2) 23(19.8) 12(18.2) 28(24.1) 9(13.6) 14(12.1) 4 (6.1) 19(16.4) 1 (1.5) 3 (2.6) a) p < 0.05, p < 0.01, no significance p < p <. p <. J Nurs Studies NCNJ Vol. No.

8 6 ICT ICT ICT ICT ICT n = 91( ) 84(92.3) 82(90.1) 81(89.0) 60(65.9) 54(59.3) 53(58.2) 47(51.6) 42(46.2) 40(44.0) 37(40.7) 26(28.6) 19(20.9) 11(12.1) 2 (2.2) n = 154( ) P a) 148(96.1) 136(88.3) 137(89.0) 104(67.5) 81(52.6) 81(52.6) 84(54.5) 72(46.8) 70(45.5) 74(48.1) 46(29.9) 48(31.2) 36(23.4) 3 (1.9) n.s 86(94.5) 84(92.3) 68(74.7) 62(68.1) 60(65.9) 58(63.7) 58(63.7) 53(58.2) 51(56.0) 42(46.2) 39(42.9) 35(38.5) 35(38.5) 35(38.5) 31(34.1) 31(34.1) 24(26.4) 23(25.3) 23(25.3) 1 (1.1) 132(85.7) 135(87.7) 109(70.8) 103(66.9) 109(70.8) 99(64.3) 96(62.3) 77(50.0) 93(60.4) 66(42.9) 71(46.1) 57(37.0) 54(35.1) 48(31.2) 73(47.4) 47(30.5) 28(18.2) 44(28.6) 29(18.8) 1 (0.6) n.s n.s 83(91.2) 76(83.5) 70(76.9) 66(72.5) 62(68.1) 59(64.8) 57(62.6) 42(46.2) 28(30.8) 26(28.6) 24(26.4) 18(19.8) 14(15.4) 13(14.3) 2 (2.2) 133(86.4) 121(78.6) 109(70.8) 94(61.0) 100(64.9) 102(66.2) 83(53.9) 84(54.5) 39(25.3) 38(24.7) 60(39.0) 37(24.0) 26(16.9) 20(13.0) 3 (1.9)

9 6 85(93.4) 78(85.7) 73(80.2) 67(73.6) 61(67.0) 59(64.8) 44(48.4) 44(48.4) 43(47.3) 37(40.7) 37(40.7) 33(36.3) 23(25.3) 21(23.1) 18(19.8) 14(15.4) 13(14.3) 2 (2.2) 137(89.0) 125(81.2) 126(81.8) 96(62.3) 84(54.5) 102(66.2) 77(50.0) 54(35.1) 76(49.4) 71(46.1) 64(41.6) 51(33.1) 43(28.0) 28(18.2) 27(17.5) 26(16.9) 19(12.3) 2 (1.3) n.s a) p < 0.05, p < 0.01, no significance 7 P a) n = 91( ) n = 154( ) 72(79.1) 118(76.6) 71(78.0) 111(72.1) 63(69.2) 109(70.8) 60(65.9) 107(69.5) 35(38.5) 57(37.0) ICT 17(18.7) 34(22.1) 14(15.4) 72(46.8) 13(14.3) 67(43.5) 8(8.8) 10 (6.5) 7 (7.7) 12 (7.8) 7 (7.7) 11 (7.1) 6 (6.6) 8 (5.2) 5 (5.5) 13 (8.4) 1 (1.1) 4 (2.6) a) p < 0.05, p < 0.01, no significance J Nurs Studies NCNJ Vol. No.

10 2 Trudigan, N %. %. % ICT ICT. %. %. %. %. %. %. %. %. %. %. %. %. %. %. %. %.

11 Comptroller and Auditor General high staff turnover ICT Hospital Infection Working Group of the Department of Health and Public Health Laboratory Service,, Comptroller and Auditor General, Teare,et al., 2 Cooper J Nurs Studies NCNJ Vol. No.

12 3 Hospital Infection Working Group of the Department of Health and Public Health Laboratory Service Charalambous Dawson, Cooper, opinion leader Seto. et al, Truidigan, opinion leader 4

13 Charalambous, L. (). Development of link-nurse role in clinical settings. Nursing Times, (), -. Comptroller and Auditor General(). The management and control of Hospital Acquired Infection in Acute NHS Trusts in England. National Audit Office, London. Cooper, T.(). Educational theory into practice: development of an infection control link nurse programme. Nurse Education in Practice, ( ), -. Dawson, S.J.(). The role of the infection control link nurse. Journal of Hospital Infection, ( ), -. ().., ( ), -. Hospital Infection Working Group of the Department of Health and Public Health Laboratory Service(). Hospital infection control, Guidance on the control of infection in hospitals. Public Health Laboratory Service ed, London, UK. (). Infection Control Team. INFECTION CONTROL, ( ), -. (, ). / / / / /.,. Jones, R., Higgs. R., de Angelis, C., & Prideaux, D. (). Changing face of medical curricula. Lancet,, -. (). () ( ),, html ().. INFECTION CONTROL, (), -.,,,,,, ()... ().., ( ), -., ()..,, -. Seto, W.H., Ching, T.Y., Yuen, K.Y., Chu, Y.B., & Seto, W.L. (). The enhancement of infection control in-service education by woard opinion leaders. American Journal of Infection Control, ( ), -. ().., ( ), -.,,,,,, (). ( )( ver.. ).,, %E % C%AC%E % %.pdf,, ()..,, -. Teare, E. L., Peacock, A. J. (). The development of an infection control link-nurse programme in a district general hosptal. Journal of Hospital Infection, ( ), -, -. Trudigan, J. (). The role of the clinical practice educator in tissue viability nursing. Nursing Standard,, -.,,,,,, ().., ( ), -. J Nurs Studies NCNJ Vol. No.

14 ICT,..

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