The findings suggest that capillary blood glucose as measured by fingerstick is inaccurate in critically ill ICU patients and does not meet the CLSI standard. It is unclear whether the sampling method, device used, or both contributed to this inaccuracy. The wide limits of agreement suggest that fingerstick measurements should be used with great caution in protocols of tight glycemic control.
Purpose/Objectives
To identify factors associated with oncology nurses’ use of hazardous drug (HD) safe-handling precautions in inpatient clinical research units.
Design
Descriptive, cross-sectional.
Setting
The National Institutes of Health Clinical Center in Bethesda, Maryland.
Sample
115 RNs working on high-volume HD administration units.
Methods
Survey data were collected online using the Hazardous Drug Handling Questionnaire. Data were analyzed using descriptive statistics and multiple regression analysis.
Main Research Variables
Exposure knowledge, self-efficacy, barriers to personal protective equipment use, perceived risk, conflict of interest, interpersonal influences, workplace safety climate, and total mean HD precaution use.
Findings
Participants demonstrated high exposure knowledge, self-efficacy, perceived risk, interpersonal influences, and workplace safety climate. Participants demonstrated moderate barriers and conflict of interest. Total mean HD precaution use proved highest during HD administration and lowest for handling excreta at 48 hours. Average patients per day significantly influenced total HD precaution: nurses exhibited more HD precaution use when assigned fewer patients.
Conclusions
Despite high exposure knowledge, barriers to personal protective equipment use and conflict of interest may contribute to reduced adoption of personal protective practices among oncology nurses.
Implications for Nursing
Hospital and unit-specific factors captured by the predictor variables could contribute to institutional HD policy.
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