Experiences of nursing staff in the management of chemotherapeutics
DOI:
https://doi.org/10.56294/saludcyt2022233Keywords:
Nursing Staff, Administration of ChemotherapeuticsAbstract
Introduction: chemotherapy administration is a complex task that has some security problems; therefore, it is necessary to reinforce strategies and interventions in the nursing staff in order to avoid secondary and opposite events related with its management.
Objective: to distinguish nursing staff experiences in the administration of chemotherapy drugs.
Method: the study is a mixed exploratory, sequential design, with the first stage being a quantitative cross-sectional study and the second being a qualitative exploratory approach. Participants were 30 nurses which work in 6 different institutions from public and private of Ecuador. These institutions provide a health service in some areas as: oncology and hematology. They are located in the following 3 Ecuador's provinces: Pichincha (3 health centers), Ambato (1 health center), Chimborazo (1 health center) and Guayas (1 health center)
Results: the nurses' age was from 32 to 36 years old whereas the experience in the oncology area was 3 years. Around of 66,7 % of them had information about secondary events management and protocols' administration in Chemotherapy in their institutions. Control of catheter in continuous and intermittent infusions prior to administration (33,7 %), post-drug administration measures such as vein lavage (100 %) and extravasation management (66,7 %). 13,3 % of nurses showed that have got training sessions for administration Chemotherapy drugs. The qualitative research project indicated that the worst experience is to manage an infiltration.
Conclusions: in summary, nursing staff must be highly specialized in the administration of chemotherapy drugs during the treatment and prevention of derived diseases. The majority of respondents indicate a high level of knowledge based on their experience; however, it is critical that institutional protocol training and socialization increase to avoid patient issues
References
1. Organización Panamericana de la Salud. Cáncer - OPS/OMS. 2022. https://www.paho.org/es/temas/cancer
2. NIH. Estadísticas del cáncer. Instituto Nacional del Cáncer. 2020 Septiembre;: p. 1.
3. Coyne ENSAKBL. Evidencia actual de los requisitos de educación y seguridad para la administración de enfermería de quimioterapia: una revisión integradora. Revista europea de enfermería oncológica. 2019; 21:24-32. https://doi.org/10.1016/j.ejon.2019.05.001.
4. Rivero SE, Gonzalez-Argote J. Percepciones sobre la gestión, exposición, bioseguridad y manipulación de citostáticos en el personal de enfermería de una institución de salud privada de la Ciudad Autónoma de Buenos Aires. Med Segur Trab. 2022;68(267):118-29. https://doi.org/10.4321/s0465-546x2022000200004.
5. Toril M. Rodríguez M. Revisión sistemática de las complicaciones de los dispositivos de administración de tratamiento al paciente oncológico. Enfermería Global. 2017;16(2):544-561. https://doi.org/10.6018/eglobal.16.2.251571.
6. Librada De La M, Martorell CM, Arencibia Núñez A. Chemotherapy in children: issues to consider in nursing comprehensive care. Rev Cuba Hematol Inmunol y Hemoter. 2014;30(2):114–24.
7. Conde-Estévez D, Mateu-De Antonio J. Update in the management of extravasations of cytocytostatic agent. Farm Hosp. 2012;36(1):34–42.
8. Jara J. Complicaciones asociadas a la colocación de catéter central implantable para quimioterapia realizada en sala de hemodinamia del Hospital Militar Central. 2016. https://repository.unimilitar.edu.co/bitstream/handle/10654/14963/ARTICULO.pdf.
9. Hernández RMC. Metodología de la investigación, las rutas cualitativas, cuantitativas y mixtas. Mc Graw Hill; 2018
10. Cienfuegos M y CA. Lo cuantitativo y cualitativo en la investigación. Un apoyo a su enseñanza. Revista Iberoamericana para la Investigación y el Desarrollo Educativo. 2016;7(13):1-22.
11. Guarate Y. Análisis de las entrevistas en la investigación cualitativa: Metodología de metodología Demaziére y Dubar. Enfermería investigación, vinculación, docencia y gestión. 2019;4(5):1-14. https://doi.org/10.29033/enfi.V4i5.711.
12. Librada De La M, Martorell CM, Arencibia Núñez A. Chemotherapy in children: issues to consider in nursing comprehensive care. Rev Cuba Hematol Inmunol y Hemoter. 2014;30(2):114–24.
13. Davies M, Duffield EA. Safety of checkpoint inhibitors for cancer treatment: strategies for patient monitoring and management of immune-mediated adverse events. ImmunoTargets Ther. 2017;6:51–71. https://doi.org/10.2147/itt.s141577.
14. Chen HC, Lu ZYJ, Lee SH. Nurses’ Experiences in Safe Handling of Chemotherapeutic Agents: The Taiwan Case. Cancer Nurs. 2016;39(5):E29–38. https://doi.org/10.1097/ncc.0000000000000314.
15. McIntyre K. An Oncology Nurses’ Guide to New Targeted Agents for Metastatic Colorectal Cancer. 1969;19(5):571–9. https://doi.org/10.1188/15.CJON.571-579
16. Kapucu S, Özkaraman AO, Uysal N, Bagcivan G, Şeref FC, Elöz A. Knowledge level on administration of chemotherapy through peripheral and central venous catheter among oncology nurses. Asia-Pacific J Oncol Nurs. 2017;4(1):61–8. https://doi.org/10.4103/2347-5625.199081.
17. Zhu LL, Li W, Song P, Zhou Q. Injection device-related risk management toward safe administration of medications: experience in a university teaching hospital in The Peoples Republic of China. Ther Clin Risk Manag. 2014;10(1):165–72. https://doi.org/10.2147/TCRM.S59199
18. Rizalar S, Tural E, Altay B. Nurses’ protective measures during chemotherapy preparation and administration in Turkey. Int J Nurs Pract. 2012;18(1):91–8. https://doi.org/10.1111/j.1440-172X.2011.01996.x.
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