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Korean nurses' adherence to safety guidelines for chemotherapy administration
Oksoo Kim1, Haeok Lee2, Heeja Jung3
1College of Nursing, Ewha Womans University, Ewha Research Institute of Nursing Science, Seoul, 03760, Republic of Korea; College of Nursing, Ewha Womans University, Seoul, 03760, Republic of Korea.
Summary
Korean nurses show low adherence to chemotherapy safety guidelines. A positive hospital safety climate, especially regarding feedback and training, significantly improves adherence, highlighting the need for organizational support.
Area of Science:
- Nursing
- Occupational Health
- Oncology
Background:
- Nurses face significant risks when handling hazardous chemotherapeutic agents.
- Adherence to safety protocols is crucial for protecting healthcare workers from exposure.
- Understanding factors influencing adherence is vital for improving patient and nurse safety.
Purpose of the Study:
- To assess the level of adherence to chemotherapy administration safety guidelines among Korean nurses.
- To investigate the correlation between the hospital safety climate and nurses' adherence to these guidelines.
Main Methods:
- A descriptive, correlational study utilizing a cross-sectional survey.
- Data collected from 872 female nurses participating in the Korea Nurses' Health Study.
- Participants had administered chemotherapeutic agents within the past 30 days.
Main Results:
- A low adherence rate was observed, with only 25% of nurses demonstrating high adherence to safety guidelines.
- Moderate to low adherence was prevalent among the majority of participants.
- The absence of job hindrances and the presence of feedback/training within the hospital safety climate were associated with increased compliance (OR 1.3 and 1.7, respectively).
Conclusions:
- Hospital safety climate factors, specifically feedback/training and reduced job hindrances, are significantly linked to improved adherence to chemotherapy safety guidelines.
- Enhancing the hospital safety climate through organizational and policy support is recommended to bolster nurses' compliance with safety protocols.