보육교사를 위한 감염관리 사례기반 소그룹 학습의 효과

Abstract

Purpose: This study was conducted to develop and implement a case-based small group learning on the care of children with infectious disease, and to examine its effects on knowledge, attitude and preventive practice behaviors of daycare center teachers compared to control group. Methods: Based on the need assessment of child daycare center teachers, a case-based learning on the care of children with infectious disease was developed according to the steps of ADDIE (Analysis, Design, Development, Implementation, Evaluation) model. Approval for research proposal was obtained from the institutional review board. The learning consisted of lecture including pictures about infectious diseases and real cases, and discussions regarding symptoms and management situations of children with respiratory, contagious and stomach infectious problems. Each small group lesson was guided by the principal investigator focusing on self-reflection and learners' interaction about real case-based situations. This study adopted a quasi-experimental control group pre-and post-test design. Study subjects were recruited from 14 child daycare centers in a city located in Jeollanam-do, where 20 or more children were registered. Thirty four teachers were assigned to experimental and 35 to control group based on the location of child daycare center. A total of five lessons were provided to each small group of 6-7 daycare center teachers once a week for five weeks. Data were collected from September to October 2011 and analyzed using the SPSS 18.0 program to perform χ2-test and t-tests. Analysis of covariance (ANCOVA) was used to treat the covariate about the number of assigned children between experimental and control group. Results: Mean knowledge score of the experimental group(16.00±2.07) was significantly higher compared to the control group(10.20±1.88)(F=124.31, p<.001). Attitude was significantly higher in the experimental group(44.82±1.93) than that of the control group(40.03±2.85)(F=52.90, p<.001). In addition, preventive practice behaviors of the experimental group(64.62±3.09) was significantly higher compared to the control group (58.94±5.21)(F=24.34, p<.001). Conclusions: These results supported that a case-based small group learning to care for children with infectious disease was effective in increasing knowledge, and improving positive attitude and preventive practice behaviors among child daycare center teachers.