As indicated by Cancer Research UK, 28% of malignancy patients get chemotherapy therapy, which is around 102,760 individuals each year in the UK [1,2]. The most well-known sort of chemotherapy is organization of the medications straightforwardly into the patient’s vein (intravenous chemotherapy) and this is normally completed in a clinic by a chemotherapy nurture [3,4]. While chemotherapy can be a day to day existence saving treatment, the medications are cytotoxic thus should be directed accurately. Augmented Reality (VR) has been demonstrated to be a helpful device to give exhaustive preparing on safe chemotherapy drug conveyance [5].
The medications conveyed in chemotherapy target cells as they partition, and as carcinogenic cells partition considerably more frequently than ordinary body cells, chemotherapy medications can target tumors to kill these quickly separating cells [6]. Albeit the point of chemotherapy is to just objective disease cells, sound body cells can in any case be harmed or killed by the treatment, particularly those that partition quickly. These remember cells for bone marrow, hair follicles, skin, and the covering of your stomach related plot, so the symptoms of chemotherapy are normal and very extreme [6]. As the medications utilized are cytotoxic, they can be very risky in the event that they are managed inaccurately and can draw out the length of the patient’s clinic stay, cause irreversible genuine injury, or even passing [5,7]. In any case, it has been shown that right rules adherence in blend with compelling correspondence between medical care experts can forestall most medicine blunders [8]. In any case, ill-advised chemotherapy organization doesn’t simply influence the patient, it can likewise hurt the clinical staff part controlling the medication [9]. A few United States and European investigations demonstrate that oncology medical caretakers regulating chemotherapy drugs experience side effects, like balding and a curiously high pace of unnatural birth cycle, which is probably going to be the consequence of openness to these cytotoxic medications [10].
To improve the norm of security of clinical staff doing chemotherapy organization, in 2013 the World Health Organization and the Pan Health Organization delivered a working rule named ‘Safe Handling of Hazardous Chemotherapy Drugs in Limited‐Resource Settings’ [11]. Nonetheless, a recent report showed that these rules were frequently not followed. For instance, just 85% of respondents announced that they generally wore single chemotherapy gloves, and twofold gloves were purportedly consistently worn by under 20% of respondents, despite the fact that twofold gloves are suggested [13].
Because of the danger of damage to patients and attendants from inappropriate chemotherapy drug organization, it is critical that clinical staff are appropriately prepared on safe use of this medicine. Numerous creative showing techniques, for example, recordings and activitys could give nursing understudies more intensive preparing on safe medication conveyance and make chemotherapy organization less hazardous [5]. VR could be a helpful instrument to give fitting preparing of the dangers and permit staff to acquire virtual experience prior to doing medicate organization to individuals with malignancy. On the side of this, in a new randomized controlled preliminary the viability of VR educating of chemotherapy was contrasted with standard chemotherapy preparing. The creators of the examination planned VR exercises that were conveyed to nursing understudies in a one-week practice meeting, determined to give virtual preparing and improving their trust in the dealing with and conveyance of chemotherapeutic medications. The information on the understudies who were encouraged utilizing the VR program, who had encountered real‐world reenactments, was fundamentally expanded contrasted and the individuals who just read the standard instruction records [5]. This examination has accordingly shown that clinical nursing data in blend with VR encounters, can streamline chemotherapy treatment preparing.
Generally speaking, VR has been demonstrated to be a powerful preparing instrument in different clinical examinations, remembering for right chemotherapy organization instruction [5,13,14,15]. Obviously there is a part for VR programming notwithstanding the typical showing strategies and, significantly, it gives nursing understudies virtual clinical experience. By showing clinical staff how to manage chemotherapy drugs utilizing VR, it gives more secure, all the more balanced instructing encounters that can improve care, and it can even save lives.
