• 한국직업건강간호학회지
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• 제22권3호
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• pp.198-207
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• 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.

• 한국치위생학회지
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• 제17권2호
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• pp.247-258
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• 2017

Objectives: This study was conducted to identify the correlation between belief in hand hygiene, activities and related hand hygiene performance rates among dental staff. Methods: This study was based on the evaluation of 329 dental practitioners, including dental hygienists who work at dental clinics, dental hospitals, general and university dental hospitals in Seoul, Gyeonggi-do Province, and Incheon. The questionnaire consisted of a total of 46 questions, including 7 questions on general characteristics, and 25 questions on hand hygiene beliefs, and 5 questions on hand hygiene activities, and 9 questions on hand hygiene practices. This study used 291 subjects for the final analysis, excluding subjects who had provided incomplete or inappropriate responses to the questionnaire. The collected data were analyzed using an independent t-test, ANOVA, $x^2$ test, correlation analysis, and multiple linear regression analysis, where p-values of <0.05 were considered statistically significant. Results: Longer clinical career was associated with a significant increase in behavior and norm beliefs, but no sequential difference in control beliefs. The hand hygiene performance was higher in staff at larger hospitals after contact with pollutants and contaminated environments. Higher age was associated with a significant increase in hand hygiene performance rates, but profession was not statistically significant in the performance rate of hand hygiene. The hand hygiene performance rate was ranked higher among those with average work hours per week of greater than 8 hours followed by those who worked fewer than 8 hours. Fewer work hours per week, a stronger belief in hand hygiene, less frequent exposure to contaminated environments, and a greater number of hand hygiene performance had a positive effect on higher hand hygiene performance rates. Conclusions: In order to increase the hand hygiene performance rate of dental practitioners, it is considered that required time for hand washing should be ensured sufficiently. Proper usage of hand sanitizers should also be promoted efficiently.

• 성인간호학회지
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• 제24권2호
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• pp.119-129
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• 2012

Purpose: The purpose of this study was to test hand hygiene behavior model of hospital nurses, based on theory of planned behavior. Methods: Data were collected from 253 nurses from four university hospitals for the period of December 2010 to January 2011. Data were analyzed using of SAS (ver.9.1). Fitness of the study model was identified with SAS PROC CALIS. Results: The overall fitness was $x^2$=57.81 (df=13, $p$ <.001), GFI=.99, AGFI=.99, CFI=.95, NFI=.93. The variance of actual implementation of hand hygiene by predictor variables was 11.0% and the variance of intention to hand hygiene was 53.5%. Variable that had a direct effect on hand hygiene behavior was intention. Perceived behavior control and attitude affected hand hygiene behavior indirectly. Control belief had a direct effect on perceived behavior control and had an indirect effect on intention and behavior. Behavioral belief had a direct effect on attitude and an indirect effect on intention and behavior. Conclusion: The study provides basic information for understanding nurses' hand hygiene behavior. Further testing of the model will indicate which variables can contribute to improved hand hygiene.

• 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.

• 한국간호교육학회지
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• 제19권3호
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• pp.455-464
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• 2013

Purpose: The goal of the study was to investigate nursing students' knowledge and compliance with hand hygiene to find out the variables associated with compliance with hand hygiene. Methods: The participants were 1,020 nursing college students located in Seoul, Ansan and Suncheon. The variables analyzed in this study were; hand hygiene knowledge, hand hygiene compliance, hand washing habits, hand hygiene education with emphasis in school, emphasis on hand washing and role modeling in hospital, and hand hygiene beliefs. Data were analyzed by frequency, $x^2$-test, t-test and Pearson correlation coefficient. Results: 1. The correct answer average percentage of hand hygiene knowledge was 78.4%. 2. The average rates of hand hygiene compliance rate was 78.0% 3. Compliance rate had significant correlation with variables such as hand washing habit, hand hygiene education with emphasis in school, emphasis on hand washing and role modeling in hospital, and hand hygiene belief. Conclusion: 1. It is nessassery for nursing students to receive proper educational on hand hygiene knowledge during practices in nursing school curriculum. 2. Nurses should be encouraged to be a good mentor to nursing students on appropriate hand hygiene compliance in clinical practice.

