Impact of an educational intervention upon the hand hygiene compliance of children.

BACKGROUND: Hand hygiene compliance is the single most effective way to reduce healthcare-associated infections. Children are notoriously vulnerable to infection as well as acting as conduits to transmission. Based on these observations, the authors formulated the hypothesis that behavioural change which improved children's hand hygiene compliance would decrease the spread of infectious diseases. AIM: To create an educational intervention to induce long-term behavioural change culminating in increased hand hygiene compliance of children, and thus a decrease in the rate of infections. METHODS: Focus groups conducted during interactive teaching sessions identified what children felt would help them to increase their hand hygiene compliance. This informed the design of an educational device that was subsequently trialled to measure its effectiveness in increasing hand hygiene compliance. Initial developmental stages were conducted in two schools in the East Midlands with study participants aged 5-8 years; the device was subsequently used in a healthcare setting to assess deployment flexibility. FINDINGS: Focus groups indicated that children enjoyed interactive learning, developed knowledge about cross-transmission of infections, and became motivated to encourage others to improve hand hygiene compliance. Microbiological swabbing verified the presence of pathogens on children's hands and environmental surfaces that could serve as reservoirs of infection, and questionnaires indicated an increase in handwashing following the intervention. CONCLUSION: Educational interventions have the potential to increase hand hygiene and reduce the transmission of infections.

The linguistic repudiation of Wundt.

Wilhelm Wundt's influence on the development of linguistics and psychology was pervasive. The foundations for this web of influence on the sciences of mind and language were laid down in Wundt's own research program, which was quite different from other attempts at founding a new psychology, as it was deeply rooted in German philosophy. This resulted in certain gaps in Wundt's conception of mind and language. These gaps provoked a double repudiation of Wundt's theories, by linguists and psychologists. The psychological repudiation has been studied by historians of psychology, and the linguistic repudiation has been studied by historians of linguistics. The intent of this article is to bring the linguistic repudiation to the attention of historians of psychology, especially the one outlined by two important figures in the history of psychology: Karl Buhler and George Mead.