Document Type
Presentation
Publication Date
2025
Abstract
Prevention of Communicable Disease in the Primary School Population
Angela O’Leary BSN, RN, NCSN
Abstract
Primary-age students transmit communicable diseases more readily than older students, resulting in high absenteeism from school and increased healthcare visits. Poor hygienic behaviors and first-time classroom aggregation challenge young students' immature immune systems. Primary-age students' educators lack health guidance regarding the importance of hand and respiratory hygiene. These students and educators are the prime targets for hand and respiratory hygiene education. Using a Google Slide presentation, educators were taught about the transmission and prevention of communicable diseases. The presentation included the mode of transmission, the impact of disease on schools and families, strategies for decreasing transmission, and how to implement handwashing with 4–5-year-olds. Using a Google Slide presentation, students were taught how germs are spread and how to cover coughs, sneezes, and wash hands. Elmo's handwashing song, coloring pages, poster, and footprints to the classroom sink reinforced newly taught handwashing behavior. Educators were given a pre and posttest with an answer and question period to evaluate learning. Students were asked to provide a return demonstration on handwashing to evaluate learning. Within two to four weeks following the educational offering, a decrease in absenteeism related to gastrointestinal and respiratory diseases is anticipated. A decrease in absenteeism will be evaluated by monitoring the attendance records of the preschool class that received the education and comparing the records to those that did not. If absenteeism decreases over the following weeks, it may be concluded that teaching proper hand and respiratory hygiene in conjunction with hygiene reinforcement can effectively decrease absenteeism related to communicable diseases in primary-age students.
Keywords: communicable disease, hand hygiene, primary-age students, absenteeism
References
Centers for Disease Control and Prevention (CDC). (2024a). Flu and children. CDC Influenza (Flu). https://www.cdc.gov/flu/highrisk/children.html
Centers for Disease Control and Prevention (CDC). (2024b). Mycoplasma pneumoniae infections have been increasing. CDC National Center for Immunization and Respiratory Diseases. https://www.cdc.gov/ncird/whats-new/mycoplasma-pneumoniae-infections-have-been-increasing.html
Centers for Disease Control and Prevention (CDC). (2024c). Norovirus facts and stats. CDC Norovirus. https://www.cdc.gov/norovirus/data-research/index.html
Dingman, D., Wu, J., & Murphy, H. M. (2020). School-based, blacklight handwashing program can improve handwashing quality and knowledge among pre-school aged children. Evaluation and Program Planning, 78. https://doi.org/10.1016/j.evalprogplan.2019.101731
Gilbert, H. A. (2020). Florence Nightingale's Environmental Theory and its influence on contemporary infection control. Collegian, 27(6), 626–633. https://doi.org/10.1016/j.colegn.2020.09.006
Gonzalo, A. (2021). Florence Nightingale's biography and environmental theory: Study guide. Nurseslabs. https://nurseslabs.com/florence-nightingales-environmental-theory/
Kilpatrick, M. (2024, May 23). Environmental theory of Florence Nightingale. Washington State Nurses Association. https://www.wsna.org/news/2024/environmental-theory-of-florence-nightingale
Mo, Y., Pham, T. M., Lim, C., Horby, P., Stewardson, A. J., Harbarth, S., Scott, G. M., & Cooper, B. S. (2022). The effect of hand hygiene frequency on reducing acute respiratory infections in the community: A meta-analysis. Epidemiology and Infection, 150, e79. https://doi.org/10.1017/S0950268822000516
Neuzil, K. M., Hohlbein, C., & Zhu, Y. (2002). Illness among schoolchildren during influenza season: Effect on school absenteeism, parental absenteeism from work, and secondary illness in families. Archives of Pediatrics & Adolescent Medicine, 156(10), 986–991. https://doi.org/10.1001/archpedi.156.10.986
Oberleitner, M.G. (2019). Theories, models, and frameworks from leadership and management. In M. McEwen & E.M. Wills (Eds), Theoretical basis for nursing. (5th ed) pp. 376-408. Wolters Kluwer.
Randle, J., Metcalfe, J., Webb, H., Luckett, J. C. A., Nerlich, B., Vaughan, N., Segal, J. I., & Hardie, K. R. (2013). Impact of an educational intervention upon the hand hygiene compliance of children. Journal of Hospital Infection, 85(3), 220–225. https://doi.org/10.1016/j.jhin.2013.07.013
Rosen, L., Zucker, D., Brody, D., Engelhard, D., & Manor, O. (2009). The effect of a handwashing intervention on preschool educator beliefs, attitudes, knowledge, and self-efficacy. Health Education Research, 24(4), 686–698. https://doi.org/10.1093/her/cyp004
Sandora, T. J., Shih, M.-C., & Goldmann, D. A. (2008). Reducing absenteeism from gastrointestinal and respiratory illness in elementary school students: A randomized, controlled trial of an infection-control intervention. Pediatrics, 121(6), E1555–E1562. https://doi.org/10.1542/peds.2007-2597
Sultana, F., Nizame, F.A., Southern, D.L., Unicomb, L., Winch, P.J., & Luby, S.P. (2017). Pilot of an elementary school cough etiquette intervention: Acceptability, feasibility, and potential for sustainability. The American Journal of Tropical Medicine and Hygiene, 97(6), 1876–1885. https://doi.org/10.4269/ajtmh.16-0914
Younie, S., Mitchell, C., Bisson, M.-J., Crosby, S., Kukona, A., & Laird, K. (2020). Improving young children's handwashing behaviour and understanding of germs: The impact of A Germ's Journey educational resources in schools and public spaces. Plos One, 15(11), 1–19. https://doi.org/10.1371/journal.pone.0242134
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