DOI QR코드

DOI QR Code

Actual and Perceived Glove Uses Among Nurses in Intensive Care Unit

중환자실 간호사의 실제 장갑 사용과 인지하는 장갑 사용

  • Ahn, Bo Ra (Hallym University Dongtan Sacred Heart Hospital) ;
  • Kim, Eun Jung (School of Nursing.Research Institute of Nursing Science, Hallym University)
  • 안보라 (한림대학교 동탄성심병원) ;
  • 김은정 (한림대학교 간호대학.한림대학교 간호학연구소)
  • Received : 2022.09.23
  • Accepted : 2022.11.14
  • Published : 2022.11.30

Abstract

Purpose: This study aimed to investigate intensive care unit (ICU) nurses' actual and perceived glove uses for preventing healthcare associated infection. Methods: We observed nurses' donning glove by occasions and adherence to guideline for glove uses in four ICU in a single hospital. Total of 378 cases were observed from August 16 through October 6, 2020. Sixty one nurses of 66 nurses observed responded to a self-reported questionnaire about perceived glove use and knowledge of glove use. Data analysis was performed using descriptive statistics. Results: The number of observed episodes for glove use was 277. Although the highest numbers of occasions of wearing gloves was contact precaution, the compliance rate was 72.1%. The rates of donning gloves were low in the insertion and removal of peripheral venous catheters, blood glucose testing and blood sampling, which were at risk for exposure to blood. We observed misuse of wearing gloves even when they were not required. Results showed that the majority of non-compliance with glove use were a failure of performing hand hygiene before and after glove use and a failure of changing gloves between procedures on the same patient. The participant's knowledge of glove use was high. Conclusion: Based on the results, it is necessary to provide ICU nurses with education and reinforcement of proper glove uses for infection control.