Bibliography:
[1] Cancer Research UK. 2021. Cancer treatment statistics. [online] Available at: <https://www.cancerresearchuk.org/health-professional/cancer-statistics/treatment>
[2] Cancer Research UK. 2021. Cancer Statistics for the UK. [online] Available at: <https://www.cancerresearchuk.org/health-professional/cancer-statistics-for-the-uk>
[3] nhs.uk. 2021. Chemotherapy. [online] Available at: <https://www.nhs.uk/conditions/chemotherapy/>
[4] Macmillan.org.uk. 2021. How is chemotherapy administered? Day units, hospital, home. [online] Available at: <https://www.macmillan.org.uk/cancer-information-and-support/treatment/types-of-treatment/chemotherapy/how-chemotherapy-is-given>
[5] Chan, H., Chang, H. and Huang, T., 2021. Virtual reality teaching in chemotherapy administration: Randomised controlled trial. Journal of Clinical Nursing, [online] Available at: <https://onlinelibrary.wiley.com/doi/full/10.1111/jocn.15701?saml_referrer>
[6] Cancerresearchuk.org. 2021. How chemotherapy works | Cancer in general | Cancer Research UK. [online] Available at: <https://www.cancerresearchuk.org/about-cancer/cancer-in-general/treatment/chemotherapy/how-chemotherapy-works>
[7] Chotsampancharoen, T., Sripornsawan, P. and Wongchanchailert, M., 2015. Two Fatal Cases of Accidental Intrathecal Vincristine Administration: Learning from Death Events. Chemotherapy, [online] 61(2), pp.108-110. Available at: <https://pubmed.ncbi.nlm.nih.gov/26636546/>
[8] Coyne, E., Northfield, S., Ash, K. and Brown-West, L., 2019. Current evidence of education and safety requirements for the nursing administration of chemotherapy: An integrative review. European Journal of Oncology Nursing, [online] 41, pp.24-32. Available at: <https://www.sciencedirect.com/science/article/pii/S1462388919300493>
[9] Bnf.nice.org.uk. 2021. Cytotoxic drugs | Treatment summary | BNF content published by NICE. [online] Available at: <https://bnf.nice.org.uk/treatment-summary/cytotoxic-drugs.html>
[10] Mindmetreresearch.com. 2017. MindMetre Oncology Nurse Protection Report. [online] Available at: <http://www.mindmetreresearch.com/wp-content/uploads/2017/06/MindMetre-Oncology-Nurse-Protection-Report-February-2017.pdf>
[11] Iris.paho.org. 2013. Safe Handling of Hazardous Chemotherapy Drugs in Limited-Resource Settings. [online] Available at: <https://iris.paho.org/bitstream/handle/10665.2/28554/9789275118016-eng.pdf>
[12] Boiano, J., Steege, A. and Sweeney, M., 2014. Adherence to Safe Handling Guidelines by Health Care Workers Who Administer Antineoplastic Drugs. Journal of Occupational and Environmental Hygiene, [online] 11(11), pp.728-740. Available at: <https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4568815/>
[13] Gunn, T., Jones, L., Bridge, P., Rowntree, P. and Nissen, L., 2017. The use of virtual reality simulation to improve technical skill in the undergraduate medical imaging student. Interactive Learning Environments, [online] 26(5), pp.613-620. Available at: <https://www.tandfonline.com/doi/abs/10.1080/10494820.2017.1374981>
[14] Dascal, J., Reid, M., IsHak, W. W., Spiegel, B., Recacho, J., Rosen, B., & Danovitch, I., 2017. Virtual Reality and Medical Inpatients: A Systematic Review of Randomized, Controlled Trials. Innovations in clinical neuroscience, [online] 14(1-2), 14–21. Available at: <https://pubmed.ncbi.nlm.nih.gov/28386517/>
[15] Hanson, J., Andersen, P. and Dunn, P., 2019. Effectiveness of three-dimensional visualisation on undergraduate nursing and midwifery students’ knowledge and achievement in pharmacology: A mixed methods study. Nurse Education Today, [online] 81, pp.19-25. Available at: <https://pubmed.ncbi.nlm.nih.gov/31306850/>
