Nurses' Knowledge Assessment Regarding Blood Transfusion to Ensure Patient Safety

Elhy, Asmaa Hamed Abd

doi:10.9790/1959-060202104111

Cited by 16 publications

(14 citation statements)

References 11 publications

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“…Thus, study participants had inadequate knowledge about issues to discuss whilst obtaining informed consent, when to administer premedication, and about ensuring intravenous access prior to transfusion. This finding contrasts with the study conducted in Egypt by Elhy and Kasemy in which a majority of nurses participating in the study had adequate knowledge about appropriate preparation of the patient prior to transfusion [ 19 ]. It also contrasts with a study conducted in Cape Coast Teaching Hospital in Ghana by Tetteh , in which nurses were found to have excellent knowledge about patient preparation before transfusion [ 5 ].…”

Section: Discussioncontrasting

confidence: 67%

Safe Blood Transfusion Practices among Nurses in a Major Referral Center in Ghana

Bediako

Ofosu-Poku

Druye

2021

Advances in Hematology

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Errors in transfusion of blood and blood products can lead to preventable morbidity and mortality. Nurses constitute a significant aspect of the transfusion process as they are the last in the chain of getting blood directly to the patient. They must, therefore, be conversant with the current standard of national and international guidelines on blood transfusion and appropriate management of adverse transfusion events. This study assesses the knowledge and practices of blood transfusion safety among nurses at Komfo Anokye Teaching Hospital. A descriptive cross-sectional design was employed, and structured questionnaire (Routine Blood Transfusion Knowledge Questionnaire) was used to collect data from 279 nurses from seven clinical directorates of the hospital. The data were processed with Stata version 14.0. Variables were analyzed using descriptive statistics, and relationships were drawn using inferential statistics. Over 90% of the respondents had a minimum of a diploma in nursing or midwifery, 63% had performed blood transfusion at least 5 times, and 46% had never received any training on blood transfusion. The mean score obtained in all four categories of blood transfusion knowledge assessed was 29, with 54% of the respondents scoring below the mean. The highest overall score on knowledge was 53%. This indicates that nurses had poor knowledge regarding safe blood transfusion practices as stipulated in the clinical guidelines for blood transfusion by Ghana’s National Blood Service. There was no statistically significant relationship between training/experience and knowledge of safe blood transfusion practices. Regular and continuous update training and audit are needed to safeguard patient safety during blood transfusion.

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Section: Discussioncontrasting

confidence: 67%

Safe Blood Transfusion Practices among Nurses in a Major Referral Center in Ghana

Bediako

Ofosu-Poku

Druye

2021

Advances in Hematology

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“…The maximum possible score for the RBTKQ is 56 points. Finally, the total score was converted into a percentage and, if the scoring was <50%, 50-74%, or ≥75%, the knowledge was considered as poor, moderate, or high, respectively [8].…”

Section: The Routine Blood Transfusion Knowledge Questionnaire (Rbtkq)mentioning

confidence: 99%

Blood Transfusion Knowledge among Nurses in Malaysia: A University Hospital Experience

Noor

Saad

Khan

et al. 2021

IJERPH

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Blood transfusion is a fundamental and life-saving procedure where the consequence of errors can be fatal. Nurses’ knowledge plays an essential role in ensuring quality and safety in blood transfusion. The objective of this study was to assess blood transfusion-associated knowledge of tertiary hospital nurses on the east coast of Malaysia. This was a cross-sectional study with 200 registered nurses involved in blood transfusion procedures at Hospital Universiti Sains Malaysia. The knowledge of the nurses was evaluated by using the routine blood transfusion knowledge questionnaire based on five parts, and <50%, 50–74%, or ≥75% of the knowledge was considered as poor, moderate, or high, respectively. Based on the scoring system, the overall knowledge of blood transfusion among Malaysian nurses (33.2 ± 8.4 years) was estimated to be 54.9 ± 7.6%. In individual items, the scoring was 81.0%, 45.4%, 49.2%, 63.0%, and 90.0% in knowledge prior to blood transfusion, on pre-transfusion, on post-transfusion, on complications, and on transfusion policy, respectively. The findings of this study indicated that most of the nurses’ overall knowledge of blood transfusion was at a moderate level; therefore, training courses and continuous medical education are warranted to improve knowledge and skills of the nurses to ensure good practices of blood transfusion.

