Document Type : Original Article
Author
Abstract
BACKGROUND: Blood transfusion service is an important part of our healthcare system whose
aim is to provide safe, effective blood components for the patient’s requirement. The laboratory
technicians and nurses working in the blood bank form the core for the effective functioning of blood
bank. The study was to analyze the knowledge, attitude, and practice of nurses and paramedics such
as laboratory technicians working in blood banks and whether intervention of a training program had
any benefit to the participants.
MATERIALS AND METHODS: This study was conducted in our department which is a regional
training center approved by the National AIDS Control Organization for training medical officers,
laboratory technicians, and staff nurses working in blood banks. There were a total number of 48
government run hospital blood banks who participated in the study and we conducted six training
programs for 43 nurses and 64 laboratory technicians working in blood banks from the southern
states of Tamil Nadu and Pondicherry in India. The training program was for 5 days for technicians
and 3 days for nurses with theory sessions followed by hands on practical classes regarding the
daily activities in blood bank. They were given a pre‑evaluation questionnaire to test their knowledge,
attitude, and practice followed by a post evaluation questionnaire after conducting the training
program.
RESULTS: The mean percentage score in the pre evaluation test before the training program
for nurses and technicians was 47% and 53% while after the training program; the mean
percentage was 66.8% and 77% which was statistically significant in both the groups. The
correct blood bank practices followed by nurses and laboratory technicians overall were 67% and
75%, respectively. The technicians and nurses scored poorly in blood bank practices related to
hemovigilance.
DISCUSSIONS: Regular and standardized training can lead to improvements in the knowledge,
skills, and practice of nurses and paramedics who provide blood transfusion services. The constraints
faced by the nurses and paramedical personnel needs to be addressed for the overall betterment
of blood transfusion services.
CONCLUSIONS: The increase in the knowledge subsequently contributed to a better practice in the
technicians. The concept of haemovigilance and error reporting has to be stressed on the nurses
and paramedics to improve their good practices.
Keywords
- Available from: http://www.naco.gov.
inStandardsforBloodBanksandBloodTransfusionServices.pdf
13. [Last accessed on 2018 Jan 14].
2. Available from: http://www.who.int/bloodsafety/transfusion_
services/IndiaNationalBloodPolicy2007pg3. [Last accessed on
2018 Jan 14].
3. Talati S, Gupta AK, Jain A. Knowledge and awareness among
nurses regarding the blood transfusion services and practices in a
tertiary care teaching hospital. Asian J Transfus Sci 2016;10:166‑8.
4. Ali ZH, Taha NM. Effect of infection control training program
on nurse’s performance and microbial results on git endoscopes.
Adv Life Sci Technol 2014;7:6‑16.
5. de Vries RR, Faber JC, Strengers PF; Board of the International
Haemovigilance Network. Haemovigilance: An effective tool for
improving transfusion practice. Vox Sang 2011;100:60‑7.
6. Sorra J, Nieva V, Fastman BR, Kaplan H, Schreiber G,
King M. (2008) Staff attitudes about event reporting and patient
safety culture in hospital transfusion services. Transfusion
48: 1934–1942.
7. Sindhulina C, Joseph NJ. (2014), Addressing sample identification
errors in a multispecialty tertiary care hospital in Bangalore. Vox
Sang 107: 153–157.
8. Maskens C, Downie H, Wendt A, Lima A, Merkley L, Lin Y,
Callum J. (2014), Hospital‑based transfusion error tracking
from 2005 to 2010: identifying the key errors threatening patient
transfusion safety. Transfusion 54: 66–73.
9. Bolton‑Maggs PHB, Wood EM, Wiersum‑Osselton JC (2015).
Wrong blood in tube – potential for serious outcomes: can it be
prevented?. Br J Haematol 168: 3–13.
10. Gonzalez‑Porras JR, Graciani IF, Alvarez M, Pinto J, Conde MP,
Nieto MJ, and Corral M. (2008), Tubes for pretransfusion testing
should be collected by blood bank staff and hand labelled until
the implementation of new technology for improved sample
labelling. Results of a prospective study. Vox Sanguinis 95: 52–56.
11. Cabaudd.Training, skill and competences’ follow‑up. Transfus
Clin Biol (2007) May; 14 (1):152‑6.
12. Dubey A, Sonker A, Chaudhary RK. Evaluation of health
care workers’ knowledge and functioning of blood centres in
North India: A questionnaire based survey. Transfus Apher Sci
2013;49:565‑70.
13. ElazazayHM, AbdelazezAL, ElsaieOA. Effect of cardiopulmonary
resuscitation training program on nurses knowledge and practice. - Life Sci J 2012;9:3494‑503.
14. Furmedge J, Surya H, Darlington J, Savoia H, Monagle P. Audit
of nurses‑adherence to pre‑transfusion checking. Transfus Med
2005;15:69‑82.
15. Drugs and Cosmetics Act 1940 and Rules 1945; 31 December,
2016. Available from: http://www.cdsco.nic.in. [Last accessed
on 2018 Jan 14].
16. Botting K, Boyce N, Aranda S, Topp F. Improving hospital
transfusion practice: Evaluation of progress at two metropolitan
hospitals. Transfus Med 2005;15:69‑82.
17. 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;52:1687‑95.
18. Bolton‑Maggs PH, Wood EM, Wiersum‑Osselton JC. Wrong blood
in tube‑potential for serious outcomes: Can it be prevented? Br J
Haematol 2015;168:3‑13.
19. Bolton‑MaggsPH, CohenH. Serious hazards of transfusion(SHOT)
haemovigilance and progress is improving transfusion safety. Br
J Haematol 2013;163:303‑14.
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