Effect of an Educational Program about Blood Transfusion on Nurses' Practices at Intensive Care Unit

Document Type : Original Article

Authors

1 faculty of nursing por said university

2 Professor of Medical-Surgical Nursing, Faculty of Nursing, Ain Shams University

3 Professor of medical surgical Nursing, Faculty of Nursing, Port Saied University

4 Assistant Professor of Medical-Surgical Nursing, Faculty of Nursing, Port Said University

10.21608/pssjn.2024.232142.1288

Abstract

Background: For imple­menting the blood transfusion safely, it is very important for health institutions to adopt national transfusion programs and establish blood transfusion protocols because of many hospital transfusion protocols and related nursing competencies have been based on traditions and assumptions than on scientific evidence based. Aim: The study aimed to determine the effect of an educational program about blood transfusion on nurses' practices at intensive care units. Study design: A quasi-experimental study design was utilized in this study. Setting: This study was carried out in the Intensive Care Units of six hospitals affiliated with Egypt Health Care Authority in Port Said Gavernerate. Subjects : A purposive sample technique was used to select 108 nurses at the intensive care units were included. Tools: one tool was used for the collection of data, Nurses' Observational Checklis. Results: The study findings revealed that practice among the majority of studied nurses were satisfactory and improved significantly post- educational program and during follow up period compared to control group. There is a highly positive statistically significant relationship between nurses' practices and demographic data (educational level) at p ≤ 0.001. Conclusion: The current study concluded that the educational program implementation about blood transfusion had a positive effect on improving nurses' practices at intensive care units. Recommendation: Conduct similar studies in different settings and with different populations to enhance the generalizability of the findings. Also, scientific guidelines, posters, and written instructions about blood transfusion in intensive care units and to be included in the procedures.

