Problems evidenced by nursing care in blood transfusions: an integrative review
DOI:
https://doi.org/10.31686/ijier.vol8.iss3.2194Keywords:
Blood Transfusion, Hemotherapy, Hemotherapy Service, Nursing CareAbstract
Objective: Analyse the primary studies that highlighted the problems related to Nursing assistance in the practice of blood transfusions. Materials and Methods: Integrative literature review with a search of journals indexed in SCOPUS; CINAHL; SCIENCE DIRECT; PUBMED and WEB of SCIENCE databases, with the descriptors blood transfusion; Exchange Transfusion; Hemotherapy Service; nursing care; Patient Care Planning; Evidence Based Nursing. Results and Discussion: The sample consisted of 12 primary articles. Two qualitative studies obtained a moderate and strong level on the COREQ scale. In the STROBE score assignment, ten articles were selected with scores above 12. As for the level of evidence, 91.6% have level 4 and 8.4% level 3. Regarding the professionals' knowledge about blood transfusion, although they have knowledge of the subject, they declare the need for continuous training for quality assurance and, also, those who know the process, but do not adequately perform the steps for patient safety, need training. Regarding patient safety, the knowledge deficit of professionals can be detrimental to patient safety, which can lead to potential harm and increased morbidity and mortality of patients in the process of hemodialysis. Conclusion: The transfusion practice requires qualified professionals to ensure quality care and patient safety. Therefore, there is a need for ongoing education programs that include training and capacity-building related to the subject, as well as the multiple factors arising from lack of quality and unhealthy forms of work that overload professionals and lead to error.
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[2] Conselho Federal de Enfermagem (Brasil). Resolução COFEN nº 306/2006. Normatiza a atuação do Enfermeiro em Hemoterapia. Rio de Janeiro: Conselho Federal de Enfermagem; 2006.
[3] Silva KFN, Soares S, Iwaamoto HH. A prática transfusional e a formação dos profissionais de saúde. Rev Bras Hematol Hemoter. 2009; 31(6): 421-26.
[4] Mattia D, Andrade S. Cuidados de enfermagem na transfusão de sangue: um instrumento para monitorização do paciente. Texto contexto – enferm. 2016; 25(2):e2600015.
[5] Conceição GMN. Conhecimento dos enfermeiros de unidades de terapia intensiva adulto sobre as reações transfusionais [trabalho de conclusão de curso]. Porto Alegre: Universidade Federal do Rio Grande do Sul; 2015.
[6] Tavares JL, Barichello E, De Mattia AL, Barbosa MH. Factors associated with knowledge of the nursing staff at a teaching hospital on blood transfusion. Rev latinoam enferm. 2015; 23(4):595-602.
[7] Whittemore R, Knafl K. The integrative review: updated methodology. J Adv Nurs 2005; 52(5):546-53.
[8] Fram D, Marin CM, Barbosa D. Avaliação da Necessidade da Revisão Sistemática e a Pergunta do Estudo. In: Barbosa D et al., editores. Enfermagem Baseada em Evidências. São Paulo: Atheneu; 2014. p. 21-28.
[9] Moher D, Liberati A, Tetzlaff J, Altman DG; Group PRISMA. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med. 2009; 6(7):1-6.
[10] Malta, M, Cardoso LO, Bastos FI, Magnanini MMF, Silva CMFP. Iniciativa STROBE: subsídios para a comunicação de estudos observacionais. Rev Saúde Públ. 2010; 44(3):559-65.
[11] Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care. 2007; 19(6):349–57.
[12] Agency for Healthcare Research and Quality AHRQ [Internet]. Annual Report on Research and Management [Internet]. Florida: Florida Fish and Wildlife Conservation Commission; 2001. [acessado 2019 april 11]. Disponível em: http://www.ahrq.gov/about/annrpt01/
[13] Graaf JD, Kajja I, Bimenya GS, Postma MJ, Sibinga CT. Bedside practice of blood transfusion in a large teaching hospital in Uganda: An observational study. Asian J Transfus Sci. 2009; 3(2):60-5.
[14] Heddle NM, Fung M, Hervig T, Szczepiorkowski ZM, Torretta L, Arnold E, et al. Challenges and opportunities to prevent transfusion errors: a Qualitative Evaluation for Safer Transfusion (QUEST). Transfusion. 2012; 52(8):1687-95.
