• 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.

• 한국학교ㆍ지역보건교육학회지
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• 제15권1호
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• pp.31-43
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• 2014

Objectives: The purpose of this study is to identify the relationship of personal hygiene education and hand-washing practices among adolescents. Then the impact of such factors on the hand-washing practices was analyzed. Methods: The data of the 2012 Youth Health Risk Behavior web-based Survey collected by Korean Center for Disease Control was analyzed using SPSS. Total 74,186 of middle and hish school students were included. Uni-variate analysis was done by complex sample crosstabs and multi-variate analysis was done by complex sample logistic regression. Results: The 26.8% of students experienced personal hygiene education. The students of boys, low school grade, coeducation, metropolitan, high school record and high economic status experienced more hygiene education. The hand-washing practices were high in the students with the experience of personal hygiene education. In the factors affecting the hand-washing practice, the experience of personal hygiene education was consistently significant. If students experienced the personal hygiene education, they showed 20~30% more rates of hand-washing practices. Conclusions: Hand-washing practice was high when experiencing personal hygiene education. The personal hygiene education was necessary to improve the rate of hand-washing practices.

• 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.

• 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.

• 한국식품위생안전성학회지
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• 제34권1호
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• pp.73-86
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• 2019

본 연구는 선박이라는 특수한 환경에서 생활하는 선원을 대상으로 손위생 수행도에 영향을 미치는 요인들을 파악하여 선원 승선 생활에서의 기본적인 감염관리 활동을 독려하여 건강한 승선생활에 도움이 되고자 하였다. 본 조사는 선원교육기관에 교육을 받고 있는 선원 222명을 대상으로 2017년 7월부터 8월까지 설문조사를 실시하였다. 연구대상자의 승선 중 손위생 수행도는 75점 만점에 전체 평균 $47.97{\pm}11.62$으로 나타났으며, 항목별로는, 5점 만점기준으로 '업무나 작업을 마친 후'가 $4.04{\pm}1.03$으로 가장 높은 점수를 보였고 연구대상자의 손위생 수행도에 선박의 총 톤수, 승선 중 운동여부, 선내 비누비치여부가 다중회귀분석으로 영향을 미치는 요인으로 확인되었다. 본 연구의 결과에 기초하여 향후 선원들의 손위생 수행도와 이에 영향을 미치는 요인을 파악하는 후속연구가 필요하며, 일반적 특성, 직무특성, 건강관련 특성, 손위생 환경뿐만 아니라 다양한 변수들을 고려하여 선원의 손위생 수행에 영향을 미치는 요인들에 대한 세밀한 연구가 필요할 것으로 사료된다. 또한, 승선 중에 있는 선원들에 대한 손위생 수행에 대한 지속적인 관심이 필요하고 손위생 수행을 향상 시킬 수 있는 체계적인 방안이 구체적으로 마련되어야 할 것으로 판단된다.

• 한국식품영양학회지
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• 제30권2호
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• pp.203-210
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• 2017

The purpose of this study was to compare hand washing awareness and microorganism contamination on the hands for evaluating the difference between awareness and conditions of hand hygiene. The average number of total aerobic bacteria and coliform was 2.7 log CFU/hand and 1.8 log CFU/hand, respectively. Coliform bacteria were detected in all of the students tested in this study. The questionnaire survey data obtained via a direct interview were collected from 100 university students with microorganism analysis. A majority (90%) of the students recognized that good hand hygiene is important in order to prevent food poisoning. In the hand washing survey data, the responses suggesting "always washed" from "before eating food", "after handling money", "after finishing study" and "after visiting patients" were observed in 18, 13, 15 and 33 out of the 100 students, respectively. The questionnaire data of hand washing frequency and time duration showed that 14 students and 6 students answered "more than 8 times of hand washing per day" and "more than 30 seconds of hand washing time", respectively. These results indicated that improper hand washing practices and poor hand hygiene were identified in the majority of the students. This emphasizes the difference between awareness and conditions of hand hygiene. Repeated hand washing education about the frequency, time duration and methods is constantly required to improve hand hygiene. Installation of hand washing equipment in the space of a restaurant and cafeteria is suggested for enhancing hand hygiene before eating food.

