• 중환자간호학회지
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• 제11권1호
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• pp.101-109
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• 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.

• Child Health Nursing Research
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• 제21권4호
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• pp.285-292
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• 2015

Purpose: Purpose of this study was to identify factors affecting the performance of hand hygiene by parents of hospitalized infants. Methods: The study was conducted with 209 parents of hospitalized infants from one hospital in Changwon. Data were collected from June through August, 2014 and analyzed using SPSS Win 18.0 program. Results: There were positive correlations between performance of hand hygiene and perceptions of sanitary formula bottle (r=.586, p<.001), attitude to hand hygiene (r=.438, p<.001), and knowledge of hand hygiene (r=.405, p<.001) and between parent efficacy and perceptions of sanitary formula bottle (r=.572, p<.001). Awareness of perceptions of sanitary formula bottle (${\beta}$=.308, p<.001), parent efficacy (${\beta}$=.281, p<.001) and hand hygiene attitude (${\beta}$=.207, p<.001) were significant predictors of hand hygiene performance and explained 46.1% of the variance. Conclusion: To increase infection control medical institutions should provide education on hand hygiene and training for parents of hospitalized infants. In order to enhance the performance of hand hygiene, it is necessary to develop and apply nursing programs for hospitalized infants that include hand hygiene attitude, maintenance of the sanitary formula bottle and parent efficacy.

• 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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• 제18권5호
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• pp.751-761
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• 2018

Objectives: The purpose of this study was to identify factors affecting choice of treatment hospital (i.e., determinants) and satisfaction with the treatment hospital, and to provide a more satisfactory and high-quality medical service for orthodontic patients. Methods: A questionnaire survey was conducted for approximately 1 month beginning in August 2017, involving patients who visited orthodontic dentistry clinics in Seoul and Gyeonggi-do. Multiple regression analysis was performed on the results to examine factors that affected satisfaction with orthodontic treatment. Results: The determinant of dental clinics was 3.90 points overall; hospital environment and facilities were highest at 4.05, followed by dental hygienist at 3.99, and dentist at 3.97. Factors influencing satisfaction with orthodontic treatment were positively influenced by dentists (p<0.01), medical procedures (p<0.01) and medical expenses (p<0.01). Conclusions: It is important to provide comfort and convenience to patients by simplifying hospital facility management, reception, and reservation procedures.

• 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.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제23권3호
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• pp.9-17
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• 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 Preventive Medicine and Public Health
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• 제53권4호
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• pp.236-244
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• 2020

Objectives: Although the World Health Organization (WHO) initiative "My 5 Moments for Hand Hygiene" has been lauded as effective in preventing hospital-associated infections, little is known about healthcare workers (HCWs)' hand hygiene behavior. In this study, we sought to assess knowledge and attitudes towards the concepts in this initiative, as well as associated factors, among Vietnamese HCWs at a general hospital. Methods: A structured questionnaire was administered to HCWs at a central Vietnamese general hospital in 2015. Multiple logistic regression analysis was used to identify factors associated with HCWs' knowledge and attitudes towards hand hygiene. Results: Of 120 respondents, 65.8% and 67.5% demonstrated appropriate knowledge and a positive attitude, respectively, regarding all 5 hand hygiene moments. Logistic regression indicated better knowledge of hand hygiene in workers who were over 30 years old, who were direct HCWs (rather than managers), who had frequent access to clinical information, and who received their clinical information from training. Those who worked in infectious and tropical disease wards, who had frequent access to clinical information, and who received information from training were more likely to have a positive attitude towards hand hygiene than their counterparts. Conclusions: Although many Vietnamese HCWs displayed moderate knowledge and positive attitudes towards the WHO hand hygiene guidelines, a key gap remained. Regular education and training programs are needed to increase knowledge and to improve attitudes and practices towards hand hygiene. Furthermore, a combination of multimodal strategies and locally-adapted interventions is needed for sustainable hand hygiene adherence.

• 한국치위생학회지
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• 제9권3호
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• pp.294-305
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• 2009

Objectives : The purpose of this study was to conduct a survey on the senses of employment so that it could provide a basic reference required for good human resources specializing in oral health with responsibility as professional. Methods : To meet these goals, a self-administrated questionnaire survey was conducted to dental hygiene college students in Gwang-ju. Results : 1. It was found that 30.7% respondents wanted to be employed as government officials of oral health. Most respondents 37.4% answered that faithfulness is the highest value as prerequisite for employment in hospital. 2. It was found that interpersonal relationships among employees had most significant effects 4.58 score on selection of employment, which was followed by in-house welfare benefit (hospital size, rest room, ect; 4.31). 3. The survey on respondents' occupational sense was represented by hospital/clinic management and dental management support 25.2%, oral health education 22.7%, oral disease prevention 19.7% respectively. Conclusion : For future social awareness about dental hygienists as occupation, desirable training courses as a part of qualification for professional dental hygienists were represented by case management (services, manners, ect; 25.0%), implant (22.8%), esthetics 14.7% and so on. As for working years, it was noted that 13.2% respondents would keep working as dental hygienists as long as they could.

• 치위생과학회지
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• 제9권1호
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• pp.43-52
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• 2009

본 연구는 치위생과 임상실습과정 동안의 수행경험정도를 파악하고 학습과정과 실습현장의 특성을 반영한 실습 프로그램의 개발과 프리셉터(Preceptor)제도의 도입방안을 위한 기초자료를 마련하고자 하였다. 8개 종합병원에서 실습하는 치위생과 학생 150명과 종합병원에 근무하는 치과위생사 58명을 대상으로 다음과 같은 결과가 나왔다. 1. 관찰 경험과 수행경험에서 기본진료 영역이 가장 높았고, 예방치과 업무에서 가장 낮은 관찰경험도가 나타났고 수행경험에서는 환자관리 업무, 예방치과, 치주과 업무 영역에서 낮은 수행 경험을 나타냈다. 2. 병원별로는 기본진료 업무영역에서 가장 높은 관찰 실습경험과 수행실습경험을 나타내었고, 위와 마찬가지 전문성을 요하는 업무영역에서는 낮은 실습 경험도를 나타냈다. 3. 치과위생사의 임상실습활동 내용의 중요도에 대한 인식에서는 3년차 이상의 치과위생사의 인식도가 전체적으로 높은 것으로 나타났다.

• 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.