Korean J Adult Nurs.  2019 Aug;31(4):389-402. 10.7475/kjan.2019.31.4.389.

Factors associated with Oncology Nurses' Adherence to Chemotherapy-Induced Neutropenia Guidelines based on Pender's Health Promotion Model

Affiliations
  • 1Nurse, Chonnam National University Hwasun Hospital, Hwasun, Korea.
  • 2Professor, College of Nursing, Chonnam National University, Gwangju, Korea. choijy@jnu.ac.kr

Abstract

PURPOSE
This study was conducted to identify factors associated with oncology nurses' adherence to Chemotherapy-Induced Neutropenia (CIN) guidelines based on Pender's Health Promotion Model (HPM).
METHODS
For this cross-sectional descriptive study, 187 nurses who worked at the oncology department of Channam National University Hawsun Hospital responded to self-administered questionnaires. A tool for CIN guideline adherence was developed through systematic search, synthesis, translation, and content validation. Data collection was conducted by a trained research assistant from September 18 to September 26, 2017. Data were analyzed using independent t-test, one-way ANOVA, Pearson's correlation coefficient, and stepwise multiple regression.
RESULTS
Stepwise multiple regression showed that guideline adherence was associated with CIN education (β=.26, p<.001), self-efficacy (β=.17, p=.018), perceived benefits (β=.16, p=.026), interpersonal factors (β=.16, p=.043), and educational level (β=.14, p=.030).
CONCLUSION
The findings of this study could be used to develop interventions focusing on CIN education and for the strengthening oncology nurses' self-efficacy and beliefs to promote adherence to CIN guidelines. In addition, repeated studies would be needed to verify application of Pender's HPM to explain nurses' adherence.


MeSH Terms

Chemotherapy-Induced Febrile Neutropenia
Data Collection
Education
Evidence-Based Nursing
Guideline Adherence
Health Promotion*
Neutropenia*
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