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Dr. Belal M. Hijji 1 , Dr. Rasha Dabbour 1 , Dr. Arwa Owies 1

Knowledge and practice of blood transfusion: a survey of nurses in the north and middle regions of Jordan. Dr. Belal M. Hijji 1 , Dr. Rasha Dabbour 1 , Dr. Arwa Owies 1. 1 Faculty of Nursing, Philadelphia University, Jordan. Contents. Background Aim and objectives Methods Results

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Dr. Belal M. Hijji 1 , Dr. Rasha Dabbour 1 , Dr. Arwa Owies 1

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  1. Knowledge and practice of blood transfusion: a survey of nurses in the north and middle regions of Jordan Dr. Belal M. Hijji1, Dr. Rasha Dabbour1, Dr. Arwa Owies1 1Faculty of Nursing, Philadelphia University, Jordan 04.11.2009

  2. Contents • Background • Aim and objectives • Methods • Results • Recommendations 04.11.2009

  3. Background 04.11.2009

  4. Nurses play a crucial role in the administration of blood transfusions Their relevant knowledge and practice are important determinants of the safety of transfusions Published information about nurses' blood transfusion knowledge and practice is lacking To fill this information gap, this study was undertaken in Jordan 04.11.2009

  5. Aim 04.11.2009

  6. Principal Aim To investigate nurses’ knowledge and practice of blood transfusion • Objectives • A. Investigate nurses’ knowledge and/ or reported practice of: • Patient preparation before blood collection • Blood pack collection • Pre-transfusion initiation nursing activities • Post transfusion initiation activities and issues • B. Identify statistically significant correlations between nurses’ knowledge scores and their characteristics 04.11.2009

  7. Methods 04.11.2009

  8. Design, Settings and Access • A descriptive cross-sectional survey using an interviewer-administered questionnaire • The study involved in-patient areas where blood transfusion events were common • 3. Four teaching and public hospitals • 4. Ethical approvals • 5. Participant information sheet • 6. Voluntary informed consent • 7. Anonymity and confidentiality 04.11.2009

  9. Population and sample Population: 906 nurses Sample: 320 nurses selected at random Inclusion criteria: Registered nurses with direct care responsibilities Exclusion criteria: Auxiliary staff, head nurses, and nurses in out-patient areas and OT. 04.11.2009

  10. An overview of data collection Nurses’ knowledge and reported practice of blood transfusion was measured via a questionnaire developed following consultation with nursing literature. It has 44 items in seven sections. A: nurses’ demographics and training (8 items); B: patient preparation before blood collection (4 items); C: blood bag collection (3 items); D: pre-transfusion initiation nursing responsibilities (8 items); E: post transfusion initiation nursing responsibilities (11 items); F: complications related to blood transfusion (8 items); and G: issues related to local policies (2 items). 04.11.2009

  11. Validity and Reliability of the Questionnaire • A panel of seven international transfusion specialist nurses • Pilot study • The Flesch Reading Ease (RE) Index is 66.15. 04.11.2009

  12. An overview of data collection (continued…) Data collection started on 5th November 2008 and was completed by 31st January 2009. • Two research assistants collected the data • They attended a session on questionnaire administration and collection • They received written instructions 04.11.2009

  13. Data Analysis Allocation of scores For most items, one point was awarded for the correct answer and 0 for the incorrect one. The maximum score was 57 (100%) points. Descriptive and inferential statistics were used to analyse data 04.11.2009

  14. Results 04.11.2009

  15. 305 nurses (95.3%) filled in the questionnaire 04.11.2009

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  29. Knowledge Scores Inferential Statistics One-way ANOVA revealed no statistically significant correlations between nurses’ knowledge scores and hospital affiliation, qualifications, gender, level of involvement in blood transfusion, ward experience, and previous training 04.11.2009

  30. Key Findings • Nurses had serious knowledge deficits and practice deficiencies that are potentially threatening to patients health and safety • Patients were at risk of developing complications, in particular bacterial infection, destruction of red blood cells, and receiving incorrect transfusions 04.11.2009

  31. Recommendations 04.11.2009

  32. Action is needed, nationwide, to improve nurses’ knowledge and practice of blood transfusion Urgent training and education Systems must be developed to ensure that nurses are competent in performing blood transfusion Development of blood transfusion policies and guidelines for practice 04.11.2009

  33. Acknowledgements 04.11.2009

  34. We are immensely grateful to Ministry of Health, all nursing staff, and hospitals management. We express our gratitude to Philadelphia University Deanship of Scientific Research and Postgraduate Studies for funding the study. 04.11.2009

  35. Thank You Principal Investigator bhijji@philadelphia.edu.jo 04.11.2009

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