Yıl: 2017 Cilt: 4 Sayı: 2 Sayfa Aralığı: 165 - 172 Metin Dili: İngilizce İndeks Tarihi: 29-07-2022

Determination of health workers' level of knowledge about blood transfusion

Öz:
OBJECTIVE: This study was conducted to determine the knowledge level of healthcare workers about blood transfusion.METHODS: The study was conducted between October 1, 2015 and November 2, 2015 with 100 healthcare personnel working in a training and research hospital. A survey consisting of 19 questions based on the literature was prepared and administered. In addition to descriptive statistical methods (frequency), Fisher's exact chi-square test and Yates' correction for continuity were used to compare qualitative data. Significance was assessed at p<0.05.RESULTS: Of the total, 52% of the participants were <=29 years of age and 94% were women. In all, 71% were nurses and 42% had been working at the hospital for 2 to 5 years. Seventy-nine percent indicated that they had been trained in blood and blood product transfusion, 86% stated that transfusions were performed to replace deficient blood volume, and 95% responded that blood was to be requested by a physician, and 97% indicated that informed consent of the patient should be obtained for a blood transfusion. In all, 78% of respondents identified crossmatching as the final check for ABO compatibility. With respect to blood unit quality, 90% of the respondents stated that they would return blood if the label could not be read and 98% would reject the product if the integrity of the blood bag was compromised or of the blood had a cloudy or foamy appearance. In the event of a patient experiencing fever and shock, 96% of the survey participants indicated that they would consider that it could be a reaction to a blood transfusion. The need to confirm the patient's identity and the type of blood products was corroborated by 91%, and 85% agreed that no other medication should be added to the blood to be transfused. Furthermore, 88% of the study participants approved of continuous training regarding the transfusion of blood and blood products.CONCLUSION: According to the results of this research, while the knowledge of the healthcare professionals surveyed was adequate, standardization was lacking. In this respect, it may be advisable to conduct further studies on blood transfusion practices, and to provide additional in-service training to ensure patient safety and avoid medical errors.
Anahtar Kelime:

Konular: Genel ve Dahili Tıp
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Emmanuel JC. Developing a national policy and guedilines on theclinicaluse of blood, World Health Organization Blood Safety Unit, World Health Organization 2004. Available at: http:// www.who.int/bloodsafety. Accessed Nov 16, 2015.
  • 2. World Health Organization.Theclinicaluse of blood: Hand book, World Health Organization Blood Transfusion Safety 2008. Available at: http://www.who.int/en/. Accessed Nov 21, 2015.
  • 3. Sağlık Bakanlığı Tedavi Hizmetleri Genel Müdürlüğü. Yataklı Tedavi Kurumları İstatistik Yıllığı 2006. Available at: http:// www.saglik.gov.tr/TR/. Accessed Nov 16, 2015.
  • 4. Institute of Medicine. To err is human: Building a safer health system. Washington, DC: National Academies Press; 2000. 5. Berkem R. Hasta güvenliği ve transfüzyonla bulaş sonrası yapılması gerekenler. ANKEM Derg 2007;21:153-60.
  • 6. Joint Commision International. National Patient Safety Goals 2010. Available at: http://www.jointcommission.org/. Accessed Nov 15, 2015.
  • 7. Akalın HE. Patient Safety Culture: How to Develop? ANKEM Derg 2004;18:12-3.
  • 8. International Council of Nurses (ICN). Safe staffingsaves lives. International Nurses Day 2006, Information and Action Tool Kit. Geneva, Switzerland, 2006. Available at: http://www.icn. ch/images/stories/documents/publications/ind/indkit2006. pdf. Accessed Jul 28, 2017.
  • 9. Pehlivanoğlu F, Kart Yaşar K, Işık ME, Özkan H, Çiçek G, Canatan G, et al. Kan transfüzyonu uygulamaları hemşire anketi: doğrular, doğru bilinenler, değişenler, hatalar. Haseki Tıp Bülteni 2011;49:145-9.
