Factors Predicting the Safety Behaviors toward Chemotherapy Administration among Registered Nurses in the Hospitals under the Department of Medical Services, Ministry of Public Health in Bangkok

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Autchara Nopnob
Ann Jirapongsuwan
Surintorn Kalampakorn
Sukhontha Siri

Abstract

            This cross-sectional study aimed to examine factors predicting safety behaviors toward chemotherapy administration among registered nurses working in the hospital under the Department of Medical Services, Ministry of Public Health in Bangkok. The concept of factors influencing safety behaviors was applied to develop a research framework. Subjects were 244 registered nurses from 3 hospitals. Data were collected by questionnaire developed by the researcher. It consisted of five parts including general characteristics; safety environment; knowledge in safety chemotherapy administration, motivation to conduct safety behaviors toward chemotherapy administration and safety behaviors toward chemotherapy administration. Content validity index ranged from 0.82 - 0.98. The reliability ranged from 0.72 - 0.94. Data were analyzed using descriptive and inferential statistics. Mann-Whitney U-test was used to compare differences between two independent groups. Stepwise Multiple Regression Analysis was applied to test the predicting factors.
            Overall, the finding indicate that safety behaviors toward chemotherapy administration of registered nurses was at a high level. The timing of chemotherapy administration had a negative correlation with safety behaviors toward chemotherapy administration (r = -0.13, p = 0.048). The chemotherapy training experience (r = 0.07, p = 0.293), safety environment (r = 0.45, p < .001), knowledge in safety chemotherapy administration (r = 0.23, p < .001) and motivation to conduct safety behaviours (r = 0.53, p < .001) were related to safety behaviors toward chemotherapy administration (z = 3.66, r = 0.45, r = 0.23, r = 0.53, respectively). It was found that the motivation to conduct safety behaviours and the safety environment in chemotherapy administration can predict safety behaviors at 31.3% of the probability.

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