Many factors can influence the patient outcome from an infection point of view, so it is important that these factors are optimised to optimise patient safety in the OR. One measure in the perioperative setting is moving from a single gloving to a double gloving protocol for surgical procedures contributing to infection control.
Challenges to changes
Double gloving, though widely adopted in the Swedish surgical context, hasn’t always been easy to implement. With statistics and evidence as well as implementation methodologies, surgical departments can move from challenges to changes.
If patient safety and potential risk reduction weren’t enough reason to double glove, the evidence backs double gloving practice. Healthcare organisations, such as the American and European CDC, support the adoption of double gloving. A solid, easy-to-follow model of implementation can make adoption easier.
Change in the OR is challenging but possible, particularly with evidence and clear models of implementation available to motivate change. Shifting to a double gloving protocol is one such example where change can deliver a reduced risk of infection and better patient outcomes.
Contact us to learn more Visit Clinical Learning Hub
- Workbook for Designing, Implementing and Evaluating a Sharps Injury Prevention Program. CDC 2008. https://www.cdc.gov/sharpssafety/resources.html
- STRATEGI för kvalitetsutveckling inom omvårdnad. Svensk sjuksköterskeförening 2014. Strategi för kvalitetsutveckling inom omvårdnad, Swenurse
- Kitson A. et.al. Methods to Succeed in Effective Knowledge Translation in Clinical Practice. Journal of Nursing Scholarship, 2016; 48:3, 294–302. https://sigmapubs.onlinelibrary.wiley.com/doi/10.1111/jnu.12206
- Bergström et al. The use of the PARIHS framework in implementation research and practice—a citation analysis of the literature. Implementation Science (2020)15:68. https://doi.org/10.1186/s13012-020-01003-0
EORNA Best Practice for perioperative care 2003, page 122 (EORNA = European Operating Room Nurses Association). https://eorna.eu/wp-content/uploads/2023/07/EORNA-Best-Practice-for-perioperative-care2023.pdf