The nurse's role in managing chemotherapy-induced nausea and vomiting

Krishnasamy, Meinir, Kwok-Wei So, Winnie, Yates, Patsy, de Calvo, Luz Esperanza Ayala, Annab, Rachid, Wisniewski, Tami, & Aranda, Sanchia (2014) The nurse's role in managing chemotherapy-induced nausea and vomiting. Cancer Nursing, 37(4), E27-E35.

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Nurses play a substantial role in the prevention and management of chemotherapy-induced nausea and vomiting (CINV).


This study set out to describe nurses’ roles in the prevention and management of CINV and to identify any gaps that exist across countries.


A self-reported survey was completed by 458 registered nurses who administered chemotherapy to cancer patients in Australia, China, Hong Kong, and 9 Latin American countries.


More than one-third of participants regarded their own knowledge of CINV as fair to poor. Most participants (>65%) agreed that chemotherapy-induced nausea and chemotherapy-induced vomiting should be considered separately (79%), but only 35% were confident in their ability to manage chemotherapy-induced nausea (53%) or chemotherapy-induced vomiting (59%). Only one-fifth reported frequent use of a standardized CINV assessment tool and only a quarter used international clinical guidelines to manage CINV.


Participants perceived their own knowledge of CINV management to be insufficient. They recognized the need to develop and use a standardized CINV assessment tool and the importance of adopting international guidelines to inform the management of CINV.

Implications for Practice:

Findings indicate that international guidelines should be made available to nurses in clinically relevant and easily accessible formats, that a review of chemotherapy assessment tools should be undertaken to identify reliable and valid measures amenable to use in a clinical settings, and that a CINV risk screening tool should be developed as a prompt for nurses to enable timely identification of and intervention for patients at high risk of CINV.

Impact and interest:

4 citations in Scopus
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3 citations in Web of Science®

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ID Code: 74294
Item Type: Journal Article
Refereed: Yes
Keywords: cancer, chemotherapy-induced nausea and vomiting, education, nurses
DOI: 10.1097/NCC.0b013e3182a3534a
ISSN: 1538-9804
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Nursing
Copyright Owner: Copyright 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins
Deposited On: 30 Jul 2014 23:35
Last Modified: 01 Aug 2015 14:01

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