Effectiveness of an Educational Program on Nurses' Knowledge and Practice in the Management of Acute Painful Crises in Sickle Cell Disease

Abstract

Background: Sickle cell disease (SCD) affects millions of people worldwide and is associated with significant morbidity and mortality. Nurses can have a significant role in improving the outcomes of individuals with SCD. This study examined the effectiveness of an educational program on the knowledge and practice of nurses who provide care for individuals with acute sickle cell crisis. Method: A pretest–posttest control group design was used. The study was conducted at two hospitals in the northern region of Egypt. The sample included 77 RNs working in hematologic and genetic units. Data were collected using a self-administered knowledge questionnaire and a clinical performance checklist. Results: Findings indicated a significant difference in nurses' knowledge and care practices after implementing the educational program. Conclusion: This educational program enhanced nurses' knowledge and practice for managing SCD. Training and continuing education programs need to be provided for nurses in hospital settings who provide care for individuals with SCD. Moreover, nursing curricula should reflect the standardized care for individuals with sickle cell crisis. [ J Contin Educ Nurs. 2019;50(2):87–95.]

The Effectiveness of Priapism's Structured Educational Module on Nurses' Knowledge, Attitude, Beliefs, and Patient’s Profile

“…This result could be attributed to implementing priapism's structured educational module with specific, clear, learnable, and simple written information in addition to the curiosity and interest of the studied nurses to learn and improve their knowledge and concerns about disease. These results are compatible with Yacoub, et al stated that more than twoquarters of the studied nurses appeared to be moderately knowledgeable (25) . These findings are contradicted with Whyte, et al who clarified that the studied nurses' level of knowledge was insufficient among the studied nurses at the study phases (26) .…”

“…This is considered may be related to well trained nurses, continuous updating level of knowledge and recognizing social aspect of this issue. Moreover, this finding agreed with Yacoub, Zaiton, Abdelghani, and Elshatarat who stated this there was a statistically significant correlation between the studied nurses' knowledge and practice at the study phases (25).…”

A rapid evidence assessment of sickle cell disease educational interventions

“…Two studies (Kim et al, 2017;Yacoub et al, 2019) and planned conferences and retreats (Haywood et al, 2015). One study did not report the length of interventions (Hanik et al, 2014).…”

GRAPES: Trivia game increases sickle cell disease knowledge in patients and providers and mitigates healthcare biases

“…2 In addition to quantitative measures of disparity, healthcare bias among nurses and doctors against patients with SCD is well documented, potentially impacting treatment decisions and clinical outcomes. 3,4 In the predominantly Black SCD patient population, anti-SCD bias is coupled with broader racial bias against Black patients in healthcare settings. Perceptions of unequal treatment are often noted among Black patients with SCD, including among children.…”

“…For patients with SCD, life expectancy and disease course are influenced by social determinants of health, such as socioeconomic status, health literacy, and race and ethnicity 2 . In addition to quantitative measures of disparity, healthcare bias among nurses and doctors against patients with SCD is well documented, potentially impacting treatment decisions and clinical outcomes 3,4 . In the predominantly Black SCD patient population, anti‐SCD bias is coupled with broader racial bias against Black patients in healthcare settings.…”