{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T05:54:57Z","timestamp":1790747697883,"version":"4.1.0"},"reference-count":10,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T00:00:00Z","timestamp":1787961600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Infection Prevention"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Inappropriate glove use can undermine hand hygiene, increase cross-transmission risk, and contribute to healthcare waste.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To evaluate a trust-wide quality improvement campaign aimed at reducing unnecessary non-sterile glove use and improving appropriateness of glove use.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A multimodal intervention was implemented across an acute NHS Trust (February 2023\u2013April 2026), including education, policy refinement, visual prompts, and audit feedback. Evaluation used a triangulated design: staff survey, statistical process control (SPC) analysis, and procurement\/environmental trend data. The Capability, Opportunity, Motivation and Behaviour (COM-B) model informed interpretation. Descriptive statistics and SPC methods were applied.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 123 staff responded. Mean knowledge score was 89%, with 76% scoring \u226580%; 72% reported receiving education and 75% exposure to campaign materials. Confidence was high (95.1%), but fewer (65.9%) felt comfortable challenging inappropriate practice. SPC analysis showed common-cause variation with no sustained improvement in glove use audit data. Procurement data suggested an initial reduction followed by plateau: glove use decreased from 57.24 to 49.52 per occupied bed day (difference 7.71). Waste and carbon metrics showed similar proportional reductions (\u223c13.5%). Due to mixed reporting periods, findings are interpreted as trend data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>The campaign achieved high knowledge and early system-level reductions but did not produce sustained behavioural change.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Significance and impact<\/jats:title>\n                    <jats:p>Findings suggest a ceiling effect, with residual behaviour driven by social and contextual factors. Future efforts should prioritise targeted, behaviour-focused interventions over repeated trust-wide awareness campaigns.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17571774261477840","type":"journal-article","created":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T10:28:12Z","timestamp":1787999292000},"page":"230-237","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Reducing inappropriate non-sterile glove use in an acute NHS trust: A quality improvement evaluation of the Gloves Off campaign"],"prefix":"10.1177","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-6167-2795","authenticated-orcid":false,"given":"Harmony","family":"Owhotake","sequence":"first","affiliation":[{"name":"Walsall Healthcare NHS Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jossy","family":"Ashlin","sequence":"additional","affiliation":[{"name":"Walsall Healthcare NHS Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefano","family":"Oggiano","sequence":"additional","affiliation":[{"name":"Walsall Healthcare NHS Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aiden J.","family":"Plant","sequence":"additional","affiliation":[{"name":"Walsall Healthcare NHS Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,29]]},"reference":[{"key":"e_1_3_8_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/qhc.12.6.458"},{"key":"e_1_3_8_3_1","doi-asserted-by":"crossref","unstructured":"Dunn H Leonard A Wilson N (2018) The \u2018gloves are off\u2019 \u2013 can we reduce inappropriate glove usage through an educational based intervention and risk assessment? journal-article. Available at: https:\/\/www.his.org.uk\/media\/1757\/193.pdf.","DOI":"10.1136\/goshabs.68"},{"key":"e_1_3_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhin.2021.10.001"},{"key":"e_1_3_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhin.2013.11.003"},{"key":"e_1_3_8_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/1748-5908-6-42"},{"key":"e_1_3_8_7_1","volume-title":"NHS England \u00bb Chapter 1: Standard Infection Control Precautions (SICPS)","author":"NHS England","year":"2025","unstructured":"NHS England (2025) NHS England \u00bb Chapter 1: Standard Infection Control Precautions (SICPS). https:\/\/www.england.nhs.uk\/national-infection-prevention-and-control-manual-nipcm-for-england\/chapter-1-standard-infection-control-precautions-sicps\/#1-4 Accessed: May 1, 2026."},{"key":"e_1_3_8_8_1","unstructured":"Standards for Quality Improvement Reporting Excellence (2015) SQUIRE | SQuIRE 2.0. https:\/\/www.squire-statement.org\/index.cfm?fuseaction=Page.ViewPage&pageId=525 Accessed: May 1 2026."},{"key":"e_1_3_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.idh.2025.07.003"},{"key":"e_1_3_8_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/1757177416680442"},{"key":"e_1_3_8_11_1","unstructured":"World Health Organization (2025) Gloves do not replace hand hygiene \u2013 reminder from WHO. https:\/\/www.who.int\/news\/item\/05-05-2025-gloves-do-not-replace-hand-hygiene---reminder-from-who Accessed: May 1 2026."}],"container-title":["Journal of Infection Prevention"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17571774261477840","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/17571774261477840","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17571774261477840","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T04:56:32Z","timestamp":1790744192000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/17571774261477840"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,29]]},"references-count":10,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1177\/17571774261477840"],"URL":"https:\/\/doi.org\/10.1177\/17571774261477840","relation":{},"ISSN":["1757-1774","1757-1782"],"issn-type":[{"value":"1757-1774","type":"print"},{"value":"1757-1782","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,29]]}}}