Poster Presentation
Friday, 21 July 2006
10:00 AM - 10:30 AM
Friday, 21 July 2006
3:00 PM - 3:30 PM
This presentation is part of : Poster Presentations III
The Effectiveness of the Hand Washing Teaching Program for Families in Pediatric Intensive Care Unit (PICU)
Yong-Chuan Chen, MS, RN, Department of nursing, Taichung Veterans General Hospital, Taichung, Taiwan and Li-Chi Chiang, PhD, School of Nursing, China Medical University, Taichung, Taiwan, ROC, Taichung, Taiwan.
Learning Objective #1: To compare improvement in hand-washing skills of families between the experimental group with video-based teaching program and the comparison group with illustration-based teaching program.
Learning Objective #2: To increase the hand-washing compliance of families.
Background: Nosocomial infections are significant causes of morbidity and mortality in patients who require pediatric intensive care (PICU). Hand hygiene has been considered the most important measure in preventing hospital-acquired infection. Based on Bandura’s social learning theory, this study developed a teaching program with video to demonstrate the technique of hand washing.
Objectives: The purpose of this study was to compare improvement in hand-washing skills of families between the experimental group with video-based teaching program and the comparison group with illustration-based teaching program.
Methods: By purposive sampling, 123 families whose children stayed in pediatric intensive care were recruited and randomly assigned into two groups, 61 in the experimental groups and 62 in the comparison group. A twenty-item observable hand-washing checklist was used to examine the accuracy of hand washing by the researcher with single blind.
Results: There were no significant differences of demographic data, age and educational background between experimental and comparison groups. General Estimated Equation (GEE) analysis showed that the experimental group had a significantly higher slope and a significantly higher increase in slope over time.
Conclusion: This study concluded that the teaching program which with a video demonstrating hand-washing procedures correctly was more effective teaching program than the traditional program.
Practice Implications: This hand-washing program was revealed to be a simple, low-cost, low technology intervention to substantially reduce the incidence of septicemia and mortality in the pediatric intensive care unit.

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