护士和助产士的知识和与危险药物相关的安全处理实践:一个横截面研究
Pheona van Huizen1, Paul Wembridge2, Philip L Russo1,3
1Monash Nursing and Midwifery, Monash University, Australia.
概括
护士和助产士经常错误地识别危险药物,尽管对个人防护设备 (PPE) 充满信心,但有些人没有佩戴它. 改善培训和多学科干预措施对于安全的危险药物处理至关重要.
科学领域:
- 职业健康 职业健康 职业健康
- 护理实践 护理实践
- 药理学 药理学是指药理学的学科.
背景情况:
- 危险药物 (HDs) 由于其固有的毒性,对医疗保健专业人员构成职业风险.
- 对于各种疾病而言,HDs被广泛使用,因此需要安全处理协议.
研究的目的:
- 评估护士和助产士关于安全处理危险药物的知识和实践.
- 确定HD处理的风险控制措施的可用性和使用情况.
- 确定医疗保健专业人员在实施疾病管理最佳实践时遇到的障碍.
主要方法:
- 在澳大利亚六家医院的护士和助产士进行了一项横截面研究.
- 一个经过验证的在线问卷评估了对HD的知识,个人防护设备 (PPE) 的使用,自我有效性,感知到的障碍和工作场所安全气候.
- 数据是从方便样本中收集的,有156名参与者完全填写了问卷.
主要成果:
- 很大一部分参与者 (68%以上) 无法识别常见的危险药物,如氨基醇,氨酸和杜塔斯特.
- 虽然大多数参与者表示对使用个人防护设备充满信心,但大约三分之一的参与者表示在准备,管理或处置HD时从未佩戴过个人防护设备.
- 只有35.9%的参与者接受了HD处理培训,其中不到一半的人在过去一年接受了培训.
结论:
- 护士和助产士在识别危险药物和不一致使用个人防护设备方面存在差距.
- 对个人防护设备使用的信心没有转化为一致的应用,突出了关键的安全问题.
- 建议采取全面的,多学科的干预措施,以提高对处理细胞毒性和非细胞毒性危险药物的知识和实践.
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