Impact of Nursing Education on Phlebotomy Blood Loss and Hospital-Acquired Anemia: A Quality Improvement Project.


Journal

Dimensions of critical care nursing : DCCN
ISSN: 1538-8646
Titre abrégé: Dimens Crit Care Nurs
Pays: United States
ID NLM: 8211489

Informations de publication

Date de publication:
Historique:
entrez: 1 12 2018
pubmed: 1 12 2018
medline: 27 4 2019
Statut: ppublish

Résumé

Phlebotomy blood loss resulting in hospital-acquired anemia remains a significant problem in the critically ill population. A quality improvement project focused on decreasing phlebotomy blood loss and increasing nursing knowledge regarding blood conservation strategies was undertaken in the intensive care unit of a community hospital. The project followed a quasi-experimental design. Data were gathered using electronic chart review and surveys before and after educational sessions. Intensive care unit nurses attended educational sessions focused on increasing knowledge regarding phlebotomy blood loss, hospital-acquired anemia, blood conservation strategies, and utilization of blood conservation devices. The study showed a statistically significant increase in nursing knowledge regarding hospital-acquired anemia, phlebotomy blood loss, and blood conservation device use (P < .001) and a statistically significant change in blood conservation device application practice in the posteducation period when compared with the preeducation period (P = .016). The findings of this project support the added value of dedicated blood conservation education to nurses to promote increased knowledge, increased blood conservation device utilization, and decreases in phlebotomy blood loss.

Sections du résumé

BACKGROUND BACKGROUND
Phlebotomy blood loss resulting in hospital-acquired anemia remains a significant problem in the critically ill population. A quality improvement project focused on decreasing phlebotomy blood loss and increasing nursing knowledge regarding blood conservation strategies was undertaken in the intensive care unit of a community hospital.
METHODS METHODS
The project followed a quasi-experimental design. Data were gathered using electronic chart review and surveys before and after educational sessions. Intensive care unit nurses attended educational sessions focused on increasing knowledge regarding phlebotomy blood loss, hospital-acquired anemia, blood conservation strategies, and utilization of blood conservation devices.
RESULTS RESULTS
The study showed a statistically significant increase in nursing knowledge regarding hospital-acquired anemia, phlebotomy blood loss, and blood conservation device use (P < .001) and a statistically significant change in blood conservation device application practice in the posteducation period when compared with the preeducation period (P = .016).
CONCLUSION CONCLUSIONS
The findings of this project support the added value of dedicated blood conservation education to nurses to promote increased knowledge, increased blood conservation device utilization, and decreases in phlebotomy blood loss.

Identifiants

pubmed: 30499788
doi: 10.1097/DCC.0000000000000333
pii: 00003465-201901000-00004
doi:

Types de publication

Journal Article

Langues

eng

Pagination

13-19

Auteurs

Stacy Jones (S)

Stacy Jones, DNP, RN, AGACNP-BC, recently completed her doctor of nursing practice degree at the University of Michigan-Flint School of Nursing. Paris Spangler, DNP, RN, AGACNP-BC, recently completed her doctor of nursing practice degree at the University of Michigan-Flint School of Nursing. Megan Keiser, DNP, RN, CNRN, SCRN, ACNS-BC, NP-C, is the director of Undergraduate Nursing Affairs and is an assistant professor at the University of Michigan-Flint School of Nursing. Carman Turkelson, DNP, MSN, RN, CCRN, CHSE, is the associate director of the Simulation Center and is an assistant professor at the University of Michigan-Flint School of Nursing.

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