Program Schedule

1515
Perceptions and Barriers to Universal Gloving for Infection Prevention: A Survey of Healthcare Workers and Patients

Session: Poster Abstract Session: Hand Hygiene
Saturday, October 11, 2014
Room: The Pennsylvania Convention Center: IDExpo Hall BC
Posters
  • Poster IDweek9.16.14.2.pdf (1.5 MB)
  • Background:

    Universal gloving (UG) for patient care is an infection prevention adjunct. We assessed healthcare worker (HCW) and patient perceptions/ barriers to UG.

    Methods:

    VCU Medical Center is an 865-bed academic medical center. A 12-item HCW and 10-item patient anonymous, voluntary, Likert scale survey was distributed by convenience sample. We compared responses between providers and patients.

    Results:

    A total of 137 patient and 366 HCW surveys were completed. The largest barrier to UG is HCW inconvenience, 41% (n=140).

     

    Item

    Nurse

    Physician

    P value

    Gloves readily available (mostly/always)

    100% (210/210)

    100% (57/57)

    NA

    Perform hand hygiene (HH) before wearing gloves (mostly/always)

    91% (191/210)

    82% (47/57)

    .07

    Perform HH after wearing gloves (mostly/always)

    95% (200/210)

    88% (50/57)

    .06

    Gloves prevent spread of infection between patients (probably/definitely)

    77% (161/209)

    65% (37/57)

    .06

    Gloves compromise HCW-patient relationship (probably /definitely)

    8% (18/210)

    12% (7/57)

    .40

    Gloving takes away from patient contact time (probably/definitely)

    7% (15/210)

    0% (0/57)

    .05

    UG should be mandatory (probably/definitely)

    50% (106/210)

    12% (7/57)

    <.0001

     

    Item

    HCW

    Patient

    P value

    HCWs perform HH before wearing gloves (mostly/always)

    84% (300/357)

    72% (98/136)

    .003

    HCWs perform HH after wearing gloves (mostly/always)

    93% (331/357)

    74% (100/135)

    <.0001

    Gloves compromises HCW-patient relationship (probably/definitely)

    10% (37/357)

    15% (21/136)

    .12

    Gloves prevent spread of infection between patients (probably/definitely)

    76% (270/357)

    77% (106/137)

    .68

    UG should be mandatory (probably/definitely)

    43% (154/358)

    79% (106/134)

    <.0001

    Patients would be more satisfied with care under UG, 70% (n=94).

    Conclusion:

    HCWs and patients believe that UG decreases cross transmission. Despite high glove availability and high rates of HH, HCWs perceive UG as inconvenient. Patients reported that HCW HH compliance was less than compliance as reported by HCWs. HCWs and patients feel that UG does not impact the HCW-patient relationship. Patients and nurses favor mandatory UG more than physicians. Hospitals advocating UG must overcome perceived inconvenience and ensure that high rates of HH are sustained.

    Nadia Masroor, BS1, Summer Donovan, DO2, Kakotan Sanogo, MS1, Leah Couture3, Janis Ober, RN, MSN4, Michael Stevens, MD, MPH5, Michael Edmond, MD, MPH, MPA, FIDSA, FSHEA5 and Gonzalo Bearman, MD, MPH5, (1)Epidemiology, Virginia Commonwealth University Medical Center, Richmond, VA, (2)Pediatric Infectious Diseases, Virginia Commonwealth University, RICHMOND, VA, (3)Edpidemiology, Virginia Commonwealth University Medical Center, Richmond, VA, (4)Epidemiology, VCU Medical Center, Richmond, VA, (5)Infectious Diseases, Virginia Commonwealth University, Richmond, VA

    Disclosures:

    N. Masroor, None

    S. Donovan, None

    K. Sanogo, None

    L. Couture, None

    J. Ober, None

    M. Stevens, None

    M. Edmond, None

    G. Bearman, None

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