• 기본간호학회지
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• 제24권3호
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• pp.219-229
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• 2017

Purpose: The aim of this study was to examine the relationship between handwashing knowledge and handwashing compliance in nursing students and to identify the moderation and mediation effects of self-efficacy and perceived behavioral control on the relationship. Methods: The participants were 172 nursing college students who completed the self-report measures. Data were analyzed using t-test, ANOVA, and Pearson correlation coefficient, Multiple regression analysis was used to test moderation and mediation effects. Results: The score for knowledge of handwashing was higher in participants who had completed fundamentals of nursing practicum (t=-6.54, p<.001) and the score for compliance with handwashing was higher in participants who had completed clinical practicum (t=-3.81, p<.001) or fundamentals of nursing practicum (t=-5.97, p<.001). Self-efficacy showed a significant moderation effect (z=2.21, p=.027) but not a mediation effect while perceived behavioral control had a significant mediation effect but not a moderation effect on the relationship between knowledge of handwashing and compliance. Conclusion: Findings indicate that clinical practicum and fundamentals of nursing practicum were helpful to nursing students in acquiring knowledge and in practicing proper handwashing technique. These findings suggest that continuing and repetitive education programs on handwashing need to be enhanced and strategies to strengthen self-efficacy and perceived behavioral control need to be included in education programs.

• 대한간호학회지
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• 제33권6호
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• pp.686-692
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• 2003

Purpose: To assess the effect of handwashing improving program and MRSA carrier detection program on MRSA(methicillin resistant Staphylococcus aureus) infection rate in a intensive care unit. Method: The intervention was Nosocomial Infection(NI) control program consisted of hand washing improving program and identification and treatment of MRSA carrier. Data on the NI and MRSA infections were collected by an infection control nurse based on the definition of CDC. MRSA infection rates were calculated by the number of MRSA infection per 100 admissions or 1,000 patients-days. The difference of MRSA infection rates between pre and post intervention was tested by Chi-square at =.05. Result: MRSA infection rates 3.0% or 3.2 per 1,000 patient-days at the pre, 4.6% or 3.7 per 1,000 patient-days at the post, and the differences were not statistically significant (p=.411, p=.769 respectively). Conclusion: The handwashing improving program and MRSA carrier detection program was not effective in reducing the Nosocomial Infection(NI) or MRSA infection rates. It is recommended further studies with a longer intervention and follow-up period.

• 성인간호학회지
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• 제17권2호
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• pp.268-275
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• 2005

Purpose: The purpose of this study was to determine handwashing-related factors in nurses. Specific purposes of this study were to examine 1) the applicability of the hypothetical model constructed for this study, on the basis of Theory of Planned Behavior(TPB), and 2) relationships between handwashing practice and other variables such as age, career, level of education, and level of recognition about handwashing. Method: Data were collected from 187 nurses in one university hospital in Kyung-Ki province. Result: The hypothetical model based on TPB was revealed applicable, but the degree of the variance explaining handwashing practice was small(26%). Perceived behavioral control(PBC) was the most strong variable explaining handwashing practice, and intention didn't have a significant effect on handwashing practice. Norm and PBC had significant effects on intention, but attitude was not a significant factor of intention. Age, career, and the level of awareness of handwashing practice were significantly related to handwashing practice. Conclusion: The result of this study suggests that we should focus on perceived behavioral control, awareness of handwashing practice and subjective norm about handwashing practice to increase the level of nurses' handwashing practice.

