The effects of a burn prevention program on child-care providers
Tóm tắt
Since fire and burns are the second leading cause of injury to young children up to age 4, fire and burn prevention education and training must reach the people who care for young children to be effective. Increasingly larger percentages of young children are cared for in out-of-home settings, including child-care centers and family child-care facilities. The majority of children, however, are still cared for by their parents or other relatives, for all or part of the day. Thus, there was a need for an injury prevention program for child-care providers in different settings. A group of experts in a variety of fields developed a burn prevention curriculum as part of a comprehensive injury prevention project. These experts represent a variety of related fields, including injury prevention, early childhood education, child-care administration, instructional design, and evaluation. Operators of child-care facilities, parents, and care providers were involved in the planning and implementation of a training workshop. The program was tested with 141 child-care providers at seven sites. Subjects included child-care center staff, family child-care operators, and parents of young children. Materials included an instructor manual, coursebook, video, and test booklet. Subjects' knowledge, attitudes, and practices intentions were tested before and after the training. Subjects also completed a program evaluation. Results indicated significant improvement in knowledge, attitudes, and practices intentions for the total group and for subjects at each site. Gains made by center staff and family day-care providers were significant on all three measures, as they were for parents on knowledge and practices. Measures of attitudes and injury prevention practices indicated a high level of acceptance of program goals. A large majority of the subjects said the program was useful and interesting. An analysis of the test results by objective indicated that subjects had improved their knowledge scores on each objective. They had the highest achievement on topics related to understanding characteristics of burns and understanding the hazards and prevention techniques related to smoke, matches, lighters, and hot surface burns. An important finding was that child-care providers in different environments can be instructed in burn prevention using the same program.
Tài liệu tham khảo
Foege, William H., “Introduction: Injuries Are Not Accidents,”Law, Medicine & Health Care, Vol. 17, No. 1 (1989), p. 5–6.
The 1995 World Almanac and Book of Facts, Funk & Wagnalls Corporation, New York, N.Y. 1994.
U.S. Department of Health and Human Services, Centers for Disease Control, U.S. Department of Transportation, and National Highway Traffic Safety Administration, Position Papers from the Third National Injury Control Conference, U.S. Government Printing Office, Washington, D.C., 1982.
National Safety Council,Accident Facts, 1994 Edition, Itasca, N.Y., 1994.
National Center for Health Statistics,Persons Injured and Disability Days Due to Injuries, U.S. Government Printing Office, Washington, D.C. (1985), p. 37.
National Committee for Injury Prevention and Control,Injury Prevention: Meeting the Challenge, Oxford University Press, New York, 1989, p. 10.
Davis, W. S., and McCarthy, P. L., “Safety in Day-Care Centers,”American Journal of Diseases of Children, Vol. 142 (1988), p. 386.
Wasserman, R. C., Dameron, D. O., Brozicevic, M. M., and Aronson, R. A.,On-Site Intervention Reduces Injury Hazards in Day-Care Homes, Paper presented at the annual meeting of the Ambulatory Pediatric Association, Anaheim, California, 1987.
O'Connor, M. A., Boyle, W. E., O'Connor, G. T., and Letellier, R., “Self-Reported Safety Practices in Child Care Facilities,”American Journal of Preventive Medicine, Vol. 8, No. 1 (1992).
Wasserman, R. C., Dameron, D. O., Brozicevic, M. M., and Aronson, R. A.,Injury Hazards in Home Day Care, Paper presented at the annual meeting of the Ambulatory Pediatric Association, Anaheim, California, 1987.
Hollestelle, K.,1992 Family Day Care Licensing Study, Children's Foundation, Washington, D.C., 1992.
Hollestelle, K.,1994 National Directory of Family Day Care Associations and Support Groups, Children's Foundation, Washington, D.C., 1994.
Hollestelle, K.,1991 Day-Care Center Licensing Study Children's Foundation, Washington, D.C. (1991).
Hollestelle, K.,1994 Child Day-Care Center Licensing Study, Children's Foundation, Washington, D.C., 1994.
Finn-Stevenson, M., and Stevenson, J. J., “Child Care as a Site for Injury Prevention,”Children Today, Vol. 17–20 (1990), p. 32.
Committee on Trauma Research, Commission of Life Sciences, National Research Council, and the Institute of Medicine,Injury in America: A Continuing Health Problem, National Academy Press, Washington, D.C., 1985.
Rice, D. P., MacKenzie, E. J., et al.,Cost of Injury in the United States: A Report to Congress, Institute for Health and Aging, University of California and Injury Prevention Center, The Johns Hopkins University, San Francisco, 1989.
Healthy People 2000: National Health Promotion and Disease Prevention Objectives, Department of Health and Human Services, Washington, D.C., 1990.
Karter, M. J., Jr.,Patterns of Fire Casualties in Home Fires by Age and Sex, 1985–89, National Fire Protection Association, Inc., Quincy, Mass. (1992).
Consumer Product SAFETY ALERT, U.S. Consumer Product Safety Commission, Washington, D.C., 1993.
Katcher, M., “Scald Burns from Hot Tap Water,”Journal of the American Medical Association, Vol. 246 (1981), pp. 1219–1222.
AAP/APHA Health and Safety Standards for Child Care Programs, American Public Health Association, Washington, D.C., 1992.
Aronson, S., and Smith, H.,Model Child Care Health Policies, National Association for the Education of Young Children, Washington, D.C., 1993.
