Nurses knowledge about Management Extravasation Intravenous Cytotoxic Medication At Amal National Hospital in Baghdad City

Abstract

Background: Extravasation, the unintentional leak of an anticancer agent from a vessel into the close tissues, is an uninvited and difficult problem that can lead to permanent local harms and severe disability.Objectives: To assess nurse's knowledge about management extravasation vesicant intravenous cytotoxic medication.Methodology: Descriptive design using a self-administered questionnaire was employed. At al-Amal national hospital for tumor treatment in Baghdad city from 2 nd December 2018 to 10 th February 2019). Random sampling method. The sample size was 45 nurses completed a questionnaire about management extravasation vesicant intravenous chemotherapy. Instruments: developed by the researcher consist of three sections the first section to assess the demographic data. And the second section questionnaire consists of 20 items divided into two parts to measure the information of team nurses on vesicant drug and management extravasation Vesicant intravenous chemotherapy. Data analysis by using the Statistical Package for Social Sciences version (SPSS) 23.0 included. (Frequency, percentage, Kruskal Wallis H test, Chi-square test, and Mann-Whitney U test). The level of significance was the threshold at p<0.05.Results: shows that the high percentage (42.2%) of oncology nurses ages (30-39 years old). Most of them (57.8 %) were female. The education level represents (42.2%) of nurses were from nursing institute graduates, the high percentage (46.7%) of them their experience in oncology unite were (5-9) years. Mostly no training session. Inferential there are statistically significant between education levels groups the nursing college showed a higher mean knowledge score than other levels. also, a higher significantly difference was observed between mean knowledge and participate with Training courses by mean (36.40) The researcher decide that nurse's knowledge is the poor component about vesicant cytotoxic and management extravasation according to of assessment result Conclusion: there is a need for structuring a permanent education program due to the poor scientific of nurse's knowledge about the vesicant and management of extravasation by chemotherapeutic drugs. Therefore, the issue of training courses should be highlighted for it is an effective role in improving the performance of nurses.

Enhancement of Oncology Nurses' Competency Regarding Management of Intravenous Chemotherapy Extravasation

“…Concerning years of experience, the present study indicated that slightly more than two fifth of the studied nurses had five to less than ten years' experience at oncology center. This finding agreed with study by Hussin and Ahmed, (2020) who noticed that high present of the studied nurses had five to nine years of working in the oncology unit. Another study done by Abdullah, and Rasheed, (2018) disagreed with present study, they reported that the majority of nurses had experience ranged from one to five years at oncology unit.…”

“…It can cause different side effects as phlebitis, hypersensitivity, infiltration, and extravasation (Bukowski, Kciuk, & Kontek, 2020). Chemotherapy extravasation is defined as the unintentional leakage of chemotherapeutic agents from the vein into surrounding tissues (Hussin, & Ahmed, 2020). It can cause pain, erythema, edema, burning, blister, and discomfort at the intravenous injection site (Taibi et al,2020).…”

Nurses’ Knowledge and Adherence to Clinical Practice Guideline to Prevent Extravasation of Chemotherapy in Erbil City

“…According to the findings of this survey, 55.7% of nurses had insufficient experience (19) . In this study, 61.4% of nurses had low adherence to the clinical practice guideline, while a study done in Korea showed the guideline adherence rate was >70% (20). Moreover, in this study, 67.1% of nurses perceived more barriers to applying clinical practice guidelines to prevent chemotherapy extravasation.…”

Profiles and Outcomes of Skin Injuries Caused by Injectable Drug Extravasation

“…More importantly, nurses, who often administer injectable drugs to patients must have correct knowledge of extravasation, observe caution during and after drug administration, and provide appropriate patient education thereafter. However, some studies on nurses' knowledge of extravasation suggest a lack of knowledge about vesicant cytotoxic 41 and noncytotoxic drugs. 42 The findings from this study reflect the actual scenario in the clinical settings and could help nurses predict possible injuries and be more vigilant while the medication is infusing, resulting in an improvement in the quality of care in infusion management.…”