感染管制護理師執行感管業務之時間分佈探討

Time Distribution of Infection Control Professionals Enforces Infection Control Practices

感染管制單位在醫院組織架構中定位清楚及任務之釐清，將有助感染管制業務的推動與落實。本研究為了解感染管制護理師執行各項業務之時間分佈情形，採問卷調查法，問卷內容分：（1）感染管制監測、（2）感染管制政策、（3）抗生素審查資料彙整和分析、（4）教育訓練、（5）員工保健、（6）傳染病業務和疫調、（7）感染管制相關會議、（8）其他（協調、評鑑、資訊化）以及（9）非感染管制業務等九大項，分別計算其所花費的時間。結果方面，感染管制護理師花費在感染管制業務的時間每週平均39.15小時，非感染管制業務的時間則為7.94小時，以每週工作時數40小時計算，每週約超時工作7.09小時。進一步來看，醫學中心與區域醫院每個月平均花費在感染管制監測的時間最多（分別為24%與28%），地區醫院則花費在非感染管制相關業務的時間最多（21%）。本研究建議減少感染管制護理師每週執行非感控業務的工作時數，增加感染管制監測的時間。另外，簡化傳染病通報和處理行政流程、適當合併衛生單位的各項查核與醫院評鑑，以及統一各醫院感染管制單位的組織定位，同時在查核基準增加各醫院感管人力，將有助於改善感染管制人力不足的問題。

The orientation of the department of infection control in hospitals will be helpful in advancing and implementing infection control practices. In this study, we attempted to understand the infection control practices followed by infection control professionals (ICPs). The questionnaire used in the study included questions regarding the following: (1) infection control monitoring, (2) infection control policy, (3) antibiotic management, (4) education, (5) staff health, (6) infectious disease-associated practices, (7) infection control meetings, (8) other infection control practices, and (9) non-infection control practices. We found that ICPs spend 39.15 h on infection control practices every week and 7.94 h on non-infection control practices. Their working time was more than 7.09 h every week. Furthermore, the ICPs in medical centers and regional hospitals spent most of their time on infection control monitoring (24% and 28%, respectively). The ICPs in regional hospitals spent most of their time on non-infection control practices (21%). This research suggests that the official authorities in regional hospitals should apply infection control consult and education and decrease the non-infection control hours of part-time ICPs in area hospitals. Besides, to simplify infectious disease announce process, to unify the orientation of the infection control department in hospital clearly, and increase the examine standard of the infection control manpower will be helpful to promote the lack of the infection control manpower.