The Role of Nursing in the Management of Chemotherapy Extravasation: A Systematic Review Regarding Public Health

• Published in: Healthcare (Basel) 2024-07, Vol.12 (14), p.1456
• Main Authors: Antúnez-Blancat, Antonio, Gago-Valiente, Francisco-Javier, García-Iglesias, Juan-Jesús, Merino-Navarro, Dolores
• Format: Article
• Language: English
• Subjects: Advanced practice nurses; Blood vessels; Cancer; Cancer therapies; Cell cycle; Chemotherapy; Complications and side effects; Education; extravasation; healthcare; Keywords; Management; Metastasis; Methods; nursing; Nursing care; Oncologic nursing; Oncology; Prevention; Public health; Risk factors; Systematic review
• ISSN: 2227-9032; 2227-9032
• DOI: 10.3390/healthcare12141456

The scientific literature was reviewed with the aim of analysing the state of the art on the role of nursing in the management of chemotherapy extravasation, recognising the possible risk factors and identifying effective training programmes for nurses. WOS, Scopus, and PubMed databases were used to perform the searches. Papers that met the inclusion criteria and that had been published in the last 9 years were selected. The Effective Public Health Practice Project (EPHPP) instrument was applied to the selected studies. In addition, this research was registered in the International Prospective Register of Systematic Reviews (PROSPERO) (ID: 512480). Out of the 23 initially selected articles, a total of 9 articles were eventually included, since they met the eligibility criteria that were established after a more exhaustive analysis, which included reading their abstracts and full texts. The results show that the management of chemotherapy extravasation is closely related to factors that largely depend on the nursing staff. Among the most relevant findings are factors including the identification of the nursing role in the management of extravasation due to chemotherapy; risk factors; and effective training programmes for nursing. Nurses play a crucial role throughout the entire process of treatment, prevention, and health education in chemotherapy treatment. Training programmes for nurses are fundamental, as they increase their professional competence and improve the safety of the patient. Adequate knowledge of chemotherapy treatment and the risk factors of extravasation are basic elements for the prevention of this type of injury, as well as for the improvement of the quality of life of patients under this kind of intravenous therapy.