Research in Community and Public Health Nursing

Original Articles

[English] Factors Influencing Care workers’ Intention of Implementing Hand Hygiene in Long-term Care Hospitals: Mi Hee Han, So Eun Choi; J Korean Acad Community Health Nurs. 2020;31(3):375-383. Published online September 30, 2020; DOI: https://doi.org/10.12799/jkachn.2020.31.3.375

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4 Citations

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.

Citations

Citations to this article as recorded by

Healthcare workers’ perspectives on evidence-based infection control in South Korean nursing homes: A qualitative study
Yu Mi Yi, Soo Min Lee, Eun-Young Noh, Yeon-Hwan Park
Geriatric Nursing.2026; 69: 103874. CrossRef
Factors associated with intention to use care robots among people with physical disabilities
Sang H. Jung, Yong Soon Shin
Nursing Outlook.2024; 72(3): 102145. CrossRef
Pilot Study of Healthcare-associated Infections Surveillance System in Long-term Care Facilities
Sung-Ran Kim, Kyung-Sook Cha, Jae Yeun Kim, Bo Ram Oh, Hyeon Mi Yoo, Nan-Hyoung Cho, Jong-Rim Choi, Ji-Youn Choi, Si-Hyeon Han, Hyuk Ga, Mi Suk Lee
Korean Journal of Healthcare-Associated Infection Control and Prevention.2022; 27(2): 153. CrossRef
An Exploratory Research to Propose Design for Infection-Free School
Won Young Seo, Kyung Hoon Lee
KIEAE Journal.2021; 21(3): 25. CrossRef

[English] Hand Hygiene Compliance among Visitors at a Long-term Care Hospital in Korea: A Covert Observation Study: Min Young Jung, Ja Hyun Kang; J Korean Acad Community Health Nurs. 2019;30(1):99-107. Published online March 31, 2019; DOI: https://doi.org/10.12799/jkachn.2019.30.1.99

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7 Citations

Abstract PDF

PURPOSE
This study aimed to assess hand hygiene (HH) compliance among visitors at a long-term care hospital in South Korea.
METHODS
The study was conducted at a 502-bed long-term care hospital located in Gyeonggi-do Province. From July 1 to August 15, 2017, including more than 6 weekends and one holiday, a trained observer covertly assessed visitors' HH at all five units (360 beds in total) of the study hospital building until the completion of 1,000 HH opportunities (i.e., 200 opportunities per unit). The modified World Health Organization (WHO) HH observation form was used. Instead of professional categories and the â€œbefore clean/aseptic procedureâ€ moment, the estimated age range for each visitor were recorded in four categories: children (<14 years old), adolescents (14~18), adults (19~64), and the elderly (â‰¥65). The collected data were analyzed using SPSS 22.0.
RESULTS
A total of 1,000 HH opportunities were observed from 766 visitors (an average of 1.31 per visitor) and the overall HH compliance rate was 20.3%. Overall, 53.7% of the HH cases were performed with soap and water. Among the 4 HH moments, the â€œafter body fluid exposure riskâ€ moment showed the highest compliance rate (83.5%); 93.9% used soap and water. The most commonly exposed potential body fluid among visitors was saliva (48.1%).
CONCLUSION
For hospital visitors in long-term care hospitals, HH education programs including HH moments need to be developed and implemented. Further studies are necessary to evaluate visitors' HH compliance in various hospital settings and find the related variables influencing visitors' HH.

