Health and Safety Needs in Early Care and Education Programs: What do Directors, Child Health Records, and National Standards Tell Us?

Alkon, Abbey; To, Kim; Mackie, Joanna F.; Wolff, Mimi; Bernzweig, Jane

doi:10.1111/j.1525-1446.2009.00821.x

Cited by 12 publications

(8 citation statements)

References 32 publications

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“…The literature suggested that HH competence is influence by a myriad of factors such as beliefs, attitudes, motivational factors, awareness and the work environment (Alkon et al. ; Kelcikova et al. 2012).…”

Section: Discussionmentioning

confidence: 99%

A systematic review on hand hygiene knowledge and compliance in student nurses

Labrague

McEnroe–Petitte

Mortel

et al. 2017

International Nursing Review

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The findings of this review emphasized the role of nurse educators in enhancing hand hygiene competence in nursing students. Implementation of empirically tested strategies such as utilizing multidimensional interventions, scenario-based hand hygiene simulation activities and hand hygiene education programmes that would enhance nursing students' hand hygiene knowledge and compliance is an asset. Hospital and nursing administrators should ensure continuous support and monitoring to guarantee that hand hygiene programmes are institutionalized in every healthcare setting by every healthcare worker.

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Section: Discussionmentioning

confidence: 99%

A systematic review on hand hygiene knowledge and compliance in student nurses

Labrague

McEnroe–Petitte

Mortel

et al. 2017

International Nursing Review

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“…131 Children who attend child care facilities of poor quality receive less of the individualized attention that is necessary for healthy development, and they incur increased risk of exposure to multiple communicable diseases and a variety of potential injury hazards, including unsafe playground surfaces and equipment, missing or broken child safety gates, unattended windowblind cords, and a variety of equipment (such as cribs and bedding) and toys that do not meet current safety codes. 132 In the absence of national standards for monitoring the quality of the child care environment, each state currently formulates its own regulations and criteria. Although some guidance is available from professional organizations, such as the American Academy of Pediatrics' National Health and Safety Performance Standards, 133 widespread deficiencies in this highly fragmented diversity of settings are well known to child care directors and program staff.…”

Section: Policies and Programs That Assure Safe And Supportive Chemicmentioning

confidence: 99%

The Impact of Hearing Impairment on the Life Trajectories of Aboriginal Children in Remote Australia: Protocol for the Hearing Loss in Kids Project

Guthridge

et al. 2020

JMIR Res Protoc

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Background Previous studies have reported a high prevalence of chronic otitis media (OM) and hearing impairment (HI) in Aboriginal children in the Northern Territory (NT) of Australia. Children affected by these disorders are believed to be at increased risk for adverse outcomes in early childhood development, school attendance, academic performance, and child maltreatment and youth offending. However, to date, there have been no studies quantifying the association between HI and these outcomes in this population. Objective This study will investigate the association between HI and the 5 outcomes in Aboriginal children living in remote NT communities. Methods Individual-level information linked across multiple administrative datasets will be used to conduct a series of retrospective observational studies on selected developmental and school outcomes. The predictor variables for all studies are the results from audiometric hearing assessments. The outcome measures are as follows: Australian Early Development Census results, representing developmental readiness for school, assessed around 5 years of age; Year 1 school attendance rates; Year 3 school-based academic performance, assessed in the National Assessment Program—Literacy and Numeracy; incidence of child maltreatment events (including both notifications and substantiated cases); and incidence of a first guilty verdict for youth offenders. Confounding and moderating factors available for the analysis include both community-level factors (including school fixed effects, socioeconomic status, level of remoteness, and housing crowdedness) and individual-level factors (including maternal and perinatal health and hospital admissions in early childhood). Results The study commenced in 2018, with ethics and data custodian approvals for data access and linkage. This has enabled the completion of data linkage and the commencement of data analysis for individual component studies, with findings expected to be published in 2019 and 2020. Conclusions This study will provide first evidence of the impact of OM-related HI on the developmental, educational, and social outcomes of Australian Aboriginal children. The findings are expected to have significant implications for policy development, service design, and resource allocation. International Registered Report Identifier (IRRID) RR1-10.2196/15464

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“…Among these practices, hand-washing and nappy-changing deserve the most attention (Alkon et al, 2009). Directors and observers of childcare centres have often witnessed the improper hand-washing practices of toddlers and staff (Alkon et al, 2010;Cassidy, et al,2004). For example, teachers generally wash their hands only after changing nappies or using the toilet.…”

Section: Health Practicesmentioning

confidence: 99%

A Systematic Approach to Assess the Quality of Centre-Based Care Services for Infants and Toddlers in Hong Kong

Chan¹

2019

JEHD

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This study examines the quality of Hong Kong centre-based childcare services with the aim of identifying areas for further improvement. With the use of the Chinese version of the Infant/Toddler Environment Rating Scale-Revised (ITERS-R), the quality of the classrooms in nine non-profit centres located in different districts of Hong Kong was systematically assessed. The findings revealed the global quality of the childcare centres in Hong Kongand indicated the relative strengths and weaknesses of the specific areas of childcare services compared with findings from the international community. The results showed that the quality of centre-based care servicesfor infants and toddlers in Hong Kong was minimal. Compared to other countries, the health and safety practice in Hong Kong scored higher. However, the scores were especially low in space and furnishings, listening and talking, activities and programme structure. These results revealed that Hong Kong faced challenges with the quality of its centre-based care servicesin general. It was also surprising to find a negative correlation between the quality of the childcare centres and the teachers' experience. The findings also indicated the importance of early childhood education training and continuous professional development. Perspectives of quality in centre-based care servicesThe definition of childcare quality has generally been composed of two different parts: structural quality and process quality (Cárcamo et al.,2014). Structural quality includes more distal factors such as group size, teacher tochild ratio and teachers' education. These factors may affect infants and toddlers in an indirect way. Process quality is also referred to as the quality of the teachers' process (Clarke-Stewart and Allhusen, 2005;Vandell, 2004) because the interactions between children and teachers is an important part. Process quality is measured by how children interact with teachers, peers and materials. According to Cryer et al. (1999), process quality encompasses 'the activities that are carried out to protect infants and toddlers' health and safety, and to encourage their positive physical, language, intellectual, emotional, and social development ' (p.340). The most common scale used to measure process quality has been the Infant/Toddler Environment Rating Scale (ITERS). This scale can reflect various aspects of childcare for different routines and activities. Bjørnestad et al. (2012) suggested that understanding of the quality of centre-based care services has generally been inadequate. The lack of knowledge on this subject has manifested in the international literature, such as instudiesconducted in Norway and other Nordic countries. There has also been an emerging argument over the difficulty of assessing quality at the classroom level (Hallam et al.,2009). The purpose of this study was to use the Infant/Toddler Environment Rating Scale-Revised (ITERS-R) to compare the quality of child care services in Hong Kong with other countries and to examine both the global quality a...

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Health and Safety Needs in Early Care and Education Programs: What do Directors, Child Health Records, and National Standards Tell Us?

Abstract: Comprehensive, multimethod assessments are useful to identify health and safety needs and develop public health nursing interventions for ECE programs.

Cited by 12 publications

References 32 publications

A systematic review on hand hygiene knowledge and compliance in student nurses

A systematic review on hand hygiene knowledge and compliance in student nurses

The Impact of Hearing Impairment on the Life Trajectories of Aboriginal Children in Remote Australia: Protocol for the Hearing Loss in Kids Project

A Systematic Approach to Assess the Quality of Centre-Based Care Services for Infants and Toddlers in Hong Kong

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