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Användning av handskar i slutenvården : En litteraturstudie om främjande och hindrande faktorer som påverkar följsamheten / Glove use in the inpatient care : A literature review regarding factors that promote to or hinders complianceKarlsson, Linda, Karlsson, Josefin January 2020 (has links)
Bakgrund: Vårdrelaterade infektioner är ett globalt problem som orsakar ett onödigt lidande för patienten samt stora kostnader för vården och samhället. Den mest primära åtgärden för att förebygga vårdrelaterade infektioner är basala hygienrutiner där handskar ingår. Sveriges kommuner och regioner utför årligen undersökningar kring följsamheten till basala hygienrutiner. Ytterligare undersökningar behövs dock för att identifiera vad som underlättar eller försvårar användningen av handskar. Syfte: Syftet var att belysa vilka främjande och hindrande faktorer som påverkar hälso- och sjukvårdspersonalens attityder och följsamhet till användningen av handskar inom omvårdnaden i slutenvården. Metod: Examensarbetet utfördes som en allmän litteraturstudie med en induktiv ansats där tio vetenskapliga artiklar granskades och inkluderades i resultatet. Data bearbetades och sammanställdes därefter genom en innehållsanalys. Resultat: Resultatet visade att den mest förekommande främjande faktorn för handskanvändning av hälso- och sjukvårdspersonal inom slutenvården var att skydda sig själva. Den mest förekommande hindrande faktorn var stress som relaterade till tid- och personalbrist. Konklusion: Ytterligare forskning inom området behövs då ämnet är begränsat utforskat de senaste tio åren. / Background: Nosocomial infections is a global issue that causes the patient unnecessary suffering and a major cost to the healthcare. Standard precautions, which includes glove use, are the most essential measure to prevent nosocomial infections. Measurements of the compliance to standard precautions are performed every year in Sweden. However, research is needed to illustrate factors that promote or hinders the use of gloves. Aim: The aim of the study was to illustrate factors affecting health care personnel’s attitudes and compliance to glove use in nursing in the inpatient care. Method: This literature study was conducted as a general literature review with an inductive approach. Ten articles were analysed and included in the result. The data was processed and compiled through a content analysis. Result: The result showed that the most common promotive factor of glove use among health personnel in the inpatient care was to protect themselves. The most common hindering factor was stress caused by lack of time and health personnel. Conclusion: Due to the lack of research of the subject in the past ten years, further research is needed.
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Exploring inappropriate glove use in long term careBurdsall, Deborah Patterson 01 July 2016 (has links)
Healthcare personnel (HCP) frequently wear gloves when they care for patients in Standard Precautions to prevent contact with potentially infectious blood or body fluids. When HCP use gloves appropriately they reduce the risk of cross-contamination and decrease the risk of healthcare-associated infections (HAI). However, if HCP use gloves inappropriately they may inadvertently spread pathogens to patients and the patients’ environment. This study used a descriptive structured observational design to investigate three aspects of HCP glove use in a United States long-term care facility (LTCF). First, the PI examined the degree of inappropriate HCP glove use in a random sample of 76 HCP. Results indicate that the HCP used gloves inappropriately, failing to change gloves 66% of the time when a glove change was indicated. Over 44% of the HCP gloved touch points were defined as contaminated. Second, the PI examined the reliability of a new glove use tool (GUST). Results indicate the GUST is a reliable tool when used by trained observers documenting HCP glove use during toileting and perineal care events in LTCF, with intraclass correlation coefficients (ICC 2,1) over 0.75 for indicators of inappropriate glove use. Third, exploratory analysis indicated significant differences between inappropriate glove use in females and males. Female HCP had significantly more failed glove changes and contaminated touch points than male HCP in this study (p = 0.003). Future research studies should assess US HCP glove use to provide data needed for development of strategies to improve HCP glove use and reduce HAI.
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