Department of Nursing, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Malaysia; College of Nursing and Health, Suan Sunandha Rajabhat University, Samut Songkhram, Thailand.
Department of Nursing, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Malaysia.
J Pediatr Nurs. 2024 Nov-Dec;79:116-125. doi: 10.1016/j.pedn.2024.09.002. Epub 2024 Sep 9.
Infectious diseases can easily spread in daycare centres (DCCs), primarily due to inadequate hygiene practices of both childcare workers and children. Therefore, childcare workers who provide direct care in early childhood play a crucial role in preventing and controlling infectious diseases in DCCs. This systematic review aims to identify current evidence and examine the effect of the infection prevention and control (IPC) programme for childcare workers in daycare centres, and to obtain a pooled estimate of the intervention's effect using meta-analysis, if possible ELIGIBILITY CRITERIA: We searched literature through CINAHL, Medline, Cochrane Library, ScienceDirect, and Scopus databases, we also performed manual searches on Google Scholar and citation lists. Inclusion criteria comprised: 1) Experimental or quasi-experimental design studies that were published in the English language from October 1971 to December 2023, 2) Population focused on childcare workers responsible for early childhood in DCCs, 3) The intervention focused on the ICP programme, and 4) Outcomes related to childcare workers SAMPLE: From 3,964 articles, eight studies were included in this review RESULTS: Half of the total studies concentrated on hand hygiene intervention, while the remaining four addressed the prevention of infectious diseases and infection control. These studies reported an increase in knowledge, self-efficacy, and compliance regarding hand hygiene, and knowledge and practices related to infectious diseases. Two studies included nurses as conductors in the programme CONCLUSION: IPC programme effectively enhances some knowledge and performances in childcare workers IMPLICATION: Nurses can conduct IPC programme within daycare centres by utilizing evidence-based educational tools. Further research is needed to require well-reported studies, especially randomized controlled trials.
PROSPERO CRD42023492592.
传染病在日托中心（DCC）很容易传播，主要是由于儿童保育工作者和儿童的卫生习惯不足。因此，在幼儿期提供直接护理的儿童保育工作者在 DCC 中预防和控制传染病方面起着至关重要的作用。本系统评价旨在确定当前的证据，并检查日托中心儿童保育工作者感染预防和控制（IPC）计划的效果，并在可能的情况下使用荟萃分析获得干预效果的汇总估计。
我们通过 CINAHL、Medline、Cochrane 图书馆、ScienceDirect 和 Scopus 数据库搜索文献，还在 Google Scholar 和引文列表上进行了手动搜索。纳入标准包括：1）发表于 1971 年 10 月至 2023 年 12 月的英文实验或准实验设计研究，2）关注负责 DCC 幼儿保育工作者的人群，3）干预重点是 ICP 计划，4）与保育工作者相关的结果。
从 3964 篇文章中，有 8 项研究纳入本综述。
一半的研究集中在手卫生干预上，而其余四项则针对传染病预防和感染控制。这些研究报告了手卫生知识、自我效能和依从性以及传染病相关知识和实践的提高。两项研究将护士作为该计划的主持人。
IPC 计划有效地提高了儿童保育工作者的某些知识和绩效。
护士可以通过利用基于证据的教育工具在日托中心开展 IPC 计划。需要进一步的研究来要求报告良好的研究，特别是随机对照试验。
PROSPERO CRD42023492592。
