Faculty of Information and Media Studies, Western University, London, Ontario, Canada.
School of Health Studies, Faculty of Health Sciences, Department of Family Medicine, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada.
J Clin Nurs. 2023 Apr;32(7-8):1045-1052. doi: 10.1111/jocn.16310. Epub 2022 Mar 25.
The aim of this study was to investigate nurse perspectives on transfusion-related adverse reaction reporting practices.
Transfusion-related adverse reaction reporting is an essential component of hemovigilance in Canada, but reporting rates vary and under-reporting of minor transfusion-related adverse reactions exists. To our knowledge, this is the first report of nursing transfusion-related adverse reaction reporting attitudes.
This qualitative descriptive study explored the nursing practices and perspectives of transfusion-related adverse reaction reporting by conducting one-on-one interviews with nurses (n = 25) working in adult oncology inpatient and outpatient units.
Data were thematically analysed; data collection ended when saturation was reached. The COREQ checklist was used to guide this study.
The study revealed that the nursing practices of transfusion-related adverse reaction reporting are not standardised to meet the institutional reporting guidelines. Under-reporting of febrile reactions exists at this institution. Major concepts uncovered included the factors impacting nurses' transfusion-related reporting practices, as well as barriers and facilitators to transfusion reporting.
A practice change in transfusion-related adverse reaction reporting is needed to achieve optimal hemovigilance at this institution. Using the barriers and facilitators identified in this study, institutions can better inform future interventions by employing strategies like TR reporting education in order to improve reporting of transfusion-related adverse reactions in this hospital and other similar institutions.
This study informs clinical practice and decision-making for nurses and nursing educators who manage blood transfusion administration procedures.
本研究旨在调查护士对输血相关不良反应报告实践的看法。
输血相关不良反应报告是加拿大血液监测的重要组成部分，但报告率存在差异，并且存在对轻微输血相关不良反应的漏报。据我们所知，这是首次报告护理人员对输血相关不良反应报告的态度。
这项定性描述性研究通过对在成人肿瘤住院和门诊病房工作的护士（n=25）进行一对一访谈，探讨了输血相关不良反应报告的护理实践和观点。
对数据进行主题分析；当达到饱和时，数据收集结束。本研究使用了 COREQ 清单来指导。
研究表明，输血相关不良反应报告的护理实践没有标准化，无法满足机构报告指南。该机构存在发热反应漏报的情况。揭示的主要概念包括影响护士输血相关报告实践的因素，以及输血报告的障碍和促进因素。
为了在该机构实现最佳血液监测，需要对输血相关不良反应报告进行实践改变。利用本研究中确定的障碍和促进因素，机构可以通过采用 TR 报告教育等策略，更好地为未来的干预措施提供信息，以提高该医院和其他类似机构输血相关不良反应的报告率。
本研究为管理输血管理程序的护士和护理教育工作者提供了临床实践和决策的信息。
