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The Journal of School Nursing
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Research Article

Evaluation of a Hand Washing Program for 2nd-Graders

Stuart Tousman, PhD

Stuart Tousman, PhD, is an associate professor of health psychology at Jefferson College of Health Sciences, Roanoke, VA

Dani Arnold, MS

Dani Arnold, MS, is an epidemiologist at the Winnebago County Health Department, Rockford, IL

Wealtha Helland, MS

Wealtha Helland, MS, is an associate professor of nursing at Rock-ford College, Rockford, IL

Ruth Roth, MA

Ruth Roth, MA, is a ground water supervisor at the Winnebago County Health Department, Rockford, IL

Nannatte Heshelman
Oralia Castaneda
Emily Fischer
Kristen O’Neil
Stephanie Bileto

Nannatte Heshelman, Oralia Castaneda, Emily Fischer, Kristen O’Neil and Stephanie Bileto are undergraduate students at Rockford College, Rockford, IL

The purpose of this project was to determine if a multiple-week learner-centered hand washing program could improve hand hygiene behaviors of 2nd-graders in a northern Illinois public school system. Volunteers from the Rockford Hand Washing Coalition went into 19 different classrooms for 4 consecutive weeks and taught a learner-centered program. The program consisted of interactive class discussions and activities using GlitterBug®training devices and agar plate materials. A one-factor repeated measure analysis of variance indicated a statistically significant 34% decrease in the absenteeism rate for students in the intervention group. Chi-square analyses on agar plate data indicated that students had cleaner hands after washing. Qualitative data from parents and teachers indicated that a majority of the students were engaging in hand-washing behavior. These results indicate that integrating a learner-centered interactive program in a multiple-week structure can lead to improvement in hand hygiene behavior.

Key Words: absenteeism • GlitterBug® • hand washing • infectious disease • program evaluation

The Journal of School Nursing, Vol. 23, No. 6, 342-348 (2007)
DOI: 10.1177/10598405070230060701


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