• Journal of Food Hygiene and Safety
• /
• v.34 no.1
• /
• pp.73-86
• /
• 2019

Seafaring is an important occupation that requires stringent hand hygiene practices as a basic method for preventing food-borne illness and infectious diseases when the diseases occur on board. The purpose of this study is to provide fundamental data for the prevention of food-borne illness and infectious disease on the ship by investigating the level of hand hygiene practices and influencing factors. A total of 222 seafarers were surveyed at a seafarers' educational institution between July and August 2017. Their hand hygiene practice were examined by a modified method using the guidelines which are recommended by the World Health Organization, the Centers for Disease Control and Prevention, and Hand Hygiene Australia. The mean of hand hygiene practice was 47.97 out of 75 points. By category, the most frequent hand hygiene practice was measured as 4.04 on a 5-point scale as 'after working'. Factors affecting hand hygiene practices were ship tonnage relating to in job characteristics, exercise in health-related characteristics, and soap in relation to the characteristics of the hand hygiene environment on board. To improve hand hygiene among seafarers, it is necessary to raise awareness of hand hygiene among seafarers who work on small ships in particular, and to improve the systems of hand hygiene on ships with continuous education, hygiene practice evaluation and feedback.

• The Journal of the Convergence on Culture Technology
• /
• v.8 no.6
• /
• pp.191-198
• /
• 2022

This study was to provide education on hand hygiene and personal protective equipment(PPE) to nursing students and to investigate the effects of knowledge, attitude, and self-efficacy. This was a single group, pre-post quasi-experimental design. This study was conducted from October 28 to November 30, 2021 using a structured questionnaire targeting 18 students in the 3rd year of college nursing. Data analyzed by descriptive statistics and paired t-test. As a result of the study, hand hygiene knowledge (t=3.33, p=.004) and PPE knowledge (t= -11.02, p<.001) significantly increased through hand hygiene and PPE education, and attitude toward personal protective equipment (t =-2.76, p=.013) and self-efficacy (t=-3.69, p=.002) all significantly increased. Therefore, based on the results of this study, it is considered necessary to develop a systematic and repetitive hand hygiene and personal protective equipment education program, and it will be used as basic data for program development.

• Journal of Korean Biological Nursing Science
• /
• v.14 no.3
• /
• pp.156-165
• /
• 2012

Purpose: This study was conducted to test the effect of the Hand Hygiene Education Program on hand hygiene knowledge, hand hygiene perception, nasal Staphylococcus aureus colonization and hand hygiene adherence in nursing students. Methods: A non-equivalent pre-post test of quasi-experimental design was used. 87 second grade nursing students participated in the study with 43 in the experimental group and 44 in the control group. We used the Hand Hygiene Education Program which was held 5 times over 5 weeks, taking 60 minutes per session. For the analysis, descriptive statistics, chi test, and t-test were used for statical analysis with SPSS 19.0. Results: There were significant increases in hand hygiene knowledge (p=.004) and hand hygiene adherence (p=.002) and there was a significant decrease in nasal Staphylococcus aureus colonization (p=.026) in the experimental group compared to the control group. However, hand hygiene perception (p=.543) was not significantly changed. Conclusion: Findings of this study suggest that the Hand Hygiene Education Program may be effective in enhancing hand hygiene knowledge and hand hygiene adherence. Also this program was effective in reducing nasal Staphylococcus aureus colonization in nursing students. Further studies are needed to evaluate the effects of the Hand Hygiene Education Program on hand hygiene perception in nursing students.

• Journal of Korean Critical Care Nursing
• /
• v.11 no.1
• /
• pp.101-109
• /
• 2018

Purpose : The purpose of this study was to identify the knowledge, perception and hand hygiene performance rate of hospital nurses and to identify any correlation between them. Method : Data were collected from 205 nurses working in a university hospital in Chungcheong-do. A self-report survey method was utilized. Participants completed the hand hygiene knowledge questionnaire. Results : The average knowledge of hand hygiene was 11.76 (out of 18 points), and the average perception of hand hygiene was 35.55 (out of 96). The hand hygiene performance rate was 85.62%. Knowledge of hand hygiene showed significant differences according to age (F = 75.821, p < .001), gender (t = 25.049, p < .001) and working period (F = 24.843, p < .001). The most important explanatory factor in hand hygiene performance was hand hygiene perception (${\beta}=.26$), followed by working period (${\beta}=.14$). These variables accounted for 10.0% of subjects' hand hygiene performance. Conclusion : The results of this study suggest that continuous and effective education is needed to strengthen knowledge and perception of the importance of hand hygiene practice for nurses to prevent healthcare-associated infections.

• Journal of Korean Academy of Fundamentals of Nursing
• /
• v.23 no.2
• /
• pp.194-203
• /
• 2016

Purpose: This study was conducted to test the effect of a scenario based hand hygiene education program on hand hygiene knowledge, hand hygiene perception, hand hygiene compliance and hand hygiene method in nursing students. Methods: A non-equivalent control group, non-synchronized quasi-experimental design was used. Forty five nursing students participated in the study with 22 in the experimental group and 23 in the control group. Data were analyzed using descriptive statistics, ${\chi}^2-test$, t-test, and repeated measures of ANOVA. Results: There were significant increases in hand hygiene knowledge (t=-4.28, p<.001) and accuracy of the hand hygiene method by week (F=7.33, p<.001). However, hand hygiene perception (t=-1.67, p=.102) and hand hygiene compliance rate (F=7.33, p=.405) were not significantly changed. Conclusion: The effects of the scenario based hand hygiene education program provided in this study were excellent, compared to the other hand hygiene education programs. Moreover, as a result of investigating the education effects through direct observation for 4 weeks, appropriate feedback was offered in the third week, and it was found that maintaining the effect was necessary. However, the current status of hand hygiene compliance and accuracy of methods for ensuring hand hygiene need to be studied further.

