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Soheili M, Jokar F, Eghbali-Babadi M, Taleghani F. Development and psychometric evaluation of a tool to assess oncology nurses' occupational health needs. JOURNAL OF EDUCATION AND HEALTH PROMOTION 2024; 13:146. [PMID: 38784271 PMCID: PMC11114573 DOI: 10.4103/jehp.jehp_471_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/05/2023] [Accepted: 05/25/2023] [Indexed: 05/25/2024]
Abstract
BACKGROUND Oncology nurses are confronted with various occupational hazards; consequently, it is of great importance to identify and measure their occupational health needs. Due to the fact that standard tools are not available to assess these needs, this study was conducted to develop a tool for assessing oncology nurses' occupational health needs. MATERIALS AND METHODS This study consisted of two phases from 2020 to 2021. The first phase was item generation and tool design. The initial development of the item pool was based on the result of the qualitative study and literature search. The second phase was item reduction and psychometric evaluation of the formulated tool including, face, content, and construct validity and reliability. Construct validity was assessed using exploratory factor analysis and convergent validity with the participation of 300 oncology nurses. The reliability of the tool was assessed using internal consistency (Cronbach's alpha) and test-retest (intra-cluster correlation coefficient). RESULTS The mean content validity index (CVI) of the tool was 0.95. The results of exploratory factor analysis showed that this tool consisted of 69 items and four factors, explaining 65.88% of the variance. The results of the convergent validity assessment showed a significant positive correlation between the mean scores of occupational health needs and occupational stress (P < 0.0001 and r = 0.40). Cronbach's alpha coefficient (0.98) and tool stability (0.98) confirmed the appropriate reliability of the tool. CONCLUSION The developed tool is recommended as a valid and reliable tool for assessing oncology nurses' occupational health needs that can be used both in practice and in future studies.
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Affiliation(s)
- Mozhgan Soheili
- Department of Nursing, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Fariba Jokar
- Department of Medical Education, Medical Education Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Maryam Eghbali-Babadi
- Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Fariba Taleghani
- Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
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Eche IJ, Eche I, Aronowitz T. Psychological Distress and Work-Related Quality of Life Among Oncology Nurses During the COVID-19 Pandemic: A Cross-Sectional Study. Clin J Oncol Nurs 2022; 26:268-274. [PMID: 35604733 DOI: 10.1188/22.cjon.268-274] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
BACKGROUND Oncology nurses are at disproportionate risk for psychological distress because they often encounter ethical challenges and deaths while providing care. Exposures to emergent suffering during the COVID-19 pandemic compound their chronic distress, which likely increased their vulnerability to psychological distress and may increase their risk for reduced work-related quality of life (WRQOL). OBJECTIVES This study examined the association between psychological distress and WRQOL among oncology nurses during the COVID-19 pandemic. METHODS A cross-sectional analysis of psychological distress and WRQOL among oncology nurses (N = 63) was conducted. FINDINGS The mean Depression, Anxiety and Stress Scale score was 33.4, showing low depression levels, mild anxiety, and mild stress. The mean PTSD score was 29.3, and the mean WRQOL Scale score was 78.8. Depression, anxiety, and stress were strongly correlated to PTSD, and WRQOL was negatively correlated to PTSD, depression, anxiety, and stress.
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Kutlutürkan S, Kırca K. Strengths, weaknesses, opportunities and threats analysis of being an oncology nurse: a Turkish oncology nurses' perspective. Int J Palliat Nurs 2022; 28:222-231. [PMID: 35648678 DOI: 10.12968/ijpn.2022.28.5.222] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
BACKGROUND Oncology nurses play a key role in providing high-quality treatment and care to cancer patients. AIM The aim of this study was to determine oncology nurses' views of the strengths, weaknesses, opportunities, and threats to oncology nurses. METHODS This descriptive pilot study was conducted online between December 2018 and January 2019. The study population consisted of 845 nurses who were members of the Oncology Nursing Association of Turkey. The sample consisted of 80 oncology nurses. Data were collected using an online survey. Participants' responses were grouped and evaluated. Data were analysed using numbers and percentages. RESULTS The mean age of participants was 34.34±8.23 years. A total of 48 participants (60.5%) were university hospital nurses, and 63 (79.5%) were medical oncology nurses. Participants had 8.06±6.72 (mininum 1 and maximum 22) years of work experience as oncology nurses. For participants, the central strengths of oncology nurses were speed, self-confidence, neatness, composure, patience, compassion or attention (72.4%); psychosocial support (64.5%); and training and consultancy (58.1%). For participants, the first three weaknesses of oncology nurses were over-sentimentality, helplessness or burnout (54.2%); working conditions (50%); and limited knowledge (47.3%). For participants, the first three opportunities of oncology nursing were attending organisations on oncology nursing (62.4%), education and research (50%), and developing patience, strength, empathy, and critical thinking skills (48.6%). For participants, the first three threats to oncology nurses were employee safety issues (76.6%), psychosocial problems (65%) and physical problems (48.8%). CONCLUSION Weaknesses and threats should be eliminated for the development of oncology nursing in the light of its strengths and opportunities.
