Antineoplastic agents extravasation from peripheral intravenous line in children: A simple strategy for a safer nursing care

Antineoplastic agents extravasation from peripheral intravenous line in children: A simple strategy for a safer nursing care

Author Chanes, Daniella Cristina Autor UNIFESP Google Scholar
Goncalves Pedreira, Mavilde da Luz Autor UNIFESP Google Scholar
Rivero de Gutierrez, Maria Gaby Autor UNIFESP Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Abstract Purpose: the antineoplastic agents infusion through peripheral lines may lead to several adverse events such as extravasation that is one of the most severe acute reactions of this sort of treatment. the extravasation prevention and management must be part of a safe and evidence-based nursing care. Due to this fact, two algorithms were developed with the purpose of guiding nursing care to children who undergo chemotherapy through peripheral line. the objectives of this study were to determine the content validity of both algorithms with pediatric oncology nurses in Brazil and United States of America, and to verify the agreement between the evaluations of both groups.Methods and Sample: A descriptive validation study was carried out through the Delphi Technique that has the following steps: development of the data collection instrument, application to the specialists, data analysis, algorithms' review, re-evaluation by the specialists, final data analysis and content validity determination.Results: the data analysis was descriptive and based on the specialists agreement consensus equal or higher than 80% in every step of the algorithms. the process showed that the agreement with both instruments ranged from 92.8% to 99.0%.Conclusion: the algorithms are valid for application in nursing care with the main purpose of preventing and managing the antineoplastic agents' extravasation. (C) 2011 Elsevier B.V. All rights reserved.
Keywords Extravasation
Antineoplastic agents
Children
Oncology nursing
Safety
Intravenous therapy
Pediatric nursing
Medication errors
Quality of care
Evidence-based nursing
Language English
Date 2012-02-01
Published in European Journal of Oncology Nursing. Oxford: Elsevier B.V., v. 16, n. 1, p. 17-25, 2012.
ISSN 1462-3889 (Sherpa/Romeo, impact factor)
Publisher Elsevier B.V.
Extent 17-25
Origin http://dx.doi.org/10.1016/j.ejon.2011.01.005
Access rights Closed access
Type Article
Web of Science ID WOS:000299493700003
URI http://repositorio.unifesp.br/handle/11600/34583

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