Nurse's Performance AndAdverse HealthEffects On Nurses Dealing WithChemotherapeutic Agents

Document Type : Original Article

Authors

1 Medical- Surgical Nursing, Faculty of Nursing, Port-Said University

2 Medical-Surgical Nursing, Faculty of Nursing, Ain Shams University

Abstract

Background:Handle and administer of antineoplastic chemotherapy can cause negative health effect among nurses prepare, and administer antineoplastic chemotherapy. Aims of the study:explore the nurse'sperformance and adverse health effects on nurses dealing with chemotherapeutic Agents. Design:A correlation descriptive research design. Setting: This study was conducted at three chemotherapeutic units in oncology Institution in Damietta, Port Said general hospital and EL Tadamon hospital. Sample: A Purposive sample of 48 nurses, oncology Institution in Damietta (N=41), Port-said hospitals (N=7) in period of 6 months. Data collection: Two tools were used for data collection: A Structured self-administered questionnaire and Nurses' performanceobservational checklist. Results:Only 57.9% of the studied nurses had unsatisfactory level of general knowledge, while 52.3% of them had satisfactory level of practice, with regards to the adverse health effect the results shown that 54.8%, 51.6%, 41.9%, 38.7% and 35.5% s inflammation of the skin, fatigue, loss of weight, ulcers in the mouth and hair loss, headache, loss of appetite, change in nail color and changes in menstrual cycle respectively. Conclusion: There are statically significant relation between nurses' level of performance and the occupational health hazards. Recommendations:periodiceducational and training programs to improve nurses'performance regarding use of chemotherapy and protection from its health hazardsare needed.
 
 
 

Keywords


Chaudhary R., Karn B., (2012): Chemotherapy knowledge and handling practice of nurses working in a medical university of Nepal. JCT 2012; 3[1]: 110-4.
 
Choudhary VS., (2016): Assessment of the Knowledge and Attitudes of Staff Nurses on Nursing Care of Cancer Patients Undergoing Chemotherapy at Selected Cancer Hospitals of Punjab. Nurse Care Open Access J 1(2): 00009. DOI: 10.15406/ncoaj.2016.01.00009
 
Constantinidis TC, Vagka E, Dallidou P, BastaP,Drakopoulos V, Kakolyrıs S &Chatzaki E.,(2011) :Occupational health and safety of personnel handling chemotherapeutic agents in Greek hospitals. European Journal of Cancer Care, 20: 123-131.
Crannell, C., (2012):Chemotherapy Administration: Using simulation case-based scenarios to assess chemotherapy competency. Oncology Nursing Forum, 39, 19-22.
 
Ibrahim.MA,(2011): nurses' practice and Effects on Nurses Dealing with Chemotherapeutic Agents un published master thesis, zagazeg un, faculty of nursing p.p :145-153.
 
Jacobson, J.O., Polovich, M., Gilmore, T.R., Schulmeister, L., Esper, P., LeFebvre, K.B. &Neuss, M.N., (2012). Revisions to the 2009 American Society of Clinical Oncology /
Oncology Nursing Society chemotherapy administration safety standards: Expanding the scope to include inpatient settings. Oncology Nursing Forum, 39, 31-38.
Keat .C.H, Sooaid.N.S, Cheng, Sriraman M., (2013): Improving Safety-Related Knowledge, Attitude and Practices of Nurses Handling Cytotoxic Anticancer Drug: Pharmacists’ Experience in a General Hospital, Malaysia.  Asian Pacific Journal of Cancer Prevention; .14(1):69.
 
Khan N, Khowaja KZA, Ali TS (2012):Assessment of knowledge, skill and attitude of nurses in chemotherapy administration in tertiary hospital Pakistan. Open J Nursing, 2, 97-103.
 
KYPRIANOU M., KAPSOU M., RAFTOPOULOS V. and SOTERIADES E. S. (2010):  Knowledge, attitudes and beliefs of Cypriot nurses on the handling of antineoplastic agents. European Journal of Oncology Nursing, 14 (4): 278-82.
 
Lawson, C.C., Rocheleau, C.M., Whelan, E.A., Lividoti-Hibert, E.N., Grajewski, D. & Rich-Edwards, J.W., (2012): Occupational exposures among nurses and risk of spontaneous abortion. American Journal of Obstetric Gynecology, 206(4), 1-8.
 
Marcus, M.B. (2014). NIOSH study documents: Safety guidelines still often not being followed by many nurses who handle hazardous chemotherapy. Oncology Times, 36(23), 12-13, doi: 10.1097/01.COT.0000459130.22023.82.
 
Momeni M, Danaei M &Askarian M., (2013): How do nurses manage their occupational exposure to cytotoxic drugs? A descriptive survey in chemotherapy settings, Shiraz, Iran. The International Journal of Occupational and Environmental Medicine, 4(2): 102-106.
 
Polovich, M. & Clark, P.C. (2012). Factors influencing oncology nurses‟ use of hazardous drug safe-handling precautions. Oncology Nursing Forum, 39, 299-309. doi:10.1188/12.ONF.E299-E309
 
Unsar.A, Kurt.S, Kostak.M.A, Yaman.A, Özcan.M, (2016): Determination of Antineoplastic Drug Exposure of Nurses at University Hospital. International Journal of Caring Sciences, 9 (1) 314.
 
Walton, A.L., Mason, S., Busshart, M., Spruill, A.D., Cheek, S., Lane, A., Sabo, K. & Taylor, A. (2012): Safe handling: Implementing hazardous drug precautions. Clinical Journal ofOncology Nursing, 16(3), 251-254. doi:10.1188/12CJON.251-254.
 
Waheida, S.M., Abd-ELgaffar,S.A, Atia,G.A., (2015): Evaluation of Handling Practices of Oncology Nurses during Chemotherapy Preparation and Administration in Menoufia Oncology Hospital. International Journal of Novel Research in Healthcare and Nursing,3(2) (107-119).
 
Yuan Y, Xu D, Wang B, (2012):An investigation into the occupational protection status of clinical nursing staff exposed to anti-tumor drugs. J Med Colleges PLA, 27, 113-
 
Zenciroğlu D., (2011): Protective clothing and equipment in hospitals. ANKEM Derg, 25:
176-183.