Mixed-methods analysis of glove use as a barrier to hand hygiene

Acquarulo, Blake A; Sullivan, Linda; Gentile, Anthony L; Boyce, John M.; Martinello, Richard A.

doi:10.1017/ice.2018.293

Cited by 17 publications

(19 citation statements)

References 7 publications

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“…Several hypotheses are possible for the most recent decrease in performance rates (weeks 14-20 as compared to weeks 11-13). Possible contributing factors include increase in workload as opportunities for hand hygiene increased, 23 concerns over limited supplies of hand hygiene products, 20 , 24 use of gloves in lieu of hand hygiene, 24 , 25 and less frequent direct observation/reminders 8 from nurse managers and infection prevention leaders due to competing pandemic-related priorities.…”

Section: Discussionmentioning

confidence: 99%

The impact of COVID-19 pandemic on hand hygiene performance in hospitals

Moore

Robbins

Quinn

et al. 2021

American Journal of Infection Control

157

125

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Highlights Hand hygiene opportunities and events decreased as COVID-19 progressed. Hand hygiene performance initially increased at the outset of the COVID-19 crisis. Improvements in hand hygiene performance during COVID-19 were not sustained. Over 35 million hand hygiene opportunities were captured with automated monitoring.

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Section: Discussionmentioning

confidence: 99%

The impact of COVID-19 pandemic on hand hygiene performance in hospitals

Moore

Robbins

Quinn

et al. 2021

American Journal of Infection Control

157

125

View full text Add to dashboard Cite

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“…Another explanation for the observed continuous use of contaminated gloves while handling clean materials could be the fear of coming in contact with something perceived to be unclean. The emotion of fear induces HCP to wear gloves for personal protection and that kind of behaviour might be increased with easy access to gloves [ 16 , 26 ].…”

Section: Discussionmentioning

confidence: 99%

Continued wearing of gloves: a risk behaviour in patient care

Lindberg

Skytt

2020

Infection Prevention in Practice

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Summary Background The wearing of gloves is included in the standard principles for preventing healthcare associated infections. A continued wearing of gloves may, however, result in the transmission of organisms instead of preventing infections. Few studies have explored how common it is for surfaces to be touched by potentially contaminated gloves. Methods Secondary analysis of field notes from 48 hours of unstructured observations of healthcare personnel's actions during patient care. The new focus was on to what extent healthcare personnel wore gloves that should have been removed or changed, what surfaces were touched by contaminated gloves and what patient-related activities were involved. Results A continued wearing of gloves occurred in about half of the observed episodes of patient care. On average, 3.3 surfaces were touched by contaminated gloves. The surfaces most frequently touched were ‘unused single-use items’, ‘equipment controls/switches/regulators/flush buttons’ and ‘bed linen’. This occurred mostly while helping patients with ‘personal hygiene’, when performing ‘test taking’ or during procedures involving the operation of medical or other ‘equipment’. Conclusion The continued wearing of gloves during patient-related activities carries the risk of organism transmission, as the gloves touch many surfaces. The most critical moments seem to be when the use of gloves is considered essential. A better understanding of the motivators of improper glove-use behaviour is needed to develop interventions that rectify the improper use of gloves.

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“…O uso de luvas frequentemente é apontado como uma barreira à higienização das mãos (GIROU et al 2004;ACQUARULO et al, 2019) e observa-se a baixa adesão ao procedimento de higienização das mãos de acordo com as diretrizes, todavia as luvas são geralmente usadas. Alguns estudiosos suspeitam que a conduta seja motivada pelo desejo de segurança pessoal e potencialmente aprendida em treinamentos profissionais.…”

Section: Introductionunclassified

“…Alguns estudiosos suspeitam que a conduta seja motivada pelo desejo de segurança pessoal e potencialmente aprendida em treinamentos profissionais. Há muitos resultados de pesquisas conclusivas sobre a variabilidade de adesão da higiene das mãos, em que o descuido e a omissão são frequentes quando as luvas são usadas (GIROU et al 2004;FULLER et al 2011;ACQUARULO et al, 2019) A higiene das mãos associada ao uso adequado de luvas representa um fator determinante para a segurança do paciente e proteção do profissional de saúde durante a assistência clínica.…”

