الفهرس 
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Abstract
Summary
Chemotherapy works by stopping or slowing the growth of
cancer cells, which grow and divide quickly, and it is used to treat
or ease cancer symptoms. An important responsibility of
oncology nurses involved in the preparation, administration of
antineoplastic drugs (all routes), safe drug handling and disposal,
management of untoward reactions. previous studies have
reported that extent and type of poor safe handling of
chemotherapy occurring in oncology patient care settings which
leads to significant morbidity and cost, and the majority of these
cases are preventable. So, training and educating oncology nurses
requires innovative approaches that overcome some of the
difficulties seen with traditional learning programs by allowing
flexibility in time, place, and pace as the online programs to
deliver education based on the best available evidence or best
practice, knowledge and best attitude for improving safety
handling of chemotherapy.
Aim of the study:
This study aimed to evaluate the effect of online educational
program versus traditional educational program on oncology
nurses’ performance and their satisfaction through the following:
Assessing of nurses’ knowledge, practice, attitude and their
satisfaction.
Planning and implementing online educational program
versus traditional educational program for nurses’
performance.
Evaluating online educational program versus traditional
educational program on oncology nurses’ performance and
their satisfaction
Research Hypothesis:
Summary
134
The current study hypothesized that:
1. The mean of total knowledge score of oncology nurses who
are exposed to online program will be higher than oncology
nurses who are exposed to traditional program.
2. The mean of total practice score of oncology nurses who are
exposed to online program will be higher than oncology
nurses who are exposed to traditional program.
3. The mean of attitude score of oncology nurses who are
exposed to online program will be higher than oncology
nurses who are exposed to traditional program.
4. The mean of total satisfaction score of oncology nurses who
are exposed to online program will be higher than oncology
nurses who are exposed to traditional program.
Research design:
A quasi-experimental design was utilized to achieve the aim
of the study.
Setting:
The study was conducted at the inpatient and outpatient
oncology Center, BMT unit, fifth and sixth medical oncology
departments at third floor that affiliated to Ain Shams University
Hospital, Cairo, Egypt.
Subjects:
A convenient sample of all available oncology nurses
included 80 nurses at the previously mentioned settings that
affiliated to Ain Shams University Hospital were divided into two
groups (traditional program group and online program group).
Study tools:
Summary
135
The tools used for this study were:
I- Assessment of self-administered Questionnaire sheet
An assessment questionnaire sheet was developed by the
researcher to assess oncology nurses’ knowledge in caring that
provided for oncology patients with CDs. It was included two
parts:
Part 1: It was used to assess demographic data of studied
oncology nurses.
Part 2: It includes five sections:
Oncology nurses’ knowledge regarding CDs.
Oncology nurses’ knowledge regarding PPE.
Oncology nurses’ knowledge regarding CDs
preparation.
Oncology nurses’ knowledge regarding CDs
administration.
Oncology nurses’ knowledge regarding CDs waste
management.
II-Nurses’ Observational Checklist:
It was developed by the researcher based on recent literature
review to assess oncology nurses‘ practice level regarding caring
of oncology patients undergoing CDs, and it was used pre-and
post-implementation of the education program. It composed of 4
following procedures:
Safe Preparation of Cancer Chemotherapy / Cytotoxic Drugs
Checklist.
Safe Handling & Disposal of Hazardous Drugs Checklist.
Intravenous IV Administration of Cancer Chemotherapy /
Cytotoxic Drugs via Intermittent Piggyback Infusion in a
Peripheral Vein Checklist.
Summary
136
Intravenous IV Administration of Cancer Chemotherapy /
Cytotoxic Drugs via CVAD checklist.
IV Direct Administration of Cancer Chemotherapy/Cytotoxic
Drugs via Peripheral Vein Checklist.
III- Nurses’ attitude questionnaire:
It was developed by the researcher based on recent literature
review. It was used to assess nurses’ attitudes towards the
importance of safe handling of CDs.
IV-Nurses’ satisfaction questionnaire:
This questionnaire developed by the researcher after he had
reviewed the related literatures. To assess the overall nurses’
satisfaction regarding the traditional face-to-face education
program and online education program. It consisted of four
sections and 24 items:
A. Scientific content of education program.
Educational environment.
Researcher (trainer).
Overall satisfaction.
Results of this study showed that:
The results revealed that, there were highly statistically
significant differences between the traditional group and online
group regarding post and follow up of the total level of
knowledge about the safe handling of chemotherapy (p<0.001), in
which the mean score of post and follow up tests was
34.3±5.39and 30.4±3.73 for oncology nurses in traditional group,
while it was 45.2±3.75 and 38.7±3.57for oncology nurses in
online group respectively.
The results displayed that, there were highly statistically
significant differences between the two studied groups regarding
post and follow up of the level of skills about the practice of safe
handling of chemotherapy during preparation & administration
Summary
137
(p<0.001), in which the total mean score of post and follow up
tests was 46.3±5.06 and 38.5±4.72 for oncology nurses in
traditional group, while it was 52.9±4.79 and 47±4.47 for
oncology nurses in online group respectively.
The results showed that, there were highly statistically
significant differences between the two studied groups regarding
post and follow up of the level of skills about the practice of safe
handling & Disposal of chemotherapy (p<0.001), in which the
total mean score of post and follow up tests was 40.4±4.07 and
33.6±3.75for oncology nurses in traditional group, while it was
47.8±3.18and 40.91±2.92for oncology nurses in online group
respectively.
In relation to demographic data, there has no statistically
significant relationship with oncology nurses in the traditional
and online groups as regards total level of knowledge and
practice scores before, post-program and follow up of program
implementation.
There was highly statistically significant positive correlation
between total satisfaction and online education program post
program implementation. While, there was only statistically
significant positive correlation between total satisfaction and
traditional face to face education program post program
implementation.
The study concluded that:
Implementation of the online and traditional educational
program had positive effect on improving oncology nurses’
performance and their satisfaction. Concerning the
implementation of online educational program method, there had
more positive effect on improving the oncology nurses’
knowledge and practice than traditional program method, and
there was highly statistically significant difference between the
two studied methods, but there were no statistically significant
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138
difference between two studied methods traditional and online
educational program regarding the oncology nurses’ attitudes
about the importance of chemotherapy safe handling. Concerning
the total online education satisfaction post program
implementation was highly statistically significant, but the total
traditional face to face education satisfaction post program
implementation was only statistically significant.
The current study recommended that:
Periodically online education program should be conducted
for all oncology nurses who are handling CDs to improve
knowledge and practice of safe handling measures and to
reduce the harmful effects of these drugs among oncology
nurses is considered of great importance.
Oncology nurses should be encouraged to attend online
scientific meetings and training program to gain updated
skills and knowledge about safe handling of CDs for
proper nursing services.
Increase oncology nurses’ awareness about policies and
procedures guidelines related to CDs safe handling.
Development of hard and soft copy of manual procedure
regarding safe handling of CDs that should be available in
each oncology word and on the internet hospital site as a
reference, and should be up to date periodically to suite
new trends of safe handling CDs.
Further researches are recommended to assess the factors
that affecting on the online education programs
implementation about safe handling and hazards prevention
of CDs.
Replication of the present study on a large sample
representing different hospital settings in Egypt in order to
generalize the results.