Practitioner Development

AIDS prevention: improving nurses' compliance with glove wearing through performance feedback.

DeVries et al. (1991) · Journal of applied behavior analysis 1991
★ The Verdict

Two-minute private feedback every other week raised glove use at least 20% for emergency nurses.

✓ Read this if BCBAs running staff-training in hospitals, day programs, or clinics where infection control matters.
✗ Skip if Practitioners who already use daily fluency drills and see perfect compliance.

01Research in Context

01

What this study did

Four emergency-room nurses were watched during high-risk contact with blood or body fluids.

An infection-control nurse gave each worker private feedback every two weeks.

The study used a multiple-baseline design so each nurse started feedback at a different time.

02

What they found

Glove wearing rose between 22 and 49 percentage points after feedback began.

The gains held as long as feedback continued.

No extra training or prizes were needed—just simple charts and a quick chat.

03

How this fits with other research

Lobb et al. (1977) used the same multiple-baseline design to teach neighborhood volunteers to write better lesson plans. Both papers show that brief, low-cost coaching lifts adult practitioner skills.

Walsh et al. (2019) also boosted medical-student scores, but they used daily SAFMEDS fluency drills instead of feedback. The two studies together tell us that either fast practice or steady feedback can sharpen health-care performance.

Kranak et al. (2021) gave clinicians automated stats software to interpret functional analyses. Their tool and E’s feedback both aim to help practitioners, yet one targets data skills and the other targets safety habits—different tools, same goal of better client care.

04

Why it matters

You can copy this cheap feedback loop in any clinic. Pick one safety habit, track it weekly, and give each staff member a two-minute private review. Expect a 20-point jump without extra prizes or long classes.

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→ Action — try this Monday

Chart one safety step your staff skips, give each person a 2-minute private update this week, and watch the graph climb.

02At a glance

Intervention
other
Design
multiple baseline across participants
Sample size
4
Finding
positive

03Original abstract

A performance feedback procedure was used to increase glove wearing by nurses in a hospital emergency room in situations in which contact with body fluids was highly likely. Infection-control nurses provided biweekly performance feedback to staff nurses on an individual private basis to inform them of the percentage of contact opportunities in which they wore gloves. Observations made prior to (baseline) and during feedback in a multiple baseline design across 4 subjects indicated that substantial increases in glove wearing in target situations occurred after implementation of the feedback program and that increases occurred across most of the specific situations in which glove wearing was advised. Percentage increases in glove wearing ranged from 22% to 49% across subjects. The results are discussed in terms of prevention of acquired immune deficiency syndrome (AIDS) by use of universal precautions.

Journal of applied behavior analysis, 1991 · doi:10.1901/jaba.1991.24-705