Wilson, Jennie, Prieto, Jacqui, Singleton, Julie, O'Connor, Vivienne, Lynam, Siobhan and Loveday, Heather (2015) The misuse and overuse of non-sterile gloves: application of an audit tool to define the problem. Journal of Infection Prevention, 16 (1). pp. 24-31. ISSN 1757-1774
Misuse paper prepublication.pdf - Accepted Version
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Background: The use of clinical gloves has become routine in the delivery of healthcare, often for procedures for which they are not required, their use may increase the risk of cross-contamination, and is generally not integrated into hand hygiene audit. This paper describes a small-scale application and validation of an observational audit tool devised to identify inappropriate glove-use and potential for cross-contamination.
Methods: Two observers simultaneously observed the glove-use during episodes of care in an acute hospital setting. The inter-rater reliability
(IRR) of the audit tool was measured corrected for chance agreement using kappa.
Results: A total of 22 of episodes of care using gloves were observed. In
68.6% (24/35) of procedures there was no contact with blood/body fluid; in 54.3% (19/35) glove-use was inappropriate. The IRR was 100% for eight of 12 components of the tool. For hand hygiene before and after glove removal it was 82% (Kappa = 0.72) and 95% (Kappa = 0.87) . Conclusions: In this small-scale application of a glove-use audit tool we demonstrated over-use and misuse of gloves and the potential for cross transmission on gloved hands. The audit tool provides an effective
mechanism for integrating glove-use into the audit of hand hygiene behaviour.
|Subjects:||Medicine and health > Microbiology
Medicine and health
Medicine and health > Nursing
|Depositing User:||Siobhan Lynam|
|Date Deposited:||02 Jun 2016 09:26|
|Last Modified:||18 Jan 2017 14:56|
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