Assessment of Nurses' Knowledge Regarding Safe Blood Transfusion Protocols in Diverse Tertiary Healthcare Settings
DOI:
https://doi.org/10.31580/pjmls.v7isp2.3166Keywords:
Blood transfusion, Nursing practices, Patient safety, Transfusion practices, Nursing educationAbstract
Blood transfusion it is one of the important medical services that need full and extensive understanding and mastery among the nursing profession to avoid the adverse effects on the patients who undergo transfusion. The lack of information nursing deepens the gap among nurses and impairs the improvement of the nursing environment as well as a negative impact on the outcomes of patients. To assess the effectiveness of educational interventions regarding aspects of blood transfusion among nurses working in three major public and private hospitals in Pakistan to identify directions for the optimization of educational interventions aimed at improving transfusion safety. Following Study Permission from Head of Department to collect study data, this exploratory quantitative research design in the form of cross-sectional survey was employed among 180 registered nurses working at Farooq hospital Lahore, Akhter Saeed Trust Hospital Lahore and Civil Hospital, Hyderabad. Information was obtained from a self-administered blood transfusion knowledge questionnaire comprising demographic information and transfusion related questions from existing scale validated for use. Descriptive analysis using SPSS version 25 was used to determine means, percent and frequencies of samples. The respondents were 67.20% females and 45.55% fell in the age group of 31–40 years. The percentage of correct knowledge shown by majority of them: 89.3% knew correct usage of the blood transport box, 90.77% knew that the first step is to verify the bag labels and request forms for blood collection. Nevertheless, there was knowledge at moderate level overall and still much need in the areas of training and education. Few knowledge gaps in regards transfusion were observed within the nurses at the tertiary care hospital but education disparity was relatively significant.
References
Obeagu EI, Obeagu GU. The Role of Blood Transfusion Strategies in HIV Management: Current Insights and Future Directions. Elite Journal of Medicine. 2024;2(1):10-22.
Riaz M, Abbas M, Rasool G, Baig IS, Mahmood Z, Munir N, Mahmood Tahir I, Ali Shah SM, Akram M. Prevalence of transfusion-transmitted infections in multiple blood transfusion-dependent thalassemic patients in Asia: A systemic review. International Journal of Immunopathology and Pharmacology. 2022;36:03946320221096909.
Obeagu EI, Obeagu GU. Advances in Understanding the Impact of Blood Transfusion on Anemia Resolution in HIV-Positive Children with Severe Malaria: A Comprehensive Review. Elite Journal of Haematology. 2024;2(1):26-41.
Lin SY, Chang YL, Yeh HC, Lin CL, Kao CH. Blood transfusion and risk of venous thromboembolism: a population-based cohort study. Thrombosis and Haemostasis. 2020;120(01):156-67.
Hofmann A, Shander A, Blumberg N, Hamdorf JM, Isbister JP, Gross I. Patient blood management: improving outcomes for millions while saving billions. what is holding it up?. Anesthesia & Analgesia. 2022;135(3):511-23.
Bisbe E, Garcia-Casanovas A, Illa C, Varela J, Basora M, Barquero M, Colomina MJ, Gonzalez L, Hofmann A, MAPBM Working Group. Maturity Assessment model for Patient Blood Management to assist hospitals in improving patients’ safety and outcomes. The MAPBM project. Blood Transfusion. 2020;19(3):205.
Mammen JJ, Asirvatham ES, Sarman CJ, Ranjan V, Charles B. A review of legal, regulatory, and policy aspects of blood transfusion services in India: Issues, challenges, and opportunities. Asian Journal of Transfusion Science. 2021;15(2):204-11.
Valentine SL, Cholette JM, Goobie SM. Transfusion strategies for hemostatic blood products in critically ill children: a narrative review and update on expert consensus guidelines. Anesthesia & Analgesia. 2022;135(3):545-57.
Ackfeld T, Schmutz T, Guechi Y, Le Terrier C. Blood transfusion reactions—a comprehensive review of the literature including a swiss perspective. Journal of Clinical Medicine. 2022;11(10):2859.
Bayoumi OR, El-Nagger NS. Effectiveness of implementing evidence based practices guidelines regarding blood transfusion on quality of nursing care and patients’ safety in Pediatric Units. Journal of Nursing Education and Practice. 2020;10(10):33-45.
Tuo Y, Li Y, Li Y, Ma J, Yang X, Wu S, Jin J, He Z. Global, regional, and national burden of thalassemia, 1990–2021: a systematic analysis for the global burden of disease study 2021. Eclinicalmedicine. 2024;72.
