Handling of hazardous drugs - Effect of an innovative teaching session for nursing students

Nurse Educ Today. 2017 Feb:49:72-78. doi: 10.1016/j.nedt.2016.11.002. Epub 2016 Nov 13.

Abstract

Background: Imparting knowledge and practical skills in hazardous drug handling in nursing students' education is essential to prevent hazardous exposure and to preserve nurses' health.

Objectives: This study aimed at comparing routine nursing education with an additional innovative teaching session.

Design: A prospective controlled study in nursing students was conducted in two study periods: (i) a status-quo period (routine education on handling hazardous drugs) followed by (ii) an intervention period (additional innovative teaching session on handling hazardous drugs).

Settings/participants: Nursing students at a vocational school were invited to participate voluntarily.

Methods: In both study periods (i) and (ii), the following factors were analysed: (a) knowledge of hazardous drug handling by questionnaire, (b) practical skills in hazardous drug handling (e.g. cleaning) by a simulated handling scenario, (c) contamination with drug residuals on the work surface by fluorescent imaging.

Results: Fifty-three nursing students were enrolled. (a) Median knowledge improved from status-quo (39% right answers) to intervention (65%, p<0.001), (b) practical skills improved from status-quo (53% of all participants cleaned the work surface) to intervention (92%, p<0.001). (c) Median number of particles/m2 decreased from status-quo to intervention (932/97, p<0.001).

Conclusions: Compared with routine education, knowledge and practical skills in hazardous drug handling were significantly improved after an innovative teaching session. Additionally, the amount of residuals on the work surface decreased. This indicates a lower risk for hazardous drug exposure.

Keywords: Fluorescence imaging; Hazardous drugs; Nursing education; Nursing students; Occupational safety.

MeSH terms

  • Adolescent
  • Adult
  • Clinical Competence / standards
  • Education, Nursing, Baccalaureate / methods
  • Education, Nursing, Baccalaureate / standards
  • Educational Measurement / methods
  • Female
  • Germany
  • Hazardous Substances / therapeutic use*
  • Humans
  • Male
  • Medication Systems / standards*
  • Occupational Exposure / standards
  • Prospective Studies
  • Students, Nursing / psychology*
  • Surveys and Questionnaires
  • Teaching / standards*

Substances

  • Hazardous Substances