The misuse and overuse of clinical gloves: a validated audit to define the problem

Wilson, Jennie, Prieto, Jacqui, Singleton, Julie, O'Connor, Vivienne, Lynam, Siobhan and Loveday, Heather (2015) The misuse and overuse of clinical gloves: a validated audit to define the problem. Journal of Infection Prevention, 16 (1). pp. 24-31. ISSN 1757-1774

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Abstract

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.

Item Type: Article
Additional Information: The final, definitive version of this paper has been published in Journal of Infection Prevention, Volume 16, Issue 1, by Sage Publications Ltd, All rights reserved. © The Author(s), 2015. It is available at: https://doi.org/10.1177/1757177414558673.
Uncontrolled Keywords: Behaviour, hand hygiene, infection control, standard precautions
Subjects: Medicine and health
Medicine and health > Nursing
Depositing User: Jennie Wilson
Date Deposited: 07 Jun 2016 11:04
Last Modified: 06 Jul 2017 09:30
URI: http://repository.uwl.ac.uk/id/eprint/2360

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