간호대학생을 위한 다제내성균 감염관리 시뮬레이션 교육프로그램 개발 및 효과

The Purpose of this study is to identify the effects of simulation-based multidrug resistant organisms infection control to nursing students regarding multidrug resistant organisms infection control knowledge, confidence in performing multidrug resistant organisms infection control, multidrug resistant organisms infection control guideline performance, the accuracy of putting on and taking off protective gear, hand hygiene accuracy, and hand hygiene performance rate. The program’s effectiveness was verified using a nonequivalent control group non-synchronized design. The subjects of the study were 57 fourth-year nursing college students who had no experience in hospital infection control education, 26 in the experimental group and 31 in the control group. The education consisted of three sessions a week, at a total of 7 hours. As an educational content, theoretical lectures and simulation practices were applied to the experimental group, and theoretical lectures and traditional nursing skill practices were applied to the control group. The data were analysis of the collected data was analyzed using the t-test and Mann-Whitney test. The results of the multidrug resistant organisms infection control simulation training showed the significantly higher level of multidrug resistant organisms infection control knowledge (t=2.33, p= .02), performance of instructions (t=4.46, p< .01) accuracy in hand hygiene (z=2.57, p= .01), and hand hygiene performance rate (t=3.36, p= .01). However, there was no significant difference in self-confidence (t=1.40, p= .16), accuracy of wearing protective gears (z=.81, p= .41) and accuracy of taking off protective gears (z=-.67, p= .50) in multidrug resistant organisms infection control. Based on the results of this study, a simulation training program can be developed and utilized to train nursing students and new nurses to perform infection control instructions in different situations of patients with multidrug resistant organisms infections.