Karen Campbell, Janyne Afseth, Margaret Dunham, Maria King, Daniel Dicksit
{"title":"全球癌症护士对细胞毒性药物潜在职业暴露的经历和看法：混合方法系统回顾与框架综合》。","authors":"Karen Campbell, Janyne Afseth, Margaret Dunham, Maria King, Daniel Dicksit","doi":"10.1111/jocn.17488","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Aim</h3>\n \n <p>To conceptualise experiences and perceptions of cancer nurses' potential for occupational exposure when dealing with cytotoxic drugs (CDs).</p>\n </section>\n \n <section>\n \n <h3> Design</h3>\n \n <p>A mixed methods systematic review with framework synthesis.</p>\n </section>\n \n <section>\n \n <h3> Methods and Data Sources</h3>\n \n <p>A literature search was conducted in February 2022 in CINAHL PubMed, Web of Science, Ovid Nursing, and PsycINFO, and it was reported using the PRISMA guidance.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>A synthesis of 38 studies revealed new categories of perceived solutions, side effects, and risky behaviour as well as three levels of experience and perception: individual, shared, and cultural, rather than the a priori theory.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>The review conclude that individuals espouse safe handling and administration of CDs. Synthesis highlights a complex interplay between self-reported perception and the observed experience of potential occupational exposure to cytotoxic drugs.</p>\n </section>\n \n <section>\n \n <h3> Implications for Professional Practice</h3>\n \n <p>The framework synthesis highlights the difference between the perception of espoused practice and the experience of practice. Observation and risk assessment must be used to enhance safe practice. Organisations must take seriously the perception and experience of the adverse effects of administering cytotoxic drugs to support cancer nurses.</p>\n </section>\n \n <section>\n \n <h3> Reporting Method</h3>\n \n <p>Joanna Briggs Institute's (JBI) methodology for systematic reviews and framework synthesis indexed studies deductively and inductively.</p>\n \n <p>No patient or public contribution.</p>\n </section>\n \n <section>\n \n <h3> Trial Registration</h3>\n \n <p>PROSPERO: CRD42022289276</p>\n </section>\n </div>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":"33 12","pages":"4585-4601"},"PeriodicalIF":3.2000,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11579580/pdf/","citationCount":"0","resultStr":"{\"title\":\"Global Cancer Nurse's Experiences and Perceptions of Potential Occupational Exposure to Cytotoxic Drugs: Mixed Method Systematic Review With Framework Synthesis\",\"authors\":\"Karen Campbell, Janyne Afseth, Margaret Dunham, Maria King, Daniel Dicksit\",\"doi\":\"10.1111/jocn.17488\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Aim</h3>\\n \\n <p>To conceptualise experiences and perceptions of cancer nurses' potential for occupational exposure when dealing with cytotoxic drugs (CDs).</p>\\n </section>\\n \\n <section>\\n \\n <h3> Design</h3>\\n \\n <p>A mixed methods systematic review with framework synthesis.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods and Data Sources</h3>\\n \\n <p>A literature search was conducted in February 2022 in CINAHL PubMed, Web of Science, Ovid Nursing, and PsycINFO, and it was reported using the PRISMA guidance.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>A synthesis of 38 studies revealed new categories of perceived solutions, side effects, and risky behaviour as well as three levels of experience and perception: individual, shared, and cultural, rather than the a priori theory.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusions</h3>\\n \\n <p>The review conclude that individuals espouse safe handling and administration of CDs. Synthesis highlights a complex interplay between self-reported perception and the observed experience of potential occupational exposure to cytotoxic drugs.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Implications for Professional Practice</h3>\\n \\n <p>The framework synthesis highlights the difference between the perception of espoused practice and the experience of practice. Observation and risk assessment must be used to enhance safe practice. Organisations must take seriously the perception and experience of the adverse effects of administering cytotoxic drugs to support cancer nurses.