Matches in SemOpenAlex for { <https://semopenalex.org/work/W2921157475> ?p ?o ?g. }
- W2921157475 endingPage "944" @default.
- W2921157475 startingPage "938" @default.
- W2921157475 abstract "Patients colonized or infected with methicillin-resistant Staphylococcus aureus and or vancomycin-resistant Enterococcus are placed under contact precautions. Contact precautions require patients to be placed in single rooms and their health care workers (HCWs) to wear gowns, aprons and gloves on entry and doffing on exit. Glove use is widely accepted to be associated with poor hand hygiene compliance. We trailed the removal of gloves for contact precautions for contacts not expected to involve body fluids to improve hand hygiene between multiple contacts of the patient and patient zone.We have conducted a 5 phase study of the removal of gloves for contacts without body fluids in 250 HCWs using pretrial focus groups (N = 12), hand microbiology (N = 40) (reported elsewhere), development of a modified contact precautions poster, trial of modified poster (n = 100), posttrial focus group discussion (n = 22), and a survey of HCWs postrollout in additional locations (n = 76).Pretrial focus groups identified 4 themes, and the leading theme identified as the facilitator for glove use as self-protection. HCWs viewed current contact precaution guidelines as preventing them from making their own judgement regarding the need for gloving for patient contacts, leading continuous glove use without changing gloves between multiple contacts. Participants believed that the trial empowered them to make their own clinical judgment for gloves and to consciously use hand hygiene between dry (no body fluid) contacts. Four themes were discussed during the posttrial focus groups and although self-protection remained the central theme, hand hygiene replaced glove use. Participants spoke of an appreciation of and increased trust in hand hygiene during nonglove use for dry contacts. The survey responses from additional sites were mostly positive for the safety of nonglove use for dry contacts, it improved hand hygiene and that the adoption of the modified guidelines was empowering.The trial of nonglove use for expected dry contact, while caring for patients under contact precautions for methicillin-resistant S aureus and or vancomycin-resistant Enterococcus, was successful in refocusing HCWs reliance on hand hygiene for self-protection. Mandatory glove use for contact precautions was believed to contribute to their failure to change gloves between procedures on the same patient and patient zone, with HCWs now recognizing multiple contacts with the same gloves as a risk for contamination." @default.
- W2921157475 created "2019-03-22" @default.
- W2921157475 creator A5036280592 @default.
- W2921157475 creator A5043496433 @default.
- W2921157475 creator A5055608918 @default.
- W2921157475 date "2019-08-01" @default.
- W2921157475 modified "2023-10-05" @default.
- W2921157475 title "Modified glove use for contact precautions: Health care workers’ perceptions and acceptance" @default.
- W2921157475 cites W1877027050 @default.
- W2921157475 cites W1966499354 @default.
- W2921157475 cites W1974568413 @default.
- W2921157475 cites W1982027020 @default.
- W2921157475 cites W1983069499 @default.
- W2921157475 cites W1983986105 @default.
- W2921157475 cites W1986511977 @default.
- W2921157475 cites W1995520873 @default.
- W2921157475 cites W1997146027 @default.
- W2921157475 cites W2023709257 @default.
- W2921157475 cites W2036418787 @default.
- W2921157475 cites W2056928000 @default.
- W2921157475 cites W2101020009 @default.
- W2921157475 cites W2105596143 @default.
- W2921157475 cites W2108693332 @default.
- W2921157475 cites W2115257799 @default.
- W2921157475 cites W2119099576 @default.
- W2921157475 cites W2125579008 @default.
- W2921157475 cites W2130252771 @default.
- W2921157475 cites W2154032629 @default.
- W2921157475 cites W2166660180 @default.
- W2921157475 cites W2205919670 @default.
- W2921157475 cites W2533191324 @default.
- W2921157475 cites W2602927517 @default.
- W2921157475 cites W2606357540 @default.
