Effectiveness of implementing evidence based practices guidelines regarding blood transfusion on quality of nursing care and patients’ safety in Pediatric Units
Saied El-Nagger, Dr. Nahed;
Abstract
Background and objective: The new trend that widely accepted in health care institutions is to implement an evidence-based
practice. Health facilities frequently integrate standards of practice that reveal current best evidence to increase patients’ outcomes
and consequently decrease hospital cost. Transfusion of blood is a cornerstone in managing many critically ill children. However,
nurses have a chief role in transfusing blood and their knowledge and performance are important for them to transfuse blood
safely and efficiently. Aim: Evaluate the effectiveness of implementing evidence based nursing practices guidelines on quality of
nursing care and patients’ safety as regards blood transfusion to improve transfusion practices and ensure safety.
Methods: A quasi-experimental design. Settings: This study was conducted at Pediatric Intensive Care Unit, Neonatal Intensive
Care Unit, Emergency Room, Medical and Surgical Wards, Hematology/Oncology Units in Children Hospital affiliated to
Ain Shams University Hospitals. Sample: A convenience sample composed of 95 pediatric nurses, whom were willingness to
participate in the study and 78 children whom were receiving blood transfusion. Tools: I. A Self-Administered Questionnaire
Sheet to assess nurses’ knowledge regarding blood transfusion; II. Child’s Medical Record to collect data about child’s health
status; III. An Observational Competence Checklist to assess the quality of actual nurses’ practices about Blood Transfusion; and
IV. Evidence Based Nursing Practices Guidelines of Blood Transfusion that was described the EBNP guidelines that provide a
standardized approach for transfusion (before and after).
Results: The studied nurses’ knowledge and practices regarding to blood transfusion were improved and reflected a highly
significant differences before and after guidelines implementation.
Conclusions: The present study concluded that studied nurses showed an improvement in their knowledge and practices regarding
blood transfusion after implementation of evidence based nursing practices guidelines. Recommendation: It is essential that all
nurses who administer blood transfusion for children should complete periodic in-services training programs to keep them up to
date regarding to safe and efficient administration of blood transfusion.
practice. Health facilities frequently integrate standards of practice that reveal current best evidence to increase patients’ outcomes
and consequently decrease hospital cost. Transfusion of blood is a cornerstone in managing many critically ill children. However,
nurses have a chief role in transfusing blood and their knowledge and performance are important for them to transfuse blood
safely and efficiently. Aim: Evaluate the effectiveness of implementing evidence based nursing practices guidelines on quality of
nursing care and patients’ safety as regards blood transfusion to improve transfusion practices and ensure safety.
Methods: A quasi-experimental design. Settings: This study was conducted at Pediatric Intensive Care Unit, Neonatal Intensive
Care Unit, Emergency Room, Medical and Surgical Wards, Hematology/Oncology Units in Children Hospital affiliated to
Ain Shams University Hospitals. Sample: A convenience sample composed of 95 pediatric nurses, whom were willingness to
participate in the study and 78 children whom were receiving blood transfusion. Tools: I. A Self-Administered Questionnaire
Sheet to assess nurses’ knowledge regarding blood transfusion; II. Child’s Medical Record to collect data about child’s health
status; III. An Observational Competence Checklist to assess the quality of actual nurses’ practices about Blood Transfusion; and
IV. Evidence Based Nursing Practices Guidelines of Blood Transfusion that was described the EBNP guidelines that provide a
standardized approach for transfusion (before and after).
Results: The studied nurses’ knowledge and practices regarding to blood transfusion were improved and reflected a highly
significant differences before and after guidelines implementation.
Conclusions: The present study concluded that studied nurses showed an improvement in their knowledge and practices regarding
blood transfusion after implementation of evidence based nursing practices guidelines. Recommendation: It is essential that all
nurses who administer blood transfusion for children should complete periodic in-services training programs to keep them up to
date regarding to safe and efficient administration of blood transfusion.
Other data
Title | Effectiveness of implementing evidence based practices guidelines regarding blood transfusion on quality of nursing care and patients’ safety in Pediatric Units | Authors | Saied El-Nagger, Dr. Nahed | Affiliations | Pediatric Nursing Department- Faculty of Nursing, Ain Shams University, Egypt | Editors | Journal of Nursing Education and Practice | Keywords | lood transfusion, Evidence based nursing practices guidelines, Quality of nursing care, Patients’ safety, Pediatric units | Publisher | Journal of Nursing Education and Practice 2020, Vol. 10, No. 10 | Volume | 10 | Issue | 10 | Start page | 33 | End page | 45 | DOI | 0.5430/jnep.v10n10p33 |
Attached Files
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effectiveness of implementing EBN guidelines for blood transfusion.pdf | Evaluate the effectiveness of implementing evidence based nursing practices guidelines on quality of nursing care and patients’ safety as regards blood transfusion to improve transfusion practices and ensure safety. A quasi-experimental design. | 835.27 kB | Adobe PDF | Request a copy |
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