Journal article
Hand hygiene before donning nonsterile gloves: Healthcareworkers' beliefs and practices
American journal of infection control, Vol.47(5), pp.492-497
05/2019
DOI: 10.1016/j.ajic.2018.11.015
PMCID: PMC6785986
PMID: 30616932
Abstract
Understanding the perceptions and beliefs of health care workers (HCWs) regarding glove use and associated hand hygiene (HH) may be informative and ultimately improve practice. Research in this area is limited. This study examined the practices and beliefs of HCWs surrounding the use of nonsterile gloves and HH before gloving. The study was conducted at 3 large academic US hospitals using a parallel convergent mixed-method design. To estimate compliance rates, the gloving and HH practices of HCWs were observed at entry to patient rooms for 6 months. Interviews were conducted with 25 providers, nurses, and nursing assistants to investigate their beliefs and perceptions of these practices. Observed HH compliance rates before gloving were 42%, yet in the interviews most HCWs reported 100% compliance. Observed compliance with gloving before entering contact precaution rooms was 78%, although all HCWs reported always gloving for standard and contact precautions. Most HCWs described using gloves more often than necessary. HCWs generally use gloves for their own safety and sanitize hands before gloving for patient safety. Numerous barriers to compliance with HH before gloving were discussed, including beliefs that gloves provide enough protection. HH and glove use are highly intertwined in clinical practice and should be considered jointly in infection prevention improvement efforts.
Details
- Title: Subtitle
- Hand hygiene before donning nonsterile gloves: Healthcareworkers' beliefs and practices
- Creators
- Jure Baloh - Carver College of Medicine, University of Iowa, Iowa City, IA. Electronic address: jbaloh@uams.eduKerri A Thom - School of Medicine, University of Maryland, Baltimore, MDEli Perencevich - Carver College of Medicine, University of Iowa, Iowa City, IA; Center for Comprehensive Access Delivery & Research, Iowa City VA Health Care System, Iowa City, IAClare Rock - School of Medicine, Johns Hopkins University, Baltimore, MDGwen Robinson - School of Medicine, University of Maryland, Baltimore, MDMelissa Ward - Carver College of Medicine, University of Iowa, Iowa City, IALoreen Herwaldt - Carver College of Medicine, University of Iowa, Iowa City, IAHeather Schacht Reisinger - Carver College of Medicine, University of Iowa, Iowa City, IA; Center for Comprehensive Access Delivery & Research, Iowa City VA Health Care System, Iowa City, IA
- Resource Type
- Journal article
- Publication Details
- American journal of infection control, Vol.47(5), pp.492-497
- DOI
- 10.1016/j.ajic.2018.11.015
- PMID
- 30616932
- PMCID
- PMC6785986
- NLM abbreviation
- Am J Infect Control
- ISSN
- 0196-6553
- eISSN
- 1527-3296
- Publisher
- United States
- Grant note
- R01 HS024108 / AHRQ HHS
- Language
- English
- Date published
- 05/2019
- Academic Unit
- Infectious Diseases; Epidemiology; Center for Social Science Innovation; Internal Medicine
- Record Identifier
- 9983779489302771
Metrics
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