• 한국산학기술학회논문지
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• 제19권6호
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• pp.526-535
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• 2018

목적 : 본 연구는 임상실습 중인 간호학생들에게 손 위생 시점에 관한 동영상 프로그램을 적용한 후 손 위생 시점지식과 수행을 검정하는 유사실험연구로 비동등성 대조군 전후 설계이다. 방법 : 2017년 3월 2일부터 6월 30일까지 3개 간호대학 92명의 학생들을 실험군 44명, 대조군 48명으로 나누어 자료를 수집했다. 결과 : 1) 손 위생 시점 동영상 실습교육프로그램 교육 후 손 위생 지식은 실험군이 대조군보다 높았다(t =6.30, p <.001). 2) 손 위생 시점 동영상 실습교육프로그램 교육 후, 손 위생 시점 지식은 실험군이 대조군보다 높았다(t =6.34, p <.001). 3) 손 위생 시점 동영상 실습교육프로그램 교육 후, 손 위생 수행은 실험군이 대조군보다 높았다(t =3.82, p <.001). 4) 손 위생 시점에 관한 지식과 손 위생 수행은 상관관계가 있었다(r =.458, p <.001). 결론 : 손 위생 시점 동영상 교육 프로그램은 손 위생 시점에 대한 지식과 손 위생 수행 향상에 효과적인 중재임을 알 수 있었다.

• 가정간호학회지
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• 제25권2호
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• pp.165-174
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• 2018

Purpose: The study investigated the knowledge and compliance on hand hygiene moments among nursing care workers in geriatric hospitals. Methods: A total of 143 nursing care workers at geriatric hospitals were selected. Data collection was conducted from February 20 to March 20, 2017. Results: For all hand hygiene scenarios, the total correct answer rate was 71.5%. On the necessary hand hygiene moments, the compliance rate was 68.3%. With respect to the general characteristics of the participants, knowledge on hand hygiene moments showed a statistically significant difference according to clinical career(p=.001), and existence of infection controller or infection control office in the nursing home(p=.038). Compliance showed differences according to clinical career(p=.023), existence of infection controller or infection control office in the nursing home(p=.033), and training experience in hand hygiene(number of times/year)(p=.035). Knowledge and compliance showed a statistically significant positive correlation(r=.90, p<.001). Conclusions: It is necessary to develop and operate an infection control education program that can improve the knowledge and awareness of hand hygiene moments and considers the individual characteristics geriatric hospitals's nursing care workers.

• 대한간호학회지
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• 제51권4호
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• pp.454-464
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• 2021

Purpose: This study aimed to identify the level of complete knowledge about hand hygiene indications among nurses working at integrated nursing care service wards. Methods: A total of 127 nurses in eight integrated nursing care service wards completed structured sheets while observing a video based on six scenarios developed by the research team. Complete knowledge level was calculated as the percentage (%) of participants who responded correctly to all questions among participants. Complete knowledge levels according to the scenarios were calculated and compared according to general characteristics using the chi-squared test or Wilcoxon rank-sum test. Results: The complete knowledge level for each scenario ranged from 7.9% (scenario 6) to 42.5% (scenarios 4 and 5), and no one had complete knowledge of all scenarios. Only 3.1% of participants demonstrated complete knowledge in more than four scenarios, and 26.0% had complete knowledge of four or more hand hygiene moments. Complete knowledge level per scenario did not differ depending on work experience at hospitals and study wards, or prior hand hygiene training in the last year. Conclusion: As the complete knowledge level regarding hand hygiene moment is very low, it is suggested that regular hand hygiene training should be provided to nurses using video media that reflect real nursing tasks. Thus, they can acquire complete knowledge of when hand hygiene is needed or not during complex nursing work situations.

• 중환자간호학회지
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• 제10권2호
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• pp.56-70
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• 2017

Purpose: This study was conducted to identify ICU nurses' knowledge of the five moments of hand hygiene and the ambiguity of these moments when demonstrating hand hygiene. Methods: The subjects were 200 intensive care unit nurses at a university hospital. Data was collected using self-report questionnaires, translated according to the instructions of training films developed by WHO, and analyzed using descriptive statistics and ranking tests. Results: The highest number of correct answers was regarding the moment before contact with a patient and the lowest was regarding the moment after contact with a patient. The rate of providing wrong answers regarding required moments of hand hygiene was high. Conclusion: The study identified ICU nurses' knowledge of specific moments of hand hygiene; they had difficulty differentiating between the moments that happened simultaneously, i.e. after touching a patient, and that patient's surroundings, and there was ambiguity concerning patient areas and medical treatment areas. It was concluded that it is necessary to educate nurses regarding both required and unrequired moments of hand hygiene and to ensure that they can distinguish between these moments.