Title : Assess knowledge on administration of chemotherapy through peripheral and central venous catheter among nurses working in tertiary cancer hospitalAssess knowledge on administration of chemotherapy through peripheral and central venous catheter among nurses working in tertiary cancer hospitalAssess knowledge on administration of chemotherapy through
Abstract:
Intravenous (IV) catheterizations are frequently applied in cancer therapy for hydration, nutrition, drug administration, and transfusion of blood and blood products.
Oncology nurses are responsible for the safe and timely administration of IV treatments to the patients through peripheral and central venous catheter (CVC) and management of any possible complication.
In recent years, an increased high-dose chemotherapy administration has led to increased use of peripheral venous catheter (PVC) and CVC in the oncology patients. Although several factors such as catheter site, characteristics of the material used, characteristics of the drugs and fluids used, duration, frequency and modality of the treatment, and aseptic techniques employed affect the success of IV chemotherapy, the knowledge level and capability of the nurse play a crucial role. Our study aim to assess the knowledge of nurses about the administration of chemotherapy through peripheral and central venous catheter.
Objective- To assess knowledge among oncology nurses about the administration of chemotherapy through a peripheral catheter and central venous catheter
Methods: A descriptive cross-sectional design with a convenience sample was used. Total study sample of 110 oncology nurses completed the knowledge test. Data were collected with data collection google form including questions related to sociodemographic qualifications and knowledge levels of nurses.
Results: Majority of nurse’s aged between 21 to 35 years with 6 month to 5 years of experience. Nurses had correct information about the importance of selecting peripheral venous catheter (59%) and control of catheter before the administration (84.6%). There were 25% of nurses not undergoing prior training on safety chemotherapy administration and 27% were not undergone training related to source of safety chemotherapy administration. Moreover, correct recommended side/region for placement of peripheral venous catheter during chemotherapy important reported (45.3%) nurses and type of chemotherapy drug affect the duration of catheterization during peripheral intravenous chemotherapy answered correctly by 51.3% of nurses.
Although, pay attention to the characteristics of fluids applied from short peripheral venous catheter correctly reported by 53.8% nurses, whereas infusion sets be changed during peripheral intravenous chemotherapy correctly reported by 1.7% nurses only. In case of vascular leakage of chemotherapy drugs administered through the peripheral route accurate reported by 6.8% nurses whereas, none of the nurse’s report accurately vascular leakage of chemotherapy drugs administered through the peripheral route.
Exact first chemotherapy should be done after the port catheter is inserted as soon as possible after port insert were reported by 75.2% nurses. Subsequently, port pin number be changed according to the treatment true answer reported by 14.5% of the nurses. Heparin application frequency to prevent complications every 4 to 6 weeks were reported by 75.2% of nurses.
Content of the education given to a patient with a port were correctly answered by 50.4% of nurses. And advisable to use an antiseptic hand wash procedure before and after administration of chemotherapy from the CVC were correctly reported by 92.3% of nurses.
Only, 33.3% of the nurses had true knowledge related to chemotherapy application from the CVC. When central venous medication chemotherapy drugs are infiltrated out of the vein, which of the following are among the applications to be performed Stop the infusion correctly answered by 85.5% of nurses.
There were no any statistically significant association between demographic characteristics and level of knowledge regarding administration of chemotherapy through peripheral and central venous catheter.
Finally, 52.2% nurses had good and excellent knowledge related to administration of chemotherapy through peripheral and central venous catheter. From results, 47.9% nurses had moderate and low level knowledge.
Conclusions: In General, nurses’ level of knowledge related to catheter is 50% and higher. It is recommended to increase the knowledge of nurses about evidence-based information for catheter care as a step to safe chemotherapy practice.
