Abstract
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Extravasation is a severe yet preventable complication of systemic anticancer therapy. Nurses play a pivotal role in the administration of chemotherapy to oncology patients, making proper education, training, and the implementation of evidence-based protocols essential in minimizing adverse events. The primary aim of this project was to enhance the nurse’s knowledge in preventing and managing extravasation. The educational initiative included a structured educational activity featuring a pre-session knowledge check, a lecture on extravasation, and a post-session knowledge check. The sessions were conducted in small, focused groups over a 30-minute lecture, followed by a 15-minute group discussion addressing real clinical situations faced by daycare chemotherapy nurses. We employed the Wilcoxon signed-rank test to evaluate changes in test scores, a non-parametric statistical method suitable for related samples. Analyzing the test results involved calculating the score differences by subtracting the pre-education test scores from those obtained in the post-education tests. This process yielded a mean score difference of 1.8 with a standard deviation of ±2.6 and a median score difference of 1, with a range of -1 to 6. Importantly, our statistical analysis demonstrated that these differences in scores were significant, with a p-value of 0.046. This result indicates a meaningful improvement in the nurses' knowledge about extravasation prevention and management following the educational intervention, underscoring the positive impact of our training programs on clinical practice.
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