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±è°æÁø ( Kim Gyeong-Jin ) - ȼøÀü³²´ëÇб³º´¿ø
ÃÖÀÚÀ± ( Choi Ja-Yun ) - Àü³²´ëÇб³ °£È£´ëÇÐ
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Abstract
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Purpose: This study was conducted to identify factors associated with oncology nurses¡¯ adherence to Chemotherapy-Induced Neutropenia (CIN) guidelines based on Pender¡¯s Health Promotion Model (HPM).
Methods: For this cross-sectional descriptive study, 187 nurses who worked at the oncology department of Channam National University Hawsun Hospital responded to self-administered questionnaires. A tool for CIN guideline adherence was developed through systematic search, synthesis, translation, and content validation. Data collection was conducted by a trained research assistant from September 18 to September 26, 2017. Data were analyzed using independent t-test, one-way ANOVA, Pearson¡¯s correlation coefficient, and stepwise multiple regression.
Results: Stepwise multiple regression showed that guideline adherence was associated with CIN education (¥â=.26, p<.001), self-efficacy (¥â=.17, p=.018), perceived benefits (¥â=.16, p=.026), interpersonal factors (¥â=.16, p=.043), and educational level (¥â=.14, p=.030).
Conclusion: The findings of this study could be used to develop interventions focusing on CIN education and for the strengthening oncology nurses¡¯ self-efficacy and beliefs to promote adherence to CIN guidelines. In addition, repeated studies would be needed to verify application of Pender¡¯s HPM to explain nurses¡¯ adherence.
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KeyWords
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Chemotherapy-induced febrile neutropenia, Evidence-based nursing, Guideline adherence
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