RESUMO
BACKGROUND: Gloves can prevent infection but their use among student nurses is inconsistent. AIM: To explore pre-registration student nurses' views of non-sterile glove use in clinical practice. METHOD: An online survey was conducted and focus groups carried out among third-year student nurses. RESULTS: The online survey showed that gloves were often worn inappropriately, while the focus groups revealed students conformed to their mentors' use of gloves. DISCUSSION: Student nurses' decisions on wearing gloves seem to be based on the culture of the clinical care environment rather than trust policy. Glove overuse deprives patients of therapeutic touch and may lead to contact dermatitis in nurses. CONCLUSION: All student nurses must be able to identify clinical situations when gloves are not indicated, using appropriate risk assessment.
Assuntos
Infecção Hospitalar/prevenção & controle , Luvas Protetoras/estatística & dados numéricos , Controle de Infecções/métodos , Cuidados de Enfermagem/organização & administração , Estudantes de Enfermagem/estatística & dados numéricos , Adolescente , Atitude do Pessoal de Saúde , Tomada de Decisões , Feminino , Grupos Focais , Humanos , Masculino , Mentores/psicologia , Mentores/estatística & dados numéricos , Cultura Organizacional , Vigilância da População , Guias de Prática Clínica como Assunto , Estudantes de Enfermagem/psicologia , Reino Unido , Adulto JovemRESUMO
AIM: The aim of this study was to evaluate contamination by platinum drugs in the operating room during hyperthermic intraperitoneal chemotherapy (HIPEC). METHODS: Environmental sampling of 151 wipe samples from surfaces on the HIPEC devices and operating room floors was performed for platinum in six German hospitals during 19 HIPEC procedures. Additionally, 45 wipe samples from surgeons' and perfusionists' protective gloves were analyzed. RESULTS: Platinum concentrations from the HIPEC devices and operating room floors ranged from 0.07 to 110,000 pg/cm(2) (Median: 1.5 pg/cm(2)) with high contamination on the regulation knob and reservoir after HIPEC procedure, particularly when injecting the cytostatic drug into the reservoir via syringe. Samples from perfusionists' and surgeons' protective gloves ranged between 0.01 and 729 ng/pair. CONCLUSIONS: Although sporadically high platinum concentrations on surfaces on the HIPEC device and operating room floor were detected, our study revealed that low surface loads are definitely possible and can be documented by wipe samples. Important factors for achieving low surface contamination are the use of infusion bags instead of syringes for injection of the cytostatic solution, careful cleaning of the device after HIPEC and wearing of two pairs of gloves.