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      Knowledge of safe handling, administration, and waste management of chemotherapeutic drugs among oncology nurses working at Khartoum Oncology Hospital, Sudan

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          Abstract

          Introduction

          Knowledge of chemotherapeutic drug (CD) handling, administration, and waste disposal are important among nurses involved in cancer therapy. Inadequate knowledge of the management of CD could cause environmental contamination and potential harm to patients and nurses. To assess the knowledge of safe handling, administration, and waste management of CD among oncology nurses working at Khartoum Oncology Hospital, Sudan.

          Methods

          A questionnaire was developed by a team of experts to assess the knowledge in three domains of oncology nursing practice (handling, administration, and disposal). The study involved 78 oncology nurses working in Khartoum Oncology Hospital in Sudan from April 2020.

          Results

          The mean CD knowledge score of nurses was 12.7 ± 3.9 out of 26 items in the questionnaire. For each domain, their knowledge showed poor scores related to safe handling (mean = 2.0 ± 1.5 out of eight knowledge items) and good scores for administration (mean = 6.2 ± 1.7 out of 10) and poor scores for waste disposal (mean = 4.4 ± 1.5 out of eight). Simple linear regression indicated that education level ( β = 3.715, p = .008) and training ( β = 0.969, p = .004) significantly predicted knowledge among nurses.

          Conclusion

          There is a significant need to enhance the knowledge and safe handling skills of CD among oncology nurses in Sudan. Implementation of strict guidelines to manage cytotoxic waste to reduce health risks and hospital contamination.

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          Most cited references32

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          Outdoor air pollution and cancer: An overview of the current evidence and public health recommendations

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            The expanding role of primary care in cancer control

            The nature of cancer control is changing, with an increasing emphasis, fuelled by public and political demand, on prevention, early diagnosis, and patient experience during and after treatment. At the same time, primary care is increasingly promoted, by governments and health funders worldwide, as the preferred setting for most health care for reasons of increasing need, to stabilise health-care costs, and to accommodate patient preference for care close to home. It is timely, then, to consider how this expanding role for primary care can work for cancer control, which has long been dominated by highly technical interventions centred on treatment, and in which the contribution of primary care has been largely perceived as marginal. In this Commission, expert opinion from primary care and public health professionals with academic and clinical cancer expertise—from epidemiologists, psychologists, policy makers, and cancer specialists—has contributed to a detailed consideration of the evidence for cancer control provided in primary care and community care settings. Ranging from primary prevention to end-of-life care, the scope for new models of care is explored, and the actions needed to effect change are outlined. The strengths of primary care—its continuous, coordinated, and comprehensive care for individuals and families—are particularly evident in prevention and diagnosis, in shared follow-up and survivorship care, and in end-of-life care. A strong theme of integration of care runs throughout, and its elements (clinical, vertical, and functional) and the tools needed for integrated working are described in detail. All of this change, as it evolves, will need to be underpinned by new research and by continuing and shared multiprofessional development.
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              Cancer Incidence and Trends

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                Author and article information

                Contributors
                Journal
                PeerJ
                PeerJ
                peerj
                PeerJ
                PeerJ Inc. (San Diego, USA )
                2167-8359
                21 October 2022
                2022
                : 10
                : e14173
                Affiliations
                [1 ]Emergency Department, Erada and Mental Health Complex , Taif, Saudi Arabia
                [2 ]Department of Nursing, Khartoom Hospital , Khartoum, Sudan
                [3 ]Department of Nursing, College of Applied Medical Sciences, Majmaah University , Majmaah, Riyadh, Saudi Arabia
                [4 ]Nursing Science Department, College of Applied Medical Sciences, Shaqra University , Shaqra, Riyadh, Saudi Arabia
                [5 ]Nursing Department, Sinnar University , Faculty of Medicine & Health Sciences, Sinnar city, Sudan
                [6 ]Department of Physical Therapy, College of Applied Medical Sciences, Jazan University , Jazan, Saudi Arabia
                [7 ]Department of Medical Laboratory Sciences, College of Applied Medical Sciences, Majmaah University , Majmaah, Riyadh, Saudi Arabia
                [8 ]Department of Physical Therapy and Health Rehabilitation, College of Applied Medical Sciences, Majmaah University , Majmaah, Riyadh, Saudi Arabia
                Article
                14173
                10.7717/peerj.14173
                9590414
                36299506
                b4ff7938-8fb5-4463-94b2-af20825798c1
                ©2022 Sargidy et al.

                This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, reproduction and adaptation in any medium and for any purpose provided that it is properly attributed. For attribution, the original author(s), title, publication source (PeerJ) and either DOI or URL of the article must be cited.

                History
                : 2 June 2022
                : 12 September 2022
                Funding
                Funded by: the Deanship of Scientific Research at Majmaah University under project number
                Award ID: R-2022-286
                The authors were supported by the Deanship of Scientific Research at Majmaah University under project number: R-2022-286. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
                Categories
                Drugs and Devices
                Nursing
                Oncology
                Science and Medical Education
                Palliative Care

                nursing,oncology,drug adminstration,knowledge,safe handling,chemotherapy,cancer therapy

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