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Education needs of nurses in thrombosis and hemostasis: An international, mixed‐methods study

BACKGROUND: The need for a more integrated, multidisciplinary approach to care for individuals with bleeding or clotting disorders has been highlighted in recent years. Evidence‐based education adapted to nurses’ needs is essential for a successful evolution. However, limited data currently exist on...

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Autores principales: Lazure, Patrice, Munn, James, Labbé, Sara, Murray, Suzanne, Butler, Regina, Khair, Kate, Lambing, Angela, Malone, Maura, Reiser, Thomas, Newall, Fiona
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6332710/
https://www.ncbi.nlm.nih.gov/pubmed/30656282
http://dx.doi.org/10.1002/rth2.12155
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author Lazure, Patrice
Munn, James
Labbé, Sara
Murray, Suzanne
Butler, Regina
Khair, Kate
Lambing, Angela
Malone, Maura
Reiser, Thomas
Newall, Fiona
author_facet Lazure, Patrice
Munn, James
Labbé, Sara
Murray, Suzanne
Butler, Regina
Khair, Kate
Lambing, Angela
Malone, Maura
Reiser, Thomas
Newall, Fiona
author_sort Lazure, Patrice
collection PubMed
description BACKGROUND: The need for a more integrated, multidisciplinary approach to care for individuals with bleeding or clotting disorders has been highlighted in recent years. Evidence‐based education adapted to nurses’ needs is essential for a successful evolution. However, limited data currently exist on the clinical challenges nurses face in this specialty area. OBJECTIVES: Identify barriers and challenges faced by specialty nurses, and determine possible causes, to develop appropriate educational interventions. METHODS: A mixed‐methods study, combining qualitative (semi‐structured interviews) and quantitative (online survey) data was conducted on the challenges experienced by hemostasis nurses in nine countries (Argentina, Australia, Canada, China, France, Germany, Spain, the UK, and the US), and deployed in five languages (English, French, German, Mandarin, and Spanish). Qualitative data were analyzed using thematic analysis. Quantitative data were analyzed using frequency tables, chi‐squares and standard deviations. RESULTS: Participants (n = 234) included nurses (n = 212; n = 22 qualitative; n = 190 quantitative); and patients receiving care for bleeding or clotting conditions or their caretakers (n = 22 qualitative phase only). Through triangulated data analysis, six challenging areas emerged: (a) Understanding of von Willebrand disease (VWD); (b) Anticoagulant safety profile in specific patients; (c) Understanding the treatment of patients with inhibitors; (d) Patient risk assessments; (e) Individualization of care and communication with patients; and (f) Accessing and implementing relevant professional education. CONCLUSIONS: This needs assessment provides a comprehensive illustration of the current challenges faced by nurses in the field of bleeding and clotting disorders, and indicates where gaps in skills, knowledge or confidence would benefit from nurse‐specific educational programming.
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spelling pubmed-63327102019-01-17 Education needs of nurses in thrombosis and hemostasis: An international, mixed‐methods study Lazure, Patrice Munn, James Labbé, Sara Murray, Suzanne Butler, Regina Khair, Kate Lambing, Angela Malone, Maura Reiser, Thomas Newall, Fiona Res Pract Thromb Haemost Original Articles: Haemostasis BACKGROUND: The need for a more integrated, multidisciplinary approach to care for individuals with bleeding or clotting disorders has been highlighted in recent years. Evidence‐based education adapted to nurses’ needs is essential for a successful evolution. However, limited data currently exist on the clinical challenges nurses face in this specialty area. OBJECTIVES: Identify barriers and challenges faced by specialty nurses, and determine possible causes, to develop appropriate educational interventions. METHODS: A mixed‐methods study, combining qualitative (semi‐structured interviews) and quantitative (online survey) data was conducted on the challenges experienced by hemostasis nurses in nine countries (Argentina, Australia, Canada, China, France, Germany, Spain, the UK, and the US), and deployed in five languages (English, French, German, Mandarin, and Spanish). Qualitative data were analyzed using thematic analysis. Quantitative data were analyzed using frequency tables, chi‐squares and standard deviations. RESULTS: Participants (n = 234) included nurses (n = 212; n = 22 qualitative; n = 190 quantitative); and patients receiving care for bleeding or clotting conditions or their caretakers (n = 22 qualitative phase only). Through triangulated data analysis, six challenging areas emerged: (a) Understanding of von Willebrand disease (VWD); (b) Anticoagulant safety profile in specific patients; (c) Understanding the treatment of patients with inhibitors; (d) Patient risk assessments; (e) Individualization of care and communication with patients; and (f) Accessing and implementing relevant professional education. CONCLUSIONS: This needs assessment provides a comprehensive illustration of the current challenges faced by nurses in the field of bleeding and clotting disorders, and indicates where gaps in skills, knowledge or confidence would benefit from nurse‐specific educational programming. John Wiley and Sons Inc. 2018-11-01 /pmc/articles/PMC6332710/ /pubmed/30656282 http://dx.doi.org/10.1002/rth2.12155 Text en © 2018 The Authors. Research and Practice in Thrombosis and Haemostasis published by Wiley Periodicals, Inc on behalf of International Society on Thrombosis and Haemostasis. This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Original Articles: Haemostasis
Lazure, Patrice
Munn, James
Labbé, Sara
Murray, Suzanne
Butler, Regina
Khair, Kate
Lambing, Angela
Malone, Maura
Reiser, Thomas
Newall, Fiona
Education needs of nurses in thrombosis and hemostasis: An international, mixed‐methods study
title Education needs of nurses in thrombosis and hemostasis: An international, mixed‐methods study
title_full Education needs of nurses in thrombosis and hemostasis: An international, mixed‐methods study
title_fullStr Education needs of nurses in thrombosis and hemostasis: An international, mixed‐methods study
title_full_unstemmed Education needs of nurses in thrombosis and hemostasis: An international, mixed‐methods study
title_short Education needs of nurses in thrombosis and hemostasis: An international, mixed‐methods study
title_sort education needs of nurses in thrombosis and hemostasis: an international, mixed‐methods study
topic Original Articles: Haemostasis
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6332710/
https://www.ncbi.nlm.nih.gov/pubmed/30656282
http://dx.doi.org/10.1002/rth2.12155
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