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减少性健康与艾滋病科室非无菌手套的使用:一项针对临床实践的质量改进项目。

Reducing non-sterile glove use in a sexual health and HIV department: A quality improvement project to address clinical practices.

作者信息

Smith Laurie, Clarke Amanda, Dean Gillian

机构信息

Brighton & Sussex Medical School (BSMS), Brighton, UK.

Brighton and Hove Sexual Health and Contraception Service, University Hospitals Sussex NHS Trust, Brighton, UK.

出版信息

Int J STD AIDS. 2025 Jun;36(7):583-586. doi: 10.1177/09564624251326696. Epub 2025 Mar 13.

Abstract

BackgroundClimate change is a huge public health threat, necessitating reductions in carbon emissions, particularly from single-use plastics like non-sterile gloves (NSG). This quality improvement project aims to explore whether use of targeted educational material changes staff attitudes towards NSG use in clinical practice within a Sexual Health and HIV department.MethodsA pre-intervention survey was circulated to all clinicians. Subsequently, various methods encouraged appropriate NSG use including video guidance of performing venepuncture without gloves in line with Trust policy, educational presentations, and patient-facing posters for waiting rooms. NSG procurement data were obtained, and a post-intervention survey evaluated whether NSG use had changed following the interventions.ResultsSixty-three percent of staff believed they had reduced their personal glove use in the past year. Many staff believed the best way to reduce inappropriate glove use was through education as well as empowering patients through posters. Glove procurement data comparing 2023/2024 to pre-COVID 2019/2020 showed a 45.2% decrease in NSG orders from 173,110 to 94,800 per year.ConclusionsStaff education is successful in reducing inappropriate NSG use, with patient posters and targeted staff presentations the most effective measures to drive behaviour change and therefore reduce NSG use.

摘要

背景

气候变化是对公众健康的巨大威胁,因此有必要减少碳排放,特别是减少一次性塑料制品(如非无菌手套,NSG)的碳排放。本质量改进项目旨在探讨使用针对性的教育材料是否会改变性健康与艾滋病科临床实践中工作人员对使用NSG的态度。

方法

在干预前向所有临床医生发放了调查问卷。随后,采取了多种方法鼓励正确使用NSG,包括根据信托政策进行无手套静脉穿刺的视频指导、教育讲座以及在候诊室张贴面向患者的海报。获取了NSG采购数据,并通过干预后的调查评估干预措施实施后NSG的使用是否发生了变化。

结果

63%的工作人员认为他们在过去一年中减少了个人手套的使用。许多工作人员认为,减少不当手套使用的最佳方法是通过教育以及通过海报增强患者意识。将2023/2024年与新冠疫情前的2019/2020年的手套采购数据进行比较,结果显示NSG订单量从每年173,110副降至94,800副,降幅为45.2%。

结论

工作人员教育成功减少了NSG的不当使用,患者海报和针对性的工作人员讲座是推动行为改变从而减少NSG使用的最有效措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0c7/12085747/884ebd3d0ef0/10.1177_09564624251326696-fig1.jpg

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