  • 10. Watson D, Hearnshaw K. Understanding blood groups and transfusion in nursing practice. Nurs Stand 2010;24:41-8. 11. Armstrong B. Benefit sand risks of transfusion. ISBT Science Series 2008;3:216-30.
  • 12. McClelland DBL. Handbook of Transfusion Medicine. 4th ed. United Kingdom Blood Services: London; 2007.
  • 13. Marconi M, Sirchia G. Increasing transfusion safety by reducing human error. Curr Opin Hematol 2000;7:382-6.
  • 14. Hijji B, Parahoo K, Hossain MM, Barr O, Murray S. Nurses' practice of blood transfusion in the United Arab Emirates: an observational study. J Clin Nurs 2010;19:3347-57.
  • 15. Bayraktar, N. Hemşirelerin Kan Transfüzyonuna Yönelik Bilgi ve Uygulamaları, Hacettepe Üniversitesi Sağlık Bilimleri Enstitüsü, Doktora Tezi. Ankara: 1994.
  • 16. Gürkan A. İstanbul ili genel cerrahi kliniklerinde kan ve kan ürünlerinin kan bankasından alınması, saklanması, kullanılması ve yeniden değerlendirilmesi ile ilgili uygulamaların saptanması. Marmara Enstitüsü Sağlık Bilimleri Enstitüsü Cerrahi Hastalıkları Hemşireliği Anabilim Dalı. İstanbul: 1998.
  • 17. Siegenthaler MA, Schneider P, Vu DH, Tissot JD. Haemovigilance in a general university hospital: need for a more comprehensive classification and a codification of transfusion-related events. Vox Sang 2005;88:22-30.
  • 18. Benli, S. Hemşirelerin ve Hemşirelik Öğrencilerinin Kan Transfüzyonuna Yönelik Bilgi Düzeylerinin Saptanması. Selçuk Üniversitesi Sağlık Bilimleri Enstitüsü, Yüksek Lisans Tezi. Konya: 1996.
  • 19. Lahlimi FZ, Tazi I, Sifsalam M, Bouchtia M, Mahmal L. Assessment of transfusion practice: assessing nurses' knowledge in transfusion medicine at Mohamed VI Hematology and Oncology Center of Marrakesh, Morocco. Transfus Clin Biol 2015;22:12-6.
  • 20. Linden JV, Paul B, Dressler KP. A report of 104 transfusion errors in New York State. Transfusion 1992;32:601-6.
  • 21. Faukaneli D, Boralessa H, Murphy M, Taylor C, et al. National comparative audit of blood transfusion: 2008 bedside transfusion re-audit. 2009. Available at: http://hospital.blood.co.uk/ media/26876/nca-2008_bedside_transfusion_audit_report_-_ st_elsewheres.pdf. Accessed August 22, 2017.
  • 22. Taylor CJ, Murphy MF, Lowe D, Pearson M. Changes in practice and organisation surrounding blood transfusion in NHS trusts in England 1995-2005. Qual Saf Health Care 2008;17:239-43. 23. McConnell EA. Safely administering a blood transfusion. Nursing 1997;27:30.
  • 24. Erkoç D. Kuzey Kıbrıs Türk Cumhuriyeti'nde bir devlet hastanesindeki kan transfüzyon sürecinin iyileştirilmesi. Dokuz Eylül Üniversitesi Sağlık Bilimleri Enstitüsü Hemşirelikte Yönetim, Yüksek Lisans Tezi. İzmir: 2010.
  • 25. Figueroa PI, Ziman A, Wheeler C, Gornbein J, Monson M, Calhoun L. Nearly two decades using the check-type to prevent ABO incompatible transfusions: one institution's experience. Am J Clin Pathol 2006;126:422-6.
  • 26. Joint Commision International Two Patient Identifiers. Available at: http://www.jointcommission.org/. Accessed Jan 22, 2016.
