J Gynecol Oncol.  2011 Mar;22(1):49-52. 10.3802/jgo.2011.22.1.49.

Guideline adherence to chemotherapy administration safety standards: a survey on nurses in a single institute

Affiliations
  • 1Department of Obstetrics & Gynecology, Korea Cancer Center Hospital, Korea Institute of Radiological and Medical Sciences, Seoul, Korea. kkd@kirams.re.kr

Abstract


OBJECTIVE
Little is known about the guideline adherence of nurses to chemotherapy administration guidelines. We determined the guideline adherence of nurses to the Chemotherapy Administration Safety Standards and the relationship between demographic characteristics and guideline adherence.
METHODS
Survey sheets containing two questions on demographic characteristics and 16 questions on the guideline adherence of nurses regarding chemotherapy administration were distributed to all in-patient departments in our hospital in which chemotherapy was performed. All clinical nurses in the department were recommended to respond.
RESULTS
Of 202 nurses, 123 responses were collected (61% response rate). The guideline adherence rate was >70% for 15 of 16 questions, but 55% of respondents indicated that there was no competency monitoring for nurses. Nurses with >7 years of clinical nursing experience felt more competent in performing cardiopulmonary resuscitation (CPR) than nurses with <7 years of clinical nursing experience (p=0.032).
CONCLUSION
The guideline adherence rate of nurses with respect to chemotherapy administration was high, with the exception of the absence of a competency monitoring for nurses. A significant number of nurses with <7 years of clinical nursing experience felt incompetent in performing CPR.

Keyword

Nursing; Drug therapy; Safety; Guideline adherence

MeSH Terms

Cardiopulmonary Resuscitation
Guideline Adherence
Surveys and Questionnaires

Reference

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2. Goldspiel BR, DeChristoforo R, Daniels CE. A continuous-improvement approach for reducing the number of chemotherapy-related medication errors. Am J Health Syst Pharm. 2000. 57:Suppl 4. S4–S9.
3. Schulmeister L. Ten simple strategies to prevent chemotherapy errors. Clin J Oncol Nurs. 2005. 9:201–205.
4. Schulmeister L. Preventing chemotherapy errors. Oncologist. 2006. 11:463–468.
5. Preston JL, Currey J, Eastwood GM. Assessing advanced life support (ALS) competence: Victorian practices. Aust Crit Care. 2009. 22:164–171.
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