影响肿瘤护理人员化疗安全性的因素与策略：一项质性描述性研究
Factors and Strategies Influencing Chemotherapy Safety Among Oncology Nurses: A Qualitative Descriptive Study.
作者信息
Abu-Alhaija Dania M, Al-Faraj Hanan, Miller Elaine T, Gillespie Gordon L
机构信息
Authors' Affiliation: University of Cincinnati College of Nursing, Cincinnati, Ohio.
Dania M. Abu-Alhaija, PhD, RN, is an Assistant Professor at the University of Cincinnati College of Nursing in the Population Health Department. She obtained the PhD Degree in Nursing from the University of Cincinnati College of Nursing. Her research interests are related to occupational health nursing for health care workers. Dr Abu-Alhaija's work experience includes working in clinical, research, and academic settings. She has experience in teaching undergraduate and graduate nursing students in both clinical and didactic courses. Hanan Al-Faraj, MSN, RN, is a PhD student and Graduate Assistant at the University of Cincinnati College of Nursing. Previously, she worked for 7 years as a full-time lecturer at Jordan University of Science and Technology Faculty of Nursing, where she taught mental health nursing courses (clinical and didactic) to undergraduate nursing students. Her research interests are related to mental health among older adults who are diagnosed with chronic diseases. Elaine T. Miller, PhD, RN, CRRN, FAAN, FAHA, is a Professor at the University of Cincinnati College of Nursing. She is a Fellow in both the American Academy of Nursing and the American Heart Association. Dr Miller is certified in rehabilitation nursing. At the University of Cincinnati College of Nursing, she teaches primarily PhD and master students and has extensive experience teaching online courses and creating effective simulated learning experiences. Dr Miller's research focuses on technology-enhanced learning, disaster training, and crisis leadership. Gordon L. Gillespie, PhD, DNP, RN, FAAN, is a Professor at the University of Cincinnati College of Nursing. Dr Gillespie has been a registered nurse for over 25 years working in emergency department, public health, and academic settings. His research focuses on workplace violence against health care workers. He has been invited by the CDC-NIOSH to develop an educational program on workplace bullying and consult on 2 national online learning modules. His work has been cited by the Occupational Safety and Health Administration, U.S. Government Accountability Office, American Nurses Association, and practitioners and researchers across 6 continents. He has chaired the national workplace violence conference, guest edited an interprofessional journal issue on workplace violence, co-chaired the Registered Nurses' Association of Ontario's second edition of the Best Practice Guideline, "Preventing and Managing Bullying and Violence in the Workplace," and served as an international Director of the Emergency Nurses Association.
出版信息
J Infus Nurs. 2025;48(1):17-24. doi: 10.1097/NAN.0000000000000567. Epub 2024 Dec 26.
The purpose of this research is to describe the factors affecting hazardous chemotherapy exposure and strategies to foster chemotherapy safety among oncology nurses. Fifteen oncology nurses and 5 oncology nurse managers were recruited from 2 medical centers in the Midwest United States through convenience purposive sampling. A qualitative descriptive approach was employed. Semi-structured interviews were conducted with the participants and analyzed using the content analysis method. Five main themes emerged: (1) description of chemotherapy exposure incidents, (2) nurse's personal health beliefs, (3) cues to adhere to chemotherapy handling guidelines, (4) invisible exposure to chemotherapy, and (5) strategies to promote chemotherapy safety at the workplace. Important strategies that promote chemotherapy safety for nurses are providing continuous education on chemotherapy safety, offering chemotherapy-specific equipment and personal protective equipment in several sizes, promoting nurses' health beliefs toward chemotherapy safety (perceived susceptibility, perceived severity, perceived benefits, perceived barriers, and perceived self-efficacy), supporting a culture of safety at the workplace, having policies on handling guidelines and exposure incident reporting, monitoring nurses' adherence to chemotherapy handling guidelines, using hazard labels and alerts, and monitoring chemotherapy contamination on common surfaces in oncology settings. Oncology nurses and nurse managers should be involved in designing strategies that promote nurses' occupational safety.
本研究的目的是描述影响化疗暴露风险的因素以及促进肿瘤护理人员化疗安全的策略。通过便利目的抽样法，从美国中西部的2家医疗中心招募了15名肿瘤护理人员和5名肿瘤护理管理者。采用定性描述性方法。对参与者进行半结构化访谈，并使用内容分析法进行分析。出现了五个主要主题：（1）化疗暴露事件的描述；（2）护士的个人健康信念；（3）遵守化疗操作指南的提示；（4）化疗的无形暴露；（5）在工作场所促进化疗安全的策略。促进护士化疗安全的重要策略包括提供化疗安全方面的持续教育、提供多种尺寸的化疗专用设备和个人防护设备、促进护士对化疗安全的健康信念（感知易感性、感知严重性、感知益处、感知障碍和感知自我效能）、支持工作场所的安全文化、制定操作指南和暴露事件报告政策、监测护士对化疗操作指南的遵守情况、使用危险标签和警报以及监测肿瘤科室常见表面的化疗污染情况。肿瘤护理人员和护理管理者应参与制定促进护士职业安全的策略。
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