Iranian Nurses' Knowledge of Neutropenia and Their Practice for Infection Prevention in Patients with Cancer

J Cancer Educ. 2021 Jun;36(3):547-555. doi: 10.1007/s13187-019-01663-7.

Abstract

Neutropenia is one of cancer disease and treatment complications. Suboptimal management of neutropenia may interfere with cancer treatment and result in patient death. This study aimed to evaluate the nurses' knowledge of neutropenia and their practice for infection prevention in cancer patients in hospitals of Kerman, in southeast Iran. This study had a descriptive-analytical cross-sectional design. 203 nurses working in oncology, bone marrow transplantation, and medical wards of teaching hospitals of Kerman University of Medical Sciences participated in the study. A demographic questionnaire, a neutropenia knowledge questionnaire, and a checklist of nurses' care practice for infection control in cancer patients were used for data collection. The mean score of knowledge about neutropenia in nurses was 16.96 ± 2.8 which was moderate. Only 11.8% of the participants had good knowledge of neutropenia. The mean score of nurses' overall practice for infection control in cancer patients was 7.88 ± 4.63 which was moderate. Only 19.2% of nurses had a good care practice for infection control in patients with cancer. There was no significant correlation between nurses' knowledge of neutropenia and their practices for infection control in cancer patients (P = 0.05). Based on the results, nurses' knowledge of neutropenia and their practice for infection control in patients with cancer are not optimal. Therefore, in addition to promoting educational programs to enhance nurses' knowledge in this field, other factors affecting the promotion of nurses' practices in controlling infection in patients with cancer should also be identified.

Keywords: Cancer; Infection control; Knowledge; Neutropenia; Nursing care; Practice.

MeSH terms

  • Clinical Competence
  • Cross-Sectional Studies
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Iran
  • Neoplasms* / complications
  • Neutropenia*
  • Nurses*
  • Surveys and Questionnaires