Abu-Alhaija Dania M, Al-Faraj Hanan, Miller Elaine, Gillespie Gordon L
Department of Population Health, University of Cincinnati College of Nursing, Cincinnati, OH, USA.
Office of Research and Scholarship, University of Cincinnati College of Nursing, Cincinnati, OH, USA.
West J Nurs Res. 2025 Jun;47(6):441-448. doi: 10.1177/01939459251324835. Epub 2025 Mar 18.
Chemotherapy exposure is an occupational risk that affects oncology nurses and is linked to several negative health consequences. Oncology nurses' adherence to chemotherapy handling guidelines is critical to protect themselves from this hazardous drug exposure. Several personal and workplace-related factors affect nurses' adherence to these guidelines.
The purpose of this study was to test the psychometric properties of the revised Oncology Nurses Health Behaviors Determinants Scale (HBDS-ON) that measures factors affecting nurses' adherence to chemotherapy handling guidelines.
A quantitative cross-sectional design was used. One hundred twenty-three oncology nurses were recruited through convenience sampling from 2 hospital settings in the Midwest United States and through social media. Participants completed 3 online surveys: (1) the Revised Hazardous Drugs Handling Questionnaire, (2) the revised HBDS-ON, and (3) a demographic questionnaire.
Exploratory factor analysis revealed a conceptually reasonable 7-subscale structure of the revised HBDS-ON. The psychometric properties of the scale were supported by convergence validity, regression model testing, and internal consistency reliability. Oncology nurses reported adherence to chemotherapy handling guidelines 55% of the time. The cues to action in the workplace, nurses' perceived barriers, institutional response to chemotherapy exposure incidents, and personal protective equipment availability and accessibility were associated with oncology nurses' adherence to chemotherapy handling guidelines.
The revised HBDS-ON demonstrates reliability and validity and can be used to measure factors at workplace and personal levels that affect nurses' adherence to chemotherapy handling guidelines.
接触化疗药物是一种职业风险，会影响肿瘤科护士，并与多种负面健康后果相关。肿瘤科护士遵守化疗操作指南对于保护自己免受这些危险药物的接触至关重要。一些个人和与工作场所相关的因素会影响护士对这些指南的遵守情况。
本研究的目的是测试修订后的肿瘤科护士健康行为决定因素量表（HBDS-ON）的心理测量特性，该量表用于测量影响护士遵守化疗操作指南的因素。
采用定量横断面设计。通过便利抽样从美国中西部的2家医院以及社交媒体招募了123名肿瘤科护士。参与者完成了3项在线调查：（1）修订后的危险药物处理问卷，（2）修订后的HBDS-ON，以及（3）一份人口统计学问卷。
探索性因素分析揭示了修订后的HBDS-ON在概念上合理的7个分量表结构。该量表的心理测量特性得到了收敛效度、回归模型测试和内部一致性信度的支持。肿瘤科护士报告称，他们有55%的时间遵守化疗操作指南。工作场所的行动提示、护士感知到的障碍、机构对化疗暴露事件的反应以及个人防护设备的可用性和可及性与肿瘤科护士遵守化疗操作指南有关。
修订后的HBDS-ON具有可靠性和有效性，可用于测量影响护士遵守化疗操作指南的工作场所和个人层面的因素。
