Nurse Adherence to Safe-Handling Practices: Observation Versus Self-Assessment

Background: Chemotherapy drugs expose nurses to occupational exposure, which is a major health problem. There is no reference on adherence to chemotherapy treatment and nurse's perception of safe treatment

PURPOSE: The purpose of this preliminary study was to investigate actual and subjective outpatient tumor nurses following guidelines for safe treatment of chemotherapy to prevent exposure to chemotherapy.

METHODS: Using prospective comparative mixed-method studies, we compared objective and subjective nursing behaviors of anticipated safe chemotherapy treatments - especially micro ethnographic magazines and questionnaires. Fisher's exact test is used to evaluate the difference between the observation rate and the questionnaire response

RESULTS: Twenty-two chemotherapy treatments were observed and 12 out of 33 nurses completed self-assessment. In the observed practice, the nurse completed 100 activities in 100% of the time (treatment of the glove in chemotherapy approved containers after chemotherapy began, chemotherapy bags and tubes after cutting of chemotherapy injection Disposal, and chemistry). Wash your hands after you finish your treatment. Comparing objective and subjective behavior compliance, the frequency of the three actions performed was higher than the frequency seen by the nurse in the questionnaire (in the case where chemotherapy was discontinued and chemotherapy was appropriately discontinued Double gloves and robes). The frequency of the two acts was lower than the nurse listed in the questionnaire (double gloves and protective work surface)

Colvin's research consists of two parts: a self-assessment questionnaire for micro-ethnography or observation, a nurse doing chemotherapy in the mobile injection area, and a nurse who safely handles the practice of chemotherapy. In Part 1, Colvin trained three observers to collect data from the Cleveland Clinic Cancer Center between January 2012 and March 2013. In the second part of the study, Colvin 's questionnaire asked injecting nurses to provide self - awareness of expected behavioral compliance of chemotherapy treatment; the response option used Li. Ketescale. 33% of department nurses answered the questionnaire. In this analysis, Mr. Kolvin used Fisher's exact test to evaluate the difference in safe chemotherapy response rate between nurses evaluated by self-assessment and self-assessed questionnaire responses.

From literature review, Colvin does not provide information on whether the nurse is actually adhering to chemotherapy treatment, whether it is aware of the frequency with which nurses are following practical expectations. After that, we conducted prospective comparative mixing method research to study the behavior of nurses. "The purpose of this study was to consider practical and subjective outpatient nurse recommendations adhering to guidelines for the safe treatment of chemotherapy developed to prevent exposure to chemotherapy . "

Using prospective comparative mixed-method studies, we compared objective and subjective care behaviors expected to be treated with safe chemotherapy, especially micro ethnographic magazines and questionnaires. We used Fisher's exact test to evaluate the difference between observation rate and questionnaire response. Twenty-two chemotherapy treatments were observed and 12 out of 33 nurses completed self-assessment. In the observed practice, the nurse completed 100 activities in 100% of the time (treatment of the glove in chemotherapy approved containers after chemotherapy began, chemotherapy bags and tubes after cutting of chemotherapy injection Disposal, and chemistry). Wash your hands after you finish your treatment. Comparing objective and subjective behavior compliance, the frequency of the three actions performed was higher than the frequency seen by the nurse in the questionnaire (double gloves and robes, chemotherapy was discontinued and chemotherapy was stopped When properly stopped).