Constructing effective methods to intercept an infection route through nurses' hands of at invasive treatment

Research Project

Project/Area Number	11672344
Research Category	Grant-in-Aid for Scientific Research (C)
Allocation Type	Single-year Grants
Section	一般
Research Field	基礎・地域看護学
Research Institution	Tokyo Metropolitan University of Health Sciences
Principal Investigator	JONO Hiromi Tokyo Metropolitan University of Health Sciences, School of Nursing,Instructor, 保健科学部, 講師 (60247301)
Co-Investigator(Kenkyū-buntansha)	SHUDA Akihiro okyo Metropolitan University of Health Sciences, School of Nursing, Assistant, 保健科学部, 助手 (60315760) SOOJA Kim okyo Metropolitan University of Health Sciences, School of Nursing, Assistant, 保健科学部, 助手 (60279776) SHIJIKI Yasuko Tokyo Metropolitan University of Health Sciences, School of Nursing, Professor, 保健科学部, 教授 (60259140) KAWAMURA Sawako Tokyo Metropolitan University of Health Sciences. School of Nursing, Professor, 保健科学部, 教授 (30186142)
Project Period (FY)	1999 – 2001
Project Status	Completed (Fiscal Year 2001)
Budget Amount *help	¥3,000,000 (Direct Cost: ¥3,000,000) Fiscal Year 2001: ¥600,000 (Direct Cost: ¥600,000) Fiscal Year 2000: ¥900,000 (Direct Cost: ¥900,000) Fiscal Year 1999: ¥1,500,000 (Direct Cost: ¥1,500,000)
Keywords	Gloves / Nurses / Clients / Nursing Care / taking blood / ゴム手袋装着
Research Abstract	In 1999, in considering invasive treatment, a survey was conducted on 250 nursing staff in public institutions by using our original questionnaire to grasp the actual situation especially on the use of gloves on taking blood. In 2000, another survey was conducted in four more public institutions on 905 subjects. 98% of them were full-time equivalent with about ten years of clinical experience. The result showed that 0.5% of respondents took blood always with gloves on, 33% of them sometimes wore gloves depending on occasions, 66.5% of them seldom or never wore gloves. Some of those who seldom or never wear gloves believe the sense of touch with their fingers is important to draw blood and they won' t be infected if they follow proper manner. Clinical experience relates to the use of gloves; the less experienced the nursing staff, the more they are likely to work without gloves. More clinically experienced staff tend to choose occasion to wear gloves. In 2001, an interview was conducted on seven male clients (3 were infected, 4 were not infected) to elicit awareness of care recipients about the use of gloves. The respondents were in their twenties to seventies with experience of care by nursing staff with gloves on. As a result, none of them expressed discomfort about it. The questions for those infected were on taking blood, injection, drip infusion, dressing change, and toilet assistance. Those without infection were asked on toilet assistance, dressing change, hematemesis treatment, brushing teeth, and intratracheal suction, including questions on changing posture, washing hair, and bed bath. It was found that wearing gloves, regarding it as a barometer for institutions to maintain cleanliness can be understood enough to obtain cooperation if an explanation at the beginning of the care is given by nursing staff.