Commenced in January 2007
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Edition: International
Paper Count: 30526
Chemotherapy Safety Protocol for Oncology Nurses: It's Effect on Their Protective Measures Practices

Authors: Magda M. Mohsen, Manal E. Fareed

Abstract:

Background: Widespread use of chemotherapeutic drugs in the treatment of cancer has lead to higher health hazards among employee who handle and administer such drugs, so nurses should know how to protect themselves, their patients and their work environment against toxic effects of chemotherapy. Aim of this study was carried out to examine the effect of chemotherapy safety protocol for oncology nurses on their protective measure practices. Design: A quasi experimental research design was utilized. Setting: The study was carried out in oncology department of Menoufia university hospital and Tanta oncology treatment center. Sample: A convenience sample of forty five nurses in Tanta oncology treatment center and eighteen nurses in Menoufiya oncology department. Tools: 1. an interviewing questionnaire that covering sociodemographic data, assessment of unit and nurses' knowledge about chemotherapy. II: Obeservational check list to assess nurses' actual practices of handling and adminestration of chemotherapy. A base line data were assessed before implementing Chemotherapy Safety protocol, then Chemotherapy Safety protocol was implemented, and after 2 monthes they were assessed again. Results: reveled that 88.9% of study group I and 55.6% of study group II improved to good total knowledge scores after educating on the safety protocol, also 95.6% of study group I and 88.9% of study group II had good total practice score after educating on the safety protocol. Moreover less than half of group I (44.4%) reported that heavy workload is the most barriers for them, while the majority of group II (94.4%) had many barriers for adhering to the safety protocol such as they didn’t know the protocol, the heavy work load and inadequate equipment. Conclusions: Safety protocol for Oncology Nurses seemed to have positive effect on improving nurses' knowledge and practice. Recommendation: chemotherapy safety protocol should be instituted for all oncology nurses who are working in any oncology unit and/ or center to enhance compliance, and this protocol should be done at frequent intervals.

Keywords: effect, Chemotherapy Safety protocol, protective measure practice

Digital Object Identifier (DOI): doi.org/10.5281/zenodo.1087588

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References:


[1] HSE's. Safe handling of cytotoxic drugs. 1999.www.hsebooks.co.uk.
[2] Conner T. and Diarmid M . Preventing occupational exposures to antineoplastic drugs in health care settings. A Cancer Journal for Clinicians 2006; 56 (I): 354–65.
[3] Crstev S., Perunicic B. and Vitakovic A. Work practice and some adverse health effects in nurses handling antineoplastic drugs. Occupational safety & health adminestration. La Medicina del Lavoro 2003;94 (5):432-9.
[4] Dranitsaris G., Johnston M., Poirier S., Schuller T.Milliken D., Green E. and Zanke B. Are health care providers who work with cancer drugs at an increased risk for toxic events? A systemic review and meta analysis. J Onco Phar Practice 2005;11(2):69-78.
[5] Ben-Ami S. and Shaham J. The influence of nurses' knowledge, attitudes and health believes on their safe behavior with cytotoxic drugs in Israel . Cancer nursing 2001; 24 (1):192-200.
[6] Vollono C., Badoni G. and Petrelli G. Risk perception and self assessment of exposure to antineoplastic agents in a group of nurses and pharmacists. Giornale Italiano di Medicina de Lavoro ed Ergonomia 2002 ;24 (1):49-55.
[7] Chaudhary R. and Karn B. Chemotherapy knowledge and handling practice of nurses working in a medical university of Nepal. JCT 2012; 3(1): 110-4.
[8] Polovich M. Safe handling of hazardous drugs. On line journal of issues in Nursing 2004; 9(5) available .http://www.nursingworld.org/ojin/topic25.
[9] Bergman P. Chemotherapy preparation, administration and disposal. Armonk NY. Bright heart veterinary centers 2003;1(1).
[10] McCurnin D. Clinical Text book for Veterinary Technician. 2006. 6th.ed St. Louis.
[11] Kosgeroglou N., Ayranci U. ,Ozerdogan N. and Demirustu C. Turkish nurses' information about and administration of chemotherapy drugs. Journal of clinical nursing 2006 ;15 (1):1179-87.
[12] Crauste- Manciet S., Sessink P. and Ferrari S. Environmental contamination with cytotoxic drugs in health care using positive air pressure isolators. . Ann Occup Hyg. 2005; 49(1):619-28.
[13] Hooper D. Nursing guidelines for professional practice handling and administration of cytotoxic drugs. NHS. 2009; 1-12.
[14] Turk M., Davas A., Ciceklioglu M., Sacaklioglu F. and Mercan T. Knowledge, attitude and safe behaviour of nurses handling cytotoxic anticancer drugs in Ege university hospital. Asian Pacific journal of cancer prevention 2004;5 (1):164-8.
[15] Kyprianou M., Kapsou M., Raftopoulos V. and Soteriades E. Knowledge, attitudes and beliefs of Cypriot nurses on the handling of antineoplastic agents European Journal of Oncology Nursing 2010; 1(1): 278- 82.
[16] Rizalar S., Tural E. and Altay B. Nurses' protective measures during chemotherapy preparation and administration in Turkey. International journal of nursing practice 2012; 18(1): 1-16.
[17] Duzenli B. Investigation of information level of nurses on protection from harmful effects of chemotherapy. Ist Ntional congress of medwife and nurses abstract book. Antalya 2000; 1(1):40.
[18] Lucroy M. chemotherapy safety in veterinary. Hazardous drug. Compendium 2009; 23(10): 16 .
[19] Mohsen M., Fareed M., El-shikh A. and Abbas S. Effect of nursing management protocol on selected side effects of interferon and ribavirin among hepatitis C patients. Journal of American science 2011; 7 (6):54- 63.
[20] El-shikh A. The impact of a protocol of care on physical responses and compliance among patients with congestive heart failure. 2003. Unpublished doctoral degree. Faculty of nursing. Menoufiya university.
[21] Fareed M. and Dorgham L. Hand hygiene among Egyptian health care students: Nursing versus Medical students. The Egyptian journal of Medicine 2010;43 (4): 58-69.
[22] Creedon S., Slevin B., Quinn G., Boyle L., Doyle A., O'brien B., O' Connell N. and Ryan L. Hand hygiene compliance:Exploring variating in practice between hospitals. Available at nursing times. Net 2008.