Keywords

References

  1. Picheansathian W, Chotibang J. Glove utilization in the prevention of cross transmission: a systematic review. JBI Evidence Synthesis. 2015;13(4):188-230.
  2. Jaeger JL, Patel M, Dharan N, Hancock K, Meites E, Mattson C, et al. Transmission of 2009 pandemic influenza A (H1N1) virus among healthcare personnel? Southern California, 2009. Infection Control and Hospital Epidemiology. 2011;32(12):1149-57. https://doi.org/10.1086/662709
  3. Loveday H, Lynam S, Singleton J, Wilson J. Clinical glove use: Healthcare workers' actions and perceptions. Journal of Hospital Infection. 2014;86(2):110-6. https://doi.org/10.1016/j.jhin.2013.11.003
  4. Singh SP, Kumar A, Gupta P, Gupta M, Singh P, Shrivastava S. Incompliance in use of universal precautions as a safety measure in emergency department. International Surgery Journal. 2016;3(2):858-61. https://doi.org/10.18203/2349-2902.isj20160678
  5. Yin J, Schweizer ML, Herwaldt LA, Pottinger JM, Perencevich EN. Benefits of universal gloving on hospital-acquired infections in acute care pediatric units. Pediatrics. 2013;131(5):e1515-20. https://doi.org/10.1542/peds.2012-3389
  6. Jain S, Clezy K, McLaws ML. Modified glove use for contact precautions: Health care workers' perceptions and acceptance. American Journal of Infection Control. 2019;47(8):938-44. https://doi.org/10.1016/j.ajic.2019.01.009
  7. Kim YS. To create a safe intensive care unit: Suggestions for infection prevention and control [Internet]. Seoul: HIRA; 2018 [cited 2022 September 3]. Available from: https://repository.hira.or.kr/bitstream/2019.oak/1194/2/%EC%95%88%EC%A0%84%ED%95%9C%%EC%A4%91%ED%99%98%EC%9E%90%EC%8B%A4%EC%9D%84%%EB%A7%8C%EB%93%A4%EA%B8%B0%%EC%9C%84%ED%95%98%EC%97%AC%-%%EA%B0%90%EC%97%BC%EC%98%88%EB%B0%A9%%EB%B0%8F%%EA%B4%80%EB%A6%AC%EB%A5%BC%%EC%9C%84%ED%95%9C%%EC%A0%9C%EC%96%B8.pdf
  8. Cho GL, Choi JS. Knowledge of and compliance with standard precautions by nurses in intensive care unit. Journal of Korean Academy of Fundamentals of Nursing. 2010;17(1):73-81.
  9. Kim JS. Factor influencing the clinical nurses' self-report compliance and observed compliance with standard precautions of healthcareassociated infection [master's thesis]. Chuncheon: Hallym University; 2018.
  10. Lee MY. Influencing factors on the clinical nurses' compliance with standard precautions for hospital infection control [master's thesis]. Daejeon: Chungnam University; 2017.
  11. Chun HJ. An observational study on the knowledge and adherence of personal protective equipment removal guidelines in intensive care unit nurses [master's thesis]. Ulsan: Ulsan University; 2017.
  12. Nematian SS, Palenik CJ, Mirmasoudi SK, Hatam N, Askarian M. Comparing knowledge and self-reported hand hygiene practices with direct observation among Iranian hospital nurses. American Journal of Infection Control. 2017;45(6):e65-7. https://doi.org/10.1016/j.ajic.2017.03.007
  13. Park WW, Son SY, Park HS, Park HS. A proposal on determining appropriate sample size considering statistical conclusion validity. Journal of Industrial Relations. 2010;21:51-84. https://doi.org/10.1177/002218567902100104
  14. World Health Organization. Glove use information leaflet [Internet]. [cited 2020 July 3]. Available from: http://www.who.int/gpsc/5may/Glove_Use_Information_Leaflet.pdf
  15. Korea Center for Disease Control. Standard guidelines for infection control in intensive care units [Internet]. Chungju: Korea Disease Control and Prevention Agency; 2010 [cited 2020 July 3]. Available from: https://www.kdca.go.kr/filepath/boardDownload.es?bid=0012&list_no=142585&seq=40
  16. Chinn RY, Sehulster L. Guidelines for environmental infection control in health-care facilities: Recommendations of CDC and healthcare infection control practices Advisory Committee (HICPAC). 2003
  17. Siegel JD, Rhinehart E, Jackson M, Chiarello L. 2007 guideline for isolation precautions: preventing transmission of infectious agents in health care settings. American Journal of Infection Control. 2007;35(10):S65-164. https://doi.org/10.1016/j.ajic.2007.10.007
  18. Korea Center for Disease Control. Standard precaution guidelines for healthcare associated infection [Internet]. Chungju: Korea Disease Control and Prevention Agency; 2017 [cited 2019 May 2]. Available from: https://kdca.go.kr/board/board.es?mid=a20507020000&bid=0019&act=view&list_no=138061
  19. Baloh J, Thom KA, Perencevich E, Rock C, Robinson G, Ward M, et al. Hand hygiene before donning nonsterile gloves: Healthcare workers' beliefs and practices. American journal of infection control. 2019;47(5): 492-7. https://doi.org/10.1016/j.ajic.2018.11.015
  20. Ahn YS, Jeong JS, Choi HR, Kim JH. Nurses' adherence and difference factors with wearing gloves in peripheral intravenous catheter insertion. The Korean Journal of Healthcare-Associated Infection Control and Prevention. 2018;23(2):63-71 https://doi.org/10.14192/kjhaicp.2018.23.2.63
  21. Wilson J, Bak A, Loveday HP. Applying human factors and ergonomics to the misuse of nonsterile clinical gloves in acute care. American Journal of Infection Control. 2017;45(7):779-86. https://doi.org/10.14192/kjhaicp.2018.23.2.63
  22. Fuller C, Savage J, Besser S, Hayward A, Cookson B, Cooper B, et al. "The dirty hand in the latex glove": A study of hand hygiene compliance when gloves are worn. Infection Control and Hospital Epidemiology. 2011;32(12):1194-9. https://doi.org/10.1086/662619
  23. Liang SY, Theodoro DL, Schuur JD, Marschall J. Infection prevention in the emergency department. Annals of Emergency Medicine. 2014;64(3):299-313. https://doi.org/10.1016/j.annemergmed.2014.02.024
  24. Chau JPC, Thompson DR, Twinn S, Lee DT, Pang SW. An evaluation of hospital hand hygiene practice and glove use in Hong Kong. Journal of Clinical Nursing. 2011;20(9-10):1319-28. https://doi.org/10.2478/s13382-013-0095-1
  25. Lindberg M, Skytt B. Continued wearing of gloves: a risk behaviour in patient care. Infection Prevention in Practice. 2020;2(4):100091. https://doi.org/10.1016/j.infpip.2020.100091
  26. Garus-Pakowska A, Sobala W, Szatko F. The use of protective gloves by medical personnel. International Journal of Occupational Medicine and Environmental Health. 2013;26(3):423-9. https://doi.org/10.2478/s13382-013-0095-1