Open Access, Peer-reviewed
eISSN 2093-758X
    J Korean Acad Nurs. 2009 Apr;39(2):298-309. Korean.
    Published online Apr 28, 2009.
    https://doi.org/10.4040/jkan.2009.39.2.298
    Copyright © 2009 Korean Society of Nursing Science
    Original Article

    Application and Evaluation of a Web-based Education Program on Blood-borne Infection Control for Nurses

    Jeong Sil Choi,1 and Keum Soon Kim2
      • 1Full-time Lecturer, Department of Nursing Science, Konyang University, Daejeon, Korea.
      • 2Professor, Department of Nursing, Seoul National University, Seoul, Korea.
    • Address reprint requests to : Choi, Jeong Sil. Department of Nursing Science, Konyang University, 685 Gasuwon-dong, Seo-gu, Daejeon 302-718, Korea. Tel: 82-42-600-6346, Fax: 82-42-545-5326, Email: jschoi408@empal.com
    Received January 05, 2009; Accepted April 08, 2009.

    Abstract

    Purpose

    To develop a web-based program on blood-borne infection control and to examine the effect of the newly developed program on perceived threat of diseases, knowledge, preventive health behaviors for blood-borne infections, and incidence rates of accidental needle sticks and other sharp object injuries in nurses.

    Methods

    The program was developed through the processes of analysis, design, development, implementation, and evaluation. The research design involved a nonequivalent control group for pretest and posttest experiments. The setting was a 745-bed general hospital located in Korea.

    Results

    The program was designed and developed after consulting previous studies. After development of the program was completed, it was evaluated and revised by a panel of experts. The total score for perceived threat of diseases, knowledge, preventive health behaviors in the experimental group was significantly higher compared to the control group (p<.05). The incidence rates for needle sticks and other sharp object injuries in the experimental group were significantly lower compared to the control group (p<.05).

    Conclusion

    Application of a Web-based, blood-borne infection control program is effective, and can be expanded to other healthcare workers who also have a high risk of blood-borne infections.

    Keywords
    Web; Blood-borne pathogens; Infection control

    Figures

    Figure 1
    Process of program development.

    Figure 2
    Screen for information system login & example of a screen for education and training.

    Figure 3
    Structural drawing of the web-based infection control program.

    Tables

    Table 1
    Homogeneity Test of General Characteristics, Variables related to Internet Use and Dependent Variables

    Table 2
    Comparison of the Dependent Variables between Control and Experimental Group after Web-based Education

    Notes

    This study is a part of Ph. D. thesis.

