Nurses In Oncology Department Research Articles

Knowledge about Administration and Regulation of High Alert Medication among Nurses in Oncology Department

Background: High alert medications (HAMs) are associated with a higher risk of causing significant patient harm when used in error. Understanding the administration and regulation of these medications within oncology settings is critical due to the complex nature of cancer treatment regimens and the severity of potential medication errors. Objective: To assess the knowledge of nurses regarding the administration and regulation of high alert medications in an oncology department of a tertiary care hospital. Methods: A descriptive cross-sectional study was conducted among 133 registered nurses in the oncology department of Jinnah Hospital, Lahore. Data were collected using a structured questionnaire designed to evaluate nurses' knowledge of HAMs. Participants included both male (29.3%) and female (70.7%) nurses, with varying educational backgrounds and work experiences. Statistical analysis was performed using SPSS version 25, focusing on descriptive statistics such as frequencies, percentages, means, and standard deviations. Results: The results revealed moderate knowledge levels among nurses with significant gaps in critical areas. Only 20.3% correctly identified the protocol for fast IV push of 1:1000 epinephrine in mild allergic reactions, and 33.8% mistakenly believed that 10% calcium gluconate and 10% calcium chloride were interchangeable. Additionally, 44.4% incorrectly used 'Amp' or 'Vial' for dose expression instead of 'mg' or 'gm', and 53.4% failed to recognize the importance of distinctive labeling on look-alike drugs. Conclusion: The study highlights the need for enhanced educational programs and standardized protocols to improve the safe administration and regulation of HAMs in oncology settings. Strengthening nurses' knowledge and practices regarding HAMs is essential to reduce medication errors and improve patient outcomes.

Application of flipped classroom in palliative care training for oncology nurses

Objective To explore the application effect of flipped classroom in palliative care training of nursing staff in oncology department and expand clinical nursing training methods. Methods A total of 60 clinical nurses in oncology department of the Second Hospital of Nanjing City were selected and were diveided into the control group and the experimental group according to the random number table method, 30 cases of each group.The two groups of nurses were given special training in palliative care, the control group adopted the training method of traditional theory teaching, and the experimental group adopted the teaching and training method of flipped classroom.Nursing knowledge questionnaire and teaching training satisfaction scale were used to evaluate the training effect of the two groups of nurses. Results The average score of nursing staffs' palliative knowledge in the experimental group was (17.19±2.85) points, and that in the control group was (14.25±3.92) points.The teaching mode of the experimental group stimulated the active learning interest, the learning content contributed to the understanding and mastery of knowledge, the classroom interaction and communication improved the ability to analyze and solve problems, and the overall evaluation satisfaction of the teaching and training methods was significantly higher than that of the control group, the differences were statistically significant (P<0.05). Conclusions The teaching and training method of flipped classroom can help improve the initiative and critical thinking ability of nursing staff in learning, deepen the understanding and solidification of the knowledge of palliative care training, and improve teaching satisfaction. Key words: Flipped classroom; Palliative care; Training

Knowledge, attitude status and influencing factors of advance directives in Oncology nurses

Objective To investigate the knowledge, attitude status of directives in Oncology nurses and analyze the influencing factors. Methods By convenience sampling, from November to December of 2018, 450 Oncology nurses from 14 ClassⅢ hospitals in Hu'nan and Qinghai province were selected as research objects. Nurses' General Information Questionnaire, Advance Directives Questionnaires were used in the study. Results The total score of 450 nurses in Oncology Department was (5.55±2.21) . The factors that affected the Oncology nurses' directives attitude were: advance directive can improve patients' autonomy, everyone should have directives in case of emergency, I don't understand how directives works. Conclusions The nurses in oncology department have low scores of directives knowledge, but most of them support the quotation of directives. We should take relevant measures to improve the awareness of directives of nurses in Oncology Department, so as to provide reference for improving the medical and nursing quality of terminal patients. Key words: Nurses; Department of Oncology; Advance directives; Influential factors

Investigation and analysis of influencing factors on occupational stress debugging ability in Oncology Nurses

Objective To investigate the status quo of occupational stress debugging ability of tumor specialist nurses and explore its influencing factors, so as to provide theoretical basis for reducing the work stress of tumor specialist nurses. Methods In June 2017, a total of 70 nurses in oncology department of He'nan Cancer Hospital were selected by convenience sampling method. Adversity quotient (AQ) Scale was used to assess the level of occupational stress debugging. Multivariate linear regression analysis was applied to analyze the influencing factors of nurses' occupational stress debugging level. Results The levels of the occupational stress debugging of nurses in Oncology Department was (14.66±4.57) , at a mid-low level. Among them, there were 15 nurses coping with stress freely (scored 25 to 36) , 34 nurses coping with stress moderately (scored 13 to 24) , and 21 nurses coping with stress difficulty (scored less than 12) . Univariate analysis showed that there were significant differences in occupational stress debugging among nurses of different ages, nursing ages, educational backgrounds and professional titles (P<0.05) . Multivariate linear regression analysis showed that nursing age, educational background and professional title were the influencing factors of occupational stress debugging level of cancer specialist nurses (P<0.01) . Conclusions The nurses with longer nursing age, higher education background and job title have higher occupational stress debugging level. Key words: Neoplasms; Clinical nurse specialist; Occupational stress; Debugging; Influence factors

