Presentation on theme: "Glove Use Among Nurses Demonstration Psychology 241 Presentation Beverly Chew Fort Lewis College."— Presentation transcript:
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,
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 Analysis: Histograms: Use Ratio by Period
Data Analysis: Descriptives Before1 Month2 Months5 Months Min Max 1.00 Median IQR Mean SD Skew Kurtosis N
Data Analysis Side-by-Side Box Plots (Heavy line is Median, Box is middle 50%) Median / Mean Before: 0.0 / Month: 1.0 / Months: 1.0 / Months: 0.9 / 0.7
Data Analysis Error Bar Graph: Mean Use Ratio by Period
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)