Effectiveness of implementing evidence based practices guidelines regarding blood transfusion on quality of nursing care and patients' safety in Pediatric Units

Abstract

Background and objective: The new trend that widely accepted in health care institutions is to implement an evidence-based practice. Health facilities frequently integrate standards of practice that reveal current best evidence to increase patients’ outcomes and consequently decrease hospital cost. Transfusion of blood is a cornerstone in managing many critically ill children. However, nurses have a chief role in transfusing blood and their knowledge and performance are important for them to transfuse blood safely and efficiently. Aim: Evaluate the effectiveness of implementing evidence based nursing practices guidelines on quality of nursing care and patients' safety as regards blood transfusion to improve transfusion practices and ensure safety.Methods: A quasi-experimental design. Settings: This study was conducted at Pediatric Intensive Care Unit, Neonatal Intensive Care Unit, Emergency Room, Medical and Surgical Wards, Hematology/Oncology Units in Children Hospital affiliated to Ain Shams University Hospitals. Sample: A convenience sample composed of 95 pediatric nurses, whom were willingness to participate in the study and 78 children whom were receiving blood transfusion. Tools: I. A Self-Administered Questionnaire Sheet to assess nurses’ knowledge regarding blood transfusion; II. Child’s Medical Record to collect data about child’s health status; III. An Observational Competence Checklist to assess the quality of actual nurses’ practices about Blood Transfusion; and IV. Evidence Based Nursing Practices Guidelines of Blood Transfusion that was described the EBNP guidelines that provide a standardized approach for transfusion (before and after).Results: The studied nurses’ knowledge and practices regarding to blood transfusion were improved and reflected a highly significant differences before and after guidelines implementation.Conclusions: The present study concluded that studied nurses showed an improvement in their knowledge and practices regarding blood transfusion after implementation of evidence based nursing practices guidelines. Recommendation: It is essential that all nurses who administer blood transfusion for children should complete periodic in-services training programs to keep them up to date regarding to safe and efficient administration of blood transfusion.

Effect of Educational Program on Nurses' Performance regarding Intensive Care Units Induced Diarrhea among Critically Ill Patients

“…This interpretation was supported by Mohammed et al, (2021) who revealed that, there was a statistically significant difference between nurses practice sub items scores regarding food &fluid management & skin care for patient with diarrhea before and after implementation of health education. (37) Also, it was supported by El-Sayed et al, (2018) regarding care of ICU patients with diarrhea. Who illustrated that there was a marked improvement in the nurses' total practices regarding management of hypovolemic shock related to sever diarrhea pre-and post-implementation of the training guidelines.…”

“…This tool was developed by the researcher based on literatures review (34)(35)(36)(37) It was used for assess nurses' practice pre, immediate and 2 months later post implementation of educational program regarding intensive care units induced diarrhea; it was including the following:…”