Child Care Health Consultation Improves Health and Safety Policies and Practices
Child Care Health Consultation Improves Health and Safety Policies and Practices
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DOI：
10.1016/j.acap.2009.05.005
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发表时间：
2009-09-01
影响因子：
3.1
通讯作者：
Mackie, Joanna F.
中科院分区：
文献类型：
--
作者：
Alkon, Abbey;Bernzweig, Jane;Mackie, Joanna F.
客观的。评估县级儿童保育健康咨询干预计划对儿童保育中心健康与安全政策和实践的影响。方法。一项为期 3 年的实验研究在加州 5 个县进行，111 个获得许可的儿童保育中心（73 个干预，38 个比较）在基线和干预后时间参与。训练有素的研究助理使用政策清单和健康与安全清单进行客观观察，这些清单由主要的国家健康和安全标准组成。结果。在基线时，两组在政策清单和健康与安全清单上没有显着差异。在干预后，干预中心在所评估的 10 项政策中的 9 项（药物管理、轻症儿童护理、排除患病儿童、清洁和消毒、洗手、日常健康检查、包容有特殊需要的儿童、应急准备、员工健康）方面，比对照中心拥有更多、更高质量的书面健康和安全政策。干预后，干预中心改进了应急准备和洗手等方面的健康和安全实践，控制了咨询模式、学习时间和主任更替率。两组都改善了室内和室外设施以及整体健康和安全检查表手段。结论。儿童保育健康咨询计划可以改进书面健康和安全政策，并可以改善儿童保育中心的做法。
Objective. To evaluate the effects of county-level child care health consultation intervention programs on child care centers' health and safety policies and practices.Methods. A 3-year experimental study was conducted in 5 California counties and 111 licensed child care centers (73 intervention, 38 comparison) participated at the baseline and post-intervention times. Trained research assistants conducted objective observations with a Policies Checklist and Health and Safety Checklist, which were composed of key national health and safety standards.Results. At baseline, both groups were not significantly different on the Policies Checklist and the Health and Safety Checklist. At the post intervention time, intervention centers had significantly more and higher-quality written health and safety policies on 9 of the 10 policies rated (medication administration. care of mildly ill children, exclusion of ill children, cleaning and sanitizing, handwashing, daily health checks, inclusion of children with special needs, emergency preparedness, staff health) than comparison centers. At the post-intervention time, intervention centers improved their health and safety practices in the areas of emergency preparedness and handwashing, controlling for consultation model, time in study, and director turnover. Both groups improved their indoor and outdoor facilities and overall Health and Safety Checklist means.Conclusions. Child care health consultation programs can improve the written health and safety policies and may improve practices in child care centers.