Garraud O, Charlier P, Tissot JD. Blood, perceptions, resource and ownership: When transfusion illustrates the complexity. Transfusion Clinique et Biologique. 2020;27(2):91-5.
Soliman HM, Elhapashy HM. Nurses' Competence in Safety Blood Transfusion: The Impact of a Training Module. International Journal of Nursing Education. 2021;13(3).
Gammon RR, Almozain N, Jindal A, Nair AR, Vasovic LV, Bocquet C. Patient blood management, past, present and future. Annals of Blood. 2024;9.
Mohd Noor NH, Saad NH, Khan M, Hassan MN, Ramli M, Bahar R, Mohamed Yusoff S, Iberahim S, Wan Ab Rahman WS, Zulkafli Z, Islam MA. Blood transfusion knowledge among nurses in Malaysia: a university hospital experience. International Journal of Environmental Research and Public Health. 2021;18(21):11194.
Rakhi GA, Mudgal SK, Suyal N, Sharma SK, Agarwal R, Ritu RA, Jitender C. Nurses and nursing students' knowledge regarding blood transfusion: A comparative cross-sectional study. Journal of Integrative Nursing. 2022;4(3):137-44.
Romem A, Rozani V. Gender-related differences in the scope of nursing practice: evidence from a cross-sectional study in geriatric healthcare settings. BMC nursing. 2024;23(1):852.
Sefatbaqa S, JafarianAmiri SR, Zabihi A, Pourdad P, Arzani A. Performance of nurses in neonatal intensive care unit regarding transfusion of blood and blood products. Evidence Based Care. 2020;10(3):7-14.
Halford B, Pinheiro A, Haspel RL. Hospital medicine providers’ transfusion knowledge: a survey study. Transfusion Medicine Reviews. 2021;35(2):140-5.
Bayoumi OR, El-Nagger NS. Effectiveness of implementing evidence based practices guidelines regarding blood transfusion on quality of nursing care and patients’ safety in Pediatric Units. Journal of Nursing Education and Practice. 2020;10(10):33-45.
Yao CY, Chien JH, Chuang HY, Ho TF. Associated factors with acute transfusion reaction from hospital online reporting events: a retrospective cohort study. Journal of Patient Safety. 2020;16(4):e303-9.
Salamea-Molina JC, Himmler AN, Valencia-Angel LI, Ordoñez CA, Parra MW, Caicedo Y, Guzmán-Rodríguez M, Orlas C, Granados M, Macia C, García A. Whole blood for blood loss: hemostatic resuscitation in damage control. Colombia Médica. 2020;51(4).
Yiadom AK, Opoku A, Oppong AA, Druye AA, Mensah ON. Knowledge and Practice of Blood Transfusion by Nurses at Komfo Anokye Teaching Hospital, Kumasi, Ghana. Asian Journal of Research in Nursing and Health. 2021;4(4):170-85.
Ota Y, Aikawa G, Nishimura A, Kawashima T, Imanaka R, Sakuramoto H. Effects of educational methods using extended reality on pre-registration nursing students' knowledge, skill, confidence, and satisfaction: A systematic review and meta-analysis. Nurse Education Today. 2024:106313.
Edea G, Tiki T, Oljira H, Megersa Y. Assessment of knowledge of blood transfusion and its associated factors among nurses and midwives at public hospitals in Ethiopia: Cross-sectional study. Heliyon. 2024 ;10(18).
Louw VJ, Barrett CL, Rambiritch V. The Importance of Educational Environment and Climate in Transfusion Medicine Education. InClinical Use of Blood: A Different Approach Cham: Springer Nature Switzerland. 2024:1-16.
Won YY. Development and Evaluation of Nurse Leader Directed-Blood Transfusion Reference Guide for Bedside Nurses in Medical-Surgical/Oncology Unit (Doctoral dissertation, Wilmington University (Delaware). 2024.
Brown M, Brown C. Improving nurses' blood transfusion knowledge and skills. British Journal of Nursing. 2023;32(11):522-5.
Balafas S, Gagliano V, Di Serio C, Guidugli GA, Saporito A, Gabutti L, Ferrari P. Differential impact of transfusion guidelines on blood transfusion practices within a health network. Scientific Reports. 2023;13(1):6264.
Musyoka LN. Assessment of Blood and Blood Components Transfusion Practices and Challenges Experienced by Healthcare Workers in the Medical Wards at Kenyatta National Hospital (Doctoral dissertation, Uon). 2021.
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