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Affiliation(s)
| | - Kamile Kırca
- Assistant Professor, Department of Nursing, Faculty of Health Sciences, Kırıkkale University, Turkey
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Arıkan Dönmez A, Ovayolu Ö, Ovayolu N, Yılmaz S, Karayurt Ö, Çürük GN, Pörücü C, Güllü H, Yılmaz Z. Quality of work life and working conditions among oncology nurses: A national online descriptive cross-sectional study. ARCHIVES OF ENVIRONMENTAL & OCCUPATIONAL HEALTH 2022; 78:131-141. [PMID: 35412450 DOI: 10.1080/19338244.2022.2063240] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
The aim of this study was to examine the quality of work life (QoWL) and working conditions of oncology nurses in Turkey. The study utilized a descriptive cross-sectional design. The data were collected via the introductory information form and Brooks' Quality of Nursing Work Life Survey. The study was completed with 138 nurses. The factors affecting QoWL were determined using stepwise multiple linear regression. Nurses had a moderate QoWL, and age, duration of working in nursing, the number of nurses, and the working style were significantly associated with QoWL. To improve the QoWL, the nurses' socio-demographic factors should be considered and working conditions should be improved. Furthermore, well-designed institutional policies should be developed to improve the patient-nurse ratio and provide a quality healthcare.What this paper adds?In the current study, Turkish oncology nurses had a moderate quality of work life.Age, duration of working in the nursing, the number of nurses in the unit and the working style were linked to work-related quality of life in oncology nurses.Well-designed institutional policies should be developed to improve the working conditions and to increase work-related quality of life in oncology nurses.
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Affiliation(s)
- Ayşe Arıkan Dönmez
- Faculty of Nursing, Department of Internal Medicine Nursing, Hacettepe University, Ankara, Turkey
| | - Özlem Ovayolu
- Faculty of Health Sciences, Department of Internal Medicine Nursing, Gaziantep University, Gaziantep, Turkey
| | - Nimet Ovayolu
- Faculty of Health Sciences, Department of Internal Medicine Nursing, SANKO University, Gaziantep, Turkey
| | - Sakine Yılmaz
- Faculty of Health Sciences, Department of Midwifery, Çankırı Karatekin University, Çankırı, Turkey
| | - Özgül Karayurt
- Faculty of Health Sciences, Department of Nursing, İzmir University of Economics, İzmir, Turkey
| | - Gülsüm Nihal Çürük
- Faculty of Health Sciences, Department of Nursing, İzmir University of Economics, İzmir, Turkey
| | - Canan Pörücü
- Medical Oncology Clinic, University of Health Sciences, Gulhane Training and Research Hospital, Ankara, Turkey
| | - Hafize Güllü
- Hacettepe University, Oncology Hospital, Ankara, Turkey
| | - Zeynep Yılmaz
- Vocational School of Health Services, Bilecik Şeyh Edebali University, Bilecik, Turkey
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Morowatisharifabad MA, Gerayllo S, Jouybari L, Amirbeigy MK, Fallahzadeh H. Perceived Threats toward Esophageal Cancer among Immediate Relatives of Sufferers: a Qualitative Study. J Gastrointest Cancer 2021; 52:643-650. [PMID: 32583362 DOI: 10.1007/s12029-020-00422-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
PURPOSE Considering life-threatening nature of cancer and the problems that it causes for patients and families, recognizing their perspectives toward this issue is important. Therefore, the aim of this study was to determine perceived threats by immediate relatives of patients with esophageal cancer. METHODS Using content analysis approach, the present qualitative study was conducted in Golestan Province (north of Iran) in 2018. Through purposive sampling, 23 immediate relatives of patients with esophageal cancer were included in the study. The research techniques included semi-structured and deep interviews. We continued data collection to ensure data saturation was achieved. All interviews were recorded, transcribed, and then analyzed with Graneheim and Lundman's approach of conventional content analysis. The MAXQDA 11 software was applied to conduct the coding process. RESULTS Following data analysis, two main categories including "perceived susceptibility" and "perceived severity" were identified for perceived threats. The main category of "perceived susceptibility" comprised of four subcategory, namely, perception of individual, environmental, psychological, and nutritional predisposing factors to the disease. Four subcategories were also extracted for the "perceived severity," including perception of physical, psychological, therapeutic, and social consequences of the disease. CONCLUSIONS Immediate relatives of patients with esophagus cancer perceived high severity and susceptibility toward this disease and considered themselves vulnerable to this disease. Hence, they suffered from a lot of psychological stress. Development of appropriate interventions regarding the effects of disease-related individual and environmental factors and empowerment of individuals with regard to preventive disease behaviors can be an important step for improving the health of this group. REGISTRATION NUMBER IRCT20180725040588N1, date registered: 2 October 2018.
