• Journal of Korean Academy of Fundamentals of Nursing
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• v.4 no.2
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• pp.229-243
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• 1997

Especially in NICU(Neonatal Intensive Care Unit), handwashing is an important factor in decresing nosocomial infections due to reduced immunity, prematurity and various invasive procedures. The purpose of this study was to investigate the basic characteristics related to handwashing by NICU nurses. It was composed of three parts ; questionnaire survey I (genoral characteristics of handwashing), questionnaire survey II(the awareness degree of handwashing importance) and actual performance. This study was performed from Oct. 8 to 14 in 1994. The results of this study were as follows ; 1. Frequency of handwashing were different by shift of working about 47.1% of the respondents. They were washing most frequently during day-shift about 75% of above. According to self evaluation to handwashing frequency, 64.7% of the respondents said their frequency of handwashing was inadequate, because of being too busy.(45.1%), bothering caused by detergent or disinfectant(17.6%), and too far from handwashing facilities(17.6%). 2. The most common handwashing agent was soap(88.2%), 52.9% of the subjects experienced adverse effects after handwashing ; rough hand(44.5%), dryness(33.3%) All subjects washed their hands with running water, and 70.6% of the subjects washed upto wrist. In duration of handwashing, 52.9% of subjects washed hands 5 to 10 seconds, 29.5% of them did 11 to 15 seconds. 3. 29.4% among subjects had participated to take in the handwashing educational program. About 60% responded they would like to take the course of handwashing if possible. 4. The important nursing activities that need handwashing were chaning of caring ostomy, suctioning, chaning IV dressing site. On the other hand, they responded handwashing was not essential before dealing with omitus, before and after transfering machine, before chaning diaper(stool) 5. Handwashing performance was 61.7%. Among seven nursing activities, suctioning(73.4%) was the highest, the next was dealing with discharge or sampling(71.1%), the lowest was bathing(34.6%). The performance was better after(70.2%) nursing activities that before(52.5%), and day(63.6%) or evening(68.3%) shift than night(56.7%)

• Korean Journal of Adult Nursing
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• v.17 no.2
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• pp.268-275
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• 2005

Purpose: The purpose of this study was to determine handwashing-related factors in nurses. Specific purposes of this study were to examine 1) the applicability of the hypothetical model constructed for this study, on the basis of Theory of Planned Behavior(TPB), and 2) relationships between handwashing practice and other variables such as age, career, level of education, and level of recognition about handwashing. Method: Data were collected from 187 nurses in one university hospital in Kyung-Ki province. Result: The hypothetical model based on TPB was revealed applicable, but the degree of the variance explaining handwashing practice was small(26%). Perceived behavioral control(PBC) was the most strong variable explaining handwashing practice, and intention didn't have a significant effect on handwashing practice. Norm and PBC had significant effects on intention, but attitude was not a significant factor of intention. Age, career, and the level of awareness of handwashing practice were significantly related to handwashing practice. Conclusion: The result of this study suggests that we should focus on perceived behavioral control, awareness of handwashing practice and subjective norm about handwashing practice to increase the level of nurses' handwashing practice.

• Journal of Korean Public Health Nursing
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• v.36 no.1
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• pp.20-32
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• 2022

Purpose: This study aimed to investigate factors affecting handwashing practice among elementary school students by assessing the perception of coronavirus disease-19 (COVID-19) and characteristics related to knowledge, attitude, and practice of handwashing. Methods: The cross-sectional study design and an online self-reported survey were used in this study. The subjects were 211 elementary students at a school located in G province, Korea. Data were collected from January 4 to 8, 2021. The data were analyzed using SPSS version 25.0. Results: Mean scores for knowledge, attitude, and practice of handwashing were 17.09 (out of 20), 21.15 (out of 24), and 27.51 (out of 33), respectively. There were significant positive correlations between the perception of COVID-19 and knowledge of handwashing (r=.23, p=.001), between knowledge and attitude toward handwashing (r=.45, p<.001), between knowledge and practice of handwashing (r=.18, p=.010), and between attitude and practice of handwashing (r=.28, p<.001). The factors influencing handwashing practice were handwashing frequency at home (β=.39, p<.001), handwashing frequency at school (β=.18, p=.006), and attitude toward handwashing (β=.15, p=.026), which explained 34.2% of the variance. Conclusion: These results suggest a need to raise awareness of the importance of handwashing and develop an education program for infectious disease prevention.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.12 no.1
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• pp.121-130
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• 2005

