Factors Influencing Nurses' Use of Hazardous Drug Safe-Handling Precautions.
نویسندگان
چکیده
PURPOSE/OBJECTIVES To identify factors associated with oncology nurses' use of hazardous drug (HD) safe-handling precautions in inpatient clinical research units. . DESIGN Descriptive, cross-sectional. . SETTING The National Institutes of Health Clinical Center in Bethesda, Maryland. . SAMPLE 115 RNs working on high-volume HD administration units. . METHODS Survey data were collected online using the Hazardous Drug Handling Questionnaire. Data were analyzed using descriptive statistics and multiple regression analysis. . MAIN RESEARCH VARIABLES Exposure knowledge, self-efficacy, barriers to personal protective equipment use, perceived risk, conflict of interest, interpersonal influences, workplace safety climate, and total mean HD precaution use. . FINDINGS Participants demonstrated high exposure knowledge, self-efficacy, perceived risk, interpersonal influences, and workplace safety climate. Participants demonstrated moderate barriers and conflict of interest. Total mean HD precaution use proved highest during HD administration and lowest for handling excreta at 48 hours. Average patients per day significantly influenced total HD precaution. CONCLUSIONS Despite high exposure knowledge, barriers to personal protective equipment use and conflict of interest may contribute to reduced adoption of personal protective practices among oncology nurses. . IMPLICATIONS FOR NURSING Hospital and unit-specific factors captured by the predictor variables could contribute to institutional HD policy.
منابع مشابه
Factors influencing oncology nurses' use of hazardous drug safe-handling precautions.
PURPOSE/OBJECTIVES To examine relationships among factors affecting nurses' use of hazardous drug (HD) safe-handling precautions, identify factors that promote or interfere with HD precaution use, and determine managers' perspectives on the use of HD safe-handling precautions. DESIGN Cross-sectional, mixed methods; mailed survey to nurses who handle chemotherapy and telephone interviews with ...
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Occupational exposure to chemotherapy is a significant and ubiquitous danger to oncology nurses. The Oncology Clinical Nurse III/IV leadership group at the University of North Carolina Hospitals embarked on the challenge of a comprehensive standards review regarding personal protective equipment necessary when handling waste after hazardous drug administration. This review led to practice impro...
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PURPOSE/OBJECTIVES To determine patterns of personal protective equipment (PPE) used by oncology nurses while handling hazardous drugs (HDs) and to assess knowledge of the 2004 National Institute for Occupational Safety and Health (NIOSH) Alert and its effect on precaution use. DESIGN Descriptive, correlational. SETTING The Oncology Nursing Society 31st Annual Congress in Boston, MA, in 200...
متن کاملDEFENS - Drug Exposure Feedback and Education for Nurses’ Safety: study protocol for a randomized controlled trial
BACKGROUND Three decades of research findings have documented the health effects of handling hazardous drugs. Oncology nurses are vulnerable due to frequent administration of antineoplastics, low adherence to equipment use, reported barriers to use, and perceived low risk of health effects. No interventions have been tested in a controlled, multi-site trial to increase nurses' use of protective...
متن کاملChemotherapy Safe Handling: Limiting Nursing Exposure With a Hazardous Drug Control Program.
BACKGROUND Nurses and other healthcare workers are at risk for adverse health consequences from occupational exposure to hazardous drugs. OBJECTIVES An evidence-based program for nurses was implemented to improve safe handling practices and reduce exposure to hazardous drugs. METHODS A quasiexperimental design was used, with pre- and post-tests of knowledge about chemotherapy exposure and p...
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عنوان ژورنال:
- Oncology nursing forum
دوره 43 3 شماره
صفحات -
تاریخ انتشار 2016