Online Program

Investigating infection control behavior in nurses: Determinants of donning and doffing errors

Monday, November 4, 2013

Elizabeth Beam, PhD, RN, College of Nursing, University of Nebraska Medical Center, Omaha, NE
Shawn Gibbs, PhD, MBA, CIH, College of Public Health, Department of Environmental, Agricultural, and Occupational Health, University of Nebraska Medical Center, Omaha, NE
In a small mixed methods study, nursing behaviors related to infection control were evaluated as nurses participated in a video recorded patient care simulation. The scenario asked the nurse to care for a patient in both airborne and contact isolation precautions with small high definition cameras mounted in a real hospital room. The patient was simulated by a live actor with an artificial intravenous line. The simulation scenario asked the nurse to assess their patient and give them some pain medication. The simulation experience was followed by a Think Aloud session while participants watched their individual simulation performance. The session was audio recorded and then transcribed for qualitative analysis. In an effort to determine how physical restrictions or personal characteristics impacted nursing behaviors, participants were asked to complete a demographic survey and complete a range of motion demonstration in front of a video camera before the study session ended. Nursing behaviors noted in the video recordings and insights from the nurses in the Think Aloud sessions will be reviewed in relation to these determinants of behavior. Frequent errors in donning and doffing occur in spite of personal experiences with exposure. The errors seen in most participants did not correlate with range of motion issues such as joint mobility or flexibility. Educational interventions for nurses at the bedside may need to address common misconceptions in isolation care processes.

Learning Areas:

Occupational health and safety
Public health or related nursing

Learning Objectives:
Identify at least 2 common donning and doffing errors when nurses enter the hospital room of an isolation patient. Discuss common explanations for clinical behaviors noted by the nurses during the Think Aloud session of the study.

Keyword(s): Infectious Diseases, Simulation

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have coordinated a grant project at the UNMC College of Nursing in Omaha since 2005. In the role, I have taught emergency preparedness content to students and healthcare workers throughout the state of Nebraska. My scientific interests have led to research and/or publications on education, infection control, and biocontainment care.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.