Cardio-Oncologic Knowledge of Nurses in the Oncology Service: A Multi-Center Survey in China

Figures & data

Figure 1 Flow of questionnaire distribution.

Table 1 General Information Regarding the Tertiary Hospitals in Shanxi Province

Item	Quantities (Person)	Component Ratio (%)	Item	Quantities (Person)	Component Ratio (%)
Hospital level			Quarterly	44	5.9
Class III A	694	94.3	Half-yearly	41	5.6
Class III B	42	5.7	Yearly	19	2.6
Type of hospital			Non-scheduled	360	48.9
General hospital	731	99.3	Non-training	101	13.7
Specialized hospital	5	0.7	Undertake training of personnel
Oncology ward size			Head nurse	450	61.1
Oncology center	202	27.5	Doctor	300	40.8
Separate ward	464	63.0	Specialist oncology nurses	465	63.1
Medical group	70	9.5	Nurses take turns.	230	31.3
Oncology nursing specialty group			Training kits in department
Yes	401	54.5	Yes	499	67.8
No	150	20.4	No	237	32.2
Unclear	185	25.1	Package chemotherapy training materials in department
Quality checker of oncology patient care			Yes	515	70.0
Oncology Nursing Specialty Group	475	64.5	No	211	30.0
No team management	233	31.7	Oncology cardiology training kit in department
Other team management	28	3.8	Yes	311	42.3
Departmental training for cardio-oncology			No	425	57.7
Yes	395	53.7	Revision of systems and standards after training
No	341	46.3	Post-training revisions	286	38.9
Frequency of departmental training for cardio-oncology			Revised one year after training	18	2.4
Weekly	55	7.5	Revised with the Nursing Department’s revision schedule	357	48.5
Monthly	116	15.8	No revision	75	10.2

Table 2 General Information Regarding the Nurses in the Oncology Departments of Tertiary Hospitals in Shanxi Province

Item	Quantities (Person)	Component Ratio (%)	Item	Quantities (Person)	Component Ratio (%)
Gender			Chief nurse	6	0.8
Male	8	1.1	Working years in oncology department
Female	728	98.9	<1 year	208	28.3
Age			1–3 year	122	16.6
<25 years old	47	6.4	4–5 year	60	8.1
25–30 years old	209	28.4	6–10 year	147	19.9
31–35 years old	210	28.5	11–15 year	144	19.6
36–40 years old	157	21.3	>15 year	55	7.5
41–45 years old	58	7.9	Tumor knowledge meets the needs of work
46–50 years old	31	4.2	Yes	329	44.7
>50 years old	24	3.3	No	407	55.3
Professional title			Frequency of use of chemotherapy drugs
Nurse	111	15.1	Monthly infusion	78	10.6
Primary nurse	287	39.0	Weekly infusion	133	18.1
Nurse-in-charge	282	38.3	Daily infusion	525	71.3
Deputy director of the nurse	50	6.8

Table 3 Awareness Rate of Oncology Cardiology Knowledge Among the Nurses in the Oncology Departments at the Tertiary Hospitals in Shanxi Province

Item	Number of People Who Know/Person	Awareness Rate/%
Disease observation	0	0
1.Which of the following antineoplastic treatments do you think cause cardiotoxicity?	297	40.4
2.Which of the following drugs would you consider to have cardiotoxicity as a major side effect?	1	0.1
3.When do you think cardiotoxicity will occur?	92	12.5
4.What are the key observations of nurses regarding the use of cardiotoxic drugs?	30	4.1
Health guidance	29	3.9
1.What are the precautions for cardiotoxicity that nurses can implement?	329	44.7
2.What are the health guidelines for patients who may have heart disease with oncology?	52	7.1
Implementation of treatment	1	0.1
1.Which of the following antineoplastic therapies can be given directly intravenously?	1	0.1
2.Which of the following antineoplastic drugs requires rapid instillation (within half an hour)?	33	4.5
3.Which of the following antineoplastic drugs must be instilled within one hour?	40	5.4
4.Which of the following antineoplastic drugs should be given slowly (at least 3 h)?	1	0.1
Overall awareness	0	0

Table 4 Comparison of the Differences in the Awareness of Disease Observation, Health Guidance, and Implementation of Treatment

Item	Awareness		X^2 value	P value
	Number of People Who Know/%	Number of People Who Do Not Know/%
Disease observation	0(0)	736(100)	54.947^a	<0.001
Health guidance	29(2.9)	707(97.1)
Implementation of treatment	1(0.1)	735(99.9)

Note: ^aThe (0.0%) expected count of 0 cells is less than 5.

Table 5 Multiple-Comparison Analysis of the Awareness Rate of Disease Observation, Health Guidance, and Implementation of Treatment

Item	Awareness		Total	X^2 value	P value
	Number of People Who Know/%	Number of People Who Do Not Know/%
Disease observation	0(0)	736(100)	736	29.583^a	<0.001
Health guidance	29(2.9)	707(97.1)	736
Total	29	1443	1472
Disease observation	0(0)	736(100)	736	N/A^b	1
Implementation of treatment	1(0.1)	735(99.9)	736
Total	1	1471	1472
Health guidance	29(2.9)	707(97.1)	736	26.677^a	<0.001
Implementation of treatment	1(0.1)	735(99.9)	736
Total	30	1442	1472

Notes: ^aThe (0.0%) expected count of 0 cells is less than 5. ^bThe (50.0%) expected count of 2 cells is less than 1. The data were analyzed using Fisher exact probability test.

Table 6 Spearman Correlation Analysis Between the Awareness of Cardio-Oncology and General Hospital Information

Item	Awareness		Item	Awareness
	r value	P value		r value	P value
Hospital level	0.170	<0.001	Frequency of departmental training for cardio-oncology	0.001	0.998
Type of hospital	0.085	0.020	Undertake training of personnel	0.142	<0.001
Oncology ward size	−0.051	0.171	Training kits in department	0.092	0.013
Oncology nursing specialty group	0.433	<0.001	Package chemotherapy training materials in department	0.084	0.023
Quality checker of oncology patient care	0.030	0.415	Oncology cardiology training kit in department	0.109	0.003
Departmental training for cardio-oncology	0.247	<0.001	Revision of systems and standards after training	0.007	0.845

Table 7 Spearman Correlation Analysis Between the Awareness of Cardio-Oncologic Knowledge and the General Information of Nurses

Item	Awareness		Item	Awareness
	r value	P value		r value	P value
Gender	0.014	0.704	Working years in oncology department	0.663	<0.001
Age	−0.067	0.070	Tumor knowledge meets the needs of work	−0.022	0.550
Professional title	−0.012	0.751	Frequency of use of chemotherapy drugs	0.382	<0.001