title: Sharps injury prevention guidance among health care professionals: A comparison between self-reported and observed compliance.
abstract: This study was performed to compare self-report and observation methods for measuring compliance with double gloving (DG) and the hands-free technique (HFT).
  
  
  
  The participants were 81 health care professionals (29 nurses, 52 doctors) working in 22 operating rooms in a tertiary hospital in Busan (South Korea). All participants were asked to complete a self-report questionnaire. Additionally, compliance with DG and the HFT was observed from March-May 2014. Data were analyzed using descriptive statistics, χ(2) test, and κ statistic using SPSS version 18.0 (SPSS, Chicago, IL).
  
  
  
  The participants who always complied with DG and the HFT were 30.9% and 7.7% according to the self-report method, respectively, and 30.9% and 0.0% according to direct observation, respectively. The κ value comparing the self-report and observation methods was 0.557 for all study participants, 0.259 for nurses, and 0.668 for doctors for DG. The κ value was 0.027 for all participants, 0.131 for nurses, and 0.020 for doctors for the HFT.
  
  
  
  DG compliance and HFT compliance showed moderate and low levels of agreement between the 2 methods, respectively. Doctors showed higher agreement than nurses between the 2 methods for DG compliance but similar to nurses for HFT compliance. Therefore, the levels of compliance with DG may be measured by either the self-report or observation methods for doctors.
authors.affiliation: Department of Nursing, Pusan National University Hospital, Busan, South Korea.
authors.forename: Yu Gyeong
authors.initials: YG
authors.lastname: Kim
authors.affiliation: College of Nursing, Pusan National University, Yangsan, South Korea. Electronic address: jeongis@pusan.ac.kr.
authors.forename: Ihn Sook
authors.initials: IS
authors.lastname: Jeong
authors.affiliation: Department of Nursing, Pusan National University Yangsan Hospital, Yangsan, South Korea.
authors.forename: Soon Mi
authors.initials: SM
authors.lastname: Park
mesh_terms: D000328:Adult; D005260:Female; D017575:Gloves, Protective; D019983:Guideline Adherence; D006282:Health Personnel; D006801:Humans; D008297:Male; D016602:Needlestick Injuries / Q000517:prevention & control*; D009741:Nursing Staff, Hospital; D019370:Observation; D016273:Occupational Exposure; D009873:Operating Rooms; D010820:Physicians; D056910:Republic of Korea; D057566:Self Report; D011795:Surveys and Questionnaires; D062606:Tertiary Care Centers
keywords: Double gloving; Hands-free technique; Needlestick injuries