[15] Hijji B, Parahoo K, Hussein MM, Barr O. Knowledge of blood transfusion among nurses. J Clin Nurs. 2012; 22(17-18): 2536-50.
[16] Murphy DJ, Pronovost PJ, Lehmann CU, Gurses AP, Whitman GJ, Needham DM et al. Red blood cell transfusion practices in two surgical intensive care units: a mixed methods assessment of barriers to evidence-based practice. Transfusion. 2014; 54(10pt2):2658-67.
[17] Reis VN, Paixao IB, Amaral de SJPAC, Monteiro MI, dos Santos KB. Transfusion monitoring: care practice analysis in a public teaching hospital. Einstein-São Paulo. 2016;14(1):41-6.
[18] Amaral JHS, Nunes RLS, Rodrigues LMS, Braz, MR, Balbino CM, et al. Hemoterapia: um desafio no cotidiano da equipe de enfermagem. Rev enferm UFPE. 2016; 10(6):4820-27.
[19] Kavaklioglu AB, Dagci S, Oren B. Determination of health workers' level of knowledge about blood transfusion. Northern Clinics of Istanbul. 2017;4(2):165-72.
[20] Cherem EO, Alves VH, Rodrigues DP, Pimenta PCO, Souza FDL, Guerra JVV. [The transfusional therapy process in the neonatal intensive therapy unit: the nurse’s knowledge]. Texto contexto - enferm. 2018; 27(1): e1150016. Portuguese.
[21] Nunes SKF, Dagma DR, Floriano DR, Foroni AL, Lumênia TJ, Santos FMM Felix, Marques, et al. Blood transfusion in Intensive Care Units: knowledge of the nursing Team. Av Enferm. 2017; 35(3):313-23.
[22] Vaghar IM. The Impact of an Educational Program on Blood and Blood Products Transfusion on Nurses’ Level of Knowledge and Performance. J Med Life. 2018; 11(3): 238-42.
[23] Khetan D, Katharia R, Pandey HC, Chaudhary R, Harsvardhan R, Pandey H, et al. Assessment of bedside transfusion practices at a tertiary care center: A step closer to controlling the chaos. Asian J Transfus Sci. 2018;12(1):27-33.
[24] Araújo KM, Brandão MAG, Leta J. Um perfil da produção científica de enfermagem em Hematologia, Hemoterapia e Transplante de medula óssea. Acta paul. enferm. 2007; 20(1): 82-86 2019.
[25] Rudrappan RB. Evaluating the knowledge and practices of nurses and paramedics in blood transfusion services – A survey in the states of Tamil Nadu and Pondicherry, India. J Edu Health Promot 2019; 8:48.
[26] Souza GF, Nascimento ERP, Lazzari DD, Böes AA, Iung W, Bertoncello KC. Boas práticas de enfermagem na unidade de terapia intensiva: cuidados durante e após a transfusão sanguínea. Rev Min Enferm. 2014; 18(4): 939-46.
[27] Barbosa HB, Nicola AL. Desafios da enfermagem diante das reações transfusionais. Saúde (Sta Maria). 2014; 40(2):97-104.
[28] ANVISA (Brasil). Resolução RDC nº 57, de 16 de dezembro de 2010. Determina o Regulamento Sanitário para Serviços que desenvolvem atividades relacionadas ao ciclo produtivo do sangue humano e componentes e procedimentos transfusionais. Diário Oficial da União 17 dez. 2010.
[29] Bezerra CM, Moreira Leitao Cardoso MVL, Freitas da Silva GR, Rodrigues EdC. Creation and validation of a checklist for blood transfusion in children. Rev Bras Enferm. 2018;71(6):3020-6.
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Copyright (c) 2020 Aniandra Sgarbi, Maria Lúcia Ivo, Andréia Insabralde de Queiroz Cardoso, Rodrigo Guimarães dos Santos Almeida, Caroline Neris Ferreira Sarat, Rozilda Pulquério Salles, Abílio Torres dos Santos Neto, Alexandra Maria Almeida Carvalho, Layla Leite Oliveira Campos Machado, Gleizze Illana Gomes
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