일 종합병원 간호사의 항암제 안전지침 이행 영향요인
Factors Influencing Compliance with Safety Guidelines of Anticancer Drugs Among Nurses in General Hospitals
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Purpose: The purpose of this study was to investigate the level of compliance with the safety guidelines of anticancer drugs and identify the factors influencing compliance among general characteristics, knowledge of safety guidelines, self-efficacy, and workplace safety climate. Methods: This study used a cross-sectional descriptive design and 143 nurses who care for patients with cancer were surveyed. Data were collected from March 19 to March 31, 2018. Results: The subjects’ average age was 29.2±5.1 years, and oncology nursing experience was 5.07±4.01 years. Workplace safety climate, age, work site, and oncology nursing experience had a significant influence on nurses’ compliance with the safety guidelines of anticancer drugs. The explained variance for compliance was 23.5%. Conclusion: The findings of this study indicate that the safety guidelines of anticancer drugs among nurses are expected to be better implemented by creating a safety-conscious environment. To maximize compliance nurses need to perform their tasks in an efficient manner, have institution-level active support, ready availability of personal protective equipment, appropriate education and a wellbalanced workload.
Abstract
Purpose: The purpose of this study was to investigate the level of compliance with the safety guidelines of anticancer drugs and identify the factors influencing compliance among general characteristics, knowledge of safety guidelines, self-efficacy, and workplace safety climate. Methods: This study used a cross-sectional descriptive design and 143 nurses who care for patients with cancer were surveyed. Data were collected from March 19 to March 31, 2018. Results: The subjects’ average age was 29.2±5.1 years, and oncology nursing experience was 5.07±4.01 years. Workplace safety climate, age, work site, and oncology nursing experience had a significant influence on nurses’ compliance with the safety guidelines of anticancer drugs. The explained variance for compliance was 23.5%. Conclusion: The findings of this study indicate that the safety guidelines of anticancer drugs among nurses are expected to be better implemented by creating a safety-conscious environment. To maximize compliance nurses need to perform their tasks in an efficient manner, have institution-level active support, ready availability of personal protective equipment, appropriate education and a wellbalanced workload.
참고문헌 (26)
- "Deaths and death rates by cause"[URL]
- 김보경, "일 대학병원 간호사의 항암제 안전관리 지식과 수행 및 노출경험", 글로벌 건강과 간호, 6(1), pp.11~19 (2016), 간호과학연구소[DOI]
- Kyprianou M, "Knowledge, attitudes and beliefs of Cypriot nurses on the handling of antineoplastic agents", Eur J Oncol Nurs, 14, pp.278~282 (2010)
- Pethran A, "Uptake of antineoplastic agents in pharmacy and hospital personnel. Part I:monitoring of urinary concentrations", Int Arch Occup Environ Health, 76, pp.5~10 (2003)
- Fransman W, "Nurses with dermal exposure to antineoplastic drugs: reproductive outcomes", Epidemiology, 18, pp.112~119 (2007)
- "Findings from the national sample survey of registered nurses"[URL]
- "The registered nurse population: findings from the 2008 national sample survey of registered nurses"[URL]
- Jacobson JO, "American Society of Clinical Oncology", Oncology Nursing Society chemotherapy administration safety standards, 2009, pp.27, 5469~5475
- 최진선, "간호사의 근무부서와 경력에 다른 항암제 안전수칙에 대한 지식과 이행", 임상간호연구, 9(2), pp.6~17 (2004), 병원간호사회
- 윤지현, "종양간호사의 항암제 안전관리지침에 대한 지식과 이행", Asian Oncology Nursing, 16(4), pp.251~260 (2016), 대한종양간호학회
- Polovich M, "Nurses’ use of hazardous drug-handling precautions and awareness of national safety guidelines", Oncol Nurs Forum, 38, pp.718~726 (2011)
- Polovich M, "Chemotherapy and biotherapy guidelines and recommendations for practice" (2014), Oncology Nursing Society
- Martin S, "Chemotherapy-handling practices of outpatient and office-based oncology nurses", Oncol Nurs Forum, 30, pp.575~581 (2003)
- Nixon S, "Safe handling of hazardous drugs: are you protected?", Clin J Oncol Nurs, 13, pp.433~439 (2009)
- Callahan A, "Factors influencing nurses’ use of hazardous drug safe-handling precautions", Oncol Nurs Forum, 43, pp.342~349 (2016)
- Polovich M, "Factors influencing oncology nurses’ use of hazardous drug safe-handling precautions", Oncol Nurs Forum, 39, pp.E299~E309 (2012)
- Geer LA, "Development of a questionnaire to assess worker knowledge, attitudes and perceptions underlying dermal exposure", Scand J Work Environ Health, 32, pp.209~218 (2006)
- Cooper MD, "Exploratory analysis of the safety climate and safety behavior relationship", J Safety Res, 35, pp.497~512 (2004)
- 서영희, "병원간호사의 감염예방 표준주의지침 지식, 인식, 안전환경 및 수행도에 관한 연구", 임상간호연구, 16(1), pp.61~70 (2010), 병원간호사회
- "Preventing occupational exposure to antineoplastic and other hazardous drugs in health care settings"[URL]
- Bandura A, "Self-efficacy: toward a unifying theory of behavioral change", Psychol Rev, 84, pp.191~215 (1977)
- Sherer M, "The efficacy scale: construction and validation", Psychol Rep, 51, pp.663~671 (1982)
- Oh HS, "Health promoting behaviors and quality of life of Korean women with arthritis", J Nurs Acad Soc, 23, pp.617~630 (1993)
- Gershon RR, "Non-hospital based registered nurses and the risk of bloodborne pathogen exposure", Ind Health, 45, pp.695~704 (2007)
- 박정윤, "대한종양간호학회 경구항암제 실무지침", Asian Oncology Nursing, 17(4), pp.201~212 (2017), 대한종양간호학회[DOI]
- Neuss MN, "2013 updated American Society of Clinical Oncology", Oncology Nursing Society chemotherapy administration safety standards including standards for the safe administration and management of oral chemotherapy, 2013, pp.9, 5s~13s