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Abd Elhy, A.H. & Kasemy, Z.A, (2017). Nurses' knowledge assessment regarding blood transfusion to ensure patient safety. Journal of Nursing and Health Science; 6(2): pp.104-111. ISSN: 2320–1940.
Abolwafa, N. F, Mohamed, H. A. & Hossein, E. Y. (2018). Improving the quality of nursing care among school-age children with thalassemia major as regards blood transfusion. IOSR Journal of Nursing and Health Science (IOSR-JNHS); 7(5): pp.79- 89. ISSN: 2320–1940. Available at: www.iosrjournals.org
Adila, M., Rooman, N., Ali, A., & Safdar, D. (2018). Practice of Blood Transfusion among Nurses in Public Tertiary Care Hospitals. Saudi Journal of Nursing and Health Care, 7921, 184– 189.
Aghajani, M., Ajorpaz, N.M., Mohammadi, S., &Mohammadi, A. (2019). Designing Multi-media learning software (MLS), Effects on surgical technology students’ knowledge, attitude and practice. Life Science Journal.;10(SPL. IS):7–11.
Ahmed, R. (2019). Effects of Intervention Training Module Regarding Hospital Nurse's Preparedness for Patient's Blood Transfusion. 102-116.
Amer, B. (2020). Assessment of Nurses' Performance Regarding to Children Suffering from Gillian Barre Syndrome Undergoing Plasma Pharesis. Unpublished Master Thesis, Helwan Uni. Fac. Nursing, P.p. 69-71.
Bielby, L., Peterson, D., & Spigiel, T. (2018). Transfusion Education for Nurses and Transfusion Practitioners in Australia. International Society of Blood Transfusion.
Ddungu, H., Krantz, E. M., Phipps, W., Naluzze, S., Orem, J., Kiwanuka, N., ... & Kajja, I. (2018). Survey to assess knowledge and reported practices regarding blood transfusion among cancer physicians in Uganda. Journal of Global Oncology, 4, 1-12.
Dey, A. &  Singhn, A. (2016).Transfusion transmitted leishmaniasis a case report and review of literature” Indian Journal med Microbial . july.24(3):165-70
Elkattan, B. (2013). Impact of training program regarding for neurological patients in coma upon nurses' performance. Doctoral Thesis in Nursing Science, faculty of Nursing, Ain Shams University; p.120.
Encan, B. & Akin, S. (2019). Knowledge of Blood Transfusion Among Nurses. Journal of Continuing Education in Nursing, 50 (4), 176-177. DOI: 10.3928/00220124-20190319-08
Freixo, A., Matos, I., Leite, A., Silva, A., Bischoff, F., Carvalho, M., ... & Araújo, F. (2017). Nurses knowledge in Transfusion Medicine in a Portuguese university hospital: the impact of an education. Blood Transfusion, 15(1), 49.
Harmening, D. (2019). Modern blood banking & transfusion practices, (7th ed.). Philadelphia: F.A. Davis Company, pp.373-377.
Hijji, B., Parahoo, K., Hossain, M., & Murray, S. (2018). Nurses’ practice of blood transfusion in the United Arab Emirates: an observational study. Journal of Clinical Nursing;19 (23-24): 3347- 3357.
Hsieh, P. L., Chen, S. H., & Chang, L. C. (2018). School nurses’ perceptions, knowledge, and related factors associated with evidence-based practice in Taiwan. International journal of environmental research and public health, 15(9), 1845
Illingworth, J., & Gray, A. (2013). Right blood, right patient, right time: RCN guidance for improving transfusion practice. Royal College of Nursing, London W1G 0RN; pp.3-16. ISBN: 978-1-908782-41-0.
Islami, M. (2018). The impact of an educational program on blood and blood products transfusion on nurses’ level of knowledge and performance. Journal of Medicine and Life; 11(3):pp.238–242.
IslamiVaghar, M. (2018). The Impact of an Educational Program on Blood and Blood Products Transfusion on Nurses' Level of Knowledge and Performance. Journal of medicine and life, 11(3), 238-242. doi:10.25122/jml-2018-0016
Kabinda, J.M, Miyanga, S.A, Donnen, P., den Ende, J.V. & Dramaix, M.W. (2014). Knowledge, attitudes and practices of medical and paramedical staff in blood transfusion in the Democratic Republic of Congo. Open Journal of Preventive Medicine; 4(3): pp.672-680.
Kavaklioglu, A. B., Dagci, S. & Oren, B. (2017). Determination of health workers’ level of knowledge about blood transfusion. North Clin Istanbul; 4(2): pp.165–172. DOI:10.14744/nci.2017.41275
Khalaf, S.M, Abd El Sadik, B.R. & Bayoumi, M.H. (2017). Effect of training program on nurses' competent practices towards children receiving blood transfusion. Journal of Nursing and Health Science; 6(2): pp.54-66. DOI: 10.9790/1959- 0602055466. Available at: www.iosrjournals.org.
