The Effect of Therapeutic Clowning on Handwashing Technique and Microbial Colonization in Preschool Children

Purpose This study aimed to determine the effect of therapeutic clowning on handwashing technique and microbial colonization in preschool children. Design This randomized controlled trial was conducted using pre‐test and post‐test experimental and control groups. Methods The study was conducted betw...

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Veröffentlicht in:Journal of nursing scholarship 2018-07, Vol.50 (4), p.441-450
Hauptverfasser: Arıkan, Duygu, Gürarslan Baş, Nazan, Kurudirek, Fatma, Baştopcu, Ayşe, Uslu, Hakan
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container_end_page 450
container_issue 4
container_start_page 441
container_title Journal of nursing scholarship
container_volume 50
creator Arıkan, Duygu
Gürarslan Baş, Nazan
Kurudirek, Fatma
Baştopcu, Ayşe
Uslu, Hakan
description Purpose This study aimed to determine the effect of therapeutic clowning on handwashing technique and microbial colonization in preschool children. Design This randomized controlled trial was conducted using pre‐test and post‐test experimental and control groups. Methods The study was conducted between March and June 2016 in two kindergartens in eastern Turkey. The study was completed with a total of 195 students, including 90 students in the experimental group and 105 students in the control group. A questionnaire was used for data collection. This questionnaire included sections about the subjects’ descriptive characteristics and the results of the bacterial cultures of their hand swabs. For the collection of these swabs, the subjects were informed in advance, and samples were collected at predetermined times. The swabs were analyzed to determine the bacterial colonization of the subjects’ hands. Clowns and video activities were used as intervention tools in the study. Findings In the post‐test, the microbial growth was ≤103 in 68.9% and >103 in 31.1% of the subjects in the experimental group. In contrast, the growth was ≤103 in 34.3% and >103 in 65.7% of the control group subjects. The difference in the post‐test microbial growths of the two groups was statistically significant (p < .000). Conclusions The hygienic handwashing technique taught in the therapeutic clowning and videos reduced the bacterial colonization on the preschool children's hands by 50%. Moreover, this method was effective in reducing the growth rate of coliform bacteria that indicate undesirable, poor hygiene of the hands. Clinical Relevance Considering these results, we recommend that pediatric healthcare professionals use entertaining methods such as those involving clowns to teach and guide children regarding hygienic handwashing techniques.
doi_str_mv 10.1111/jnu.12392
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Design This randomized controlled trial was conducted using pre‐test and post‐test experimental and control groups. Methods The study was conducted between March and June 2016 in two kindergartens in eastern Turkey. The study was completed with a total of 195 students, including 90 students in the experimental group and 105 students in the control group. A questionnaire was used for data collection. This questionnaire included sections about the subjects’ descriptive characteristics and the results of the bacterial cultures of their hand swabs. For the collection of these swabs, the subjects were informed in advance, and samples were collected at predetermined times. The swabs were analyzed to determine the bacterial colonization of the subjects’ hands. Clowns and video activities were used as intervention tools in the study. Findings In the post‐test, the microbial growth was ≤103 in 68.9% and &gt;103 in 31.1% of the subjects in the experimental group. In contrast, the growth was ≤103 in 34.3% and &gt;103 in 65.7% of the control group subjects. The difference in the post‐test microbial growths of the two groups was statistically significant (p &lt; .000). Conclusions The hygienic handwashing technique taught in the therapeutic clowning and videos reduced the bacterial colonization on the preschool children's hands by 50%. Moreover, this method was effective in reducing the growth rate of coliform bacteria that indicate undesirable, poor hygiene of the hands. Clinical Relevance Considering these results, we recommend that pediatric healthcare professionals use entertaining methods such as those involving clowns to teach and guide children regarding hygienic handwashing techniques.</description><identifier>ISSN: 1527-6546</identifier><identifier>EISSN: 1547-5069</identifier><identifier>DOI: 10.1111/jnu.12392</identifier><identifier>PMID: 29764000</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>Bacteria ; Bacterial infection ; Bans ; Child ; child health ; Children &amp; youth ; Clinical trials ; Clowning ; Control groups ; Food ; Growth rate ; Habits ; Hands ; handwashing ; Hygiene ; Infections ; Infectious diseases ; Intervention ; Kindergarten ; Medical personnel ; Nursing ; Pediatrics ; preschool ; Preschool children ; Public health ; Questionnaires ; Respiratory system ; Schools ; Students ; Systematic review ; Teaching methods</subject><ispartof>Journal of nursing scholarship, 2018-07, Vol.50 (4), p.441-450</ispartof><rights>2018 Sigma Theta Tau International</rights><rights>2018 Sigma Theta Tau International.</rights><rights>Copyright Blackwell Publishing Ltd. 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Design This randomized controlled trial was conducted using pre‐test and post‐test experimental and control groups. Methods The study was conducted between March and June 2016 in two kindergartens in eastern Turkey. The study was completed with a total of 195 students, including 90 students in the experimental group and 105 students in the control group. A questionnaire was used for data collection. This questionnaire included sections about the subjects’ descriptive characteristics and the results of the bacterial cultures of their hand swabs. For the collection of these swabs, the subjects were informed in advance, and samples were collected at predetermined times. The swabs were analyzed to determine the bacterial colonization of the subjects’ hands. Clowns and video activities were used as intervention tools in the study. Findings In the post‐test, the microbial growth was ≤103 in 68.9% and &gt;103 in 31.1% of the subjects in the experimental group. 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Design This randomized controlled trial was conducted using pre‐test and post‐test experimental and control groups. Methods The study was conducted between March and June 2016 in two kindergartens in eastern Turkey. The study was completed with a total of 195 students, including 90 students in the experimental group and 105 students in the control group. A questionnaire was used for data collection. This questionnaire included sections about the subjects’ descriptive characteristics and the results of the bacterial cultures of their hand swabs. For the collection of these swabs, the subjects were informed in advance, and samples were collected at predetermined times. The swabs were analyzed to determine the bacterial colonization of the subjects’ hands. Clowns and video activities were used as intervention tools in the study. Findings In the post‐test, the microbial growth was ≤103 in 68.9% and &gt;103 in 31.1% of the subjects in the experimental group. In contrast, the growth was ≤103 in 34.3% and &gt;103 in 65.7% of the control group subjects. The difference in the post‐test microbial growths of the two groups was statistically significant (p &lt; .000). Conclusions The hygienic handwashing technique taught in the therapeutic clowning and videos reduced the bacterial colonization on the preschool children's hands by 50%. Moreover, this method was effective in reducing the growth rate of coliform bacteria that indicate undesirable, poor hygiene of the hands. Clinical Relevance Considering these results, we recommend that pediatric healthcare professionals use entertaining methods such as those involving clowns to teach and guide children regarding hygienic handwashing techniques.</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>29764000</pmid><doi>10.1111/jnu.12392</doi><tpages>10</tpages></addata></record>
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source Access via Wiley Online Library; Applied Social Sciences Index & Abstracts (ASSIA)
subjects Bacteria
Bacterial infection
Bans
Child
child health
Children & youth
Clinical trials
Clowning
Control groups
Food
Growth rate
Habits
Hands
handwashing
Hygiene
Infections
Infectious diseases
Intervention
Kindergarten
Medical personnel
Nursing
Pediatrics
preschool
Preschool children
Public health
Questionnaires
Respiratory system
Schools
Students
Systematic review
Teaching methods
title The Effect of Therapeutic Clowning on Handwashing Technique and Microbial Colonization in Preschool Children
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