Purpose: This study was done to determine the rate for handwashing by intensive care unit nurses according to the content of nursing tasks, to investigate the relationship between hand washing practice evaluated by nurses themselves and their actual practice observed, and finality to provide basic materials for strategy for hand washing education. Method: Data were collected by observing 27 nurses working in intensive care units of a hospital in Uijeongbu, Gyeonggi-do and by using observation and a structured self-assessment tool. Collected data were analyzed with SPSS and SAS. Results: The handwashing rate for the nurses was 4.3%. The handwashing rate was high in proportion to the risk of cross infection. In addition, the handwashing rate was highest in nurses working in the neurosurgery intensive care unit. The average score for self-assessment of handwashing was $49.42{\pm}3.78$ points and it was higher than their actual practice of handwashing. Conclusion: In order to improve handwashing by nurses, it is necessary to educate them on the importance of handwashing. In addition, there should be strategies for standardizing knowledge and attitudes to handwashing and inducing nurse:3 to practice hand washing in compliance with the policies and working conditions of the institution.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.14 no.3
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• pp.297-305
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• 2007

Purpose: The purpose of this study was to evaluate knowledge, attitude, and compliance regarding hand hygiene according to the profession of ICU health care providers. Method: Data were collected by questionnaires and by recording of direct observations of 143 health care providers in 4 intensive care units. With SPSS/WIN 12.0 t-test, ANOVA, and ${\chi}^2-test$ were used to analyze the data. Results: The level of knowledge regarding handwashing among the nurses was higher and a more positive attitude was shown compared to physicians. Overall handwashing compliance was low among all ICU health care providers, but nurses had better compliance than any other health care providers and significantly higher frequency for handwashing before care and after care activities. All of professions had lower scores on the appropriate length of time for handwashing and areas that need to be scrubbed. The level for nurses was medium and for physicians, the lowest of all professions. The appropriate agent for handwashing and the method of drying for handwashing compliance was high in all professions. Conclusion: The results suggest that multidisciplinary interventions are needed to develop an environment for appropriate handwashing as well as to reinforce importance of handwashing compliance for health care providers.

• Journal of the Korean Society of School Health
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• v.23 no.2
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• pp.162-171
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• 2010

Purpose: The purpose of this study was to find out the effect of hand washing education program on knowledge, attitude and practice of handwashing in elementary school. Methods: The subjects were 484 late school-aged children in Gyeonggi-do. Data were collected from Sep. 1 to Dec. 21, 2009. Results: 1) The handwashing education group (experimental group=E) showed higher score in knowledge of handwashing than the control group (C) (t=5.20, p<.001 ) as the E group scored 29.15(${\pm}3.24$) and the C group scored 27.52(${\pm}3.69$). 2) The E group showed higher score in attitude of handwashing than the C group (t=6.58, p<.001 ) as the E group scored 39.60(${\pm}4.33$) and the C group scored 36.96(${\pm}4.47$). 3) The E group showed higher score in practice of handwashing than the C group (t=2.64, p<.001). as the E group scored 45.90(${\pm}4.79$) and the C group scored 44.67(${\pm}5.33$). Conclusion: The experimental group showed significantly higher scores in knowledge, attitude, practice and cognition of handwashing. This proves that the handwashing program was effective. It is necessary to apply more systematic and various handwashing education programs for other grade at schools.

