Glove Use Among Nurses Demonstration Psychology 241 Presentation Beverly Chew Fort Lewis College
Glove Use Among Nurses • Data and Story from DASL • Reference: Friedland, L., Joffe, M., Moore, D., et al. (1992). Effect of educational program on compliance with glove use in a pediatric emergency department. American Journal of Diseases of Childhood, 146, 1355-1358.
Glove Use Among Nurses Research Question Does an educational program on the importance of using gloves improve glove use in vascular access procedures in an inner-city pediatric hospital emergency department?
Background • 23 participants from ER nursing staff observed covertly during vascular access procedures • Observations made at baseline, and one, two, & five months after educational program delivered • Number of times gloves worn was recorded
Data Analysis: Data Entry • Data entered into SPSS & Transformed • Variables: • ID • Period (1, 2, 3, 4) • # Observations • # Times Gloves Worn • Years of Experience • Use ratio (worn/observed) • Experience Level (1,2)
Data Analysis: Data Coding & Exploration • Variable Labels, Values, LOM set • Explore command used to create descriptive statistics & graphs for each time period • Histograms, Central tendency & variation measures • Box Plots and Error Bar Graphs
Data AnalysisSide-by-Side Box Plots(Heavy line is Median, Box is middle 50%) Median / Mean Before: 0.0 / 0.3 1 Month: 1.0 / 0.9 2 Months: 1.0 / 0.9 5 Months: 0.9 / 0.7
Program Effectiveness • Overall mean rate of glove use across all observations was 74% • At baseline, mean use was only 26%, however after training, use increased to above 90% (93% at 1 month; 91% at 2 months) • Glove use had dropped to 67% five months after training • While effective in the short term, it is worrisome that glove use began to drop again – Why?
Adjustment for Nurse Experience • Does amount of nurse’s experience influence program effectiveness? • Experience coded as: • 0-3 years - Inexperienced • 3 or more years - Experienced More experienced nurses are LESS likely to maintain long term gains (p = 0.02 )
Conclusions • The educational program was successful in the short term: nurses’ glove use increased from 26% to 93% • This improvement was seen in all nurses; but, by five months, experienced nurses’ use had dropped to 53% while inexperienced nurses’ use maintained at 93% • The program needs revision to address long term compliance by all nurses
Future Directions • Add interview/qualitative data to quantitative measures (why does glove use stop?; who persists longest? …) • Improve data collection so all nurses are observed equally frequently and during all periods; extend length of program observation (e.g. 6, 12, 18, 24 months) • Expand study to other medical settings & procedures • Work with nurse training programs to institute glove use as a habit right from the start • Find ways to change the culture (like efforts to make use of bike helmets and seatbelts a universal custom)