Obstacles' And Facilitators Facing Safe Administration Of Chemotherapy by Oncology Nurses

Abstract

Aim of the study: This study aimed to determine obstacles' and facilitators facing safe administration of chemotherapy by oncology nursing staff. Material and methods: Study design: descriptive study design (qualitative) was used. Setting: the study was conducted at Tanta cancer center affiliated to Ministry of Health at El Garbeia Governorate Egypt. Sample: All (55) nurses working in oncology medical department at Tanta cancer center and administer chemotherapy. Tools: five tools was used to conduct this study. Tool one: Structured interview questionnaire: It was developed by the research after review of related literature. It was consisted of two parts: First part: Socio-demographic characteristics of oncology nurses and Second part: Level of knowledge needed about cytotoxic chemotherapy) by nurses .The total responses was summed up and classified into three levels, high, moderate &Low. Tool Two Obstacles' facing nurses for safe administration of hazardous drug. It was developed by the researchers in Arabic & consisted of 13 open ended questions. Tool Three: Modified Nurses attitude toward safe administration of hazardous drug for cancer patients (chemotherapy) questionnaire. It was adapted and translated into Arabic by the researchers. It was consisted of 18 items & included both positive and negative item statements Tool Four: Modified Nurses anxiety and fear to administer hazardous drug for cancer patient questionnaires .It was adapted and translated into Arabic by the researchers. It consists of 18 items, the responses were 4 response Statements .Total anxiety scores: divided into three levels high, moderate and low according to scores. Tool Five: Facilitators' of safe administration of hazardous drugs (cytotoxic chemotherapy): It was developed by the researchers in Arabic after review of related literature. It consisted of 13 open ended questions. Method: 1. Permission was obtained from head of oncology department at main Tanta University Hospital .2. Ten experts in the field of oncology, five oncology experts affiliated to Faculty of Medicine Tanta University and five nurses revised the tool for content validity. 3. Each nurses interviewed individually and participated to fulfill the questions in the five tools. 4. Ethical considerations: Consent was obtained from nurses after explanation of the research study aims and content. Confidentiality of data was ensured using code number instead of their names and withdrawal from the study was reserved. 5. Pilot study was carried out on 10% of the study sample 10 nurses working in outpatient clinics and administer chemotherapy and not included in the sample to test tool feasibility and applicability and the required modification was done. Results: Oncology nurses age was from 21-55 and have years of experiences from 0-30 year and more than two third of them married with deplume of secondary school level of education with no training courses about safe chemotherapy administration. Obstacles' for safe chemotherapy administration as perceived by nurses wor...

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

“…Chemotherapy extravasation still occurs at a rate ranging from 0.1% to 6% when administered by peripheral intravenous access, even though centrebased guidelines and policies aim to reduce its risk. When evidence is available, institution-based guidelines should be based on it; nevertheless, when these guidelines do exist (3) , they are usually vague and non-specific. Chemotherapy can have a significant impact, but it also has the potential to cause a variety of adverse effects, some of which may influence the treatment plan, prognosis, and the patient's response to the treatment (4) .…”