• 한국치위생학회지
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• 제13권2호
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• pp.193-200
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• 2013

Objectives : The purpose of this study was to examine influential factors related to hand washing practice in dental hygienists by health belief model, one of the major predictors of health behavior including perceived susceptibility, perceived seriousness, perceived benefits, perceived barriers and cues to action. Methods : The subjects were dental hygienists in dental hospitals, dental clinics, general hospitals and university hospitals in Seoul. A survey was conducted from May 1 to September 30, 2011. Results : Analysis of health belief of dental hygienists in hand washing, they revealed the highest marks of 4.39 to perceived benefits, followed by perceived susceptibility(4.29), perceived seriousness(3.94), cues to action(3.30) and perceived barriers(1.81). The mean was 4.13 in hand washing practice. The senior and well educated dental hygienists in general hospitals had a tendency to wash hands frequently. It is statistically significant(p<0.05). In regard to the correlation among the subfactors of health beliefs, susceptibility had a statistically significant positive correlation to seriousness, benefits and cues to action, and seriousness was positively correlated to benefits and cues to action. Conclusions : It is necessary to develop and implement hand washing education program for dental hygienists focusing on perceived benefits and barriers which are two of the health beliefs affecting the hand washing practice.

• 기본간호학회지
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• 제5권1호
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• pp.143-154
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• 1998

Background : There have been very few studies conducted on the number and type of microorganisms that remain on the ring finger after handwashing. This study was performed to investigate whether there were changes and differences in the type and number of microorganisms on the ring finger before and after handwashing. Method : The subjects of the study were 15 MICU and SICU staff nurses who were wearing rings. I swabbed two different fingers of the same hand with cotton balls. One finger which had a ring and the other with no ring. I swabbed the fingers of each subject three times(before handwashing, after handwashing with soap, and after handwashing with bethadine solution). After storing them for 48 hours in an incubator, I sent them to the laboratory and recorded the culture results. Results : There was no difference in the type of microorganism, but a major difference in the number of the microorganisms that existed on the finger ring. The results showed that there were much more microorganisms on the ring fingers than on the fingers that did not have rings both before and after handwashing. This tendency was consistent regardless of the handwashing agent. I therefore recommend that all nursing staff who work in general nursing units, as well as nurses who work in the ICU, remove their rings when taking care of the patients.

• 기본간호학회지
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• 제13권2호
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• pp.208-216
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• 2006

Purpose: This study was done to identify the differences in effectiveness of disinfections for surgical hand scrubbing according to the duration of scrubbing and the type of disinfectant. Method: From June 30 to August 14, 2003, the data were collected from 30 surgical nurses and surgeons in one general hospital in P city, Korea. All participants washed their hands with two different disinfectants and four different scrubbing times, they placed both finger tips on a blood agar plate and using sterile cotton tips microbes were collected from their palms, nails and forearms. Results: The first hypothesis of this study(with same disinfectant, there will be no difference in effect of disinfection in surgical hand scrub among four time groups) was supported. The second hypothesis of this study(with same duration of surgical hand scrub, there will be no difference in effect between two disinfectants) was also supported. Conclusion: There are no differences in effectiveness of disinfection for surgical hand scrubbing according to duration of the scrubbing and the type of disinfectant. So it is concluded that the effectiveness of disinfection depends more on the exactly how the scrubbing is done rather than the duration of scrubbing or the type of disinfectant.

• 한국학교보건학회지
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• 제27권1호
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• pp.39-49
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• 2014

Purpose: The purpose of this study was to investigate the effect of hand washing education programs on knowledge, attitude and performance of hand washing in Undergraduates. Methods: The study used a nonequivalent control group quasi-experimental design. A total of 118 students in K university in Seoul, Korea, participated in this study. 67 students were included in the experimental group and 51 students were in the control group. The experimental group was given a lecture, Educational Hand Washing Program, developed by researchers. Using a structural questionnaire, the students' perception on hand washing was measured before and after the intervention, in terms of knowledge, attitude, and performance at home and school. Results: The experimental group showed significantly higher scores in knowledge (p=.033), attitude (p<.001), and performance at home (p=.001). However, the performance at school didn't show a significant difference between the two groups (p=.063). Conclusion: The results indicate that education is effective in enhancing knowledge, attitude, and performance of hand washing.

