중환자실 간호사의 항생제 적정사용 관리 참여 영향요인: 횡단적 연구

Abstract

Purpose: This study aimed to identify personal and organizational factors influencing intensive care unit (ICU) nurses’ involvement in antimicrobial stewardship programs (ASPs).

Methods: This descriptive cross-sectional study analyzed survey data for 159 ICU nurses during September 8 to October 23, 2023. Data analysis involved descriptive statistics, the t-test, analysis of variance, the Scheffé test, Pearson correlation coefficients, and multiple regression analysis.

Results: The variables influencing participants’ ASP involvement were ASP perceptions (β = .35, p < .001), among personal factors, and patient safety culture (β = .18, p = .023) among organizational factors. The total explanatory power of these variables was 25.0% (F = 8.36, p < .001).

Conclusion: The results of this study suggest that increasing ASP involvement requires improving ASP perceptions by clearly defining nurses’ roles in ASPs and providing professional ASP education. Proactive organizational efforts are also required to form a positive patient safety culture through the provision of educational programs.