• Journal of Convergence for Information Technology
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• v.8 no.2
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• pp.51-60
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• 2018

This descriptive research aimed to get the effects of handwashing awareness and practices among 294 students in J middle school, using revised tool developed by Korean CDC(2005). As a result of analyzing data using SPSS/Win 23.0, 42.9% of the subjects experienced common cold within the last 6 months, the scores of handwashing awareness was 3.47 out of 4, and the scores of handwashing practices at home and school was 3.36 and 3.35 each. 39.1% wash hands for 4~6times a day, average handwashing time was 11~15 seconds and 47.0% of the subjects who did not wash their hands due to not having a habit of handwashing. The explanation rate of handwashing awareness on practice was 23.2%, handwashing awareness had a significant effect on practices(p=.001). This study suggests the necessity of strengthening handwashing practices by educating handwashing awareness in order to prevent infectious diseases.

• The Journal of the Convergence on Culture Technology
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• v.9 no.3
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• pp.529-536
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• 2023

This study was attempted to compare and analyze college students' handwashing performance and attitude according to their handwashing education and promotion experience. The subjects of the study were 205 university students, and data were collected using a self-reported structured questionnaire. For data analysis, descriptive statistics and independent t-test were conducted using SPSS 22.0 program, and the results of the study are as follows. Both the handwashing performance and attitude according to the handwashing education of college students were statistically significantly higher in the subjects who received the education. As a result of analyzing the handwashing performance and attitude according to the handwashing promotion of college students, there was a statistically significant difference in the handwashing attitude, but the handwashing performance was not significant. Based on the results of this study, it is necessary to strengthen university students' handwashing education and promotion, and efforts to improve handwashing performance and attitude will be needed.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.24 no.3
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• pp.219-229
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• 2017

Purpose: The aim of this study was to examine the relationship between handwashing knowledge and handwashing compliance in nursing students and to identify the moderation and mediation effects of self-efficacy and perceived behavioral control on the relationship. Methods: The participants were 172 nursing college students who completed the self-report measures. Data were analyzed using t-test, ANOVA, and Pearson correlation coefficient, Multiple regression analysis was used to test moderation and mediation effects. Results: The score for knowledge of handwashing was higher in participants who had completed fundamentals of nursing practicum (t=-6.54, p<.001) and the score for compliance with handwashing was higher in participants who had completed clinical practicum (t=-3.81, p<.001) or fundamentals of nursing practicum (t=-5.97, p<.001). Self-efficacy showed a significant moderation effect (z=2.21, p=.027) but not a mediation effect while perceived behavioral control had a significant mediation effect but not a moderation effect on the relationship between knowledge of handwashing and compliance. Conclusion: Findings indicate that clinical practicum and fundamentals of nursing practicum were helpful to nursing students in acquiring knowledge and in practicing proper handwashing technique. These findings suggest that continuing and repetitive education programs on handwashing need to be enhanced and strategies to strengthen self-efficacy and perceived behavioral control need to be included in education programs.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.5 no.1
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• pp.143-154
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• 1998

Background : There have been very few studies conducted on the number and type of microorganisms that remain on the ring finger after handwashing. This study was performed to investigate whether there were changes and differences in the type and number of microorganisms on the ring finger before and after handwashing. Method : The subjects of the study were 15 MICU and SICU staff nurses who were wearing rings. I swabbed two different fingers of the same hand with cotton balls. One finger which had a ring and the other with no ring. I swabbed the fingers of each subject three times(before handwashing, after handwashing with soap, and after handwashing with bethadine solution). After storing them for 48 hours in an incubator, I sent them to the laboratory and recorded the culture results. Results : There was no difference in the type of microorganism, but a major difference in the number of the microorganisms that existed on the finger ring. The results showed that there were much more microorganisms on the ring fingers than on the fingers that did not have rings both before and after handwashing. This tendency was consistent regardless of the handwashing agent. I therefore recommend that all nursing staff who work in general nursing units, as well as nurses who work in the ICU, remove their rings when taking care of the patients.