Constructing effective methods to intercept an infection route through nurses' hands of at invasive treatment

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In 1999, in considering invasive treatment, a survey was conducted on 250 nursing staff in public institutions by using our original questionnaire to grasp the actual situation especially on the use of gloves on taking blood.In 2000, another survey was conducted in four more public institutions on 905 subjects.98% of them were full-time equivalent with about ten years of clinical experience.The result showed that 0.5% of respondents took blood always with gloves on, 33% of them sometimes wore gloves depending on occasions, 66.5% of them seldom or never wore gloves.Some of those who seldom or never wear gloves believe the sense of touch with their fingers is important to draw blood and they won' t be infected if they follow proper manner.Clinical experience relates to the use of gloves; the less experienced the nursing staff, the more they are likely to work without gloves. More clinically experienced staff tend to choose occasion to wear gloves.In 2001, an interview was conducted on seven male clients (3 were infected, 4 were not infected) to elicit awareness of care recipients about the use of gloves.The respondents were in their twenties to seventies with experience of care by nursing staff with gloves on. As a result, none of them expressed discomfort about it.The questions for those infected were on taking blood, injection, drip infusion, dressing change, and toilet assistance. Those without infection were asked on toilet assistance, dressing change, hematemesis treatment, brushing teeth, and intratracheal suction, including questions on changing posture, washing hair, and bed bath.It was found that wearing gloves, regarding it as a barometer for institutions to maintain cleanliness can be understood enough to obtain cooperation if an explanation at the beginning of the care is given by nursing staff.