Understanding the nursing practices and perspectives of transfusion reaction reporting.
blood
haematology
reporting
safety
transfusion reactions
Journal
Journal of clinical nursing
ISSN: 1365-2702
Titre abrégé: J Clin Nurs
Pays: England
ID NLM: 9207302
Informations de publication
Date de publication:
Apr 2023
Apr 2023
Historique:
revised:
02
03
2022
received:
08
07
2021
accepted:
05
03
2022
pubmed:
30
4
2022
medline:
10
3
2023
entrez:
29
4
2022
Statut:
ppublish
Résumé
The aim of this study was to investigate nurse perspectives on transfusion-related adverse reaction reporting practices. Transfusion-related adverse reaction reporting is an essential component of hemovigilance in Canada, but reporting rates vary and under-reporting of minor transfusion-related adverse reactions exists. To our knowledge, this is the first report of nursing transfusion-related adverse reaction reporting attitudes. This qualitative descriptive study explored the nursing practices and perspectives of transfusion-related adverse reaction reporting by conducting one-on-one interviews with nurses (n = 25) working in adult oncology inpatient and outpatient units. Data were thematically analysed; data collection ended when saturation was reached. The COREQ checklist was used to guide this study. The study revealed that the nursing practices of transfusion-related adverse reaction reporting are not standardised to meet the institutional reporting guidelines. Under-reporting of febrile reactions exists at this institution. Major concepts uncovered included the factors impacting nurses' transfusion-related reporting practices, as well as barriers and facilitators to transfusion reporting. A practice change in transfusion-related adverse reaction reporting is needed to achieve optimal hemovigilance at this institution. Using the barriers and facilitators identified in this study, institutions can better inform future interventions by employing strategies like TR reporting education in order to improve reporting of transfusion-related adverse reactions in this hospital and other similar institutions. This study informs clinical practice and decision-making for nurses and nursing educators who manage blood transfusion administration procedures.
Sections du résumé
AIMS AND OBJECTIVES
OBJECTIVE
The aim of this study was to investigate nurse perspectives on transfusion-related adverse reaction reporting practices.
BACKGROUND
BACKGROUND
Transfusion-related adverse reaction reporting is an essential component of hemovigilance in Canada, but reporting rates vary and under-reporting of minor transfusion-related adverse reactions exists. To our knowledge, this is the first report of nursing transfusion-related adverse reaction reporting attitudes.
DESIGN
METHODS
This qualitative descriptive study explored the nursing practices and perspectives of transfusion-related adverse reaction reporting by conducting one-on-one interviews with nurses (n = 25) working in adult oncology inpatient and outpatient units.
METHODS
METHODS
Data were thematically analysed; data collection ended when saturation was reached. The COREQ checklist was used to guide this study.
RESULTS
RESULTS
The study revealed that the nursing practices of transfusion-related adverse reaction reporting are not standardised to meet the institutional reporting guidelines. Under-reporting of febrile reactions exists at this institution. Major concepts uncovered included the factors impacting nurses' transfusion-related reporting practices, as well as barriers and facilitators to transfusion reporting.
CONCLUSION
CONCLUSIONS
A practice change in transfusion-related adverse reaction reporting is needed to achieve optimal hemovigilance at this institution. Using the barriers and facilitators identified in this study, institutions can better inform future interventions by employing strategies like TR reporting education in order to improve reporting of transfusion-related adverse reactions in this hospital and other similar institutions.
RELEVANCE TO CLINICAL PRACTICE
CONCLUSIONS
This study informs clinical practice and decision-making for nurses and nursing educators who manage blood transfusion administration procedures.
Types de publication
Journal Article
Langues
eng
Pagination
1045-1052Subventions
Organisme : Physicians' Services Incorporated Foundation
ID : 2
Informations de copyright
© 2022 John Wiley & Sons Ltd.
Références
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