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Reporting Method</h3>\\n \\n <p>Joanna Briggs Institute's (JBI) methodology for systematic reviews and framework synthesis indexed studies deductively and inductively.</p>\\n \\n <p>No patient or public contribution.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Trial Registration</h3>\\n \\n <p>PROSPERO: CRD42022289276</p>\\n </section>\\n </div>\",\"PeriodicalId\":50236,\"journal\":{\"name\":\"Journal of Clinical Nursing\",\"volume\":\"33 12\",\"pages\":\"4585-4601\"},\"PeriodicalIF\":3.2000,\"publicationDate\":\"2024-10-29\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11579580/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Clinical Nursing\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1111/jocn.17488\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Clinical Nursing","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/jocn.17488","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
摘要
目的：将癌症护士在处理细胞毒性药物（CDs）时可能出现的职业暴露的经验和看法概念化：方法和数据源：2022年2月，在CINAHL PubMed、Web of Science、Ovid Nursing和PsycINFO进行了文献检索，并采用PRISMA指南进行报告：对 38 项研究的综述揭示了感知到的解决方案、副作用和危险行为的新类别，以及经验和感知的三个层次：个体、共享和文化，而非先验理论：综述得出结论，个人支持安全处理和使用光盘。综述强调了自我报告的认知与观察到的潜在职业接触细胞毒性药物的经历之间复杂的相互作用：该框架综述强调了所信奉的实践观念与实践经验之间的差异。必须利用观察和风险评估来加强安全实践。各组织必须认真对待细胞毒性药物不良反应的认知和经验，为癌症护士提供支持：乔安娜-布里格斯研究所（Joanna Briggs Institute，JBI）的系统综述和框架综合方法对研究进行了演绎和归纳索引。无患者或公众贡献：PROCEMO：CRD42022289276。
Global Cancer Nurse's Experiences and Perceptions of Potential Occupational Exposure to Cytotoxic Drugs: Mixed Method Systematic Review With Framework Synthesis
Aim
To conceptualise experiences and perceptions of cancer nurses' potential for occupational exposure when dealing with cytotoxic drugs (CDs).
Design
A mixed methods systematic review with framework synthesis.
Methods and Data Sources
A literature search was conducted in February 2022 in CINAHL PubMed, Web of Science, Ovid Nursing, and PsycINFO, and it was reported using the PRISMA guidance.
Results
A synthesis of 38 studies revealed new categories of perceived solutions, side effects, and risky behaviour as well as three levels of experience and perception: individual, shared, and cultural, rather than the a priori theory.
Conclusions
The review conclude that individuals espouse safe handling and administration of CDs. Synthesis highlights a complex interplay between self-reported perception and the observed experience of potential occupational exposure to cytotoxic drugs.
Implications for Professional Practice
The framework synthesis highlights the difference between the perception of espoused practice and the experience of practice. Observation and risk assessment must be used to enhance safe practice. Organisations must take seriously the perception and experience of the adverse effects of administering cytotoxic drugs to support cancer nurses.
Reporting Method
Joanna Briggs Institute's (JBI) methodology for systematic reviews and framework synthesis indexed studies deductively and inductively.
期刊介绍：
The Journal of Clinical Nursing (JCN) is an international, peer reviewed, scientific journal that seeks to promote the development and exchange of knowledge that is directly relevant to all spheres of nursing practice. The primary aim is to promote a high standard of clinically related scholarship which advances and supports the practice and discipline of nursing. The Journal also aims to promote the international exchange of ideas and experience that draws from the different cultures in which practice takes place. Further, JCN seeks to enrich insight into clinical need and the implications for nursing intervention and models of service delivery. Emphasis is placed on promoting critical debate on the art and science of nursing practice.
JCN is essential reading for anyone involved in nursing practice, whether clinicians, researchers, educators, managers, policy makers, or students. The development of clinical practice and the changing patterns of inter-professional working are also central to JCN''s scope of interest. Contributions are welcomed from other health professionals on issues that have a direct impact on nursing practice.
We publish high quality papers from across the methodological spectrum that make an important and novel contribution to the field of clinical nursing (regardless of where care is provided), and which demonstrate clinical application and international relevance.
京公网安备 11010802042870号
京ICP备2023020795号-1
分享
求助内容：
应助结果提醒方式：
扫码关注我们
