Involvement of transfusion unit staff in the informed consent process

Furumaki, Hiroaki; Fujihara, Harumi; Yamada, Chiaki; Watanabe, Hiroko; Shibata, Hiroki; Kaneko, Makoto; Nagai, Seiya; Ishizuka, Keiko; Tsuzuki, M; Adachi, Miwa; Takeshita, Akira

doi:10.1016/j.transci.2015.12.002

Cited by 6 publications

(5 citation statements)

References 18 publications

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“…Chan et al [6] reported on the success of a standardized video in improving consumers' own perceived knowledge of transfusion, but it did not significantly improve their levels of comfort in receiving a transfusion. However, Furumaki [14] showed improved sense of ease when an additional discussion about transfusion was provided by a transfusion technician. Our study identified human interaction to create trust as a factor that consumers felt created comfort in the transfusion process.…”

Section: Discussionmentioning

confidence: 99%

Perceptions on consumer information in transfusion. A qualitative study of consumers and prescribers

et al. 2020

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Background and objectives Fresh blood product transfusion requires patient education for fully informed consent, and written consumer information is frequently used. Few studies have examined consumer preferences regarding written and verbal transfusion information provided. As a qualitative study, this research was designed to explore participant understanding and by analysing and integrating themes, generate a model to understand how transfusion information should be developed and used in practice. Materials and methods Semi‐structured interviews were conducted with healthcare consumers of transfusion information from various hospital clinical departments. Transcripts were coded to qualitatively compare nature/extent of content and opinions regarding transfusion information through thematic analysis. Results Analysis identified themes relating to healthcare engagement, purpose of information, mode of delivery and content delivered. Differences were identified between perceived purpose of information provided to consumers between 13 transfusion prescribers and consumers. Prescribers viewed information as a tool for obtaining informed consent, whereas consumers desired reassurance and knowledge. Consumers described both the specialized nature and volume of information as limiting their ability to question professionals on whom they were dependent. Information provided should be tailored to consumers and utilize simple, succinct explanations. Conclusion Both groups were satisfied with written information adjunctive to verbal information. These findings will be used to redesign transfusion information and may be employed at the bedside when discussing transfusion. They may have implications for consumer information in other settings.

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Section: Discussionmentioning

confidence: 99%

Perceptions on consumer information in transfusion. A qualitative study of consumers and prescribers

et al. 2020

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“…Clinical staff should be trained for obtaining informed consent and for that they also should have a thorough knowledge about benefits and adverse effects of blood transfusion [12]. Patient education can be achieved with informative leaflets and it can save the clinician's time [8].…”

Section: Discussionmentioning

confidence: 99%

Assessment of Awareness about Blood Transfusion among the Red Cell Recipients

Senavirathna

Samarakoon

2022

SL J. Med.

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Background: Red cell transfusion is indicated to increase the oxygen delivering capacity and it cannot be replaced by any pharmacological agent. Although blood transfusion is generally safe, adverse effects can occur; hence, benefits must always overweigh risks of transfusion before decision to transfuse is made. Information about the aims of transfusion, benefits and risks of transfusion, must be explained to the patient and written consent must be obtained.Objective: To assess the awareness about blood transfusion among red cell recipients. Materials and Methods:This prospective descriptive study was carried out at a tertiary care hospital in Sri Lanka. Red cell recipients were questioned about the transfusion episode after been transfused.Results: There were 252 patients in the study, 82 from surgical units and 170 from medical units. 37 (45.12%) patients from surgical units and 79 (46.47%) patients from medical units were explained about the transfusion, before they were being transfused. 66% of patients from surgical units and 55% from medical wards knew their blood group. 77% and 57% of patients were aware about the reason for transfusion in surgical and medical wards, respectively. Moreover, 39% of patients from surgical units and 35% of patients from medical units knew about transfusion transmitted infections.Conclusions: Awareness about the own blood group, reason for transfusion, benefits and risks of transfusion was significantly low in the study group. Therefore, patient education should be improved to understand the benefits and risks to the patient.

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“…Furumaki et al found that patients who were provided with information were more likely to have a better understanding of the risks and benefits of transfusion. 13 However, research indicates that only 50-60% of transfusion patients recall having a discussion with their physicians or giving their consent for a blood transfusion; this indicates that current processes to aid informed patient decision-making fall short. 7,9,14 Court et al reported limited patient awareness of a transfusion having occurred at all, indicating a lack of communication between healthcare providers and their patients.…”

Section: Discussionmentioning

confidence: 99%