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Affiliation(s)
| | - Sakineh Gerayllo
- Department of Health Education & Promotion, School of Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
| | - Leila Jouybari
- Nursing Research Center, Golestan University of Medical Sciences, Gorgan, Iran
| | | | - Hossein Fallahzadeh
- Department of Biostatistics, Research Center of Prevention & Epidemiology of Non-Communicable Disease, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
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Abbasi K, Hazrati M, Mohammadbeigi A, Ansari J, Sajadi M, Hosseinnazzhad A, Moshiri E. Protection behaviors for cytotoxic drugs in oncology nurses of chemotherapy centers in Shiraz hospitals, South of Iran. Indian J Med Paediatr Oncol 2021; 37:227-231. [PMID: 28144087 PMCID: PMC5234157 DOI: 10.4103/0971-5851.195748] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
CONTEXT The use of antineoplastic agents for the treatment of cancer is an increasingly common practice in hospitals. As a result, workers involved with handling antineoplastic drugs may be accidentally exposed to these agents, placing them at potential risk for long-term adverse effects. This study aimed to determine the occupational protection status of clinical nursing staff exposed to cytotoxic drugs. SUBJECTS AND METHODS The study was designed as an analytic descriptive survey. The research settings took place in six centers of chemotherapy in Shiraz, Iran. The participants were 86 nurses who worked in oncology units and administered cytotoxic drugs. Data were collected using a questionnaire and a checklist which was developed by the investigators to determine occupational protection status of clinical nursing staff exposed to cytotoxic drugs. Percentage calculations and the independent samples t-test were used to see the general distribution and analysis of data. To statistically analyze of the data, SPSS software (version 16) was applied. RESULTS The mean age of participants was 30.52 ± 6.50 years and 66.27% of the nurses worked on inpatient oncology wards. The mean practice score was 21.1 ± 3.76 that ranged from 12.5 to 31. The independent samples t-test showed the outpatient nurses were weaker in practice (17.2 ± 2.52) in comparison with university hospitals (23.35 ± 3.02, P < 0.001). Occupational protection status of clinical nursing staff exposed to cytotoxic drugs especially during administration and disposal of medicines was poor and rarely trained with this subject and was observed under the standard conditions. CONCLUSIONS There is deficiency in the understanding and related protection practices of clinical nursing staff vocationally exposed to cytotoxic drugs. It is recommended that all clinical nursing staff should receive full occupational protection training about these matters and the authorities provide standard conditions of oncology wards.
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Affiliation(s)
- Khadijeh Abbasi
- Emam Mohammad-Bagher Hospital, Ghirokarzin, Shiraz University of Medical Sciences, Ghirokarzin, Shiraz, Iran
| | - Maryam Hazrati
- Department of Nursing and Midwifery, College of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Abolfazl Mohammadbeigi
- Research Center for Environmental Pollutants, Associate Professor of Epidemiology, Department of Epidemiology and Biostatistics, Qom University of Medical Sciences, Qom/Iran, Iran
| | - Jasem Ansari
- Bs in Medical Emergency, EMS, Shiraz University of Medical Sciences, Ghirokarzin, Shiraz, Iran
| | - Mahboubeh Sajadi
- Department of Nursing, School of Nursing and Midwifery, Arak University of Medical Sciences, Arak, Iran
| | - Azam Hosseinnazzhad
- Ms of Nursing, Nursing and Midwifery College, Bushehr University of Medical Sciences, Bushehr, Iran
| | - Esmail Moshiri
- Department of Anesthesiology, Valiaasr Hospital, Arak University of Medical Sciences, Arak, Iran
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Soheili M, Taleghani F, Jokar F, Eghbali-Babadi M, Sharifi M. Occupational stressors in oncology nurses: A qualitative descriptive study. J Clin Nurs 2021; 30:3171-3181. [PMID: 33960034 DOI: 10.1111/jocn.15816] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2020] [Revised: 03/31/2021] [Accepted: 04/06/2021] [Indexed: 11/28/2022]
Abstract
AIM AND OBJECTIVES The present study aims at exploring oncology nurses' perceptions regarding work-related stressors. BACKGROUND Oncology nurses work in an environment with a high degree of stress, which can negatively affect their health. There is limited research on work-related stressors from the oncology nurses' perspective. DESIGN Qualitative descriptive study. METHODS Fifty-two oncology nurses were selected purposefully from eight cancer treatment centres in different cities of Iran. Data were collected through semi-structured interviews and analysed using conventional content analysis. The COREQ checklist was used to document the report of the study. RESULTS The extracted contents were classified into four main categories. The first category involved personal ability with two subcategories (person-job fit and psychological competencies). The second category included physical environment arrangements with two subcategories (physical working conditions and equipment and facilities). The third category involved psychosocial safety in the workplace with four subcategories (creating a safe work environment, overcoming the challenges of providing care to cancer patients, work/life balance and social recognition of the nursing status). The fourth category holds an organisational context with four subcategories (organisational support, interpersonal relations, justice at work and human resources). CONCLUSION It is necessary to find measures attenuating work-related stresses in oncology nurses. These measures should be in line with developing personal abilities in nurses and creating a safe environment in terms of optimising physical, psychosocial and organisational conditions. It is also important to develop programmes protecting the oncology nurses' occupational health. RELEVANCE TO CLINICAL PRACTICE The results of this study can help improve nursing work conditions, attenuate work-related stresses in nurses and introduce efficient interventions reducing occupational stressors.
