Faculty of Nursing, An-Najah National University, Nablus, Palestine.
J Clin Nurs. 2010 Dec;19(23-24):3347-57. doi: 10.1111/j.1365-2702.2010.03383.x. Epub 2010 Oct 19.
The aim of this study was to document nurses' practice of red blood cells transfusion.
In the United Arab Emirates hospitals, nurses are responsible for the administration of blood transfusions. The safety and effectiveness of the transfusion process is dependent, among others, on the knowledge and skills of nurses who perform the procedure. Poor practice may result in avoidable complications that may threaten patients' safety. Published work indicated that nurses' practice varied across contexts and highlighted that patients received suboptimal care and incorrect transfusion that culminated in death or morbidity. In the United Arab Emirates, publications related to nurses' practice of blood transfusion are lacking.
Descriptive.
Data were collected by means of non-participant structured observation. Data collection was undertaken in two general public hospitals in the Emirate of Abu Dhabi, United Arab Emirates. A random sample of 50 nurses from both hospitals was selected. Each nurse was observed once, from 10 minutes prior to blood collection until 15 minutes after initiating a transfusion.
Forty-nine nurses (98%) were observed. The maximum obtained score was 13 points of a possible score of 21, and 75% of nurses scored below the 50% level. Practice deficiencies included improper patient identification, suboptimal vital signs documentation and invalid methods of blood warming.
Patients in both hospitals were at risk of receiving incorrect blood, suffering unobserved transfusion reaction and acquiring bacterial infection.
This study revealed inadequate practices that nurses and hospitals should strive to change to provide a safer and more effective care that would, hopefully, minimise the risks and maximise the benefits of blood transfusion. These findings also have implications for clinical supervision and nurse education.
本研究旨在记录护士的红细胞输血实践。
在阿拉伯联合酋长国的医院中，护士负责输血。输血过程的安全性和有效性取决于执行该程序的护士的知识和技能等因素。不良实践可能导致可避免的并发症，从而威胁到患者的安全。已发表的研究表明，护士的实践在不同环境中存在差异，并强调患者接受了不理想的护理和不正确的输血，最终导致死亡或发病。在阿拉伯联合酋长国，缺乏与护士输血实践相关的出版物。
描述性。
通过非参与式结构观察收集数据。数据收集在阿拉伯联合酋长国阿布扎比酋长国的两家公立医院进行。从这两家医院中随机选择了 50 名护士进行观察。每位护士观察一次，从采血前 10 分钟到开始输血后 15 分钟。
观察了 49 名护士（98%）。最高得分为 21 分中的 13 分，75%的护士得分低于 50%。实践缺陷包括患者身份识别不当、生命体征记录不充分和血液加温方法无效。
两家医院的患者都有接受错误血液、发生未观察到的输血反应和感染细菌的风险。
本研究揭示了护士和医院应努力改变的不足实践，以提供更安全、更有效的护理，希望最大限度地降低输血风险并最大程度地提高输血的益处。这些发现还对临床监督和护士教育具有重要意义。