Khalil, S.S., Mohammad, Z.A., Ez el-deen, M.E. & Ahmed, N.M. (2013). Impact of implementing a designed nursing intervention protocol on nurses' knowledge and practice regarding patients undergoing blood transfusion. Med. J. Cairo University; 81(2): pp. 163-171.
Krejcie, R. V., and Morgan, D. W. (1970). Determining Sample Size for Research Activities. Educational and psychological measurement, 30(3), 607-610. doi: 10.1177/001316447003000308.
Lee, E., Rahim, N. & Tuan Din, S. (2016). Knowledge of blood transfusion among nurses at hospital pulau pinang: nursing responsibilities and patient management related to transfusion reactions. Education in Medicine Journal; 8(4): pp.47–56.
Lynn, P. (2015). Taylor's Handbook of Clinical Nursing Skills, (2nd ed.). China : Wolters Kluwer, P.p.135-141.
Miao, W. (2019). Understanding the Nursing Practices and Perspectives of Premedication and Transfusion Reaction Reporting: A Qualitative Description Study.
Michael, F. M., Charles, A. V. & Rachel, E.D. (2020). Blood transfusion safety: The potential of the patient.12-23.
Nemati, F., Maali, A., Ahmadi, M.H., Poorkarim, H., Rahmani, H., Tabatabaei, Z.S. & Azad, M. (2019). The Study of Nurses Knowledge and Performance Quality of Qazvin Hospitals about the Process of Blood Transfusion. Adv. Nurs. Midwifery, 28, 14–18.
Nettina, S. (2018). Lippincott Manual of Nursing Practice,(11th ed.). Philadelphia: Wolters Kluwer, P.p. 1277-1287.
Palmer, A. (2015). Blood Transfusion error prevention: Nurses’ role. American Society of Registered Nurses. Journal of Nursing; 2(3):pp.123-129.
Panch, S.R., Montemayor-Garcia, C., &Klein, H.G. (2019). Hemolytic transfusion reactions. N. Engl. J. Med. 2019, 381, 150–162.
Panchawagh, S.J., Melinkeri, S., Panchawagh, M. J.& Transfusion, B. (2020). Assessment of Knowledge and Practice of Blood Transfusion Among Nurses in a Tertiary Care Hospital in India. 1-6. Pavenski, K., Stanworth, S., Fung, M., Wood, E. M., Pink, J., Murphy, M. F., ... & Shehata, N. (2018). Quality of evidence-based guidelines for transfusion of red blood cells and plasma: a systematic review. Transfusion Medicine Reviews, 32(3), 135-143.
Perry, A. & Potter, P. (2019). Mosby’s pocket guide to nursing skills and procedures, (9th ed.).China: Elsevier Publisher, P.p. 36-37.
Reis, V. N. d., Paixão, I.B., Perrone, A. C., Monteiro, M.I. & Santos, K. B. d. J. E. (2016). Transfusion monitoring: care practice analysis in a public teaching hospital. Einstein (São Paulo), 14(1), 41-46.
Reza, P., Aziz, S., Ali, M., Marjan, M. & Reza, T. (2019). Evaluation of knowledge of healthcare workers in hospitals of Zabol city on proper methods of blood and components transfusion. Asian Journal of Transfusion Science; 3(2): pp.78–81.
Saad, N.H., Mohd, N.H., Ramli, M., & Hasan, M.N. (2016). Knowledge on the complications related to blood transfusion among nurses in HUSM, 15th Annual Scientific Meeting, College of Pathologists, Academy of Medicine Malaysia, Hotel Pullman, Putrajaya.
 Sapkota, A., Poudel, S., Sedhain, A., & Khatiwada, N. J. J. o. b. t. (2018). Blood Transfusion Practice among Healthcare Personnel in Nepal: An Observational Study. 2018.
SHOT, Serious Hazards of Tansfusion. (2018). SHOT Report 2018 / SHOT-Report-2016_web_11th-July.
Smith, A., Gray, A., Atherton, I., Pirie, E.,&Jepson, R. (2017). Does time matter? An investigation of knowledge and attitudes following blood transfusion training. Nurse Educ Pract [serial on the Internet]. Jun 18];14(2):176-182. Available from: doi: http://dx.doi. org/10.1016/j.nepr..08.016
Tavares, J.L, Barichello, E., De Mattia, A., & Barbosa, M.H. (2015). Factors associated with knowledge of the nursing staff at a teaching hospital on blood transfusion. Rev. Latino-Am. Enfermagem; 23(4): pp.595-602, DOI: 10.1590/0104- 1169.0024.2593.
Tavares, J.L., Barichello, E., Mattia, A. L. D.,& Barbosa, M. H. (2015). Factors associated with knowledge of the nursing staff at a teaching hospital on blood transfusion. 23(4), 595-602.
World Health Organization. (2020). Universal Access to Safe Blood Transfusion. 2008. Available online: https://apps.who.int/iris/ bitstream/handle/10665/69747/WHO_EHT_08.03_eng.pdf (accessed on 12 October 2020).
Yousefian, N., Nikbakht, R., Fazeli, K., Nootizehi, A., Salehinia, H., Yaghoobi, M.,& Hasanzadeh Sooreh, B. (2015). Awareness of health care staff in hospitals of Zahedan about blood transfusion. Scientific Journal of Iran Blood Transfus Organ, 11(1), 71-76.