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Affiliation(s)
- Mozhgan Soheili
- Department of Nursing, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Fariba Taleghani
- Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Fariba Jokar
- Medical Education department, Medical Education Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Maryam Eghbali-Babadi
- Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Mehran Sharifi
- Department of Internal Medicine, School of Medicine, Cancer Prevention Research Center, Seyyed Al-Shohada Hospital, Isfahan University of Medical Sciences, Isfahan, Iran
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Exposure to Occupational Hazards among Health Care Workers in Low- and Middle-Income Countries: A Scoping Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18052603. [PMID: 33807727 PMCID: PMC7967386 DOI: 10.3390/ijerph18052603] [Citation(s) in RCA: 18] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/19/2021] [Revised: 03/02/2021] [Accepted: 03/03/2021] [Indexed: 02/03/2023]
Abstract
Health care workers are exposed to numerous workplace hazards. The implementation of safety measures in high-income countries has largely mitigated these risks. However, in many low- and middle- income countries (LMICs), resources to institute safety measures are lacking, increasing the risk of occupational exposures to these hazards. The aim of this scoping review is to map and synthesize the available research on occupational hazards among health care workers in LMICs, identify research gaps and inform policy. Searches for relevant articles were conducted in five electronic databases using a broad range of search terms. The inclusion criteria were: quantitative observational or experimental studies which examined exposure to one or more occupational hazards among health care workers in a LMCI; and the article was published in English in a peer-reviewed journal. A total of 99 studies met the inclusion criteria, and data were extracted from these studies. Large proportions of health care workers in LMICs were exposed to biological hazards (bloodborne pathogens, tuberculosis), psychosocial hazards (workplace violence, burnout, job dissatisfaction), ergonomic hazards (musculoskeletal complaints), and chemical hazards (exposure to latex and antineoplastic drugs). The implementation of risk reduction strategies was suboptimal. The majority of the literature was on biological hazards (48%), and research on other hazards was limited in comparison. Occupational safety needs to become a priority public health issue to protect health care workers in LMICs. More research is needed to understand the magnitude of the problem in these countries.
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Soheili M, Taleghani F, Jokar F, Eghbali-Babadi M, Sharifi M. Oncology Nurses' Needs Respecting Healthy Work Environment in Iran: A Descriptive Exploratory Study. Asia Pac J Oncol Nurs 2021; 8:188-196. [PMID: 33688568 PMCID: PMC7934596 DOI: 10.4103/apjon.apjon_64_20] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2020] [Accepted: 10/26/2020] [Indexed: 11/26/2022] Open
Abstract
Objective: The work environment of oncology nurses is often unpleasant due to the complexities of cancer treatment and care. Yet, there is limited information about their perspectives on healthy work environment (HWE) and their HWE-related needs. This study aimed to explore oncology nurses' HWE-related needs. Methods: This descriptive exploratory qualitative study was conducted in 2018–2019. Participants were 52 nurses and 11 oncology specialists, nursing instructors and managers, and occupational and environmental health experts, who had the experience of promoting nurses' work conditions. They were recruited from eight teaching specialty cancer treatment centers in different cities of Iran (Tehran, Isfahan, Mashhad, Shiraz, and Babolsar). Data were collected via semi-structured interviews. Data were analyzed via conventional content analysis. Results: Oncology nurses' HWE-related needs were grouped into the four main categories of physical–structural improvement, mental health improvement in work environment, organizational improvement, and sociocultural improvement. Conclusions: A wide range of physical–structural, mental health, organizational, and sociocultural improvements should be made to oncology nurses' work environment in order to fulfill their HWE-related needs. Health-care managers can use the findings of the present study to create HWE for oncology nurses.
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Affiliation(s)
- Mozhgan Soheili
- Department of Nursing, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Fariba Taleghani
- Department of Nursing, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Fariba Jokar
- Department of Medical Education, Medical Education Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Maryam Eghbali-Babadi
- Department of Nursing, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Mehran Sharifi
- Department of Internal Medicine, School of Medicine, Cancer Prevention Research Center, Seyyed Al-Shohada Hospital, Isfahan University of Medical Sciences, Isfahan, Iran
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Fernandes MA, Rocha DDM, Ribeiro HKP, Sousa CDCM. Riscos ocupacionais e intervenções que promovem segurança para a equipe de enfermagem oncológica. REVISTA BRASILEIRA DE SAÚDE OCUPACIONAL 2021. [DOI: 10.1590/2317-6369000000319] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Resumo Objetivo: analisar as evidências científicas relacionadas aos riscos ocupacionais e às intervenções que promovem segurança no trabalho para a equipe de enfermagem oncológica. Métodos: revisão de literatura realizada nas bases de dados MEDLINE, Web of Science, Scopus, LILACS, IBECS e BDENF. Resultados: a busca identificou 17 estudos primários, publicados em inglês, no período de 2008 a 2017. Dentre os fatores que configuram riscos ocupacionais, destacam-se: o déficit no conhecimento; a pouca disponibilidade de equipamentos de proteção individual para manuseio dos medicamentos antineoplásicos; o estresse; e a ansiedade. Quanto às intervenções que promovem a segurança, evidenciam-se: a manutenção do ambiente laboral favorável ao desempenho da assistência; a disponibilidade de insumos; o bom relacionamento interpessoal; a organização do trabalho; o dimensionamento profissional adequado; o conhecimento, a disponibilidade e o incentivo ao uso dos equipamentos de proteção; e a compreensão dos riscos ocupacionais aos quais os profissionais estão expostos. Conclusão: o estudo possibilitou a identificação de fatores associados à atividade laboral que comprometem a saúde da equipe de enfermagem oncológica, demonstrando a necessidade de intervenções voltadas para a melhoria das relações interprofissionais, a capacitação dos profissionais e o oferecimento de um ambiente de trabalho seguro e condições organizacionais que promovam a saúde dos trabalhadores.
