Context: Systemic chemotherapy plays a pivotal role in curative therapy for patients with hematological neoplasms and several types of
advanced solid tumors. Extravasation describes an anticancer agent's accidental leakage from a vessel into the surrounding tissues,
leading to irreversible local injuries and severe disability. Despite its considerable clinical importance, evidence-based information on
extravasation in chemotherapy is lacking.
Aim: This study aimed to evaluate the effect of an educational program on nurses' performance regarding the prevention and
management of intravenous extravasation chemotherapy.
Methods: The following hypotheses were formulated to achieve the study aim. H : Nurses' performance related to the prevention and
management of intravenous extravasation chemotherapy will be improved after implementing the educational program compared to the
pre-program. H : There will be a significant correlation between nurses’ knowledge and practice post-program implementation. A quasiexperimental
research design was utilized to conduct the current study in the oncology unit at Benha University Hospital. A convenience
sample consisted of all available nurses (n= ) working in the oncology unit were recruited to achieve the aim of this study. Two tools
were used, the nurses' knowledge assessment questionnaire and the nurses' practice observational checklist regarding the prevention and
management of intravenous extravasation chemotherapy.
Results: This study shows that most nurses had an unsatisfactory level of total knowledge and inadequate total practice regarding the
prevention and management of intravenous extravasation chemotherapy pre-program implementation ( and ). This result
improved significantly regarding all knowledge and practice elements immediately post-program implementation, where the majority of
the nurses had a satisfactory level of their total knowledge and adequate total practice ( and ) that was slightly decreased three
months after program implementation ( ) for both knowledge and practice.
Conclusion: The majority of the nurses surveyed had an unsatisfactory performance level (knowledge and practice) concerning the
prevention and management of intravenous extravasation chemotherapy pre-program implementation. In contrast, most of the studied
nurses had statistically significant improvement in their performance immediately and after three months from program implementation,
which supported the current study hypotheses. The study recommended continuous in-service training programs and establishing
guidelines to help the oncology nurses revise, acquire, and develop their knowledge and practice regarding preventing and managing
intravenous extravasation chemotherapy. |