    References

      1. Agius RM, Bagnall G. Development and evaluation of the use of the Internet as an educational tool in occupational and environmental health and medicine. Occupational Medicine 1998;48:337–343.
      1. Ahn SK. In: A study on user's satisfaction of agriculture on information system. Seoul: Seoul National University; 1999.
        Unpublished master's thesis.
      1. Association for Professionals in Infection Control and Epidemiology. APIC text of infection control and epidemiology. Washington DC: Association for Professionals in Infection Control and Epidemiology; 2005.
      1. Becker MH, Janz NK, Band J, Bartley J, Snyder MB, Gaynes RP. Noncompliance with universal precautions policy: Why do physicians and nurses recap needles? American Journal of Infection Control 1990;18:232–239.
      1. Centers for Disease Control and Prevention. Updated U.S. Public Health Service guideline for the management of occupational exposure to HBV, HCV, and HIV and recommendation for postexposure prophylaxis. Morbidity and Mortality Weekly Report 2001;50(11):1–52.
      1. The national surveillance system for hospital health care workers: Summary report for data collected from June 1995 through July 1999. Centers for Disease Control and Prevention. 2003 Dec 05 [Retrieved November 1, 2006].
        from http://www.cdc.gov/ncidod/hip/NASH/report99.pdf.
      1. Choi JS. In: A study on KAP of medical personnel against exposure to the patient's bloods and fluids in special departments of a general hospital. Seoul: Seoul National University; 1998.
        Unpublished master's thesis.
      1. Davidson G, Gillies P. Safe working practices and HIV infection: Knowledge, attitudes, perception of risk, and policy in hospital. Quality in Health Care 1993;2:21–26.
      1. Doll WJ, Torkzadeh G. The measurement of end-user computing satisfaction. Management Information Systems Quarterly 1988;12:259–274.
      1. Gaston G, Hermine N, Christian F. Understanding physician's intention to use a simple infection control measure: Wearing gloves. American Journal of Infection Control 1998;26:413–417.
      1. Hege I, Radon K, Dugas M, Scharrer E, Nowak D. Web-based training in occupational medicine. International Archives of Occupational and Environmental Health 2003;76:50–54.
      1. Hentgen V, Jaureguiberry S, Ramiliarisoa A, Andrianantoandro V, Belec M. Knowledge, attitude and practices of health personnel with regard to HIV/AIDS in Tamatave (Madagascar). Bulletin de la Societe de Pathologie Exotique 2002;95:103–108.
      1. Honghong W, Kristopher F, Guoping H, Jane B., Williams AB. A training program for prevention of occupational exposure to bloodborne pathogens: Impact on knowledge, behavior and incidence of needle stick injuries among student nurses in change, people's Republic of China. Journal of Advanced Nursing 2003;41:187–194.
      1. EPINetTM*: Uniform needlestick and sharp object injury report in 21 hospitals, 2003. International Health Care Worker Safety Center. 2005 Dec 05 [Retrieved November 1, 2006].
        from http://www.med.virginia.edu/medcntr/centers/ epinet/soi99.html.
      1. Jennifer ME, Marc FB, Nicholas X, Lars N. Needlestick injuries in the United States. Official Journal of the American Association of Occupational Health Nurses 2005;53:117–133.
      1. Jung YM. Development of a wed-based senescence preparation education program for successful aging for middle-aged adults. Journal of Korean Academy of Nursing 2008;38:831–842.
      1. Kim JS. In: Development and evaluation of a web-based program for maternal role support of the primiparas. Seoul: Seoul National University; 2003.
        Unpublished doctoral dissertation.
      1. Kim KK, Kim MA, Chung YS, Kim NC. Knowledge and performance of universal precautions by nursing students. Journal of Korean Academy of Nursing 1999;29:929–939.
      1. Kim MH. Health belief model approach to health beliefs, attitude, and health behaviors concerning HIV/AIDS. Journal of Korean Society Health Education and Promotion 1997;14:125–147.
      1. Kim MO. In: A study on a design for interface screen of web-based cyber study instruments. Seoul: Hannam University; 2001.
        Unpublished master's thesis.
      1. Kim OS. In: Risk factor and incidence of needlestick injuries among hospital employees. Seoul: Yonsei University; 1997.
        Unpublished master's thesis.
      1. Kim OS. In: Development and effectiveness of a prevention model of bloodborne disease exposure among health care worker. Seoul: Yonsei University; 2003.
        Unpublished doctoral dissertation.
      1. Lunding S, Nielsen TL, Nielsen JO. Poor compliance with universal precautions among Danish physicians. Ugeskrift for Laeger 1998;160:1789–1793.
      1. Park MR, Kim JE, Park ES, Choi JS, Jung SY, Song YG, et al. A multicenter descriptive study of bloodborne exposures among health care workers in Seoul and Gyeonggi-Do. Korean Journal of Nosocomial Infection Control 2003;8:35–45.
      1. Radon K, Kolb S, Reichert J, Baumeister T, Fuchs R, Hege I, et al. Case-based e-learning in occupational medicine? the NetWoRM project in Germany. Annals of Agricultural and Environmental Medicine 2006;13:93–98.
      1. Ramsey PW, Glenn LL. Nurses' body fluid exposure reporting, HIV testing, and hepatitis B vaccination rates: Before and after implementing universal precautions regulations. Official Journal of the American Association of Occupational Health Nurses 1996;44:129–137.
      1. Ryan ME, Jones L, Miller D. Healthcare workers and bloodborne pathogens: Knowledge, concerns and practices. Gastroenterology Nursing 1996;19:96–101.
      1. Shin SJ, Shin KR, Yi HR, Ju SK. Knowledge, health belief, and self-efficacy related to osteoporosis. Journal of Korean Academy of Nursing 2005;35:850–857.
      1. Tina M. Just-in-time training: A web-based tool for needlestick injury. Joint Commission Journal on Quality and Patient Safety 2004;29:201–206.
      1. Zafar AB, Butler RC, Podgorny JM, Mennonna PA, Gaydos LA, Sandiford JA. Effect of a comprehensive program to reduce needlestick injuries. Infection Control and Hospital Epidemiology 1997;18:712–715.
    Cited by
    Crossref 15
    Google Scholar 
    PubMed Central 2
    Scopus 9
    Web of Science 8
    MeSH Terms
    Blood-Borne Pathogens*
    Internet*
    Adult
    Female
    Health Knowledge, Attitudes, Practice
    Humans
    Infection Control/methods*
    Needlestick Injuries
    Nursing Staff, Hospital/education
    Nursing Staff, Hospital/psychology*
    Occupational Exposure/prevention & control*
    Questionnaires
    Metrics
    Share
    Links to
    Figures
    slide
    slide
    slide

    1 / 3

    Tables
    slide
    slide

    1 / 2

    PERMALINK