Effects of Education on the Use of Personal Protective Equipment for Reduction of Contamination: A Randomized Trial

Overview

Journal SAGE Open Nurs

Publisher Sage Publications

Specialty Nursing

Date 2021 Jan 8

PMID 33415295

Citations 7

Authors

Jeong Hwa Yeon

Yong Soon Shin

Affiliations

Soon will be listed here.

Abstract

Introduction: Accurate doffing personal protective equipment (PPE) is one of the key practices of infection control because of increased risk of infection transmission caused by medical garments or environmental contamination.

Objectives: The study aimed to develop a reality-based education program and identify its effects on nurses' knowledge, attitudes, and contamination after PPE doffing.

Methods: Randomized control group pretest-posttest design. A total of 56 nurses were randomly assigned to experimental ( = 28) and control ( = 28) groups. The experimental group underwent a new reality-based education program to improve PPE use. Subsequently, participants were assessed on knowledge of and attitude toward PPE use, as well as number and area of contaminated sites after removing PPE and mask fitting test.

Results: There were no significant differences in knowledge and attitude to PPE use. The experimental group had significantly fewer contaminated sites than the control group (42 vs. 89), and a significantly lower mean contaminated site area (16.63 ± 24.27 vs. 95.41 ± 117.51 cm). The tuberculosis mask fitting test success rates were 68% and 50% in the experimental and control groups, respectively, but the difference was not significant.

Conclusion: The reality-based education on use of PPE helps to reduce contamination and improve performance related to the use of PPE for infection control.

Citing Articles

Effectiveness of donning and doffing personal protective equipment education using video debriefing among Korean undergraduate nursing students.

Yeom G, Park J BMC Nurs. 2024; 23(1):712.

PMID: 39363171 PMC: 11451162. DOI: 10.1186/s12912-024-02370-5.

A systematic review of passing fit testing of the masks and respirators used during the COVID-19 pandemic: Part 1-quantitative fit test procedures.

Fakherpour A, Jahangiri M, Jansz J PLoS One. 2023; 18(10):e0293129.

PMID: 37883443 PMC: 10602271. DOI: 10.1371/journal.pone.0293129.

Exploratory study of risk factors related to SARS-CoV-2 prevalence in nursing homes in Flanders (Belgium) during the first wave of the COVID-19 pandemic.

Janssens H, Heytens S, Meyers E, Devleesschauwer B, Cools P, Geens T PLoS One. 2023; 18(10):e0292596.

PMID: 37797082 PMC: 10553833. DOI: 10.1371/journal.pone.0292596.

Impact of Non-Face-to-Face Teaching with Passive Training on Personal Protective Equipment Use in Health Science Students: A Randomized Controlled Trial.

Rueda-Medina B, Aguilar-Ferrandiz M, Esteban-Burgos A, Tapia Haro R, Casas-Barragan A, Velando-Soriano A Int J Environ Res Public Health. 2022; 19(19).

PMID: 36232282 PMC: 9566742. DOI: 10.3390/ijerph191912981.

Reusable respirators as personal protective equipment in clinical practice : User experience in times of a pandemic.

Maleczek M, Toemboel F, Van Erp M, Thalhammer F, Rossler B Wien Klin Wochenschr. 2022; 134(13-14):522-528.

PMID: 35412049 PMC: 9001817. DOI: 10.1007/s00508-022-02022-1.

References

Kang J, ODonnell J, Colaianne B, Bircher N, Ren D, Smith K . Use of personal protective equipment among health care personnel: Results of clinical observations and simulations. Am J Infect Control. 2017; 45(1):17-23. DOI: 10.1016/j.ajic.2016.08.011. View

Brown L, Munro J, Rogers S . Use of personal protective equipment in nursing practice. Nurs Stand. 2019; 34(5):59-66. DOI: 10.7748/ns.2019.e11260. View

Black J, Bailey C, Przewrocka J, Dijkstra K, Swanton C . COVID-19: the case for health-care worker screening to prevent hospital transmission. Lancet. 2020; 395(10234):1418-1420. PMC: 7162624. DOI: 10.1016/S0140-6736(20)30917-X. View

Guan W, Ni Z, Hu Y, Liang W, Ou C, He J . Clinical Characteristics of Coronavirus Disease 2019 in China. N Engl J Med. 2020; 382(18):1708-1720. PMC: 7092819. DOI: 10.1056/NEJMoa2002032. View