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Celano P, Fausel CA, Kennedy EB, Miller TM, Oliver TK, Page R, Ward JC, Zon RT. Safe Handling of Hazardous Drugs: ASCO Standards. J Clin Oncol 2019; 37:598-609. [PMID: 30620670 DOI: 10.1200/jco.18.01616] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023] Open
Abstract
PURPOSE To provide 2019 ASCO standards on the safe handling of hazardous drugs. METHODS An Expert Panel was formed, and a systematic review of the literature on closed system transfer devices was performed to May 2017 using PubMed. The Cochrane Database of Systematic Reviews, PubMed, and Google Scholar were used to search for studies of medical surveillance and external ventilation/health effects of exposure to vapors to November 2017. Available standards were considered for endorsement. Public comments were solicited and considered in preparation of the final manuscript. RESULTS The search for primary research found no studies that addressed health outcomes as they relate to the identified interventions of interest. The ASCO Expert Panel endorses the best practices for safe handling of hazardous drugs as issued by the Occupational Safety and Health Administration, US Pharmacopeia Chapter 800, and Oncology Nursing Society with clarifications in four key areas: medical surveillance, closed system transfer devices, external ventilation of containment secondary engineering controls or containment segregated compounding areas, and alternative duties. CONCLUSION The ASCO standards address the need for clear standards concerning safe handling of hazardous oncology drugs. More research is needed in several key areas to quantify the level of risk associated with handling hazardous drugs in current workplace settings where the hierarchy of controls is consistently applied. Additional information is available at www.asco.org/safe-handling-standards .
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Affiliation(s)
- Paul Celano
- 1 Greater Baltimore Medical Center, Baltimore, MD
| | | | | | | | | | | | | | - Robin T Zon
- 7 Michiana Hematology Oncology, Mishiwaka, IN
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Topçu S, Beşer A. Oncology nurses' perspectives on safe handling precautions: a qualitative study. Contemp Nurse 2017; 53:271-283. [PMID: 28387169 DOI: 10.1080/10376178.2017.1315828] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
BACKGROUND Oncology nurses can be exposed to hazardous drugs during their preparation, administration, transfer and storage and elimination of their waste. AIM This study was directed towards describing attitudes, opinions and experiences of nurses administering these drugs about safe handling precautions. METHODS A qualitative study design was used. Fifteen nurses working for at least three months involved in preparation, administration and transfer of antineoplastic drugs and management of wastes. FINDINGS Experiences, viewpoints and attitudes of nurses about safe handling precautions were analyzed in accordance with basic components of Health Belief Model. CONCLUSIONS Based on experiences, viewpoints and attitudes emphasized most by nurses, the most important factors about safe handling precautions were perceived barriers and cues to action. As well as heavy work schedules and high number of patients per nurse, lack of equipment and insufficient knowledge were found to be barriers to taking safe handling precautions.
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Affiliation(s)
- Sevcan Topçu
- a Public Health Nursing , Ege University , Izmir , Turkey
| | - Ayşe Beşer
- b Public Health Nursing, School of Nursing , Koc University, Istanbul , Turkey
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Fathi M, Nikbakht Nasrabadi A, Valiee S. The effects of body position on chemotherapy-induced nausea and vomiting: a single-blind randomized controlled trial. IRANIAN RED CRESCENT MEDICAL JOURNAL 2014; 16:e17778. [PMID: 25068049 PMCID: PMC4102982 DOI: 10.5812/ircmj.17778] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/22/2014] [Revised: 03/07/2014] [Accepted: 04/08/2014] [Indexed: 12/03/2022]
Abstract
Background: Chemotherapy is the cornerstone of cancer treatment; however, alongside therapeutic effects, nausea and vomiting are two common complications of chemotherapy. Objectives: The aim of this study was to investigate the effects of body position on chemotherapy-induced nausea and vomiting. Materials and Methods: This was a single-blind randomized controlled clinical trial. We recruited a convenience sample of 79 patients and randomly allocated them to either experimental or control groups. Patients in the control group received chemotherapy in supine position while the experimental group received chemotherapy in semi-Fowler’s position. All patients were assessed for the severity, duration, and frequency of nausea and vomiting episodes every three hours up to 24 hours, ie, in nine time-points. Study data was analyzed by SPSS v. 16. Results: The severity, duration, and frequency of nausea and the severity and frequency of vomiting episodes in the control group differed significantly across the nine measurement time-points (P < 0.001). In the experimental group, the severity (P = 0.254) and frequency of nausea (P = 0.002) episodes as well as the frequency of vomiting (P = 0.008) episodes differed significantly across the measurement time-points. Moreover, the study groups differed significantly across the measurement time-point in terms of the severity (P < 0.001), duration (P < 0.001), and frequency of nausea (P = 0.002) and the severity (P < 0.001) and frequency (P < 0.001) of vomiting episodes. Conclusions: Compared to supine position, semi-Fowler’s position is more effective in relieving chemotherapy-induced nausea and vomiting.