Citations

Citations to this article as recorded by

Hand hygiene compliance among hospital visitors: A systematic review and meta-analysis of observational studies
Gaviota Khalish, Made Satya Nugraha Gautama
Journal of Infection Prevention.2025; 26(3): 138. CrossRef
Hasta Refakatçi ve Ziyaretçilerinin El Hijyenine Uyum Durumları: Sistematik Derleme
Rabia Aydın, Selma Atay
Ordu Üniversitesi Hemşirelik Çalışmaları Dergisi.2025; 8(2): 455. CrossRef
Knowledge and Skills in Infection Prevention and Control Measures Amongst Visitors to Long-Term Care Homes: A Mixed methods Study
Caroline Gibbons, Pamela Durepos, Natasha Taylor, Lisa Keeping-Burke, Matt Rogers, Karen Furlong, Rose McCloskey
Nursing: Research and Reviews.2024; Volume 14: 149. CrossRef
Compliance of patient companions and visitors with hand hygiene: an observational study
H.N. Kaya, B. Süslü, R. Aydın, S. Atay
Journal of Hospital Infection.2023; 136: 85. CrossRef
Hand Hygiene Compliance of Caregivers for Hospitalized Patients in Liver Transplant Wards at a Tertiary-care Hospital in Korea
Songhee Namgung, JaHyun Kang, Mina Yun, Younjin Kim, Seonhee Kwon
Korean Journal of Healthcare-Associated Infection Control and Prevention.2023; 28(2): 233. CrossRef
Exploring factors influencing the compliance of patients and family carers with infection prevention and control recommendations across Bangladesh, Indonesia, and South Korea
Ji Yeon Park, Jerico Franciscus Pardosi, Titik Respati, Eka Nurhayati, Md. Saiful Islam, Kamal Ibne Amin Chowdhury, Holly Seale
Frontiers in Public Health.2022;[Epub] CrossRef
Examining the inclusion of patients and their family members in infection prevention and control policies and guidelines across Bangladesh, Indonesia, and South Korea
Ji Yeon Park, Jerico Franciscus Pardosi, Holly Seale
American Journal of Infection Control.2020; 48(6): 599. CrossRef

[English] Compliance with Respiratory Infection Preventive Behaviors and Its related Factors in Older Adults using a Senior Center: Yeon Hwan Park, Seong Hyeon Lee, Yu Mi Yi, Chi Young Lee, Min Hye Lee; J Korean Acad Community Health Nurs. 2018;29(3):322-334. Published online September 30, 2018; DOI: https://doi.org/10.12799/jkachn.2018.29.3.322

4,665 View
55 Download
5 Citations

Abstract PDF

PURPOSE
The purpose of this study is to identify factors related to compliance with respiratory infection preventive behaviors including hand washing, cough etiquette, and oral hygiene of older adults.
METHODS
A cross-sectional study was conducted with a convenience sample of 100 older adults (mean age: 76.11Â±6.35 years, female: 86.0%). Data were collected from a community senior center through face to face interviews by using instruments including measuring knowledge, perceived threat, self-efficacy, compliance with respiratory infection preventive behaviors.
RESULTS
The mean score of knowledge was 7.52 out of 13 in total. The compliance with hand washing with soap was 6.0% for 8 or more times per day. Among the participants, 12.0% adhered to the cough etiquette. Sixty-two older adults (62.0%) didn't use interdental brushes or floss at all. The stepwise linear regression indicated that age and self-efficacy for respiratory infection preventive behaviors were significant factors and explained 24.0% of the compliance with hand washing and the cough etiquette. Education level, cancer diagnosis, and self-efficacy for respiratory infection preventive behaviors were significant predictors of oral hygiene. The factor with the greatest effect was self-efficacy in the two models.
CONCLUSION
The findings suggest that it is necessary to improve compliance with respiratory infection preventive behaviors among older adults using senior centers. In order to enhance the compliance, it is necessary to develop nursing programs based on the self-efficacy for respiratory infection preventive behaviors in the senior centers.

Citations

Citations to this article as recorded by

A structural equation model of respiratory infection prevention behaviors among elementary school teachers in South Korea: a cross-sectional study
Yoon-Ji Lee, JONG-EUN LEE
Journal of Korean Academy of Nursing.2026; 56(2): 262. CrossRef
Promoting equitable access to infection prevention for people with different vulnerabilities: a scoping review
Chiara Moreal, Beata Dobrowolska, Patrycja Ozdoba, Marta Szara, Nevenka Kregar Velikonja, Mateja Šimec, Gorazd Laznik, Sabina Krsnik, Anna Escofet Roig, Mireia Esparza, Maria Montserrat Solà-Pola, Aysel Özsaban, Aysun Bayram, Alvisa Palese, Stefania Chiap
BMC Nursing.2025;[Epub] CrossRef
Respiratory Infections Prevention in Rural Older Adults: An Interventional Study
Hassanat Ramadan Abdel-Aziz, Nashwa Saber Atia
Clinical Nursing Research.2022; 31(8): 1445. CrossRef
The effectiveness of the information-motivation-behavioral skills model-based intervention on preventive behaviors against respiratory infection among community-dwelling older adults
Min Hye Lee, Yeon-Hwan Park
Patient Education and Counseling.2021; 104(8): 2028. CrossRef
Factors Influencing the Practice of Respiratory Infection Prevention for the Elderly in Rural Areas
Myung Soon Kwon, Jeong Soon Yu
Journal of Korean Academy of Community Health Nursing.2019; 30(4): 460. CrossRef

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