门诊肿瘤护士的个人防护装备使用情况及危险药物溢出情况
Personal Protective Equipment Use and Hazardous Drug Spills Among Ambulatory Oncology Nurses.
作者信息
He Bei, Mendelsohn-Victor Kari, McCullagh Marjorie, Friese Christopher
出版信息
Oncol Nurs Forum. 2017 Jan 6;44(1):60-65. doi: 10.1188/17.ONF.60-65.
PURPOSE/OBJECTIVES: To examine patterns and organizational correlates of personal protective equipment (PPE) use and hazardous drug spills.
DESIGN
Cross-sectional mailed survey.
SETTING
Ambulatory practices in California, Georgia, and Michigan.
SAMPLE
252 Oncology Nursing Society members who administer hazardous drugs.
METHODS
Bivariate and multivariable regression analyses.
MAIN RESEARCH VARIABLES
Outcomes were PPE use and hazardous drug spills. Covariates included nursing workloads, nurses’ practice environments, and barriers to PPE use.
FINDINGS
Twenty-six percent reported a recent drug spill, and 90% wore only one pair of chemotherapy-tested gloves. Increased PPE use was associated with increased nurse participation in practice affairs, nonprivate ownership, increased nursing workloads, and fewer barriers to PPE use. Spills were associated with significantly less favorable manager leadership and support and higher workloads.
CONCLUSIONS
Drug spills occur often in ambulatory settings. PPE use remains low, and barriers to PPE use persist. Higher workloads are associated with more drug spills.
IMPLICATIONS FOR PRACTICE
Managers should monitor and correct aberrant workloads and ensure that PPE is available and that staff are trained.
目的/目标：研究个人防护装备（PPE）使用和危险药物溢出的模式及组织相关因素。
设计
横断面邮寄调查。
地点
加利福尼亚州、佐治亚州和密歇根州的门诊机构。
样本
252名使用危险药物的肿瘤护理学会成员。
方法
双变量和多变量回归分析。
主要研究变量
结果变量为PPE使用和危险药物溢出。协变量包括护理工作量、护士的执业环境以及PPE使用的障碍。
研究结果
26%的人报告近期发生过药物溢出，90%的人仅佩戴了一副经化疗测试的手套。PPE使用增加与护士更多地参与执业事务、非私人所有、护理工作量增加以及PPE使用障碍减少有关。药物溢出与管理者的领导和支持明显不足以及更高的工作量有关。
结论
门诊环境中经常发生药物溢出。PPE使用率仍然很低，且PPE使用障碍依然存在。更高的工作量与更多的药物溢出有关。
对实践的启示
管理者应监测并纠正异常的工作量，确保提供PPE并对员工进行培训。
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