EVALUATION OF TEACHING SAFETY PROCEDURE TO ACQUIRE NURSES BEST PRACTICE FOR PATIENT RECEIVING BLOOD TRANSFUSION
Hanan Sobeih Sobeih, 1Asmaa Hamdi Mohamed1 and Marwa Moustafa Ragheb2
1Medical Surgical Department, Faculty of Nursing-Ain Shams University
2Medical Surgical Department. Faculty of Nursing-Benha University
A nurse by profession has opportunities to establish policies and procedures, design nursing practices, and educate staff to help avoid blood transfusion errors. Aim: This study aimed to evaluate the effect of teaching blood transfusion safety procedure to acquire nurses, best practice for patient receiving blood transfusion. Hypotheses: The level of nurses’ knowledge, practice and attitude will improve after teaching safety blood transfusion procedure. Design: A quasi experimental design was used to conduct this study. Setting: This study was carried out at three critical units (ICU, Hematological unit & Neurosurgery) affiliated to Ain Shams University Hospitals. Sample: A purposive sample included all nurses working at the previously mentioned settings. Tools: A- Self administered nurses’ questionnaire involved five parts: 1) Nurse's demographic data sheet, 2) Nurses’ blood transfusion knowledge questionnaire: To assess the level of nurse's knowledge. 3) Nurses’ attitude likert scale: To assess level of nurse's attitude towards patient safety during blood transfusion. 4) Nurses’ work barriers questionnaire: To assess nurses’ work barriers toward safe blood transfusion procedure. 5) Nurses' opinionaire: To assess nurse's opinions toward the educational program at the end of follow-up period. B- Blood transfusion observation checklist: To assess the level of nurse's practices. Results: That there were statistically significant differences among studied nurses in different work settings as regards their satisfactory level of knowledge and competent level of practice pre/post program and during follow up-period. There were statistically significant differences as regards nurses' attitude towards patient safety during blood transfusion pre/post program. Conclusion: After conduction of the present study, results revealed nurses' knowledge and practices about safety procedure of patient receiving blood transfusion were increasing significantly after the educational program more than before its implementation. As well, nurses' attitude was having statistically significant improvement post educational program. A positive feedback was recorded as regards nurses' opinions towards educational program at the end of follow up-period. Recommendation: Implementation and evaluation of continuous training programs is carried out in order to improve the quality and safety of blood transfusion.
June 2013