英文摘要 |
Purposes: The high incidence and rapid change of acute transfusion reactions make nurses feel pressured. The purpose of this study is that it may be used to improve nurses' recognition of acute transfusion reactions and emergency management ability. Methods: Analysis of the acute transfusion reaction cognitive questionnaire, blood transfusion nursing standards, and the emergency response procedures for acute transfusion reactions suggested that (1) inadequate in-service education was provided to our unit; (2) standard teaching plans, assessment forms, and training programs for the emergency management of acute transfusion reactions were not available; (3) there was insufficient effective communication between doctors and nurses; (4) the compliance rate of blood transfusion nursing standards was low, and additionally, an examination program was absent; and (5) the existing emergency response procedures were excessively brief. Therefore, multi-teaching strategies were implemented between March and September 2018 to improve the recognition of acute transfusion reactions and the emergency management ability of hematology nurses. These strategies included introducing flipped classrooms using the ''common blood transfusion reactions and their clinical managements'' video, providing in-service education to strengthen ISBAR communication skills between doctors and nurses, promoting the ''transfusion reaction: stop, look, listen, report, and record'' concept, reminding doctors to perform investigations on blood transfusion reactions and advocating nursing standards for blood transfusion, conducting nursing skills training through OSCE teaching plans, and establishing emergency response procedures for transfusion reactions as well as standardizing examination programs. Results: Implementation resulted in the correct recognition rate of acute transfusion reactions increasing from 30.4% to 90.6%, the correct completion rate of the teaching plan for acute transfusion response emergency procedures increasing to 88.5%, and the compliance rate of blood transfusion nursing standards escalating from 61.9% to 93.1%. Conclusions:Through multi-teaching strategies, the nurses’ recognition rate of acute blood transfusion reactions as well as their emergency management abilities effectively improved; thereby providing references for other wards with similar demands. (Cheng Ching Medical Journal 2020; 16(3): 65-76) |