Section: Introductionunclassified

“…O uso de luvas na rotina assistencial deve ser baseado na avaliação do risco de exposição a sangue e fluidos corporais potencialmente contaminados, e, deve também levar em consideração as recomendações específicas e a legislação vigente (GIROU et al 2004;FULLER et al, 2011;SILVA et al, 2018;ACQUARULO et al, 2019 As mãos são consideradas uma das principais vias de transmissão microbiana na prestação de cuidados aos pacientes, sendo a pele um reservatório de diversos micro-organismos, que podem ser transmitidos de um paciente para outro, por contato direto, ou indireto por meio de superfícies ou objetos contaminados. O risco de veiculação microbiana se agrava quando associado ao uso inadequado de luvas (LARSON et al, 2000;BOYCE;PITTET, 2002;CDC, 2002;GIROU et al, 2004;ALLEGRANZI;PITTET, 2009;ABOUMATAR et al, 2012;LOVEDAY et al, 2014).…”

Section: Introductionunclassified

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Higiene das mãos e uso de luvas: mensuração integrada da autoeficácia

Pereira¹

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Introduction: Hand hygiene, integrated with the proper use of gloves, represents a fundamental activity for the prevention and control of the risk of infection. Despite the advances, adherence to good practices is a challenge, as it is a complex issue, influenced by institutional, cultural and personal factors. Self-efficacy, a belief that an individual has about his or her ability to successfully perform a given activity, is a strong predictor of health behavior. In Brazil, there is still no evidence of validated instruments that involve the determinants of behavior for hand hygiene practices and the use of gloves concomitantly. Objective: To build and validate an instrument for measuring the self-efficacy of health professionals for the practice of hand hygiene and the use of gloves. Method: Methodological study, which proposed to build and validate the Self-efficacy instrument of health professionals for hand hygiene and the use of gloves (AEPS-HML). After the construction of the instrument, the validation process started through face and content validation (Committee of Judges), pre-test and psychometric validation. The evaluation of the metric properties was carried out through validity (face and content and dimensional construct validities, by known and convergent groups) and reliability (test-retest and internal consistency). The significance level of 0.05 was adopted. Results: Version 1 of the AEPS-HML instrument, containing 28 items, was submitted to face and content validation, with five items being excluded. In the pre-test stage, ten nursing professionals responded to version 2 of the AEPS-HML. In the evaluation of the metric properties of version 3 of the AEPS-HML, 362 nursing professionals participated, working in a university hospital, general, large and public. Most participants were female (293 / 80.9%), with a predominant age range of 30 to 59 years (319 / 88.1%) and mean age of 41.6 years (SD = 7.29). As for professional characterization, 151 (41.7%) participants had specialization and 203 (56.1%) worked as a Nursing Technician. The construct validity by known groups was confirmed by comparing the AEPS-HML self-efficacy averages with the variables sex and unit of action variables. The convergent construct validity showed a weak correlation (r = 0.228) between the scores of the AEPS-HML instrument and the Perceived General Self-Efficacy Scale (EAGP). The reliability of the final version (version 4) of the AEPS-HML was adequate (α = 0.77) and the test-retest reproducibility confirmed the instrument's temporal stability. Conclusions: With this instrument, it will be possible to measure the self-efficacy of health professionals for hand care, with a view to minimizing the risk of microbial transmission due to inadequate hand hygiene practices and the use of gloves. The instrument proved to be valid and reliable to evaluate what is proposed and can be used as a tool in the planning of actions for the prevention and control of infections related to health care.

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Mixed-methods analysis of glove use as a barrier to hand hygiene

Cited by 17 publications

References 7 publications

The impact of COVID-19 pandemic on hand hygiene performance in hospitals

The impact of COVID-19 pandemic on hand hygiene performance in hospitals

Continued wearing of gloves: a risk behaviour in patient care

Higiene das mãos e uso de luvas: mensuração integrada da autoeficácia

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