The Performance of Healthcareassociated Infection Control Guideline Among Hospital Nurses: A Structural Equation Model

Background: to improve efficient and systematic management and following of healthcare-associated infection guidelines, the relationship among various factors must be understood. efforts should be made to strengthen or reduce relevant factors. we developed a structural equation model for following hai-control guidelines methods: overall, 388 korean registered nurses participated in this study and data collection was conducted jul 21-aug 31, 2014 using a self-reported questionnaire, and 392 of 400 copies were collected (98% recovery rate). data were analyzed using descriptive statistics, reliability, and pearson’s coefficient. model identification evaluation was conducted by goodness-of-fit index and impact analysis. results: results of goodness-of-fit of modified model were as follows: χ2=120.57 (df=16, p<.001), gfi (goodness of fit index)=.95, rmsea (root-mean-square error of approximation)=.10, srmr (standardizes root-mean-square residual)=.06, nfi (normal fir index)=.90, cfi (comparative fit index)=.90. factors with a statistically significant direct impact on behavioral intention are as follows; perceived behavior control (β=.35, p=.008), subjective norm (β=.27, p=.002), and job demands (β=-.08, p=.083). organizational factors directly influenced following guidelines. explanatory power of organizational factors on guideline compliance was greatest (c.r. [critical ratio] =5.67, p<.001). conclusion: supportive leadership and a positive organizational culture development strategy are essential. the hospital leader group should provide adequate resources to facilitate compliance with guidelines as well as create an atmosphere of on-site support that ensures guidelines will be followed, and engage in continuous monitoring and feedback regarding following of guidelines.