Document Type : Original Article
Authors
1
1Assistant prof. of Medical Surgical Nursing, Faculty of Nursing, Menoufia University, Egypt. 2Assistant prof. Nursing, Faculty of Applied Medical Science, Albaha University KSA
2
Prof.of Medical Surgical Nursing, Faculty of Nursing, Alexandria University, Egypt.
3
Assistant prof. of Nursing administration, Faculty of Nursing, Menoufia University, Egypt
4
Assistant prof. of Rehabilitation, Faculty of Applied Medical Sciences, Albaha University, KSA.
5
Lecturer of Community Health Nursing, Faculty of Applied Medical Science, Albaha University KSA
6
Assistant prof. of Medical Surgical Nursing, Faculty of Nursing, Menoufia University, Egypt.
7
1Assistant prof. of Medical Surgical Nursing, Faculty of Nursing, Menoufia University, Egypt Assistant prof. Medical Surgical Nursing, Nursing Faculty, Jouf University. KSA
Abstract
High qualified specialized oncology nurses are considered the backbone in any chemotherapy
administration agency. Using standardized protocol for administration of chemotherapy is a
pressing demand for prevention of medication errors with promotion of patients’ safety and
satisfaction. Aim: Evaluate the effect of chemotherapy nursing protocol application on
patients' care competency, safety, and satisfaction. Design: Quasi experimental design.
Setting: Oncology institution of Menoufia University. Subjects: A convenience sample of
44 oncology nurses and 36 patients receiving chemotherapy. Tools: Socio-demographic
questionnaire, Oncology Nurses' knowledge questionnaire, Self-assessment chemotherapy
related clinical competency questionnaire, Patient safety culture questionnaire and patients'
satisfaction questionnaire. Results: The number of reported errors decreased throughout
study phases with high statistically significant difference. The total knowledge score of
studied nurses was improved from 7.75 pre protocol application to 21.45 immediately post
protocol application with high statistically significant difference. The total nurses’
competency score was improved from 48.79 to 88.50 then 87.57 respectively with high
statistically significant difference. The total patients' satisfaction score was improved from
10.61 to 25.29 then 25.09 respectively with high statistically significant difference.
Conclusion: A considerable improvement was observed in oncology nurses' knowledge,
clinical competency and patients’ safety and satisfaction after chemotherapy nursing protocol
application. In addition, there was positive correlation between nurses' knowledge and
competency and both patients’ safety and satisfaction. Recommendation: Application of
chemotherapy nursing protocol is recommended routinely for managing all chemotherapy
patients.
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