Performance of Nurses in Neonatal Intensive Care Unit Regarding Transfusion of Blood and Blood Products

Q3 Medicine

Evidence Based Care Journal Pub Date : 2020-10-01 DOI:10.22038/EBCJ.2020.47919.2293

Samane Sefatbaqa, Seyedeh Roqayeh JafarianAmiri, A. Zabihi, Parisa Pourdad, A. Arzani

{"title":"Performance of Nurses in Neonatal Intensive Care Unit Regarding Transfusion of Blood and Blood Products","authors":"Samane Sefatbaqa, Seyedeh Roqayeh JafarianAmiri, A. Zabihi, Parisa Pourdad, A. Arzani","doi":"10.22038/EBCJ.2020.47919.2293","DOIUrl":null,"url":null,"abstract":"Background: Critically ill neonates receiving blood products are at risk of transfusion-related complications. The quality of nursing care in this regard can be enhanced through continuous evaluations. Aim: This study aimed to assess the performance of nurses in a neonatal intensive care unit (NICU) regarding the transfusion of blood and blood products. Method: This descriptive cross-sectional study was carried out on the nurses working in an NICU in Tehran, Iran, during 2017. The performance of nurses was investigated for 550 blood transfusion procedures by structured observation through a researcher-made checklist with 40 items in three steps. The data were analyzed using SPSS software (version 22) using descriptive statistics and a generalized estimating equation. Results: The highest frequency (66.2%; n=365) of transfusions was observed for fresh frozen plasma. In the pre-transfusion phase, no case out of 550 transfusion procedures, ensuring the openness of the vein with normal saline injections run (100%), the carriage of blood products from the blood bank to the ward by the box Specific (76.2%), assess blood and blood products sensitivity (34.1%) and control of blood tests for blood count and coagulation factors (20.5%). In the transfusion phase, slow shaking the blood bag during injection (68.6%) and venous line washing with saline solution (45%) were not according to guidelines. After the transfusion phase, the volume of infused products, blood types, post-transfusion reactions and vital signs, and status of product labeling were recorded in 100% of the nursing reports. Implications for Practice: The performance of nurses was poor in many cases during the transfusion stage which can affect the health of the neonates. Therefore, it is recommended to provide continuous and persistent training for the staff.","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"794 1","pages":"7-14"},"PeriodicalIF":0.0000,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Evidence Based Care Journal","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.22038/EBCJ.2020.47919.2293","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}

引用次数: 1

Abstract

Background: Critically ill neonates receiving blood products are at risk of transfusion-related complications. The quality of nursing care in this regard can be enhanced through continuous evaluations. Aim: This study aimed to assess the performance of nurses in a neonatal intensive care unit (NICU) regarding the transfusion of blood and blood products. Method: This descriptive cross-sectional study was carried out on the nurses working in an NICU in Tehran, Iran, during 2017. The performance of nurses was investigated for 550 blood transfusion procedures by structured observation through a researcher-made checklist with 40 items in three steps. The data were analyzed using SPSS software (version 22) using descriptive statistics and a generalized estimating equation. Results: The highest frequency (66.2%; n=365) of transfusions was observed for fresh frozen plasma. In the pre-transfusion phase, no case out of 550 transfusion procedures, ensuring the openness of the vein with normal saline injections run (100%), the carriage of blood products from the blood bank to the ward by the box Specific (76.2%), assess blood and blood products sensitivity (34.1%) and control of blood tests for blood count and coagulation factors (20.5%). In the transfusion phase, slow shaking the blood bag during injection (68.6%) and venous line washing with saline solution (45%) were not according to guidelines. After the transfusion phase, the volume of infused products, blood types, post-transfusion reactions and vital signs, and status of product labeling were recorded in 100% of the nursing reports. Implications for Practice: The performance of nurses was poor in many cases during the transfusion stage which can affect the health of the neonates. Therefore, it is recommended to provide continuous and persistent training for the staff.

查看原文本刊更多论文

新生儿重症监护病房护士在输血及血液制品方面的表现

背景:接受血液制品的危重新生儿存在输血相关并发症的风险。通过持续的评估，可以提高这方面的护理质量。目的:本研究旨在评估新生儿重症监护病房(NICU)护士在输血和血液制品方面的表现。方法:对2017年在伊朗德黑兰一家新生儿重症监护病房工作的护士进行描述性横断面研究。采用结构化观察的方法，对550例输血过程中护士的表现进行了调查。使用SPSS软件(版本22)使用描述性统计和广义估计方程对数据进行分析。结果:最高频次为66.2%;N =365)例为新鲜冷冻血浆。在输血前阶段，550例输血程序中没有一例输血，确保静脉开放，正常生理盐水注射运行(100%)，血液制品从血库通过专用箱运送到病房(76.2%)，评估血液和血液制品敏感性(34.1%)，血液计数和凝血因子检测控制(20.5%)。在输血阶段，注射时缓慢摇动血袋(68.6%)和用生理盐水冲洗静脉线(45%)不符合指南。输血阶段结束后，100%的护理报告记录输注产品的体积、血型、输血后反应及生命体征、产品标签状态。对实践的启示:护士的表现很差，在许多情况下，在输血阶段，可以影响新生儿的健康。因此，建议对员工进行持续、持久的培训。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Evidence Based Care Journal Medicine-Health Policy

CiteScore

2.00

自引率

0.00%

发文量

审稿时长

12 weeks

期刊介绍： The Evidence Based Care Journal (EBCJ) is an international, peer reviewed, scientific journal that seeks to promote the development and exchange of knowledge that is directly relevant to all spheres of patient care. The primary aim is to promote a high standard of clinically related scholarship which advances and supports patient care in practice. The Journal also aims to promote the international exchange of ideas and experience that draws from the different cultures in which practice takes place. Further, EBCJ seeks to enrich insight into clinical needs and the implications for patient care intervention and models of service delivery. Emphasis is placed on clinical practicality of research findings and strength of study design. EBCJ is essential reading for anyone involved in healthcare professions, whether clinicians, researchers, educators, managers, policy makers, or students. Contributions are welcomed from other health professionals on issues that have a direct impact on patient care.