Purpose Safe sleep practices (SSP) are among the main strategies to reduce sleep-related sudden unexplained infant death (SUID). Daycare personnel must be knowledgeable and trained in SSP related to SUID. This study explored the experience, knowledge, and confidence regarding SSP associated with SUID of daycare personnel.
Methods A cross-sectional survey was conducted with 395 staff members at 61 daycare centers to measure their experience related to SSP (10 items), related to sleep position and location, bedding materials, and other topics; knowledge of SSP (18 items); and confidence in SSP (1 item) related to SUID.
Results A substantial proportion (23.6%) of respondents used the lateral or prone positions for infant sleep. On average, 4.5 bedding materials were used for infant sleep. Participants showed a lack of knowledge about SSP as indicated by a 56.6% knowledge of SSP related to SUID correct answer rate. Personnel who received SUID education were more knowledgeable and had more confidence regarding SSP than those who did not. More knowledge and confidence related to SSP were associated with better adherence to SSP.
Conclusion Standard SSP guidelines should be developed based on South Korea's culture of childcare for educating both childcare professionals and parents at home.
Purpose This study investigated the practices of preventing infectious diseases by daycare center teachers. The focus was on the mediating effects of self-efficacy in the relationship between communication skills and practices of preventing infectious diseases.
Methods This study used a descriptive correlational design. The participants were 164 daycare center teachers. Hierarchical regression was used to test the mediating effect of self-efficacy in the relationship between communication skills and practices of preventing infectious diseases. Data were analyzed using the independent t-test, one-way analysis of variance, Pearson correlation coefficients, and hierarchical regression. The mediation effect was analyzed using an SPSS Macro program, PROCESS.
Results Significant relationships were found between communication skills and practices of preventing infectious diseases (β=.19, p<.001), self-efficacy and practices of preventing infectious diseases (β=.59, p<.001), and communication skills and self-efficacy (β=.27, p<.001). Self-efficacy had a significant mediating effect (β=.17, 95% confidence interval=0.07~0.29) on practices of preventing infectious diseases.
Conclusion In order to improve practices of preventing infectious diseases among daycare teachers, it is necessary to develop and apply interventions and methods that can increase effective communication skills and self-efficacy.
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PURPOSE To investigate health problems in child day care centers, needs for Child Care Health Programs, and management of sick children by day-care staff. METHODS A cross-sectional descriptive study. Day-care staff (N=206) from 33 day care centers in Seoul, completed a structured questionnaire. RESULTS Almost half of the day-care staff (53.4%) experienced sick events in their child at least once a month. The most frequently reported difficulty in having a sick child was in not having a health professional to consult, and almost all day-care staff (99.5%) had asked parents not to bring a sick child to the day care center.
The biggest reason of exclusion was due to infectious disease including measles, chicken pox, mumps, diarrhea.vomiting, and pink eye. The majority of day-care staff (97.6%) agreed that there is a need for Center-based Child Care Health Program (CCCHP), and expected general health & illness management, and special care for chronic disease from CCCHP. CONCLUSION These results showed a high incidence of sickness in children in day care centers, and there were great demands for a Center-based Child Care Health Program for day-care staff. Also the results of this study can be utilized as a basis for the establishment of child care policy in Korea.
PURPOSE To investigate the actual conditions of health care management in child day care centers and parents needs for a Center-based Child Care Health Program. METHODS Study design was cross-sectional descriptive study.
937 parents from 33 day care centers in Seoul completed a structured questionnaire. RESULTS 73.0% of the parents experienced sick events with their child at least once or more every 1-3months. These events resulted in 35.2% of the parents having to leave work early or to be absent from their jobs. 30.4% were asked to drive a sick child from the child day care centers to their home. Most parents (76.7%) agreed on the need for a Center-based Child Care Health Program (CCCHP), and expected general health & illness management, and growth & development evaluation from the CCCHP. CONCLUSION These results show that there is a great demand for Center-based Child Care Health Program. They suggest that there is an urgent need to develop CCCHPs to promote children's health and to support parents. Also the results of this study can be utilized as a basis for the establishment of a childcare policy in Korea.
, Jung Ae Cho
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