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Affiliation(s)
- Mohammad Fathi
- School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, IR Iran
| | | | - Sina Valiee
- School of Nursing and Midwifery, Kurdistan University of Medical Sciences, Sanandaj, IR Iran
- Corresponding Author: Sina Valiee, School of Nursing and Midwifery, Kurdistan University of Medical Sciences, Sanandaj, IR Iran. Tel: +98-9188734619, Fax: +98-8716660092, E-mail:
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Gilani S, Giridharan S. Is it safe for pregnant health-care professionals to handle cytotoxic drugs? A review of the literature and recommendations. Ecancermedicalscience 2014; 8:418. [PMID: 24761159 PMCID: PMC3990661 DOI: 10.3332/ecancer.2014.418] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2014] [Indexed: 12/04/2022] Open
Abstract
The information related to health risks to foetuses due to the handling of chemotherapeutic agents by nurses during pregnancy is limited. The risks involved can be reduced significantly if nurses adhere to standard safety precautions while handling cytotoxic drugs. Nurses in patient areas where chemotherapy is administered are at constant low-level risk of exposure. The authors tried to gather evidence in this article from the recent literature to help to formalise policies for pregnant mothers working in these settings.
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Affiliation(s)
- S Gilani
- University Hospital of North Staffordshire, ST4 6QG, UK
| | - S Giridharan
- University Hospital of North Staffordshire, ST4 6QG, UK
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Tuna R, Baykal Ü. The relationship between job stress and burnout levels of oncology nurses. Asia Pac J Oncol Nurs 2014; 1:33-39. [PMID: 27981080 PMCID: PMC5123449 DOI: 10.4103/2347-5625.135818] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2014] [Accepted: 02/06/2014] [Indexed: 11/26/2022] Open
Abstract
OBJECTIVE Job stress and burnout levels of oncology nurses increase day-by-day in connection with rapidly increasing cancer cases worldwide as well as in Turkey. The purpose of this study was to establish job stress and burnout levels of oncology nurses and the relationship in between. METHODS The sample of this descriptive study comprised of 189 nurses that are selected by nonprobability sampling method, employed by 11 hospitals in Istanbul. Survey form of 20 questions, Job Stressors Scale and Maslach Burnout Inventory (MBI) were used during collection of data. Data were evaluated using percentage, Kruskal-Wallis, Mann-Whitney U and Spearman correlation analyses. RESULTS In the study, there was a positively weak correlation between "Work Role Ambiguity" subdimension of Job Stressors Scale and "Emotional Exhaustion" and "Personal Accomplishment" subdimensions, whereas a positively weak and medium correlation was encountered between "Work Role Conflict" subdimension and "Emotional Exhaustion" and "Depersonalization" subdimensions. A negatively weak correlation was found between "Work Role Overload" subdimension and "Emotional Exhaustion" and "Depersonalization" subdimensions. CONCLUSION A significant relationship was established between subdimensions of job stress level and of burnout level, that a lot of oncology nurses who have participated in the study wanted to change their units, because of the high attrition rate.
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Affiliation(s)
- Rujnan Tuna
- Nursing Department, Istanbul Medeniyet University, Istanbul, Turkey
| | - Ülkü Baykal
- Nursing Management Department, Istanbul University, Istanbul, Turkey
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Compliance with safe handling guidelines of antineoplastic drugs in Jordanian hospitals. J Oncol Pharm Pract 2014; 21:3-9. [DOI: 10.1177/1078155213517128] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Objective To evaluate the compliance of healthcare workers with standard safety guidelines during the preparation and administrations of antineoplastic medications. Design A cross-sectional survey study. Setting All hospitals in Jordan where healthcare workers are involved in preparation and administration of antineoplastic medications. Participants All healthcare workers who are involved in preparation and administration of antineoplastic medications in Jordanian hospitals. Intervention A questionnaire that covered information about work place, healthcare workers, and use of personal protective equipments during handling of antineoplastic medications was self-filled by each participant. Main outcome measures Compliance rates with workplace requirements, healthcare workers, and use of personnel protective equipments. Results Majority of participants (74.2%), representing nine out of 15 (60%) hospitals, reported full compliance of workplace with all requirements of the guidelines. Items with full compliance in all hospitals were availability of policies and procedures for safe handling of antineoplastic agents, availability of reporting system, and availability of sharp containers. Concerning healthcare workers’ guidelines, worker with full compliance were 46.4% of participants. Items with least compliance rate were working inside biological safety cabinet (65.1%) and having training program on handling chemotherapy medications (66.7%). Finally, concerning items-related personal protective equipments, only 10.7% of participants reported full compliance. Items with least compliance rates were wearing goggles (eye protection), shoe cover, and hair cover. Conclusions Results of this study showed the levels of compliance with guidelines pertaining to work place and workers who prepare and administer antineoplastic medications. Among other points, compliance with guidelines pertaining to wearing personnel protective equipments was limited and required further improvement.