• 지역사회간호학회지
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• 제31권3호
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• pp.375-383
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• 2020

Purpose: The purpose of this study was to investigate factors influencing care workers' intention of hand hygiene implementation in long-term care hospitals. Methods: A total of 180 care workers working at long-term care hospitals were recruited. Data collection was done from July 22 to September 7, 2018. Results: The significant TPB variables influencing the intention of hand hygiene implementation were perceived behavior control (β=.41, p<.001), normative belief (β=.28, p<.001) and attitude toward behavior (β=.15, p=.014). These factors explain 39% of care workers' intension of implementing hand hygiene in long-term care hospitals. Conclusion: In order to strengthen the commitment of hand hygiene, it is necessary to have a positive attitude toward hand hygiene by eliminating the obstacles to hand hygiene.

• 한국응용과학기술학회지
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• 제35권3호
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• pp.587-594
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• 2018

본 연구의 목적은 치과종사자의 손씻기에 대한 건강신념과 손씻기 수행도 간의 관련성을 파악하여 평가하는 것이다. 본 연구는 치과의원, 치과대학병원에서 근무하는 140명의 치과종사자를 대상으로 구조화된 설문지를 사용하여 자가보고식으로 작성하도록 하였다. 모든 자료는 통계분석은 t검정, 일원분산 분석, Pearson 상관계수분석으로 통계처리 하였다. 손씻기 수행도는 손씻기에 대한 건강신념과 r=0.285로 양의 상관관계를 보였다(p<0.01). 치과의원, 치과대학병원에서 근무하는 치과종사자의 병원감염 예방을 실천하기 위해서는 감염관리 교육 시 지각된 민감성, 지각된 심각성, 지각된 유익성, 지각된 장애성, 수행을 위한 동기로 구성된 손씻기에 대한 건강신념을 고려하고, 지속적인 손씻기 교육을 시행한다면 치과종사자의 손씻기 수행도도 증가할 것으로 사료된다.

• 한국치위생학회지
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• 제17권3호
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• pp.553-553
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• 2017

• 한국융합학회논문지
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• 제9권12호
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• pp.115-122
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• 2018

치과진료 환경은 병원 미생물에 쉽게 노출되어 종사자의 감염 위험성은 매우 높다. 그중 손은 감염의 중요한 매개가 되므로 손위생은 감염 위험성을 낮추기 위한 가장 중요하고 기본적인 방법이다. 이에 치과진료 과목을 세분화하여 교정치과 진료실의 손위생과 건강신념간의 관련성을 연구하였다. 손위생과 건강신념간의 차이 분석 결과 손 위생 관리 중요도와 손 위생 교육 경험은 유의한 관계를 보였다(p=0.010)(p=0.000). 건강신념에 영향을 미치는 요인 분석 결과 손 위생 관리 중요도(p=0.014), 손 위생 교육 경험(p=0.010)은 유의하게 영향을 미치는 요인이었다. 치과 감염에 대한 관심이 증대되면서 기본적인 방법인 손 씻기의 중요성이 더욱 높아질 것을 예상 할 때 감염관리 교육은 건강신념을 확립하는데 높은 관련성이 있을 것이라 사료된다.

• 한국치위생학회지
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• 제19권3호
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• pp.363-373
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• 2019

Objectives: The purpose of this study was to investigate nail hygiene behaviors and to identify the relationship between hand hygiene beliefs and nail hygiene behaviors among dental hygienists, dental's aide and dental coordinator in South Korea. Methods: The subjects were 291 dental workers including dental hygienists, dental assistant and dental coordinator working full-time at dental clinics, dental hospitals, general dental hospitals and dental university hospitals in Seoul, Incheon, and Gyeonggi-do. The questionnaire consisted of a total 35 items, including 4 items on general characteristics, 25 items on hand hygiene, 2 items on "nail art" experience, and 4 items on nail hygiene behaviors. The collected data were analyzed using an independent t-test, one-way ANOVA, chi-square test, correlation analysis, and multiple linear regression analysis, where ${\alpha}<0.05$ was considered statistically significant. Results: The scores of behavioral beliefs, normative beliefs, control beliefs and nail hygiene behaviors were $5.15{\pm}0.58$, $5.26{\pm}0.81$, $3.69{\pm}0.96$ and $5.03{\pm}0.98$, respectively. Statistically significant relationships were detected in terms of participants' clinical experiences with respect to behavioral and normative beliefs (p<0.05 for all three belief categories). Participants working in general dental hospitals and dental university hospitals demonstrated the highest scores for behavioral, normative and control beliefs (p<0.05). Participants working in dental clinics reported the highest "nail art" experience rates in the last two years (45.5%) and at the time of the survey (15.7%; p<0.05). Nail hygiene behaviors were more likely to be observed in individuals with stronger behavioral and stronger normative beliefs (p<0.05). Conclusions: More specific infection control guidelines for "nail art" among dental workers should be established and promoted, so that both patients and dental workers can interact in a safe environment.