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Critique of an Article on Adherence to PPE and OSHA Guidelines among Oncology Nurses

   

Added on  2023-06-03

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Running head: CRITIQUE OF AN ARTICLE 1
Critique of an Article
Name
Institution
Critique of an Article on Adherence to PPE and OSHA Guidelines among Oncology Nurses_1

CRITIQUE OF AN ARTICLE 2
Critique of an Article
Introduction
Nurses play a central role in administering hazardous medications such as chemotherapy.
According to Stockwell (2015), such interventional measures expose caregivers to occupational
exposure risks. Aapro, Clemons, Schwartzberg and Warr (2018) explain that physicians that
avail chemotherapy as a remedy among their patients are more likely to reveal cancer
occurrences compared to their counterparts who are not exposed to such remedies. On the other
hand, nurses working in these environments end to reveal chromosomal destructions, infertility,
allergic reactions, dermatitis and miscarriages (Colvin, Karius, Albert, 2016). To date
stakeholders working in these settings are met with controversies in balancing between fostering
a working relationship that instills higher levels of safety and availing high quality patient care
that prevents them from the procedural dangers associated with exposure to the risks associated
with chemotherapy.
While administrative organs such as the U.S. Department of Labor Occupational Safety
and Health Administration (OSHA) have come up with effective measures of limiting such
dangers through advancement of policy guidelines aimed at helping caregivers administering
chemotherapy and handling patients in need of this remedy, issues such as poor regulation in the
processes of implementing and reduced levels of adherence to the guidelines set by OSHA act as
key impediments to effective adoption of safe working environments. While the National
Institute for Occupational Safety and Health (NIOSH) makes it a requirement that physicians
offering this remedy must uphold personal protective equipment (PPE) through adoption of a
safe dressing code, multiple concerns have been raised on the efficacy of these strategies. As a
consequence, the current study seeks to present a critical article review of pilot quality
Critique of an Article on Adherence to PPE and OSHA Guidelines among Oncology Nurses_2

CRITIQUE OF AN ARTICLE 3
advancements and the extents to which the proposed guidelines have been adopted in medical
settings by analyzing nurses’ adherence to PPE and OSHA guidelines.
Research question
The article under review seeks to establish the extents to which caregivers offering
chemotherapy have adhered to the regulatory and safety frameworks set by PPE, OSHA and
NIOSH in actual clinical settings. The pilot study audits the effectiveness of the institutionally
set screens in fostering the adoption of the recommended frameworks in reducing the caregivers’
risks of exposure to hazards. Based on the observations made, caregivers are still faced with
multiple gaps in their efforts of adopting the guidelines and policy frameworks set by OSHA,
PPE and NIOSH to offer guidance on the most effective ways of avoiding the dangers associated
with the administration of chemotherapy. I would attribute such a position to issues such as
complacency on the side of caregivers, shrinking population of caregivers, an increase in
workload and lack of institutional support aimed at creating a suitable environment for the
implementation of the set policy frameworks.
Research design
The study adopts prospective and comparative mixed methods design to foster the
analysis of the levels of inception of the standards and safety measures put in place by OSHA
NIOSH and PPE. Creswell and Creswell (2015) describe a research design as a framework
applied with the aim of guiding how a study is planned, analyzed and implemented. According to
McCusker and Gunaydin (2015), prospective and comparative mixed methods design is highly
influential in fostering the examination of the effectiveness of institutions in implementing
policies. On the other hand, Gorter et al. (2015) explain that prospective designs seek to evaluate
Critique of an Article on Adherence to PPE and OSHA Guidelines among Oncology Nurses_3

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