Browse > Article

Hand-hygiene Compliance of Child Care Teachers through Observation Method  

Hwang, A-reum (College of Nursing, Pusan National University)
Jeong, Ihnsook (College of Nursing, Pusan National University)
Publication Information
The Journal of Korean Society for School & Community Health Education / v.19, no.1, 2018 , pp. 71-83 More about this Journal
Abstract
Background & objectives: This study was aimed to identify the hand hygiene (HH) compliance and related factors among teachers working at child day care centers. Method: This study was done with 44 teachers working at home child day care center in Changwon. Data on hand hygiene compliance was measured using direct observation method from July to December, 2016 with structured observation sheet. Collected data was analyzed by descriptive statistics, and t-test or ANOVA using SPSS Statistics version 23.0. Result: Complete HH compliance rate was 54.0%, the highest in 'before having meals' (81.6%) and the lowest in 'after having meals' (25.8%). However, incomplete HH compliance rate was 34.5%, the highest in 'after contact with secretions' (47.8%) and the lowest in 'before having meals' (18.4%). The HH rate was related with working experience. Conclusion: The HH compliance rate among child care teachers was not satisfactory. About one quarter of child care teachers have taken hand hygiene related training. Therefore, child care teachers should be encouraged to participate in hand hygiene related education program regularly.
Keywords
Hand Hygiene; Compliance; Child Day Care Centers;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 김지수. 보육시설 아동을 위한 감염예방 프로그램의 효과. 아동간호학회지 2007;13(4):467-477.
2 박선남, 이영란, 정영주, 김경미. 보육교사의 전염병 질환에 대한 지식 및 전염성 질환 아동 관리 실태. 한국보건간호학회지 2010;24(1):115-125.   DOI
3 법제처. 영유아보육법. 세종: 법제처, 2016
4 보건복지부, 어린이집 건강관리 매뉴얼-감염. 세종: 보건복지부, 2012.
5 보건복지부. 전국보육실태조사-어린이 집 조사보고. 세종: 보건복지부, 2014.
6 보건복지부.한국보육진흥원. 2016 어린이집 평가인증 안내(39인 이하 어린이집). 세종: 보건복지부, 2016.
7 안종균, 최성열, 김동수, 김기환. 영유아의 보육시설 이용과 감염성 질환 실태 연구. 대한소아감염학회지 2012;19(1):19-27.
8 이무식. 감염병 예방을 위한 손 씻기 실태조사 및 실천률 향상 전략 개발. 오송: 질병관리본부, 2013.
9 정선영, 유옥수. 병원간호사의 의료관련감염 예방을 위한 손위생에 관한 구조모형, 성인간호학회지 2012;24(2):119-129.   DOI
10 정재심, 최명애. 외과계중환자실에서 손씻기 증진 프로그램이 손씻기 이행도와 병원감염 발생에 미치는 영향, 병원감염관리 2004;2(2):117-129.
11 정재심, 외 5명. 전 국민 손씻기 이행 및 인식 실태. 예방의학학회지 2007;40(3):197-204.
12 조계엽. 보육시설 종사자들의 영유아 감염예방에 대한 지식과 실천에 관한 연구[석사학위논문]. 서울: 한양대학교 대학원, 2011.
13 Ball TM, Holberg CJ, Aldous MB, Martinez FD, Wright AL. Influences of attendance at day care on the common cold from birth through 13 years of age. Archives of Pediatrics Adolescent Medicine 2002;156(2):121-126.   DOI
14 Clark J, Henk JK, Crandall PG, Crandall MA, O'Bryan CA. An observational study of handwashing compliance in a child care facility. American Journal of Infection Control 2016;44(12):1469-1274.   DOI
15 Dobbs C. Infection control in the child care center and pre-school. http://www.jcdh.org/wp-content/uploads/2016/04/JCDH-Daycare-Disease-Management-Manual.pdf. 2009.
16 Ellingson K 외 11명. Strategies to prevent healthcare-associated infections through hand hygiene. Infection Control & Hospital Epidemiology 2014;16:937-960.
17 Karaaslan A, 외 7명. Compliance of healthcare workers with hand hygiene practices in neonatal and pediatric intensive care units: overt observation. Interdisciplinary Perspectives on Infectious Diseases. 2014;2014:306478.
18 Peel Public Health. Preventing and managing illnesses in child care centres. Western Australia: Region of Peel. Preventing and managing illnesses in child care centres. 2015.
19 Levchenko AI, Boscart VM, Fernie GR. The feasibility of an automated monitoring system to improve nurses' hand hygiene. International Journal of Medical Informatics 2011;80(8):596-603.   DOI
20 Lu N, 외 5명. Child day care risks off common infectious diseases revisited. Child Care Health & Development 2004;30(4):361-368.   DOI
21 World Health Organization (WHO). WHO guidelines on hand hygiene in health care: first global patient safety challenge. Clean care is safer care. Geneva: World Health Organization. 2009.
22 Public Health England. Guidance on infection control in schools and other childcare settings. http://www.publichealth.hscni.net/sites/default/files/Guidance_on_infection_control_in%20schools_poster.pdf. 2017.
23 Stahmeyer JT, Lutze B, von Lengerke T, Chaberny IF, Krauth C. Hand hygiene in intensive care units: a matter of time? Journal of Hospital Infection. 2017;95(4):338-343.   DOI
24 Van Beeck AH 외 5명. Children's hand hygiene behaviour and available facilities: an observational study in Dutch day care centres. European Journal of Public Health 2016;26(2):297-300.   DOI
25 Zomer TP 외 5명. Hand hygiene compliance and environ mental determinants in child day care centers: An observational study. American Journal of Infection Control 2013;41:497-502.   DOI