Open Access Original Research Article

Knowledge and Practice on Safe Handling of Anticancer Drugs among Hospital Staff in Sri Lanka

Rasintha Sandakalum, Sachith Abeysundara

Asian Journal of Research in Nursing and Health, Page 1-10

Aims: Anticancer drugs are useful to treat cancers but can also harm healthy cells. Hospital oncology staff is exposed to these types of drugs due to lack of knowledge regarding proper handling. The aim of this study was to evaluate knowledge, practice, and challenges on safe handling of anticancer drugs among hospital oncology staff at hospitals in Sri Lanka.

Study design: A cross-sectional study was conducted.

Place: This survey-based study has been performed with the help of the hospital staffs employees from Teaching Hospitals from Kandy and Karapitiya, and National Cancer Institute from Maharagama, Sri Lanka.

Methodology: A self-administered questionnaire, containing standard methods to measure knowledge, practice, and challenges for safe handling of anticancer drugs, was used to collect data from 203 participants (17 Pharmacists and 186 Nurses).

Results: Out of 203 participants, 191 (94%) had adequate knowledge; 52 (25.62%) had special training on safe handling of anticancer drugs. 175 (86%) participants were poor on preparation practices and 199 (98%) participants were poor for cleaning practices from the total sample. There was no significant association between knowledge and practices regarding proper handling, protection, and preparation of anticancer drugs.

Conclusion: Although pharmacists and nurses had adequate knowledge on safe handling of anticancer drugs, the standard level of safe handling practices, the knowledge on handling of anticancer drugs was not always applied within the standard level of safe handling practices. Therefore, proper trainings, guidelines, procedures, and Personal Protective Equipment are essential for enhancing safe handling practices.

Open Access Original Research Article

Lived Experiences of Women Who Terminated Pregnancy in Adolescence

William Mooketsi Baratedi, Botshelo Rachel Sebola

Asian Journal of Research in Nursing and Health, Page 11-19

Introduction: Termination of pregnancy is an event flooded with personal and social conflicts. There are individual, relationship, community, and societal factors regarding termination of pregnancy in adolescence that need consideration.

Background: Teenage pregnancy is a public health crisis in the world. It is a major contributor to maternal and child morbidity and mortality rates. Termination of pregnancy was introduced as a safety measure to solve the problem of unwanted pregnancies and maternal deaths caused by backstreet terminations.

Aim: The aim of the study was to explore the lived experiences of women, who had a terminated pregnancy in adolescence, using the socio-ecological model.

Methods: Interpretive phenomenology analysis was used to explore the lived experiences of women who terminated a pregnancy in adolescence. Individual audio-recorded  interviews were conducted with 11 participants, who terminated a pregnancy in Adolescentsadolescence.

Findings: Interpretive analysis yielded three themes, namely: failure to protect one’s unborn baby, the burden of secrecy, and failure to form lasting relationships. The findings show the lasting negative effects of terminating a pregnancy in adolescence.

Conclusion and policy recommendation: The qualitative study confirmed that women who terminated pregnancy in adolescence face a lot of challenges in adulthood. The study further confirmed that women do not forgive themselves for having had a termination of pregnancy in adolescence. Health-care policymakers need to hear the voices of women who terminated a pregnancy in adolescence, to enable them to develop relevant and appropriate policies that answer the needs of women who have a termination of pregnancy in adolescence.