Right patient, Right blood: simulation-based training in blood transfusion practice in nursing education

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    Right patient, Right Blood
    Simulation based training in blood transfusion practice in nursing education
    Background: In spite of strict checking procedures to handling transfusion of blood severe adverse reactions are likely to happen and the major cause of morbidity occurs to be liable to human errors. Nursing students have limited possibility to practice safe blood transfusion during clinical placements. We introduced simulation-based workshops to reinforce safe transfusion practice and thus increase patient safety but equally important to bridge the gap between theory and practice.
    Objectives: The objective of the current study was to test workshops focusing on procedures of safe blood transfusion by combining theory and practice, integrating current guidelines on safe blood transfusion and hereby help students to better recognize and handle errors and adverse reactions.
    Methods: 372 third year students were offered to attend three theoretical lessons, an e-learning session on safe transfusion practice followed by a simulation workshop consisting of a reflection session based on study questions and a scenario dealing with safe blood transfusion. The students acted respectively as a patient and ward nurses in scenarios using fake blood, iv trainer hands and original transfusion-documents. Subsequently a debriefing session concluded the workshop. Learning outcomes were evaluated using an anonymous self-assessment questionnaire based on a 1-5 Likert scale and open-ended questions (response rate 71,8%)
    Results: The students assessed their main learning outcomes related to patient safety as increased awareness of adverse reactions mean 3.7, increased knowledge of observations during transfusion mean3.9, identification of complications mean 3.6, knowledge of interventions mean 3.6 and bridging the gap mean 4.3. Practical skills are highlighted from the qualitative perspective, as well as transfer of theory to practice, increased awareness of adverse events and capacity to intervene to complications.
    Conclusions: The study demonstrates that simulation based training of safe blood transfusion can contribute to improve skills and thus potentially improve patient safety in blood transfusion practice.
    Original languageEnglish
    Publication date2014
    Publication statusPublished - 2014


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