Clinical glove use: healthcare workers actions and perceptions

Loveday, Heather, Lynam, Siobhan, Singleton, Julie and Wilson, Jennie (2014) Clinical glove use: healthcare workers actions and perceptions. Journal of Hospital Infection, 86 (2). pp. 110-116. ISSN 0195-6701

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Abstract

Background
The incorrect use of clinical gloves and the failure to change them between procedures increases the risk of cross-transmission. Much attention has been focused on compliance with hand hygiene.

Aim
To investigate the use of gloves, their potential for cross-contamination, and factors that influence the decision of healthcare workers (HCWs) to wear them.

Methods
The use of gloves was observed in six wards in a single UK hospital trust. Risk of cross-contamination was defined as a violation of a ‘moment of hand hygiene’ during the glove-use episode. Twenty-five HCWs from the wards included in the observational audit were interviewed to identify the drivers for glove use.

Findings
A total of 163 glove-use episodes were observed over a period of 13h. Glove use was inappropriate in 69 out of 163 (42%) episodes, with gloves commonly used inappropriately for low-risk procedures (34/37; 92%). In 60 out of 163 (37%) episodes of glove use there was a risk of cross-contamination, most (48%) being associated with failure to remove gloves or with performing hand hygiene after use. HCW interviews indicated that the decision to wear gloves was influenced by both socialization and emotion. Key emotions were disgust and fear. Assumptions that patients preferred gloves to be used, confusion about when to wear them, and social norms and peer pressure were also important influences.

Conclusion
Glove use is associated with risk of cross-contamination and should be more explicitly integrated into hand hygiene policy. An understanding of the drivers of glove-use behaviour is required to design interventions to reduce misuse and overuse.

Item Type: Article
Uncontrolled Keywords: Behaviour; Cross-contamination; Gloves; Hand hygiene; Healthcare workers
Subjects: Medicine and health > Microbiology
Medicine and health > Clinical medicine
Depositing User: Rod Pow
Date Deposited: 09 May 2015 10:57
Last Modified: 21 Jun 2017 09:15
URI: http://repository.uwl.ac.uk/id/eprint/1150

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