- W2921157475 cites W2752474607 @default.
- W2921157475 cites W2765087833 @default.
- W2921157475 cites W2765153342 @default.
- W2921157475 cites W2791326569 @default.
- W2921157475 cites W2792414197 @default.
- W2921157475 cites W2793010955 @default.
- W2921157475 cites W2901034609 @default.
- W2921157475 cites W4256410893 @default.
- W2921157475 doi "https://doi.org/10.1016/j.ajic.2019.01.009" @default.
- W2921157475 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/30850247" @default.
- W2921157475 hasPublicationYear "2019" @default.
- W2921157475 type Work @default.
- W2921157475 sameAs 2921157475 @default.
- W2921157475 citedByCount "5" @default.
- W2921157475 countsByYear W29211574752020 @default.
- W2921157475 countsByYear W29211574752021 @default.
- W2921157475 countsByYear W29211574752022 @default.
- W2921157475 countsByYear W29211574752023 @default.
- W2921157475 crossrefType "journal-article" @default.
- W2921157475 hasAuthorship W2921157475A5036280592 @default.
- W2921157475 hasAuthorship W2921157475A5043496433 @default.
- W2921157475 hasAuthorship W2921157475A5055608918 @default.
- W2921157475 hasConcept C141071460 @default.
- W2921157475 hasConcept C142724271 @default.
- W2921157475 hasConcept C144133560 @default.
- W2921157475 hasConcept C159110408 @default.
- W2921157475 hasConcept C160735492 @default.
- W2921157475 hasConcept C162324750 @default.
- W2921157475 hasConcept C162853370 @default.
- W2921157475 hasConcept C166888038 @default.
- W2921157475 hasConcept C17744445 @default.
- W2921157475 hasConcept C199539241 @default.
- W2921157475 hasConcept C2776548248 @default.
- W2921157475 hasConcept C2776831358 @default.
- W2921157475 hasConcept C2778992500 @default.
- W2921157475 hasConcept C2909477629 @default.
- W2921157475 hasConcept C3013748606 @default.
- W2921157475 hasConcept C50522688 @default.
- W2921157475 hasConcept C512399662 @default.
- W2921157475 hasConcept C545542383 @default.
- W2921157475 hasConcept C547646559 @default.
- W2921157475 hasConcept C56995899 @default.
- W2921157475 hasConcept C71924100 @default.
- W2921157475 hasConceptScore W2921157475C141071460 @default.
- W2921157475 hasConceptScore W2921157475C142724271 @default.
- W2921157475 hasConceptScore W2921157475C144133560 @default.
- W2921157475 hasConceptScore W2921157475C159110408 @default.
- W2921157475 hasConceptScore W2921157475C160735492 @default.
- W2921157475 hasConceptScore W2921157475C162324750 @default.
- W2921157475 hasConceptScore W2921157475C162853370 @default.
- W2921157475 hasConceptScore W2921157475C166888038 @default.
- W2921157475 hasConceptScore W2921157475C17744445 @default.
- W2921157475 hasConceptScore W2921157475C199539241 @default.
- W2921157475 hasConceptScore W2921157475C2776548248 @default.
- W2921157475 hasConceptScore W2921157475C2776831358 @default.
- W2921157475 hasConceptScore W2921157475C2778992500 @default.
- W2921157475 hasConceptScore W2921157475C2909477629 @default.
- W2921157475 hasConceptScore W2921157475C3013748606 @default.
- W2921157475 hasConceptScore W2921157475C50522688 @default.
- W2921157475 hasConceptScore W2921157475C512399662 @default.
- W2921157475 hasConceptScore W2921157475C545542383 @default.
- W2921157475 hasConceptScore W2921157475C547646559 @default.
- W2921157475 hasConceptScore W2921157475C56995899 @default.
- W2921157475 hasConceptScore W2921157475C71924100 @default.
- W2921157475 hasIssue "8" @default.