Sexual Health

Reducing non-sterile glove use in a sexual health and HIV department: A quality improvement project to address clinical practices.

TL;DR

Staff education, including video guidance, educational presentations, and patient-facing posters, was successful in reducing inappropriate non-sterile glove use in a Sexual Health and HIV department, with a 45.2% decrease in glove procurement observed.

Key Findings

The majority of staff reported reducing their personal glove use following interventions.

  • 63% of staff believed they had reduced their personal non-sterile glove (NSG) use in the past year.
  • A post-intervention survey was used to evaluate whether NSG use had changed following the interventions.
  • The survey was circulated to all clinicians in a Sexual Health and HIV department.

Non-sterile glove procurement decreased by 45.2% when comparing 2023/2024 data to pre-COVID 2019/2020 data.

  • NSG orders decreased from 173,110 per year to 94,800 per year.
  • The comparison period was between 2023/2024 and pre-COVID 2019/2020 figures.
  • Procurement data were obtained as an objective measure of glove use change.

Staff identified education and patient empowerment through posters as the most effective methods to reduce inappropriate glove use.

  • Many staff believed the best way to reduce inappropriate glove use was through education.
  • Patient-facing posters for waiting rooms were identified as an effective measure to drive behaviour change.
  • Interventions included video guidance of performing venepuncture without gloves in line with Trust policy, educational presentations, and patient-facing posters.

Multiple intervention types were deployed to encourage appropriate non-sterile glove use among clinical staff.

  • Interventions included video guidance demonstrating venepuncture performed without gloves, in line with Trust policy.
  • Educational presentations were delivered to staff.
  • Patient-facing posters were placed in waiting rooms.
  • A pre-intervention survey was first circulated to all clinicians to establish baseline attitudes.

Reduction of non-sterile glove use was framed within the context of addressing climate change and reducing single-use plastic waste.

  • Climate change is described as 'a huge public health threat, necessitating reductions in carbon emissions.'
  • Non-sterile gloves are identified specifically as a single-use plastic contributing to carbon emissions.
  • The project situates clinical behaviour change within broader environmental sustainability goals.

What This Means

This research suggests that targeted educational interventions can meaningfully reduce the unnecessary use of disposable gloves in a clinical setting. A Sexual Health and HIV department implemented several measures — including instructional videos showing blood draws performed without gloves, staff presentations, and posters in patient waiting areas — and then measured whether glove use changed. After the interventions, 63% of staff reported personally reducing their glove use, and the total number of gloves ordered by the department fell by 45.2%, dropping from about 173,000 to about 95,000 pairs per year when comparing post-intervention data to pre-pandemic figures. The project was motivated by environmental concerns, as single-use plastic gloves contribute to healthcare's carbon footprint and waste burden. Staff identified education and patient-facing materials as the most useful tools for changing behavior, suggesting that both clinician awareness and patient involvement play a role in reducing unnecessary glove use. This research suggests that relatively low-cost educational strategies — particularly videos, presentations, and waiting room posters — can drive significant reductions in single-use glove consumption in clinical departments without requiring major policy overhauls. The findings may be relevant to other healthcare settings looking to reduce waste and environmental impact while maintaining appropriate infection control practices.

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Citation

Smith L, Clarke A, Dean G. (2025). Reducing non-sterile glove use in a sexual health and HIV department: A quality improvement project to address clinical practices.. International journal of STD & AIDS. https://doi.org/10.1177/09564624251326696