Enhancing infection prevention and control practices among nurses: The mediating role of resilience and the moderating effect of training participation.

IF 2.4 3区医学 Q2 INFECTIOUS DISEASES

American journal of infection control Pub Date : 2025-07-24 DOI:10.1016/j.ajic.2025.07.009

Yeongmi Kim, Jihea Choi

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引用次数: 0

Abstract

Background: Infection prevention and control (IPC) practices are essential for pandemic preparedness. This study examined the individual-level cognitive and psychological factors influencing IPC practices among nurses during the coronavirus disease 2019 pandemic.

Methods: A cross-sectional survey was conducted with 120 nurses in Korea from July 7 to August 31, 2022. Partial least squares-based path analysis was performed to assess the relationships among knowledge, nursing attitude, resilience, IPC practices, and training participation, as well as the mediation and moderation effects.

Results: Knowledge (β = 0.216, P = .007) and resilience (β = 0.211, P = .014) significantly influenced IPC practices. Resilience significantly mediated the relationship between nursing attitude and IPC practices. Training participation significantly moderated the effects of knowledge on resilience (β = 0.184, P = .004) and nursing attitude on IPC practices (β = 0.158, P = .025). The adjusted R² value of resilience was 13.3%, whereas that of IPC practice was 18.6%.

Conclusions: Nurses' knowledge and attitude enhance IPC practices through the mediating effect of resilience and the moderating role of training participation. Prioritizing practical reinforcement training and resilience-building programs can strengthen IPC compliance and improve infection prevention in future outbreaks.

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加强护士感染防控实践：心理弹性的中介作用及培训参与的调节作用。

背景：感染预防和控制（IPC）做法对大流行的防范至关重要。本研究探讨了COVID-19大流行期间影响护士IPC实践的个人认知和心理因素。方法：对韩国120名护士于2022年7月7日至8月31日进行横断面调查。采用偏最小二乘通径分析评估知识、护理态度、恢复力、IPC实践和培训参与之间的关系，以及中介和调节作用。结果：知识（β = 0.216, p = 0.007）和韧性（β = 0.211, p = 0.014）显著影响IPC实践。恢复力显著中介护理态度与IPC实践之间的关系。培训参与显著调节了知识对复原力的影响（β = 0.184, p = 0.004）和护理态度对IPC实践的影响（β = 0.158, p = 0.025）。恢复力的调整R2值为13.3%，IPC实践的调整R2值为18.6%。结论：护士的知识和态度通过弹性的中介作用和培训参与的调节作用促进IPC实践。优先考虑切实可行的强化培训和复原力建设方案，可加强IPC合规性，并在未来疫情爆发时改善感染预防。数据可得性声明：本研究中产生和分析的数据集可应通讯作者的合理要求向其提供。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

American journal of infection control 医学-传染病学

CiteScore

7.40

自引率

4.10%

发文量

479

审稿时长

24 days

期刊介绍： AJIC covers key topics and issues in infection control and epidemiology. Infection control professionals, including physicians, nurses, and epidemiologists, rely on AJIC for peer-reviewed articles covering clinical topics as well as original research. As the official publication of the Association for Professionals in Infection Control and Epidemiology (APIC)