Laboratory Hematology & Blood Bank Department, School of Allied Medical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Hematology and Blood Banking, High Institute for Research and Education in Transfusion Medicine, Tehran, Iran.
Transfus Med. 2021 Dec;31(6):459-466. doi: 10.1111/tme.12804. Epub 2021 Jul 14.
To investigate the knowledge of nurses about pre and post blood transfusion processes.
To ensure a safe blood transfusion, apart from the role of blood banking to perform safe donation, attention must be paid to equally important but rather neglected factors including nursing practice and knowledge of blood transfusion.
Data was collected using a valid blood transfusion questionnaire consisting of 43 questions. We analysed data using SPSS 22. Percentages and analytical statistics such as Mann-Whitney, Kruskal-Wallis were used to report the results. The significant level of p-value was assumed to be <0.05.
In this study, 325 nurses participated and their knowledge scores ranged from 24% to 85% (mean 56.16, standard deviation: 5.92) and the majority of nurses lacked knowledge in pre-transfusion activities. The analysis also revealed there was a significant correlation between the knowledge score and academic degree. Out of all nurses, 48% (N = 156) declared that they need further training in haemovigilance. As the minimum and maximum scored questions, it was revealed that only 39 nurses (12%) have enough knowledge to act properly in case of ambiguous orders; on the other hand, 94% (N = 304) have sufficient knowledge of the agents administered with transfusion. A large proportion of the involved nurses are unaware of the risk of improper identification.
All the efforts taken to prepare a safe and matched blood unit would be futile by inattentive administration of blood. That is why mandatory ongoing blood transfusion training for nurses is required urgently.
调查护士对输血前后流程的了解情况。
为确保输血安全,除了采供血部门确保安全献血外,还必须重视同样重要但被忽视的因素,包括护理实践和输血知识。
使用包含 43 个问题的有效输血问卷收集数据。我们使用 SPSS 22 分析数据。使用百分比和分析统计(如曼-惠特尼、克鲁斯卡尔-沃利斯)报告结果。假设 p 值的显著水平为<0.05。
在这项研究中,有 325 名护士参与,他们的知识得分范围为 24%至 85%(平均值为 56.16,标准差为 5.92),大多数护士缺乏输血前活动的知识。分析还表明,知识得分与学历之间存在显著相关性。在所有护士中,48%(N=156)表示他们需要进一步接受血液监测培训。作为得分最低和最高的问题,结果表明只有 39 名护士(12%)有足够的知识在出现模糊医嘱时正确行动;另一方面,94%(N=304)对与输血一起使用的药物有足够的了解。相当一部分参与的护士不知道识别不当的风险。
如果输血管理不当,为准备安全和匹配的血液单位所做的一切努力都将付诸东流。这就是为什么迫切需要对护士进行强制性的持续输血培训。