Personal Protective Equipment Use and Hazardous Drug Spills among Ambulatory Oncology Nurses: Results from a Mailed Survey
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Personal Protective Equipment Use and Hazardous Drug Spills among Ambulatory Oncology Nurses: Results from a Mailed Survey
  • Published Date:

    Jan 06 2017

  • Source:
    Oncol Nurs Forum. 44(1):60-65
  • Language:
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  • Alternative Title:
    Oncol Nurs Forum
  • Description:
    Purpose/Objectives To examine patterns and organizational correlates of personal protective equipment (PPE) use and hazardous drug spills. Design Cross-sectional mailed survey. Setting Ambulatory practices in California, Georgia, and Michigan. Sample 252 Oncology Nursing Society members who administer hazardous drugs. Methods Bivariate and multivariable regression analyses. Main Research Variables Outcomes were PPE use and hazardous drug spills. Covariates included nursing workloads, nurses’ practice environments, and barriers to PPE use. Findings 26% reported a recent drug spill. 90% wore only one pair of chemotherapy-tested gloves. Increased PPE use was significantly associated with nurse participation in practice affairs (β = 0.25, 95% CI 0.10 to 0.41), non-private ownership (β= 0.37, 95% CI 0.10 to 0.64), increased nursing workloads (β = 0.03, 95% CI 0.01 to 0.04), and fewer barriers to PPE use (β = 0.65, 95% CI 0.36 to 0.93). Spills were significantly associated with less favorable manager leadership and support (OR 0.68, 95% CI 0.47 to 0.98), and higher workloads (OR 1.03, 95% CI 1.01 to 1.06). Conclusions Drug spills occur often in ambulatory settings. PPE use remains low and barriers to use persist. Higher workloads are associated with both lower PPE use and more spills. Implications Managers should monitor and correct aberrant workloads and assure PPE is available and staff are trained. Knowledge Translation 1) Workloads are an important factor to consider in reducing hazardous drug exposures. 2) Nurses report substantial barriers to exposure prevention, including absence of equipment and lack of training. 3) Educational interventions are needed to improve use of PPE and reduction in hazardous drug exposures
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