• Journal of The Korea Institute of Healthcare Architecture
• /
• v.23 no.3
• /
• pp.9-17
• /
• 2017

Purpose : The easiest and most cost-effective way to prevent medical-related infections is known as proper hand washing of health care workers. The experience of MERS in domestic medical institutions has increased the importance of hand hygiene for medical workers to prevent infections in hospitals. It is necessary to investigate the level of hand hygiene practice by type of medical institutions and the factors influencing the infection prevention. Methods : Domestic and overseas hand hygiene related business cases and literature data were collected and analyzed in order to investigate the hand hygiene status of medical institutions in Korea. Result : As a result of hand hygiene monitoring of all hospital-level medical institutions in 2016, the total number of observations was 24,328 and the hand hygiene performance rate was 75.9%. The hand hygiene performance rate of hospitals was 71.5% for general hospitals, 75% for general hospitals, and 81.3% for hospitals. Implications : In general hospitals and hospitals, the HR(Hand Rubbing) method is preferred as a way of performing hand hygiene, whereas the HW(Hand Washing) method is relatively high in the small hospitals. It is estimated that the HW system is preferred because of the cost burden at the hospital medical institution. Therefore, it is necessary to compensate the related expenses to improve the hand hygiene performance of the physicians who are engaged in the hospitals.

• Journal of the Korea Convergence Society
• /
• v.9 no.12
• /
• pp.115-122
• /
• 2018

Dental environments are easily exposed to hospital microorganisms, so the risk of infection among workers is very high. Hand washing is one of the most important and basic way to reduce the risk of infection, as hands are an important medium of infection. Therefore, a convergence study was conducted between hand washing and health belief in orthodontic clinic. Analysis of differences between hand washing and health beliefs showed a significant relationship between importance of hand washing and experience in hand washing education (p=0.010) (p=0.000). Analysis of factors affecting health beliefs showed that the importance of hand washing control (p=0.014) and hands washing education experience (p=0.010) were significantly influencing factors. Infections management education is believed to be highly relevant in establishing a health when increasing interest in dental infections is expected to increase the importance of hand washing, a basic method.

• Journal of the Korea Convergence Society
• /
• v.12 no.11
• /
• pp.155-160
• /
• 2021

This study analyzed the awareness and performance of physical therapists' infection control using IPA. The four areas were divided into handwashing, personal management, Treatment room environment management, and infection control education, and a survey was conducted on awareness and practice. General characteristics were analyzed for frequency, and recognition and performance were analyzed through paired t-test and Pearson's correlation. Handwashing was both high and infection, control education had high performance, but low awareness. The performance of Treatment room environment was high, but the awareness was low, and personal management was both low. Therefore, based on this study, there is a need for a strategy to improve the awareness of infection control education, a strategy to improve performance in the treatment room environment, and a strategy to improve both performance and awareness in Personal management.

• Korean Journal of Occupational Health Nursing
• /
• v.22 no.3
• /
• pp.198-207
• /
• 2013

Purpose: The purpose of this study was to describe hospital nurses' knowledge and beliefs about hand hygiene and to identify the relationships between knowledge and beliefs. Methods: Data were collected from 232 nurses working in four university hospitals and were analyzed using SPSS/WIN 20.0 program. Results: The mean score of knowledge of hand hygiene was 8.1. The mean scores of behavioral, normative, and control belief about hand hygiene were 2.3, 2.5, and -0.7, respectively. Knowledge was correlated with educational level (p=.013) and experience of hand hygiene campaign (p=.018). The behavioral belief was correlated with age (p<.001) and career (p=.002). The normative belief was correlated with work department (p=.007). The control belief was correlated with educational level (p=.043) and experience of being monitored on hand hygiene (p=.010). The subjects who believed that head nurses, charge nurses, and colleagues practiced better hand hygiene had higher behavioral and normative belief scores than those who did not. There were no significant relationships between knowledge and beliefs. Conclusion: There is a need to improve knowledge of hand hygiene in hospital nurses. This study provides information for developing strategies to strengthen beliefs about hand hygiene.

• Perspectives in Nursing Science
• /
• v.12 no.1
• /
• pp.7-13
• /
• 2015

Purpose: This observational study was aimed to determine the influence of the Hawthorne effect on the adherence to hand hygiene (HH) among healthcare workers (HCWs) in South Korea. Methods: HCWs were monitored in 2 periods regarding adherence to HH when there were indications for HH. In first period, HCWs recognized that their behavior of hand hygiene being observed (overt observation), and did not recognize in second period (covert observation). Results: The overall difference in HH rate between two periods was 45.0% point (77.8% vs 32.8%). There were significant differences between profession but in nurse aids. The differences in HH rate between two periods were 46.1% point in nurses, 29.9% point in physicians, 64.0% in radiologists, 62.5% point in laboratory technicians, 36.4% point in physio-therapist, and 1.0% point in nurse aids. The Hawthorne effect on the adherence to HH lasted more than 3 months. Conclusion: The Hawthorne effect markedly influence on the adherence to HH regardless of profession except nurse aids. Therefore, Hawthorne effect can be useful tool to improve and sustain the adherence to HH among HCWs in South Korea.