{"title":"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。","authors":"Yeongmi Kim, Jihea Choi","doi":"10.1016/j.ajic.2025.07.009","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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 R<sup>2</sup> value of resilience was 13.3%, whereas that of IPC practice was 18.6%.</p><p><strong>Conclusions: </strong>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.</p>","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":" ","pages":""},"PeriodicalIF":2.4000,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Enhancing infection prevention and control practices among nurses: The mediating role of resilience and the moderating effect of training participation.\",\"authors\":\"Yeongmi Kim, Jihea Choi\",\"doi\":\"10.1016/j.ajic.2025.07.009\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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 R<sup>2</sup> value of resilience was 13.3%, whereas that of IPC practice was 18.6%.</p><p><strong>Conclusions: </strong>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.</p>\",\"PeriodicalId\":7621,\"journal\":{\"name\":\"American journal of infection control\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":2.4000,\"publicationDate\":\"2025-07-24\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"American journal of infection control\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1016/j.ajic.2025.07.009\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"INFECTIOUS DISEASES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"American journal of infection control","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.ajic.2025.07.009","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"INFECTIOUS DISEASES","Score":null,"Total":0}
引用次数: 0
摘要
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。
Enhancing infection prevention and control practices among nurses: The mediating role of resilience and the moderating effect of training participation.
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.
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)