الفهرس 
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Abstract
Summary
Cancer is a series of pathological events over a period of many years, during which frequent changes occur through a number of stages due to many risk factors. early diagnosis of cancer is essential for effective treatment because every type of cancer requires a specific treatment regimen that encompasses one or more modalities of treatment. The goals of cancer treatment are to control the tumor progress and to improve patients’ quality of life.Many treatment options for cancer including; surgery, chemotherapy, radiation therapy, hormonal therapy and targeted therapy (Evans et al., 2020).
Chemotherapy is one of the most commonly prescribed cancer treatment modality, it may be given for a purpose of curative intent or to palliate symptoms, chemotherapeutic agents act by killing cells that are dividing rapidly as one of the main properties of the most cancer cells. Chemotherapy is the most widespread cancer treatment modality which is used to control cancer progress (Li et al., 2019).
There are many sorts of vascular access devices or lines which Healthcare team will decide what sort of line patient get supported the needs of the patient. Vascular access devices include intravascular devices inserted into peripheral veins, peripheral arterial devices, central venous catheters and Peripherally Inserted Central Catheters (PICC) (Nettina et al., 2018).
Nurses practicing vascular access care require the knowledge, skill, and judgment to manage Vascular Access Devices (VADs). Nursing management should be done on a regular basis to improve overall practice and patients outcomes (El-seadi et al., 2020).
The current study aimed to assess nurses’ performance regarding peripheral venous access care for preventing complications among patients undergoing chemotherapy.
Research Questions:
The current study answered the following questions:-
1. What is nurses’ level of knowledge regarding peripheral venous access care?
2. What is nurses’ level of practice regarding peripheral venous access care?
3. What is nurses’ level of attitude regarding peripheral venous access care?
Operational definition of Performance: it included nurses’ level of knowledge, practice and attitude.
Research design: A descriptive exploratory design was used to meet the aim of the study.
Setting:
The study was carried out in the Department of Oncology and Nuclear Medicine at Ain Shams University Hospital.
Subject:
A convenient sample of all available nurses working at the Department of oncology and Nuclear Medicine in the previously mentioned units and agreed to participate in the study, (33) nurses were recruited in this study.
Tools of the study:
Three tools were used to achieve the purpose of this study:-
Tool I: Nurse’s self-administered questionnaire
It was used to assess nurses’ knowledge about chemotherapy. It includes the followings parts.
Part 1: Concerned with demographic characteristics of the nurses under study as regards age, gender, qualifications, and clinical years of experiences, marital status and training courses.
Part 2: It was concerned with nurses’ knowledge regarding peripheral venous access care for preventing complications among patients undergoing chemotherapy: that included the following:
• First part: It was concerned with nurses’ knowledge regarding cancer.
• Second part: It was concerned with nurses’ knowledge regarding chemotherapy.
• Third part: It was concerned with nurses’ knowledge regarding peripheral venous access.
• Fourth part: It was concerned with nurses’ knowledge regarding complications of peripheral venous access.
• Fifth part: It was concerned with nurses’ knowledge regarding insertion of peripheral venous access.
• Six part: It was concerned with nurses’ knowledge regarding caring of peripheral venous access.
Tool II: Nurses’ practice Observational checklist (Appendix II):
It was used to assess nurses’ practice regarding peripheral venous access care for preventing complications among patients undergoing chemotherapy.
Tool III: Nurses’ attitude scale toward care of patients with peripheral venous access: it was used to assess nurses’ attitude regarding peripheral venous access care for preventing complications among patients undergoing chemotherapy.
Results
The current study showed that, 60.6% of the studied nurses had satisfactory level of knowledge about peripheral venous access care. While 39.4% of them had unsatisfactory knowledge.
Also 63.6% of nurses under study had positive attitude regarding peripheral venous access care. While 36.4% of them had negative attitude regarding peripheral venous access care.
Display that 54.5% of the studied nurses had satisfactory level of practice regarding peripheral venous access care. While that 45.5% of them had unsatisfactory level practice regarding peripheral venous access care.
There were highly statistically significant positive correlation between total score of knowledge, total score of practice and total score of attitude among studied nurses about peripheral venous access care for preventing complications among patients undergoing chemotherapy.
Conclusion
In the light of the current study findings, it can be concluded that:
Less than two thirds of the studied nurses had satisfactory level of knowledge about peripheral venous access care, more than half of them had satisfactory level practice. Also less than two thirds of them had positive attitude regarding peripheral venous access care. Moreover there were highly statistically significant positive correlation between total score of knowledge, total score of practice and total score of attitude among studied nurses about peripheral venous access with (p-value <0.001).
Recommendations
Based on the current study finding the following recommendations were proposed:
• Nurses should be encouraged to attend scientific meetings and conferences to gain up dated knowledge about chemotherapy administration for proper nursing services.
• Implementing an educational training program for nurses to update their knowledge and practice concerning safe administration of intravenous chemotherapy using updated manual procedure.
• Periodically and continuously, evaluation of nurses’ performance should be done to improve quality of their performance.
• Close supervision and monitoring is needed to ensure the quality of care delivered by nurses while applying, monitoring and removing peripheral vascular lines.
• Replication of the present study on a large sample representing different hospital settings in Egypt to figure out the main aspects of this problem and also in order to generalize the results.