Evaluating the impact of pluridisciplinary training on proper glove use in hospital.
OBJECTIVE
The authors of this randomized study had for aim to evaluate the impact of training on proper glove use by comparing compliance to glove use recommendations between trained and untrained healthcare personnel according to healthcare professional groups.


METHODS
A random selection of trained and untrained nurses, nurse aids, and hospital housekeepers was performed in a French University hospital, using a listing of healthcare personnel. The audits were conducted by two infection control nurses, in series of 10 observations, with a maximum time limit of two hours. The evaluation criteria were compliance or non-compliance of glove-wearing practices with internal hospital recommendations, disclosed to professionals during training.


RESULTS
Overall, 111 professionals were audited and 794 acts were observed. Hand hygiene was significantly better in trained vs. untrained healthcare professionals (P < 0.01). Proper glove use practices were similar between trained and untrained nurses (85% of compliance), whereas the difference was statistically significant in favor of trained healthcare personnel for the other categories (P < 0.001 for nurse aids and P = 0.02 for housekeepers).


CONCLUSIONS
We demonstrated the impact of pluridisciplinary training on proper glove use practices in hospital settings, but with different benefits found according to professional groups. The lower the initial training level, the greater the overall benefit appeared to be.
Infection Control Unit, Infectious Diseases Department, University Hospital of Saint-Etienne, 42055 Saint-Etienne cedex 2, France.
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Turco
Anesthesiology Department, University hospital of Saint-Etienne, France.
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Chalaye
Infection Control Unit, Infectious Diseases Department, University Hospital of Saint-Etienne, 42055 Saint-Etienne cedex 2, France.
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Poulard
Infection Control Unit, Infectious Diseases Department, University Hospital of Saint-Etienne, 42055 Saint-Etienne cedex 2, France.
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Gocko
Pharmacy Department, University hospital of Saint-Etienne, France.
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Neyron
University hospital of Saint-Etienne, France.
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Courbon
Infection Control Unit, Infectious Diseases Department, University Hospital of Saint-Etienne, 42055 Saint-Etienne cedex 2, France. Electronic address: philippe.berthelot@univ-st-etienne.fr.
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Berthelot
D004496:Education, Continuing; D004509:Education, Nursing, Continuing; D005602:France; D017575:Gloves, Protective / Q000592:standards / Q000706:statistics & numerical data*; D019983:Guideline Adherence; D063373:Hand Hygiene / Q000592:standards; D064548:Hand Sanitizers; D006785:Hospitals, University / Q000706:statistics & numerical data; D006797:Housekeeping, Hospital / Q000706:statistics & numerical data*; D006801:Humans; D006920:Hygiene / Q000193:education*; D033183:Interdisciplinary Communication; D020315:Latex Hypersensitivity; D009728:Nursing Assistants / Q000193:education* / Q000523:psychology / Q000706:statistics & numerical data; D009740:Nursing Staff / Q000193:education* / Q000523:psychology / Q000706:statistics & numerical data; D015397:Program Evaluation
D064548:Hand Sanitizers
Audit; Care; Evaluation; Formation; Gants; Gloves; Hand hygiene; Hygiène des mains; Soins; Training; Évaluation des pratiques