Li W, Zhang J, Xiao S, Sun L . TEMPORARY REMOVAL: Characteristics of deaths amongst health workers in China during the outbreak of COVID-19 infection. J Infect. 2020; 81(1):147-178. PMC: 7141456. DOI: 10.1016/j.jinf.2020.03.030. View

Gralinski L, Menachery V . Return of the Coronavirus: 2019-nCoV. Viruses. 2020; 12(2). PMC: 7077245. DOI: 10.3390/v12020135. View

Zellmer C, Van Hoof S, Safdar N . Variation in health care worker removal of personal protective equipment. Am J Infect Control. 2015; 43(7):750-1. PMC: 7132814. DOI: 10.1016/j.ajic.2015.02.005. View

Andonian J, Kazi S, Therkorn J, Benishek L, Billman C, Schiffhauer M . Effect of an Intervention Package and Teamwork Training to Prevent Healthcare Personnel Self-contamination During Personal Protective Equipment Doffing. Clin Infect Dis. 2019; 69(Suppl 3):S248-S255. PMC: 6761361. DOI: 10.1093/cid/ciz618. View

Rothan H, Byrareddy S . The epidemiology and pathogenesis of coronavirus disease (COVID-19) outbreak. J Autoimmun. 2020; 109:102433. PMC: 7127067. DOI: 10.1016/j.jaut.2020.102433. View

10.

The Lancet . COVID-19: protecting health-care workers. Lancet. 2020; 395(10228):922. PMC: 7138074. DOI: 10.1016/S0140-6736(20)30644-9. View

11.

Okamoto K, Rhee Y, Schoeny M, Lolans K, Cheng J, Reddy S . Impact of doffing errors on healthcare worker self-contamination when caring for patients on contact precautions. Infect Control Hosp Epidemiol. 2019; 40(5):559-565. DOI: 10.1017/ice.2019.33. View

12.

Jones R, Bleasdale S, Maita D, Brosseau L . A systematic risk-based strategy to select personal protective equipment for infectious diseases. Am J Infect Control. 2019; 48(1):46-51. PMC: 7132808. DOI: 10.1016/j.ajic.2019.06.023. View

13.

Cook T . Personal protective equipment during the coronavirus disease (COVID) 2019 pandemic - a narrative review. Anaesthesia. 2020; 75(7):920-927. DOI: 10.1111/anae.15071. View

14.

Reddy S, Valderrama A, Kuhar D . Improving the Use of Personal Protective Equipment: Applying Lessons Learned. Clin Infect Dis. 2019; 69(Suppl 3):S165-S170. DOI: 10.1093/cid/ciz619. View

15.

Poonian J, Walsham N, Kilner T, Bradbury E, Brooks K, West E . Managing healthcare worker well-being in an Australian emergency department during the COVID-19 pandemic. Emerg Med Australas. 2020; 32(4):700-702. PMC: 7272835. DOI: 10.1111/1742-6723.13547. View

16.

Mitchell R, Roth V, Gravel D, Astrakianakis G, Bryce E, Forgie S . Are health care workers protected? An observational study of selection and removal of personal protective equipment in Canadian acute care hospitals. Am J Infect Control. 2012; 41(3):240-4. PMC: 7132671. DOI: 10.1016/j.ajic.2012.04.332. View

17.

Hu X, Zhang Z, Li N, Liu D, Zhang L, He W . Self-reported use of personal protective equipment among Chinese critical care clinicians during 2009 H1N1 influenza pandemic. PLoS One. 2012; 7(9):e44723. PMC: 3434157. DOI: 10.1371/journal.pone.0044723. View

18.

Siegel J, Rhinehart E, Jackson M, Chiarello L . 2007 Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Health Care Settings. Am J Infect Control. 2007; 35(10 Suppl 2):S65-164. PMC: 7119119. DOI: 10.1016/j.ajic.2007.10.007. View

19.

Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y . Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet. 2020; 395(10223):497-506. PMC: 7159299. DOI: 10.1016/S0140-6736(20)30183-5. View

20.

Suleyman G, Alangaden G, Bardossy A . The Role of Environmental Contamination in the Transmission of Nosocomial Pathogens and Healthcare-Associated Infections. Curr Infect Dis Rep. 2018; 20(6):12. DOI: 10.1007/s11908-018-0620-2. View