Psychological resilience of oncology specialized nurses and its influencing factors

Objective To explore the situation and influencing factors of psychological resilience in special nurses of oncology department. Methods By convenience sampling methods, 167 special nurses in oncology department were investigated by the resilience scale and general self-efficacy scale. The data were statistical treated by one-way analysis of variance, Pearson correlation analysis, and multiple regression analysis. Results The average score of psychological resilience for special nurses in oncology department were (94.24±12.13) . There were significant differences in psychological resilience of nurses with different educational degree and length of service (t=14.273, 7.963; P<0.05) . The score of resilience was negatively correlated with the score of self-efficacy (r=-0.573, P<0.01) . Self-efficacy can explain 27.1% of the variation of psychological resilience. Conclusions There is still a room for the improvement of psychological resilience for special nurses in oncology department which can be influenced by many factors. Nursing mangers should take effective measures to enhance the level of resilience of nurse in order to improve their working ability. Key words: Nurses; Oncology department; Psychological resilience; Self-efficacy; Influencing factor

Chromosomal aberrations, sister chromatid exchanges, and micronuclei in lymphocytes of oncology department personnel handling anti-neoplastic drugs

Objective: Concern exists regarding the possible hazards to the personnel handling anti-neoplastic drugs. The purpose of the present study was to assess the genotoxicity induced by anti-neoplastic agents in oncology department personnel. Materials and methods: To do this, the frequency of chromosomal aberrations (CAs) induced in peripheral blood lymphocytes was assessed at G0 phase of the cell cycle using metaphase analysis, cytokinesis block-micronucleus (MN) assay and sister chromatid exchange (SCE) assay. These cytogenetic end points were measured among 71 nurses in oncology department and 10 drugstore personnel handling and preparing anti-neoplastic drugs. The results were compared to those of 74 matched nurses for age and sex not exposed to any anti-neoplastic agents. Results: There was no significant difference between the age of study subjects and control group (p > 0.05). The results showed that the mean frequency of cytogenetic damages in terms of CAs [chromatid breaks (p = 0.01), chromosome breaks (p = 0.005), total CAs (p = 0.001)], MN formation (p = 0.001), and SCE (p = 0.004) in lymphocytes of personnel handling anti-neoplastic drugs were significantly higher than those in control unexposed group. Conclusion: Results of the present study demonstrate the cytogenetic damage in peripheral blood lymphocytes of oncology department personnel. Suitable training and proper knowledge when handling anti-neoplastic drugs are emphasized to avoid potential health hazards caused by cytostatic agents.

Qualitative study on application safety of chemotherapeutic drugs by nurses in Oncology Department

Objective To investigate application safety of chemotherapeutic drugs by nurses in oncology department, and to analyze its influencing factors. Methods By purposive sampling, 12 nurses in the Oncology Department were selected for semi-structured deep interview. The data was settled and analyzed by Colaizziphenomenological approach. Results Four subjects were extracted for the application safety of chemotherapeutic drugs by nurses in Oncology Department, including drug prescription management, drug usage management, safety guarding management, and patients′ safety education management. Conclusions It is necessary for nursing staff to update their knowledge structure, master management knowledge on application safety of chemotherapeutic drugs, and to strengthen communication with doctors and pharmacists, so as to guarantee true medication safety of chemotherapeutic drugs. Key words: Oncology Department; Nurse; Chemotherapeutic drugs; Application safety; Qualitative study

Correlation of new nurses' job satisfaction and perceived organizational support in Oncology Department

Objective To explore the correlation of new nurses' job satisfaction with their perceived organizational support in Oncology Department.Methods 125 new nurses in Oncology Department were investigated with the Survey of Perceived Organizational Support (SPOS) and Minnesota Satisfaction Questionnaire (MSQ).Results Perceived organizational support fell into three dimensions:working support,professional identification and caring about the well-being,and their score was (45.32 ± 9.45 ),(27.43 ±6.86) and (27.55 ± 8.31 ),respectively.Job satisfaction could be classified into internal satisfaction,external satisfaction and general satisfaction,and their score was ( 46.28 ± 6.48 ),( 26.38 ± 7.49 ),( 67.38 ±10.54),respectively.Nurses with different perceived organizational supports had different job satisfactions,and each dimension of perceived organization support was positively correlated with each dimension of job satisfaction (P ＜ 0.05 ).Conclusions There are significant positive correlation between job satisfaction and perceived organizational support of new nurses in Oncology Department,and perceived organizational support plays a certain role in predicting job satisfaction. Key words: Oncology Department, Hospital; Nurse; Perceived organizational support; Job satisfaction