Effects of Educational Interventions to Improve Safe Hazardous Drug Handling among Oncology Nurses: Systematic Review
Keywords:Hazardous drugs; Occupational health work; Oncology nurses; Safe handling
Background: Oncology nurses are in the front line of handling Hazardous Drugs (HDs) in health
care settings.It is crucial to minimize the cytotoxic effects of handling HDs among oncology nurses
by following the safety standards practices, protocols, and guidelines. The purpose of this systematic
review is to identify the effects of educational interventions to reduce exposure of hazardous drugs and
chemicals among oncology nurses.
Methods: The review was performed following the Preferred Reporting Items for Systematic Review
and Meta-Analysis (PRISMA) guidelines. The search protocol was conducted using PubMed\
MEDLINE, CINAHL, and Google Scholar, for studies published between the periods of 2013to 2021.
Nine articles were included in the systematic review
Conclusion: Severalinterventions were identified including web-based online courses, educational
modules, applied safety protocols, demonstration and re-demonstration, videos, PowerPoint
presentations, seminars, and workshops. Following up nurses after applying different educational
interventions showed enhanced adherence to safe handling of HDs. Applied educational interventions
have been reported to improve self-efficacy, nursing performance, attitude, knowledge, and practice
of cytotoxic drug handling. A better compliance was reported on nurses’use of standard personal
protective equipment, safety protocol during administration, handling of body fluids, and responding
to spills of HDs.
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