Compliance with Chemotherapy Safety Standards Among Nurses

Document Type : Original Article

Authors

1 Department of Nursing, Sirjan School of Medical Sciences, Sirjan, Iran

2 School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran

3 Nursing Care Research Center, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran

4 Nursing Care Research Center, Iran University of Medical Sciences, Tehran, Iran

10.34172/jhad.1138

Abstract

Background: Many chemotherapeutic agents are classified as carcinogenic substances, placing nurses—who are often in close contact with these agents—at significant risk of exposure. This study aimed to evaluate the extent of compliance with chemotherapy safety standards among nurses working in teaching hospitals affiliated with Iran University of Medical Sciences.
Methods: This descriptive cross-sectional study employed a census sampling method and included 110 nurses working in chemotherapy units of hospitals affiliated with Iran University of Medical Sciences. Data were collected using four questionnaires addressing nurses’ demographic characteristics, performance, knowledge levels, and attitudes. The attitude assessment encompassed dimensions of self-efficacy, perceived occupational barriers, risk perception, and workplace safety.
Results: The mean age of the participants was 31.5 ± 5.93 years. Most of the participants were female (71.8%) and held a bachelor’s degree (70%). The mean total performance score was 93.4 ± 7.58. Mean knowledge scores were 7.38 ± 2.38 for exposure to chemotherapy agents and 4.8 ± 2.13 for awareness of side effects—both indicating a moderate level of knowledge. The mean scores for self-efficacy, occupational barriers, risk perception, and workplace safety were 15.99 ± 2.06, 21.7 ± 3.72, 5.76 ± 1.64, and 39.17 ± 4.11, respectively.
Conclusion: The nurses in this study exhibited an acceptable level of knowledge and performance in adhering to standard chemotherapy safety protocols. However, to further enhance workplace safety and reduce occupational risks, continuous training initiatives focused on increasing awareness of chemotherapy-related hazards and adverse effects are strongly recommended.

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Main Subjects

References

Siegel RL, Miller KD, Jemal A. Cancer statistics, 2019. CA Cancer J Clin. 2019;69(1):7-34. doi: 10.3322/caac.21551.
Mazevet M, Moulin M, Llach-Martinez A, Chargari C, Deutsch E, Gomez AM, et al. Complications of chemotherapy, a basic science update. Presse Med. 2013;42(9 Pt 2):e352-61. doi: 10.1016/j.lpm.2013.06.011.
Ahmadi M, Fayazi S, Poormansouri S. Associated factors of safety principles in working with chemotherapeutic agents among Ahvaz University of Medical Sciences nursing staff. Iran Occupational Health. 2015;12(2):101-12 .
Ahmadi M, Fayazi S, Latifi SM. The relationship of knowledge with application of standard principles of working with chemotherapeutic agents among nursing staff. Jundishapur Sci Med J. 2013;13(2):169-79 .
Keat CH, Sooaid NS, Yun CY, Sriraman M. Improving safety-related knowledge, attitude and practices of nurses handling cytotoxic anticancer drug: pharmacists’ experience in a general hospital, Malaysia. Asian Pac J Cancer Prev. 2013;14(1):69-73. doi: 10.7314/apjcp.2013.14.1.69.
Kopjar N, Zeljezić D, Kasuba V, Rozgaj R. [Antineoplastic drugs as a potential risk factor in occupational settings: mechanisms of action at the cell level, genotoxic effects, and their detection using different biomarkers]. Arh Hig Rada Toksikol. 2010;61(1):121-46. doi: 10.2478/10004-1254-61-2010-2025. [Croatian].
Chaudhary R, Karn BK. Chemotherapy-knowledge and handling practice of nurses working in a medical university of Nepal. J Cancer Ther. 2012;3(1):110-4. doi: 10.4236/jct.2012.31014.
Nwagbo SE, Ilesanmi RE, Ohaeri BM, Oluwatosin AO. Knowledge of chemotherapy and occupational safety measures among nurses in oncology units. J Clin Sci. 2017;14(3):131-7. doi: 10.4103/jcls.jcls_88_16.
Taghizadeh Kermani A, Hosseini S, Salek R, Pourali L. Improving knowledge and attitude of nurses working in chemotherapy wards through a short educational course: a successful experience in Mashhad. Future Med Educ J. 2015;5(4):10-3.
Lin Y, Chang Y, Lin YC, Lou MF. Factors influencing nurses’ use of hazardous drug safe handling precautions. Oncol Nurs Forum. 2019;46(3):E86-97. doi: 10.1188/19.Onf.E86-e97.
Polovich M, Martin S. Nurses’ use of hazardous drug-handling precautions and awareness of national safety guidelines. Oncol Nurs Forum. 2011;38(6):718-26. doi: 10.1188/11.Onf.718-726.
Martin S, Larson E. Chemotherapy-handling practices of outpatient and office-based oncology nurses. Oncol Nurs Forum. 2003;30(4):575-81. doi: 10.1188/03.Onf.575-581.
Polovich M, Clark PC. Factors influencing oncology nurses’ use of hazardous drug safe-handling precautions. Oncol Nurs Forum. 2012;39(3):E299-309. doi: 10.1188/12.Onf.E299-e309.
Health and Development Journal
Volume 12, Issue 4
November 2023
Pages 176-181

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History

  • Receive Date: 17 May 2024
  • Revise Date: 17 July 2024
  • Accept Date: 21 May 2025

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