  • 27. College of American Pathologists, Valenstein PN, Raab SS, Walsh MK. Identification errors involving clinical laboratories: a College of American Pathologists Q-Probes study of patient and specimen identification errors at 120 institutions. Arch Pathol Lab Med 2006;130:1106-13.
  • 28. Davis K, Hui CH, Quested B. Transfusing safely: a 2006 guide for nurses. Aust Nurs J 2006;13:17-20.
  • 29. Sağlık Bakanlığı. Hizmet Kalite Standartları Rehberi, Performans Yönetimi ve Kalite Geliştirme Daire Başkanlığı. Ankara: 2008.
  • 30. Şahin H. Hemşirelerin Kan Transfüzyonlarına Yönelik Bilgi Düzeyleri ve Buna Eğitimin Katkısı. Afyon Kocatepe Üniversitesi Sağlık Bilimleri Enstitüsü, Yüksek Lisans Tezi. Afyon: 2006.
APA BEYAZPİNAR KAVAKLİOGLU A, DAGCİ S, ÖREN B (2017). Determination of health workers' level of knowledge about blood transfusion. , 165 - 172.
Chicago BEYAZPİNAR KAVAKLİOGLU Aysegul,DAGCİ Selma,ÖREN BESEY Determination of health workers' level of knowledge about blood transfusion. (2017): 165 - 172.
MLA BEYAZPİNAR KAVAKLİOGLU Aysegul,DAGCİ Selma,ÖREN BESEY Determination of health workers' level of knowledge about blood transfusion. , 2017, ss.165 - 172.
AMA BEYAZPİNAR KAVAKLİOGLU A,DAGCİ S,ÖREN B Determination of health workers' level of knowledge about blood transfusion. . 2017; 165 - 172.
Vancouver BEYAZPİNAR KAVAKLİOGLU A,DAGCİ S,ÖREN B Determination of health workers' level of knowledge about blood transfusion. . 2017; 165 - 172.
IEEE BEYAZPİNAR KAVAKLİOGLU A,DAGCİ S,ÖREN B "Determination of health workers' level of knowledge about blood transfusion." , ss.165 - 172, 2017.
ISNAD BEYAZPİNAR KAVAKLİOGLU, Aysegul vd. "Determination of health workers' level of knowledge about blood transfusion". (2017), 165-172.
APA BEYAZPİNAR KAVAKLİOGLU A, DAGCİ S, ÖREN B (2017). Determination of health workers' level of knowledge about blood transfusion. İstanbul Kuzey Klinikleri, 4(2), 165 - 172.
Chicago BEYAZPİNAR KAVAKLİOGLU Aysegul,DAGCİ Selma,ÖREN BESEY Determination of health workers' level of knowledge about blood transfusion. İstanbul Kuzey Klinikleri 4, no.2 (2017): 165 - 172.
MLA BEYAZPİNAR KAVAKLİOGLU Aysegul,DAGCİ Selma,ÖREN BESEY Determination of health workers' level of knowledge about blood transfusion. İstanbul Kuzey Klinikleri, vol.4, no.2, 2017, ss.165 - 172.
AMA BEYAZPİNAR KAVAKLİOGLU A,DAGCİ S,ÖREN B Determination of health workers' level of knowledge about blood transfusion. İstanbul Kuzey Klinikleri. 2017; 4(2): 165 - 172.
Vancouver BEYAZPİNAR KAVAKLİOGLU A,DAGCİ S,ÖREN B Determination of health workers' level of knowledge about blood transfusion. İstanbul Kuzey Klinikleri. 2017; 4(2): 165 - 172.
IEEE BEYAZPİNAR KAVAKLİOGLU A,DAGCİ S,ÖREN B "Determination of health workers' level of knowledge about blood transfusion." İstanbul Kuzey Klinikleri, 4, ss.165 - 172, 2017.
ISNAD BEYAZPİNAR KAVAKLİOGLU, Aysegul vd. "Determination of health workers' level of knowledge about blood transfusion". İstanbul Kuzey Klinikleri 4/2 (2017), 165-172.