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“…This result was also consistent with Kabinda J, Miyanga S, Donnen P, Ende V Dramaix M 18 who cited that the lack of continuous and regular training in blood transfusion had resulted in insufficient knowledge among nursing staff about safe transfusion practices. Ehly AH, Kasemy ZA 12 found that more than half of the nurses had poor knowledge regarding blood transfusion. Petraka E, Kritsioti M, Valsami S, Leivada A, Kalantzis L, Merkouri E et al 14 found that the majority of staff nurses had moderate knowledge.…”

Section: Discussionmentioning

confidence: 99%

“…Based on the criterion developed by Elhy AH, Kasmey ZA 12 in their study, the knowledge score was categorised into various levels i.e., poor -< 50%, fair -50% to 75%, and good -> 75%. Based on the criterion developed by Al-Nasr MS, Abd-El Razik BG, Mohammed MA, Al-Mezaien MM 13 in their study, the practice score was categorised into various levels, i.e., unsatisfactory -< 80% and practice satisfactory -≥ 80%.…”

Section: Scoring Keymentioning

confidence: 99%

“…Sapkota A, Poudel S, Sedhain A, Khatiwada N 11 reported suboptimal blood transfusion practice, which could be attributed to a substantial knowledge gap among healthcare personnel and the absence of external and internal quality control procedures in blood transfusion practices. Elhy AH, Kasemy ZA 12 revealed that more than half (61.2%) of the nurses had poor knowledge, 38.8% had fair knowledge, and none of the subjects had good knowledge regarding blood transfusion. The study concluded that a deficiency of knowledge among nurses regarding blood transfusion threatens the patient's safety.…”

Section: Introductionmentioning

confidence: 97%

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Assessment of Knowledge and Practice regarding Blood Transfusion among Staff Nurses

Iqbal

Kashmir²

2021

TNAE

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Background: Blood transfusion is the transfusing of a compatible donor’s whole blood or any of its components to the recipient to correct/ treat any related clinical condition. The transfusion of blood products is essential for restoring the body’s oxygen transport capacity, or replenishing lost or depleted blood components in various medical conditions. Objectives: To assess knowledge and practice score regarding blood transfusion among staff nurses and to identify the association of knowledge score and practice score with selected demographic variables. Methodology: A descriptive research design that involved convenience sampling technique to collect data from the 60 staff nurses working at Sher-i-Kashmir Institute of Medical Sciences, Kashmir, using a “self-structured knowledge questionnaire and practice checklist”. Results: The study revealed that most of the staff nurses, i.e. 53.3%, had fair knowledge, 41.7% had poor knowledge, and only 5% of staff nurses had good knowledge regarding blood transfusion. The mean ± SD knowledge score of the staff nurses was 23.516 ± 4.59. Most of the staff nurses, i.e. 66.7%, had satisfactory practice, and 33.3% had unsatisfactory practice. The mean ± SD practice score of staff nurses regarding blood transfusion was 49.26 ± 6.40. A statistically significant association was found between nurses’ knowledge and demographic variables viz., age, professional qualification, clinical experience, the approximate number of blood transfusions performed in past 6 months, and in-service training programme attended regarding blood transfusion, and practice with demographic variables, viz., gender and clinical experience at p ≤ 0.05. Conclusion: The study concluded that deficiency of knowledge among nurses regarding blood transfusion threatens patients’ safety, and may also put patients in life-threatening conditions.

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Nurses' Knowledge Assessment Regarding Blood Transfusion to Ensure Patient Safety

Cited by 16 publications

References 11 publications

Safe Blood Transfusion Practices among Nurses in a Major Referral Center in Ghana

Safe Blood Transfusion Practices among Nurses in a Major Referral Center in Ghana

Blood Transfusion Knowledge among Nurses in Malaysia: A University Hospital Experience

Assessment of Knowledge and Practice regarding Blood Transfusion among Staff Nurses

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