Protection and Sustainability in Health Systems: The Use of Examination Gloves and Best Practices in Infection Prevention and Control in Critical Care Environments

Authors

  • Ricardo Conceição Sociedade Portuguesa de Enfermagem em Doente Crítico; Enfermeiro Especialista na SPCIRA e VMER | Unidade Local de Saúde de Coimbra Author
  • Celínia Antunes Enfermeira Gestora da SPCIRA e VMER | Unidade Local de Saúde de Coimbra Author
  • Margarida Carvalho Enfermeira Especialista na SIV de Tomar | Instituto Nacional de Emergência Médica Author
  • Natércia Caramujo Enfermeira Gestora da SPCIRA | Unidade Local de Saúde do Alentejo Central Author
  • Bruno Macedo Enfermeiro Especialista no SU e VMER | Unidade Local de Saúde da Guarda Author
  • Isabel Veloso Enfermeira Gestora da SPCIRA | Unidade Local de Saúde do de Braga Author
  • Nuno Pereira Médico Coordenado da UPCIRA | Unidade Local de Saúde de São João Author
  • Andrea Dias Enfermeira Especialista na UPCIRA | Unidade Local de Saúde do Tâmega e Sousa Author

DOI:

https://doi.org/10.63176/rwc5ed36

Keywords:

Infection Control, Gloves, Sustainability in Healthcare Services, Professional Behaviour, Evidence-Based Practice, Patient Safety

Abstract

Introduction: The use of gloves has been one of the most widespread measures in clinical practice since the late nineteenth century, being considered essential for infection prevention and the protection of healthcare professionals. However, recent evidence suggests that their inappropriate use may increase the risk of cross-infection, compromise hand hygiene, and generate significant waste.
Objective: This article aims to provide an in-depth analysis of the perceptions of a panel of experts regarding glove use in critical care settings, exploring issues related to glove quality, inappropriate practices, behavioral factors, and environmental impact, while linking these insights to evidence-based practice.
Methods: An exploratory qualitative study was conducted based on information collected during an expert panel meeting (n=7) in a focus group format. The participants represented different professional contexts: Infection Prevention and Control and Antimicrobial Resistance Services (SPCIRA), Prehospital Emergency Care, Emergency Departments, and Intensive Care Units. The transcription was analyzed using thematic analysis, and illustrative excerpts were selected and integrated with recent national and international literature.
Results: Four main thematic domains were identified: (1) glove quality and variability; (2) technical criteria for procurement; (3) inappropriate use and behavioural factors; and (4) sustainability and waste.
Conclusion: The appropriate use of gloves requires clear technical criteria, profound behavioural changes, and the integration of sustainability and safety considerations into procurement and management policies.

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Published

2025-11-14

How to Cite

Protection and Sustainability in Health Systems: The Use of Examination Gloves and Best Practices in Infection Prevention and Control in Critical Care Environments. (2025). Critical Patient - Scientific Journal of the Portuguese Society of Critical Care Nurses, 1(1). https://doi.org/10.63176/rwc5ed36