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Effectiveness of Sterile Gloves in Wound Care for Infection Control

   

Added on  2022-11-10

27 Pages4990 Words74 Views
Disease and DisordersHealthcare and Research
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Running head: NURSING
NUR2300 Evidence Based Nursing Practice
Name of the Student
Name of the University
Author Note
Effectiveness of Sterile Gloves in Wound Care for Infection Control_1

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Table of Contents
PART 1.......................................................................................................................................2
Summary................................................................................................................................2
Rationale................................................................................................................................2
Search strategy.......................................................................................................................3
Articles identified...................................................................................................................3
Justification............................................................................................................................4
PART 2.......................................................................................................................................5
Synthesis................................................................................................................................5
Highest evidence....................................................................................................................6
Critical appraisal tool.............................................................................................................6
Critical appraisal....................................................................................................................7
References................................................................................................................................11
Appendix..................................................................................................................................14
Search history.......................................................................................................................14
Links to five best evidences.................................................................................................16
Summary table.......................................................................................................................0
JBI critical appraisal checklist...............................................................................................0
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PART 1
Infection control refers to the discipline that is associated with prevention of
healthcare-associated or nosocomial infection, and forms an essential and under-recognised
component of health and social care. In addition, infection control also addresses several
factors that are associated to the transmission of infection within healthcare setting, from
patient to patient, from staff to patient, from patient to staff, or amid staff (Kuhar, Pollock,
Yokoe, Howell & Chopra, 2018). Infection control also encompasses prevention,
investigation or monitoring and effective management of outbreaks of infection. Hence, the
major problem that will be addressed in this assignment is control of infection among people
who are being care for wound management.
Summary
The clinical practice of infection control comprises of several aspects such as, hand
hygiene, sterilization, and cleaning, personal protective equipment (PPE), disinfection, and
antimicrobial surfaces. PPE refers to the specialized clothing or apparatus that is worn by a
healthcare employee for defence against vulnerability to infection (Andersen, 2019). The
hazard of infection control that occurs in a healthcare setting is generally triggered by
exposure of the patients and/or healthcare staff to saliva, blood, aerosols, or other bodily
fluids that have the probability of carrying infectious pathogen, thus leading to the onset
HIV, Hepatitis C, or other pathogen that are either blood borne or bodily fluid borne
(Chowdhary, Voss & Meis, 2016).
Rationale
PPE generally prevents direct contact with a possibly infectious agent and this is
typically accomplished by the formation of a physical barrier at the interface between the
healthcare worker and the infectious agent. Some of the most commonly used PPE include
Effectiveness of Sterile Gloves in Wound Care for Infection Control_3

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gowns, gloves, shoe covers, bonnets, CPR masks, face shields, surgical masks, goggles, and
respirators (Shrestha, Khouli, Bajracharya, House & Mugele, 2019). Research evidences
highlight the role of sterilisation as an effective method for preventing the transmission of
bacteria to and from patients, and recommend implementation of the process of cleaning
gloves or medical equipment, which come in contact with body fluids and bloodstream
(Gleser, Schwab, Solbach & Vonberg, 2018). This calls for the need of exploring the efficacy
of sterilised gloves, in comparison to normal gloves, in infection control. With the aim of
addressing the clinical practice of infection control, the PICO format was used for
development of the research question that is given below.
What is the effectiveness of using sterile gloves, in comparison to normal gloves
during wound care, for reducing risk of infection?
P (population) patients who need a wound care
I (intervention) sterile gloves
C (comparison) normal gloves
O (outcome) reduce the risk of infection
Search strategy
The search strategy that had been adopted for CINAHL database has been given in
appendix.
Articles identified
1. Brewer, J. D., Gonzalez, A. B., Baum, C. L., Arpey, C. J., Roenigk, R. K., Otley, C.
C., & Erwin, P. J. (2016). Comparison of sterile vs nonsterile gloves in cutaneous
surgery and common outpatient dental procedures: a systematic review and meta-
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analysis. JAMA dermatology, 152(9), 1008-1014.
doi:10.1001/jamadermatol.2016.1965 (level 1.b)
2. Heal, C., Sriharan, S., Buttner, P. G., & Kimber, D. (2015). Comparing nonsterile to
sterile gloves for minor surgery: a prospective randomised controlled noninferiority
trial. Medical Journal of Australia, 202(1), 27-31.
https://doi.org/10.5694/mja14.00314 (level 1.c)
3. Michener, M., Xia, Y., Larrymore, D., McGraw, T., & McCarthy, S. (2019). A
comparison of infection rates during skin cancer excisions using nonsterile vs sterile
gloves: A prospective randomized pilot study. Journal of cosmetic dermatology.
https://doi.org/10.1111/jocd.12860 (level 1.c)
4. Rietz, A., Barzin, A., Jones, K., & Mounsey, A. (2015). PURLs: Sterile or non-sterile
gloves for minor skin excisions?. The Journal of family practice, 64(11), 723.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5029541/pdf/JFP-64-723.pdf (level
4.a)
5. Steen, K. (2017). Sterile or non-sterile gloves in minor surgical procedures in general
practice. Tidsskrift for den Norske laegeforening: tidsskrift for praktisk medicin, ny
raekke, 137(12-13), 885-889. DOI: 10.4045/tidsskr.16.0599 (level 1.b)
Justification
Of the five evidences that had been selected for the assignment, two were systematic
review, one was a narrative review, and two were randomised controlled trial (RCT). The
systematic review were selected since they contained an exhaustive summary of data that had
been gathered from formerly existing exploration, and were most probable to produce
accurate and dependable conclusions. The literature review was selected since it
encompassed modern-day information, together with fundamental findings, besides
theoretical involvement in the topic. The RCTs were based on primary research and
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compared patient outcomes in both the groups (sterile and non-sterile gloves), thus minimised
bias and made causal inferences.
Effectiveness of Sterile Gloves in Wound Care for Infection Control_6

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