Are Healthcare Professionals Adequately Trained for Safe Blood Transfusions? Targeted Training to Bridge Knowledge Gaps

Sarra Boukhris, Saoussen Chouchene, Mayssa Gaaloul, Rihem Mezrigui, Rania El Aissi, Nader Slama, Wiem Boufrikha, Zeineb Mlayah, Linda Khefacha, Mouna Sassi, Mohamed Adnene Laatiri, Mohsen Hassine
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Abstract

Introduction

Ensuring optimal blood transfusion practices relies on a robust expertise base that is indispensable across various professional fields. Recognizing this imperative, the current study aims to assess the knowledge levels of healthcare personnel and enhance transfusion quality through targeted continuing training initiatives.

Methods

The preliminary survey was based on an anonymous questionnaire and we used correct response rate (CRR) as the main parameter evaluating the baseline level of knowledge. Then blood transfusion education sessions which focused on transfusion shortcomings were carried out. Finally, we assessed the impact of this training on the baseline education.

Results

From the total of 789 questionnaires distributed, we garnered 331 responses 23 from healthcare staff. The overall CRR for questions related to transfusion procedure knowledge was 33%. Notably, the per-transfusion step exhibited the highest control with CRR of 55% while noticeable gaps were observed in the pre-transfusion (CRR = 22%) and post-transfusion (CRR = 13%) phases. Profession wise variations in CRR were evident, with nurses recording the lowest percentage (CRR = 29%) compared to physicians (CRR = 39%) and technicians (CRR = 34%). Substantial differences were observed in the interpretation of Ultimate Control in the Patient's Bed (UCPB) among professions, especially affecting ABO identity, compatibility, and incompatibility cases. Following the blood transfusion training, attended by 105 participants, only 99 participants responded to the questionnaire post-training, expressing high satisfaction with the covered modules (80%). The knowledge enhancement encompassed all transfusion phases and the interpretation of clinical cases, notably ABO compatibility. Overall, there was a significant improvement in CRR from 33 to 53% (p < 0.001).

Conclusion

This study demonstrates that the evaluation of knowledge should be carried out on a continuous manner in order to detect gaps in the professional sector and to ensure the effectiveness of training through well-targeted educational programs.

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医护人员是否接受过足够的安全输血培训?弥补知识差距的针对性培训
导言确保最佳输血实践有赖于强大的专业知识基础,这在各个专业领域都是不可或缺的。有鉴于此,本研究旨在评估医护人员的输血知识水平,并通过有针对性的继续培训活动提高输血质量。方法初步调查采用匿名问卷,以正确回答率(CRR)作为评估知识基线水平的主要参数。然后,我们开展了输血教育课程,重点关注输血缺陷。结果在发放的 789 份调查问卷中,我们从医护人员那里获得了 331 份回复。与输血程序知识相关问题的总体问卷回收率为 33%。值得注意的是,每次输血步骤的控制率最高,为 55%,而输血前(CRR = 22%)和输血后(CRR = 13%)阶段则存在明显差距。CRR 的职业差异也很明显,护士的比例最低(CRR = 29%),而医生(CRR = 39%)和技术人员(CRR = 34%)的比例最高。在对病床终极控制(UCPB)的解释上,不同职业之间存在巨大差异,尤其是在 ABO 血型识别、相容性和不相容性方面。输血培训共有 105 人参加,培训结束后只有 99 人回答了调查问卷,他们对培训模块的满意度很高(80%)。知识的提高包括所有输血阶段和临床病例的解释,尤其是 ABO 相容性。总体而言,CRR 从 33% 显著提高到 53%(p < 0.001)。结论:这项研究表明,应持续开展知识评估,以发现专业领域的差距,并通过有针对性的教育计划确保培训的有效性。
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期刊介绍: Indian Journal of Hematology and Blood Transfusion is a medium for propagating and exchanging ideas within the medical community. It publishes peer-reviewed articles on a variety of aspects of clinical hematology, laboratory hematology and hemato-oncology. The journal exists to encourage scientific investigation in the study of blood in health and in disease; to promote and foster the exchange and diffusion of knowledge relating to blood and blood-forming tissues; and to provide a forum for discussion of hematological subjects on a national scale. The Journal is the official publication of The Indian Society of Hematology & Blood Transfusion.
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