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Abstract
BACKGROUND In oncology, where the number of patients is increasing, there is a need to sustain a quality oncology nursing workforce. Knowledge of the context of oncology nursing can provide information about how to create practice environments that will attract and retain specialized oncology nurses. OBJECTIVE The aims of this review were to determine the extent and quality of the literature about the context of oncology nursing, explicate how "context" has been described as the environment where oncology nursing takes place, and delineate forces that shape the oncology practice environment. METHODS The integrative review involved identifying the problem, conducting a structured literature search, appraising the quality of data, extracting and analyzing data, and synthesizing and presenting the findings. RESULTS Themes identified from 29 articles reflected the surroundings or background (structural environment, world of cancer care), and the conditions and circumstances (organizational climate, nature of oncology nurses' work, and interactions and relationships) of oncology nursing practice settings. CONCLUSIONS The context of oncology nursing was similar yet different from other nursing contexts. The uniqueness was attributed to the dynamic and complex world of cancer control and the personal growth that is gained from the intense therapeutic relationships established with cancer patients and their families. IMPLICATIONS FOR PRACTICE The context of healthcare practice has been linked with patient, professional, or system outcomes. To achieve quality cancer care, decision makers need to understand the contextual features and forces that can be modified to improve the oncology work environment for nurses, other providers, and patients.
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Cooke FL, Zhan C. Between market and bureaucracy: public healthcare reforms in China and nurses' terms and conditions. INTERNATIONAL JOURNAL OF HUMAN RESOURCE MANAGEMENT 2013. [DOI: 10.1080/09585192.2013.775034] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Valizadeh L, Zamanzadeh V, Azimzadeh R, Rahmani A. The View of Nurses toward Prioritizing the Caring Behaviors in Cancer Patients. J Caring Sci 2012; 1:11-6. [PMID: 25276670 DOI: 10.5681/jcs.2012.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2011] [Accepted: 02/22/2012] [Indexed: 12/20/2022] Open
Abstract
INTRODUCTION There are many opportunities for nurses to assist improving patient's ex-perience of cancer. In fact, in every stage of cancer process, nurses can provide the re-quired and necessary cares and supports by representing substantial caring behaviors. Thus, by identifying and understanding the importance of caring behaviors which led to nurse-patient effective interactions, nurses would be able to care better for patients and so to enhance patients' satisfaction toward nursing services. However, a few studies have ever been done about perception of oncology nurses about prioritization of caring behaviors. METHODS This was a descriptive study done among all the nurses of oncology wards (n = 40) in Shahid-Ghazi-Tabatabaei Hospital of Tabriz in 2009. Data collection performed using Larson's CARE-Q tool that assessed the importance of caring beha-viors in six subscales as the following: "Monitors and follows through", "Explains and facilitates", "Physical and emotional comforts", "Trusting relationship", "Anticipates" and "Being accessible". RESULTS In this study, the importance of caring behaviors was evaluated in moderate to high level and the priorities of care dimensions were deter-mined. "Monitors and follows through" and "Being accessible" received a high priority and "Anticipates", "Explains and facilitates", "Physical and emotional comforts" and "Trusting relationship" were given the low priority by nurses. CONCLUSION The difference of caring prioritization by the nurses of this study compared to other studies can be attributed to the influence of cultural background on caring. Considering the high prioritizing of "Monitors and follows through" and "Being accessible", nursing service officials and planners are recommended to attempt providing prerequisites of these two caring aspects.
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Affiliation(s)
- Leila Valizadeh
- PhD, Assistant Professor, Department of Pediatric Nursing, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Vahid Zamanzadeh
- PhD, Associate Professor, Department of Medical Surgical Nursing, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Roghaieh Azimzadeh
- MSc, Instructor, Department of Medical Surgical Nursing, Faculty of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, Iran
| | - Azad Rahmani
- MSc, Instructor, Department of Medical Surgical Nursing, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
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Usta YY, Demir Y, Yagmuroglu H. Nurses' Perspective on Positive Attitudes to Cancer Patients in Turkey: A Qualitative Study. Asian Pac J Cancer Prev 2012; 13:1225-9. [DOI: 10.7314/apjcp.2012.13.4.1225] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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Cebeci F, Yangın HB, Tekeli A. Life experiences of women with breast cancer in south western Turkey: a qualitative study. Eur J Oncol Nurs 2011; 16:406-12. [PMID: 22000551 DOI: 10.1016/j.ejon.2011.09.003] [Citation(s) in RCA: 51] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2011] [Revised: 08/18/2011] [Accepted: 09/14/2011] [Indexed: 10/16/2022]
Abstract
PURPOSE This qualitative study explores the experience of women living with breast cancer. METHODS The study was conducted among eight women with ongoing breast cancer chemotherapy treatment, which occurred in an ambulatory unit. The data were collected using semi-structured and in-depth individual interviews. All interviews were tape-recorded, and the results were obtained by analysing the content of the recorded data. RESULTS Three major themes related to the experiences of women living with breast cancer were identified. They are as follows: (1) needs (the need for spouse and family support, the need to worship, and the need to receive and share information), (2) living with losses (loss of the breast and of one's hair), and (3) changes (changes in one's normal life, change in self-perception, changes in the perception of the value of health, and a greater appreciation for life). CONCLUSIONS This study was conducted to increase awareness concerning women's perceptions of their care and various needs during breast cancer treatment. The results of this study challenge health care providers and educators to be more aware of the difficulties that women face when living with breast cancer.