• 한국산학기술학회논문지
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• 제20권2호
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• pp.173-179
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• 2019

본 연구의 목적은 학교 유형별 고등학교 학생들의 식품위생 태도와 개인위생 관리에 관한 교육 프로그램의 개발을 위한 기초 자료를 제공하는 것이다. 2015년 7월 16일부터 10월 15일 까지 충남지역 16개 고등학교의 학년 당 30명씩에게 설문지를 배포하였고, 미회수 및 불충분한 설문지를 제외한, 총 1214 부(인문고등학생 473명과 특성화고 741)에 대해 SPSS(ver 18.0)을 사용하여 통계처리하였다. 연구 결과, 인문계 고등학생은 특성화 고등학생보다 식품을 살 때 유통기한을 더 확인하고(3.79, 3.60), 조리 가열된 식품을 보관 후 그대로 먹는다는 응답이 낮았고(2.85, 2.98), 식품의 특성에 맞게 냉장 냉동 보관 저장한다(3.90, 3.76)고 하였다. 인문계 고등학생이 특성화 고등학생보다 식사 전 손씻기(3.66, 3.52), 화장실 다녀온 후 손씻기(4.30, 3.95), 올바른 방법으로 손씻기(3.63, 3.45)를 잘하였고, 식사시간 중에 돌아다니기(2.19, 2.43)와 식사시간 중간에 화장실을 적게 가는 것(2.28, 2.47)으로 조사되었다. 본 연구에서, 일반 고등학생과 특성화고등학생들은 식품위생태도와 개인위생 관리 부분에서 유의적 차이를 보였고, 일반 고등학생이 특성화 고등학생보다 식품위생태도와 개인위생관리를 잘하는 것으로 조사되었다. 그러나 그 정도는 높지 않아, 개선이 필요한 것으로 사료된다. 따라서 학교유형에 따라 식품위생태도와 개인위생 관리에 대한 교육을 강화해야 함을 제언한다.

• 한국학교보건학회지
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• 제23권2호
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• pp.162-171
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• 2010

Purpose: The purpose of this study was to find out the effect of hand washing education program on knowledge, attitude and practice of handwashing in elementary school. Methods: The subjects were 484 late school-aged children in Gyeonggi-do. Data were collected from Sep. 1 to Dec. 21, 2009. Results: 1) The handwashing education group (experimental group=E) showed higher score in knowledge of handwashing than the control group (C) (t=5.20, p<.001 ) as the E group scored 29.15(${\pm}3.24$) and the C group scored 27.52(${\pm}3.69$). 2) The E group showed higher score in attitude of handwashing than the C group (t=6.58, p<.001 ) as the E group scored 39.60(${\pm}4.33$) and the C group scored 36.96(${\pm}4.47$). 3) The E group showed higher score in practice of handwashing than the C group (t=2.64, p<.001). as the E group scored 45.90(${\pm}4.79$) and the C group scored 44.67(${\pm}5.33$). Conclusion: The experimental group showed significantly higher scores in knowledge, attitude, practice and cognition of handwashing. This proves that the handwashing program was effective. It is necessary to apply more systematic and various handwashing education programs for other grade at schools.

• Child Health Nursing Research
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• 제14권2호
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• pp.129-137
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• 2008

Purpose: To examine the effects on skin injury, pain, and anxiety when nurses and children simultaneous wash their hands before IV injections. Method: A nonequivalent control group, non-synchronized design study was used with 61 children. For a month and a half, children in the experimental group(30) following hand-washing guidelines, washed their hands with nurses before IV insertion. Anxiety and pain were observed and recorded during IV insertion using the Anxiety Reaction Scale and FACES pain scale. After 48-72 hours on IV therapy with an arm-board, skin condition was checked by a research assistant according to guidelines for assessing skin injury developed by the researcher. t-test, ${\chi}^2$-test, Pearson correlation, and Kendall's tau b were used to analyze data with the SPSS program. Results: Children who washed their hands with the nurse before IV insertion showed less pain (p =.021) and skin injury (p <.001) compared to the control group. Conclusion: This finding suggests that simultaneous hand washing by nurse and child before IV injection has a strong effect on skin injury caused by arm-boards used to maintain IV therapy as well as on pain during IV insertion. This program demonstrates an effective intervention to prevent skin injuries in children on IV therapy.