Prevention and conduct against the Extravasation of antineoplastic chemotherapy: a scoping review.

OBJECTIVES: to identify and synthesize scientific evidence on prevention and management of extravasation of antineoplastic agents in adult patients by nurses. METHODS: scoping review, according to Joanna Briggs Institute and PRISMA-ScR. Research was conducted in five electronic databases, Cochrane Library and eight catalogs of theses and dissertations. Data collection occurred from April to July 2018, with no time limit. The extracted data were analyzed and synthesized in a narrative way. RESULTS: a total of 3,110 records were retrieved and 18 studies were kept for review. Most publications (66.6%) had a qualitative approach and addressed both aspects, i.e., prevention and management of extravasation of chemotherapy in adult patients. CONCLUSIONS: the implementation of protocols based on scientific evidence on prevention and management of extravasation of antineoplastic agents is paramount in order to provide patient safety and support to the nursing staff.

Implementing simulation in oncology emergencies education: A quasi- experimental design.

BACKGROUND: High-fidelity simulation (HFS) as a teaching-learning method has increased, especially in medical programs. OBJECTIVE: This study was conducted to assess the effectiveness of using HFS on the satisfaction, self-confidence, self-efficacy, and knowledge of undergraduate students in oncology care. METHODS: A pre-test post-test quasi-experimental design was utilized. Random sampling technique was used to recruit the participants. The scenarios including septic shock and infusion reaction were implemented. The training program including lectures and the simulation was run in a high fidelity simulation lab. RESULTS: There was a significant difference (t=-5.95, p= 0.001) between the experimental group (M= 13.95, S⁢D= 3.35) and the control group (M= 6.25, S⁢D= 2.65) regarding knowledge, confidence (t=-22.75, p= 0.001) between the experimental group (M= 61.25, S⁢D= 12.10) and the control group (M= 38.50, S⁢D= 6.20), satisfaction level t=-18.25, p= 0.001; experimental group - M= 42.25, S⁢D= 4.25; and control group - M= 28.50, S⁢D= 3.15), and there was a significant difference between the experimental group (M= 35.50, S⁢D= 3.25) and control group (M= 24.25, S⁢D= 2.85) regarding self-efficacy (t=-13.25, p= 0.001). CONCLUSIONS: High-fidelity simulation in nursing increased student knowledge, self-confidence, satisfaction, and self-efficacy in managing septic shock and infusion reaction as common oncology emergencies.

Propofol: Review of Potential Risks During Administration.

Propofol is one of the most commonly used agents by anesthesia providers. Despite its excellent safety profile, numerous drawbacks and patient safety issues remain. This article is a focused review of the common issues surrounding propofol administration as they relate to infection, pediatric sedation, and the propofol infusion syndrome.