DOI QR코드

DOI QR Code

Correlation between belief in the importance of hand hygiene, related activities and performance among dental staff

치과종사자의 손 위생 신념 및 손 위생 활동과 손 위생 수행률의 관련성

  • Jeong, Ju-Hui (Department of Dental Hygiene, Graduate School, Yonsei University) ;
  • Noh, Hie-Jin (Department of Dental Hygiene, Wonju College of Medicine, Yonsei University) ;
  • Yoo, Ja-Hea (Department of Dental Hygiene, U1 University) ;
  • Mun, So-Jung (Department of Dental Hygiene, Wonju College of Medicine, Yonsei University)
  • 정주희 (연세대학교 일반대학원 치위생학과) ;
  • 노희진 (연세대학교 원주의과대학 치위생학과) ;
  • 유자혜 (유원대학교 치위생학과) ;
  • 문소정 (연세대학교 원주의과대학 치위생학과)
  • Received : 2017.01.17
  • Accepted : 2017.04.05
  • Published : 2017.04.30

Abstract

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.

Keywords

References

  1. Moon SE, Lee DK, Kwon KH, Kim KJ. Infection pattern of staphylococcus aureus in the dental clinic. J Korean Assoc Maxillofac Plast Reconstr Surg 2003;25(1):25-32.
  2. Choi JY, Park HS, Sim SH, Kim JS, Choi BK, Jang HK. A study on affect factiors in dental infection control: focus on was hand and put gloves on of a dental step. J Dent Hyg Sci 2009; 9(1):35-41.
  3. Kimberly A. Nail hygiene. Dimensions Dent Hyg 2014;12(3):28,30,32.
  4. Shah S, Singhal T. Hand hygiene and health care associated infections: what, why and how. Pediatric Infectious Disease 2013;5(3):130-4. https://doi.org/10.1016/j.pid.2013.08.001
  5. Stauffer F, Griess M, Pleininger G, Zhumadilova A, Assadian O. Acceptability and tolerability of liquid versus gel and standard versus virucidal alcohol-based hand rub formulations among dental students. Am J Infect Control 2013;41(11):1007-11. https://doi.org/10.1016/j.ajic.2013.05.004
  6. Choi EM, Noh HJ, Chung WG, Mun SJ. Influence of working environment on infection control activities in dental hygienists. J Korean Soc Dent Hyg 2016;16(2):313-9. https://doi.org/10.13065/ jksdh.2016.16.02.313
  7. World Health Organization. WHO guidelines on hand hygiene in health care: first global patient safety challenge clean care is safer care. Geneva: World Health Organization, 2009.
  8. Nicolay CR. Hand hygiene: an evidence-based review for surgeons. Int J Surg 2006;4(1):53-65. https://doi.org/10.1016/j.ijsu.2005.06.002
  9. Kim MK. Factors associated with healthcare workers' hand hygiene compliance - focusing on intention and identification[Master's thesis]. Seoul: Univ. of Seoul National, 2015.
  10. Oh HS. Analysis of hand hygiene practices of health care personnels. Journal of the Korea Academia-Industrial 2015;16(9):6160-8. https://doi.org/10.5762/KAIS.2015.16.9.6160
  11. Jung SY, Kim OS. Knowledge and beliefs about hand hygiene among hospital nurses. Korean J Occup Health Nurs 2013;22(3):198-207. https://doi.org/10.5807/kjohn.2013.22.3.198
  12. Yun KO. Actual status of infection control by the dental hygienist in Korea. J Korean Soc Dent Hyg 2013;13(3):369-76. https://doi.org/10.13065/jksdh.2013.13.3.369
  13. Jeong JH. Relationship between hand hygiene beliefs and behaviors and nail hygiene behaviors among dental staff in dental settings[Master's thesis]. Wonju: Univ. of Yonsei, 2016.
  14. Whitby M, McLaws ML, Ross MW. Why healthcare workers don’t wash their hands: a behavioral explanation. Infect Control Hosp Epidemiol 2006;27(5):484-92. https://doi.org/10.1086/503335
  15. National Law Information Center. The labor standard act[Internet]. [cited 2016 Dec 07]. Available from: http://www.law.go.kr/lsSc.do?menuId=0&subMenu=1&query=%EA%B7%BC%EB% A1%9C%EA%B8%B0%EC%A4%80%EB%B2%95#undefined
  16. Chomeya R. Quality of psychology test between likert scale 5 and 6 points. J Social Sci 2010; 6(3):399-403. https://doi.org/10.3844/jssp.2010.399.403
  17. Kim MJ, Kim JS, Eum SJ. Knowledge, universal precaution practice, and hindrance factors of medical workers in a University hospital concerning blood-mediated diseases. Clinical Nursing Research 2003;9(1):41-54.
  18. Moon SE, Hong SH. The correlation of dental hygienist's educational experience in infection control with the activity ratio of infection control in health belief model. J Dent Hyg Sci 2015;15(4):430-6. https://doi.org/10.17135/jdhs.2015.15.4.430
  19. Kwon JY, Lee SY. Relationship of between task performance, job satisfaction, and organizational contribution of dental hygienists. J Dent Hyg Sci 2016;16(4):302-9. https://doi.org/10.17135/ jdhs.2016.16.4.302
  20. Oh SK. Prevention of infection in the dental office. J Korean Dent Assoc 1998;36(12):837-44.
  21. Park JH, Heo NS, Song HJ. A stufy of current infection control by dental hygienists and related factors. J Korean Soc Dent Hyg 2011;11(6):993-1003.
  22. Cho YJ. Study on infection control practices among dental hygienists[Master's thesis]. Seoul: Univ. of Korea, 2003.
  23. Jeon JS. Status of infection control behaviors of dental hygienists[Master's thesis]. Dae-gu: Univ. of Kyungpook National, 2012.
  24. Jeong JS, Kim DH, Kim MN, Choe MA. Bactericidal effect of waterless alcohol gel hand wahing agent. J Korean Bio Nurs Sci 2002;4(2):127-37.

Cited by

  1. 교정치과에서의 손 위생과 건강신념간의 융합 연구 vol.9, pp.12, 2018, https://doi.org/10.15207/jkcs.2018.9.12.115