종양간호사의 항암제 안전관리지침에 대한 지식과 이행
Oncology Nurses’ Knowledge of Safety Guidelines and Compliance with Safe Handling of Antineoplastic Agents in a Tertiary Hospitall
0
조회
0
다운로드
10
인용
0
참고문헌
키워드
초록
Purpose: The purpose of this study was to identify the knowledge and compliance of guidelines for safe handling of antineoplastic agents among the oncology nurses. Methods: The participants were 186 nurses from oncology-hematology unit, and outpatient’s infusion room in a tertiary hospital. The levels of knowledge of safety guidelines and compliance with safe handling of antineoplastic agents of oncology nurses were measured using structured questionnaires from October 1 to November 30, 2014. Results: Oncology nurses’ knowledge of guideline for safe handling of antineoplastic agents presented an average 79.7 out of 100 points. Compliance with safe handling of antineoplastic agents presented an average 4.28 (range: 2.9~5) out of 5 points. The knowledge of guidelines for safe handling of antineoplastic agents was related with oncology experience (F=3.78, p=.012). There were positive relationships of knowledge and compliance with safe handling of antineoplastic agents (r=0.23, p=.002). Conclusion: The findings showed that there was a need to establish efficient guidelines for the safe handling of antineoplastic agents and develop our structured, continuous educational program for the improvement of safe practices related to the handling of antineoplastic agents. The developed and enhanced that guideline and educational program would contribute to improvement of staff and patient safety related to the handling of antineoplastic agents.
Abstract
Purpose: The purpose of this study was to identify the knowledge and compliance of guidelines for safe handling of antineoplastic agents among the oncology nurses. Methods: The participants were 186 nurses from oncology-hematology unit, and outpatient’s infusion room in a tertiary hospital. The levels of knowledge of safety guidelines and compliance with safe handling of antineoplastic agents of oncology nurses were measured using structured questionnaires from October 1 to November 30, 2014. Results: Oncology nurses’ knowledge of guideline for safe handling of antineoplastic agents presented an average 79.7 out of 100 points. Compliance with safe handling of antineoplastic agents presented an average 4.28 (range: 2.9~5) out of 5 points. The knowledge of guidelines for safe handling of antineoplastic agents was related with oncology experience (F=3.78, p=.012). There were positive relationships of knowledge and compliance with safe handling of antineoplastic agents (r=0.23, p=.002). Conclusion: The findings showed that there was a need to establish efficient guidelines for the safe handling of antineoplastic agents and develop our structured, continuous educational program for the improvement of safe practices related to the handling of antineoplastic agents. The developed and enhanced that guideline and educational program would contribute to improvement of staff and patient safety related to the handling of antineoplastic agents.
참고문헌 (25)
- American Society of Hospital Pharmacists, "ASHP guidelines on han-dling Hazardous drugs", Am J Health Syst pharm, 63, pp.1172~1193 (2006)
- National Institute for Occupational Safety and Health, "NIOSH Alert:preventing occupational exposures to antineoplastic and other hazardous drugs in health care settings", U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, DHHS (NIOSH) Publication, 165~ (2004)
- National Institute for Occupational Safety and Health, "Workplace Solutions:Personal Protective Equipment for Health Care Workers Who Work with Hazardous Drugs", U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, DHHS (NIOSH) Publication, 106~ (2009)
- National Institute for Occupational Safety and Health, "Workplace Solutions:safe handling of hazardous drugs for veterinary healthcare workers", U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, DHHS (NIOSH) Publication, 150~ (2010)
- Blecher CS, "Safe handling of hazardous drugs" (2003), Oncology Nursing Society
- Polovich M, "Safe handling of hazardous drugs" (2011), Oncology Nursing Society
- Kyprianou M, "Knowledge, Attitudes and beliefs of Cypriot nurses on the handling of antineoplastic agents", Eur J Oncol Nurs, 14, pp.278~282 (2010)
- Shin HS, "A study of the handling patterns of anticancer drugs and related symptom in nurses", Korean J Occup Environ Med, 8(2), pp.228~238 (1996)
- Martin S, "Chemotherapy-handling practices of outpatient and office-based oncology nurses", Oncol Nurs Forum, 30, pp.575~581 (2003)
- Villarini M, "Assessment of primary, oxidative and excision repaired DNA damage in hospital personnel handling antineoplastic drugs", Mutagenesis, 26(3), pp.359~369 (2011)
- "Oncol Nurs Forum", 2005, 425~
- Korean Oncology Nursing Society, "Safe handling guideline of cytotoxic drugs : chemotherapy", Asian Oncol Nurs, 8(2), pp.178~190 (2008)
- Korea Occupational Health and Safety Agency (KOSHA), "Workers health examination guideline No.1-overview of specific health examination", 209~212 (2012)
- A study on management system of carinogenic, mutagenic and reprotoxic substances, "Phee YG", Korea Occupational Health and Safety Agency (KOSHA) Occupational Safety and Health Research Institute (OSHRI), 34~52 (2008)
- 서인영, "병원 약사들의 위해약물 안전 수칙의 인지도 및 수행도에 대한 조사연구", 한국임상약학회지, 21(2), pp.66~73 (2011), 한국임상약학회
- Korea Institute for Healthcare Accreditation, "The guideline for healthcare accreditation", Korea Institute for Healthcare Accreditation, ~ (2014)
- Valanis B, "Self protective practices of nurses handling an-tineoplastic drugs", Oncol Nurs Forum, 14(3), pp.23~27 (1987)
- Polovich M, "Nurses’ use of hazardous drug handling precautions and awareness of National Safety Guidelines", Oncol Nurs Forum, 38(6), pp.718~726 (2011)
- 최진선, "간호사의 근무부서와 경력에 다른 항암제 안전수칙에 대한 지식과 이행", 임상간호연구, 9(2), pp.6~17 (2004), 병원간호사회
- Doo MJ, "A study on recognition and performance of nurse’s safety rules for medication management of an antineoplastic drug", master, pp.2005
- Jung GY, "State management of safety management among nurses handling anticancer drugs and their awareness and performance of safetyregulations", master, pp.2011
- Nixon S, "Safe handling of hazardous drugs: are you protected?", Clin J Oncol Nurs, 13(4), pp.433~439 (2009)
- 김매자, "간호사들의 항암제 취급실태와 안전수칙에 대한 인지도와 실천도", Asian Oncology Nursing, 4(2), pp.154~165 (2004), 대한종양간호학회
- Mahon SM, "Safe handling practices of cytotoxic drugs : the results of a chapter survey", Oncol Nurs Forum, 21, pp.1157~1165 (1994)
- "OSHA Technical Manual: Section VI, Chapter 2. Controlling Occupational Exposure to Hazardous Drugs" (1999)[URL]