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Results of an Observational Study of Child Care Centers in Pennsylvania: Varying Approaches to Health and Safety

机译:宾夕法尼亚州托儿所的观察性研究结果:健康与安全的不同方法

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Objective: Exploring several health and safety practices in child care centers (CCCs) in Pennsylvania (PA). Design and Methods: A prospective observational study of a convenience sample of CCCs was done. On-site evaluations included direct observation of hand washing behaviors, infant sleep position, playground equipment safety, and an assessment of safety policies. Results: Evaluations were done at 134 sites. The director's median time in her current position was 2.5 years; 32% of the providers worked at the site less than one year. Sixteen (12%) sites had consulted a doctor on health policy development. Of 114 food preparation or consumption observations, 88 (77%) of the adults and 100 (92%) of the children washed their hands; and, of 181 diapering or toileting observations, 78 (83%) of the adults and 103 (95%) of the children washed their hands. Staff placed 67% of infants on their backs for sleep. Safe playground surfacing was observed surrounding 10 (21%) indoor and 52 (57%) outdoor equipment areas. Overall, suburban, non-profit, parent funded centers performed better than urban, for profit, state funded centers—except for sleep positioning when the opposite association was observed. Conclusion: Many CCCs lack adequate health and safety practices especially those sites that were urban, for profit, or were predominately state funded. Improving the training of staff, updating or increasing comprehensive and accurate policies, and obtaining input from skilled health professionals may improve safety in CCCs.
机译:目标:探索宾夕法尼亚州(PA)的儿童保育中心(CCC)的几种健康和安全措施。设计与方法:对CCC便利样本进行了前瞻性观察研究。现场评估包括直接观察洗手行为,婴儿睡眠位置,游乐场设备安全以及对安全政策的评估。结果:在134个地点进行了评估。导演现任职位的中位时间为2.5年; 32%的提供程序在该站点工作不到一年。十六(12%)个站点就健康政策制定咨询了医生。在114个食物制备或食用观察中,有88%(77%)的成年人和100%(92%)的儿童洗了手;在181次尿布或洗手间观察中,有78位成年人(83%)和103位儿童(95%)洗手。工作人员将67%的婴儿放在他们的背上睡觉。在室内的10个(21%)和室外的52个(57%)设备区域观察到安全的游乐场铺面。总体而言,郊区,非营利性,父母资助的中心的表现要好于城市,非营利性,州政府资助的中心-观察到相反的关联时的睡眠定位除外。结论:许多CCC缺乏适当的健康和安全措施,尤其是那些出于盈利目的在城市或主要由国家资助的场所。改善人员培训,更新或增加全面,准确的政策,并从熟练的卫生专业人员那里获取意见,可能会改善CCC的安全性。

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