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Affiliation(s)
- Fatma Cebeci
- Antalya School of Health, Akdeniz University, 07058 Campus/Antalya, Turkey.
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Gi TS, Devi KM, Neo Kim EA. A systematic review on the relationship between the nursing shortage and nursesʼ job satisfaction, stress and burnout levels in oncology/haematology settings. ACTA ACUST UNITED AC 2011. [DOI: 10.11124/jbisrir-2011-114] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
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Gi TS, Devi KM, Neo Kim EA. A systematic review on the relationship between the nursing shortage and nurses' job satisfaction, stress and burnout levels in oncology/haematology settings. ACTA ACUST UNITED AC 2011; 9:1603-1649. [PMID: 27819963 DOI: 10.11124/01938924-201109390-00001] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
Abstract
BACKGROUND Nursing shortage is a global issue that which affects oncology nursing. Oncology nurses are more prone to experience job dissatisfaction, stress and burnout when they work in units with poor staffing. There is thus a need for greater understanding of the relationship between the nursing shortage and nursing outcomes in oncology/haematology settings. OBJECTIVES This review aimed to establish the best available evidence concerning the relationship between the nursing shortage and nurses' job satisfaction, stress and burnout levels in oncology/haematology settings; and to make recommendations for practice and future research. INCLUSION CRITERIA Types of participants: This review considered studies that included oncology registered nurses (RNs) who were more than 18 years of age and worked in either inpatient or outpatient oncology/haematology wards or units for the adult or paediatric patients.Types of intervention: This review considered studies that evaluated the relationship between the nursing shortage and nurses' job satisfaction, stress and burnout levels in oncology/haematology settings.Types of outcomes: This review included studies that measured job satisfaction, stress and burnout levels using different outcomes measures. Job satisfaction was determined by the Measure of Job Satisfaction scale, the Misener Nurse Practitioner Job Satisfaction Scale and the Likert scale, stress by the Pediatric Oncology Nurse Stressor Questionnaire and burnout by the Maslash Burnout Inventory scale.Types of studies: This review included descriptive/descriptive-correlational studies which were published in English. SEARCH STRATEGY The search strategy sought to identify published and unpublished studies conducted between 1990 and 2010. Using a three-step search strategy, the following databases were accessed: CINAHL, Medline, Scopus, ScienceDirect, PsycInfo, PsycArticles, Web of Science, The Cochrane Library, Proquest and Mednar. ASSESSMENT OF METHODOLOGICAL QUALITY Two independent reviewers assessed each paper for methodological validity prior to inclusion in the review using standardised critical appraisal instruments from the Joanna Briggs Institute-Meta Analysis of Statistics Assessment and Review Instrument (JBI-MAStARI). Disagreements were resolved through discussion, or with a third reviewer. DATA COLLECTION/EXTRACTION Data were extracted using standardised data extraction tool adapted from the JBI-MAStARI. Data synthesisDue to the heterogeneous nature of the included papers, a meta-analysis was not possible. Hence, a narrative summary was presented for the studies. RESULTS This review encompassed seven descriptive/descriptive-correlational studies. Findings revealed a positive bidirectional relationship between the nursing shortage and oncology nurses' job dissatisfaction, stress and burnout. In addition, the extent of oncology nurses' job dissatisfaction, stress and burnout, and their perception of staffing inadequacy also differed according to nurses' demography and work settings. CONCLUSIONS The nursing shortage, coupled with an increasing number of patients diagnosed with cancer, entail a pressing need for organisations to ensure sufficient staffing in oncology/haematology settings, in order to provide quality patient care. This then requires interventions that target both the recruitment and retention of nurses. IMPLICATIONS FOR PRACTICE Organisations need to customise their strategies for the recruitment and retention of oncology nurses. The strategies should take into considerations the specific demographic characteristics of oncology nurses or characteristics of work settings that are experiencing staffing inadequacy and negative nursing outcomes. The strategies should also aim to replicate features of other institutions that are attractive to oncology nurses; and also include training that help oncology nurses better manage their emotions. IMPLICATIONS FOR RESEARCH Future research need to examine the relationship between the nursing shortage and oncology nurses' job satisfaction, stress and burnout in bone marrow transplant units, paediatric oncology settings and also Asian oncology settings. Characteristics of oncology nurses or workplaces that are more likely to experience negative nursing outcomes due the nursing shortage should also be identified.
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Affiliation(s)
- Toh Shir Gi
- 1. Toh Shir Gi. Honours Student. Alice Lee Centre for Nursing Studies. National University of Singapore (NUS). 2. M Kamala Devi MSc Adv Practice (Cancer Care), PGDipHE, BHSc(N), ONC, RN. Senior Lecturer Alice Lee Centre for Nursing Studies. Yong Loo Lin School of Medicine. National University of Singapore (NUS). Block E3A, Level 3. 7 Engineering Drive 1. Singapore 117574. Mobile: 98310611. Phone: 6516 7792. 3. Dr Emily Ang Neo Kim DNurs MHSc BN, Cert Ed, ONC CCNC, RN. Deputy Director (Oncology Nursing). National University Cancer Institute, Singapore, NUHS. Main Building, Level 2. 5 Lower. Kent Ridge Road. Singapore 119074. Institution mainline: 67724819. Mobile: 96539617.
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