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      The use of gloves by the nursing team in a hospital environment Translated title: Utilización de guantes por el equipo de enfermería en el entorno hospitalario Translated title: O uso de luvas pela equipe de enfermagem em ambiente hospitalar

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          Abstract

          ABSTRACT Objectives: to verify the compliance rate of the use of gloves by the nursing team in a hospital environment. Methods: a descriptive study, carried out in a hospital in the state of Sao Paulo, Brazil, between August and October 2019, through the observation of the nursing team in carrying out a total of 396 procedures. All ethical aspects were considered. Results: 32 different types of procedures were observed. The compliance rate with the use of gloves occurred only in one observation (0.25%). Excluding hand hygiene, it was 60.1% (238). In other 158 (39.9%) opportunities, incorrect use varied between reuse (18.43%), unnecessary use (8.33%) and non-use when necessary (13.13%). Hands were cleaned before using gloves in 1.76% of the observations and in 4.54% immediately after their removal. Conclusions: non-conformities were identified in the use of gloves when observing the performance of procedures by the nursing team.

          Translated abstract

          RESUMEN Objetivos: comprobar la tasa de conformidad del uso de guantes por el equipo de enfermería en el entorno hospitalario. Métodos: se trata de un estudio descriptivo, realizado en un hospital del interior del estado de São Paulo, Brasil, entre agosto y octubre de 2019, mediante observación del equipo de enfermería en la realización de 396 procedimientos. Se contemplaron todos los aspectos éticos. Resultados: se observaron 32 tipos diferentes de procedimientos. Hubo conformidad en el uso de guantes solamente en una observación (0,25%). Excluyendo la higiene de las manos, la tasa fue del 60,1% (238). En 158 (39,9%) oportunidades, el uso incorrecto osciló entre la reutilización (18,43%), el uso sin necesidad (8,33%) y la no utilización cuando era necesario (13,13%). Las manos se higienizaron antes del uso de los guantes en el 1,76% de las observaciones y en el 4,54%, inmediatamente después de su retirada. Conclusiones: se identificaron no conformidades en la utilización de guantes durante la observación de la ejecución de procedimientos realizados por el equipo de enfermería.

          Translated abstract

          RESUMO Objetivos: verificar a taxa de conformidade do uso de luvas pela equipe de enfermagem em ambiente hospitalar. Métodos: estudo descritivo, realizado em hospital do interior do estado de São Paulo, Brasil, entre agosto e outubro de 2019, por meio da observação da equipe de enfermagem na realização de 396 procedimentos. Todos os aspectos éticos foram contemplados. Resultados: foram observados 32 diferentes tipos de procedimentos. A taxa de conformidade ao uso de luvas ocorreu somente em uma observação (0,25%). Excluindo-se a higienização das mãos, essa taxa foi de 60,1% (238). Em outras 158 (39,9%) oportunidades, a utilização incorreta variou entre reutilização (18,43%), utilização sem necessidade (8,33%) e não utilização quando necessário (13,13%). As mãos foram higienizadas previamente ao uso de luvas em 1,76% das observações e em 4,54% imediatamente após sua retirada. Conclusões: foram identificadas não conformidades no uso de luvas na observação da execução de procedimentos realizados pela equipe de enfermagem.

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          Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies.

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            Hand hygiene before donning nonsterile gloves: Healthcareworkers' beliefs and practices

            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.
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              The misuse and overuse of non-sterile gloves: application of an audit tool to define the problem

              Background: The use of non-sterile gloves (NSG) has become routine in the delivery of health care, 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 use of NSG and potential for cross contamination. Methods: Two observers simultaneously observed the use of NSG 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 episodes of care using NSG were observed. In 68.6% (24/35) of procedures there was no contact with blood/body fluid; in 54.3% (19/35) NSG-use was inappropriate. The IRR was 100% for eight of 12 components of the tool. For hand hygiene before and after NSG 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 NSG and 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.
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                Author and article information

                Journal
                reben
                Revista Brasileira de Enfermagem
                Rev. Bras. Enferm.
                Associação Brasileira de Enfermagem (Brasília, DF, Brazil )
                0034-7167
                1984-0446
                2021
                : 74
                : 2
                : e20200972
                Affiliations
                [1] São Carlos orgnameUniversidade Federal de São Carlos Brazil
                Article
                S0034-71672021000200186 S0034-7167(21)07400200186
                10.1590/0034-7167-2020-0972
                10bcdb6c-25ca-4441-bdc1-48c78ba21697

                This work is licensed under a Creative Commons Attribution 4.0 International License.

                History
                : 15 September 2020
                : 16 November 2020
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 21, Pages: 0
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                SciELO Brazil

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                Original Article

                Doenças Transmissíveis,Serviço Hospitalar de Enfermagem,Infecção Hospitalar,Equipe de Enfermagem,Luvas Protetoras,Servicio de Enfermería en Hospital,Enfermedades Transmisibles,Infección Hospitalaria,Grupo de Enfermería,Guantes Protectores,Nursing Service, Hospital,Communicable Diseases,Cross Infection,Nursing, Team,Gloves, Protective

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