Time to Hang Up the Gloves: A Scoping Review of Evidence on Non-Sterile Glove Use During Intravenous Antimicrobial Preparation and Administration.

IF 3.4 3区医学 Q1 NURSING

Journal of Advanced Nursing Pub Date : 2025-09-25 DOI:10.1111/jan.70197

Natasya Raja Azlan,Debbie Massey,Lesley Andrew,Amanda Towell-Barnard,Seng Giap Marcus Ang,Carol Crevacore,Martina Costello,Aaron Alejandro,Weiting Liu,Naila Zaman,Peta-Anne Zimmerman

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引用次数: 0

Abstract

AIMS To systematically summarise evidence related to the use of non-sterile gloves when preparing and administering intravenous antimicrobials. DESIGN Scoping review. METHODS A rigorous scoping review was undertaken following Arksey and O'Malley's (2005) framework and the modified Preferred Reporting Items for Systematic Reviews and Meta-analyses extension for scoping review guidelines (2018). Five databases and grey literature were included in the search. Literature published between 2009 and 2024 was included. DATA SOURCES Five databases (Medline, CINAHL, EMBASE, Scopus and Web of Science) and the grey literature were searched in February 2024. RESULTS Three studies were included; however, none directly addressed correct non-sterile glove use during intravenous antimicrobial preparation or administration in clinical practice. CONCLUSION We found no evidence to support the use of non-sterile gloves in intravenous antimicrobial preparation. There is an urgent need for rigorous research to inform the development of clear guidelines on non-sterile glove use to underpin evidence-based decision-making in nursing and other health professional education, improve patient outcomes, reduce healthcare costs and promote environmental sustainability in healthcare. IMPLICATIONS Inappropriate use of non-sterile gloves for preparing and administering intravenous antimicrobials hinders correct hand hygiene practices and increases healthcare-associated infections, healthcare costs and waste. IMPACT A critical gap in the existing evidence was a key finding of this review, highlighting the urgency for evidence-based guidelines to improve patient safety outcomes, reduce healthcare costs and promote environmental sustainability in healthcare. REPORTING METHOD This scoping review adhered to the relevant EQUATOR guidelines and Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) reporting checklist. PATIENT OF PUBLIC CONTRIBUTION This study did not include patient or public involvement in its design, conduct or reporting. TRIAL AND PROTOCOL REGISTRATION The protocol was registered on Open Science Framework (https://doi.org/10.17605/OSF.IO/QY4J2).

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挂手套的时候了：静脉抗菌药物制备和给药过程中使用非无菌手套的证据的范围审查。

目的系统总结在制备和给药静脉内抗菌素时使用非无菌手套的相关证据。DESIGNScoping审查。方法根据Arksey和O'Malley（2005）框架和修改后的系统评价和荟萃分析首选报告项目扩展范围评价指南（2018）进行严格的范围评价。检索包括5个数据库和灰色文献。收录了2009年至2024年间发表的文献。数据来源于2024年2月检索Medline、CINAHL、EMBASE、Scopus和Web of Science 5个数据库和灰色文献。结果纳入3项研究；然而，在临床实践中，没有一个直接解决静脉抗菌药物制备或给药过程中正确使用非无菌手套的问题。结论没有证据支持在静脉抗菌制剂中使用非无菌手套。迫切需要进行严格的研究，为制定明确的非无菌手套使用指南提供信息，以支持护理和其他卫生专业教育中的循证决策，改善患者预后，降低医疗成本，促进医疗保健领域的环境可持续性。在制备和施用静脉注射抗菌素时不适当使用非无菌手套妨碍了正确的手部卫生习惯，并增加了卫生保健相关的感染、卫生保健费用和浪费。现有证据的关键差距是本综述的一个重要发现，强调了制定循证指南以改善患者安全结果、降低医疗成本和促进医疗保健领域环境可持续性的紧迫性。报告方法：本范围评价遵循相关的EQUATOR指南和系统评价和范围评价扩展元分析首选报告项目（PRISMA-ScR）报告清单。公众贡献患者本研究的设计、实施和报告中没有患者或公众的参与。试验和方案注册该方案在开放科学框架（https://doi.org/10.17605/OSF.IO/QY4J2）上注册。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Advanced Nursing 医学-护理

CiteScore

6.40

自引率

7.90%

发文量

369

审稿时长

3 months

期刊介绍： The Journal of Advanced Nursing (JAN) contributes to the advancement of evidence-based nursing, midwifery and healthcare by disseminating high quality research and scholarship of contemporary relevance and with potential to advance knowledge for practice, education, management or policy. All JAN papers are required to have a sound scientific, evidential, theoretical or philosophical base and to be critical, questioning and scholarly in approach. As an international journal, JAN promotes diversity of research and scholarship in terms of culture, paradigm and healthcare context. For JAN’s worldwide readership, authors are expected to make clear the wider international relevance of their work and to demonstrate sensitivity to cultural considerations and differences.