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Evidence‐Based Competency Training Program for Blood Product Administration
BACKGROUND: Health care in deployed military environments requires robust clinical nursing skills to care for patients with traumatic injuries. Blood product administration is a critical skill in which nurses should be competent. However, in non‐deployed environments, blood transfusions are performe...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8456870/ https://www.ncbi.nlm.nih.gov/pubmed/34212468 http://dx.doi.org/10.1111/wvn.12519 |
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author | Jumpp, Savannah |
author_facet | Jumpp, Savannah |
author_sort | Jumpp, Savannah |
collection | PubMed |
description | BACKGROUND: Health care in deployed military environments requires robust clinical nursing skills to care for patients with traumatic injuries. Blood product administration is a critical skill in which nurses should be competent. However, in non‐deployed environments, blood transfusions are performed less frequently, resulting in skill competency loss. AIMS: Our clinical inquiry focused on maintaining competency for infrequently performed nursing skills, specifically blood product administration. METHODS: A literature review and critical appraisal were executed, followed by an evidence‐based practice change. A knowledge test, objective and subjective assessment, and training satisfaction evaluation were performed to measure the practice change outcomes. Both inpatient and outpatient nurses were included. RESULTS: Sixteen articles were identified and appraised. The evidence recommended a blended education approach, that is, lecture plus hands‐on practice. Thus, a classroom lecture and simulation scenario were put into practice with an existing computer‐based training for blood administration. The nurses met knowledge test standards (≥ 90%) before and after implementation, while skill performance improved by 13% and improved self‐competence scores by 7%. Nurses in outpatient settings improved performance scores by 18.4% compared to inpatient nurses, whose scores improved by 9.4%. The simulation scenario completion time decreased by 8.3 minutes post‐implementation, and the training program earned a 90% satisfactory rating. LINKING EVIDENCE TO ACTION: A blended education program improves clinical skill performance and enhances confidence in performing critical interventions. Blended education provides a safe learning environment for nurses to be prepared for the management of low‐volume patient care emergencies. |
format | Online Article Text |
id | pubmed-8456870 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-84568702021-09-27 Evidence‐Based Competency Training Program for Blood Product Administration Jumpp, Savannah Worldviews Evid Based Nurs Implementing Ebp Columns BACKGROUND: Health care in deployed military environments requires robust clinical nursing skills to care for patients with traumatic injuries. Blood product administration is a critical skill in which nurses should be competent. However, in non‐deployed environments, blood transfusions are performed less frequently, resulting in skill competency loss. AIMS: Our clinical inquiry focused on maintaining competency for infrequently performed nursing skills, specifically blood product administration. METHODS: A literature review and critical appraisal were executed, followed by an evidence‐based practice change. A knowledge test, objective and subjective assessment, and training satisfaction evaluation were performed to measure the practice change outcomes. Both inpatient and outpatient nurses were included. RESULTS: Sixteen articles were identified and appraised. The evidence recommended a blended education approach, that is, lecture plus hands‐on practice. Thus, a classroom lecture and simulation scenario were put into practice with an existing computer‐based training for blood administration. The nurses met knowledge test standards (≥ 90%) before and after implementation, while skill performance improved by 13% and improved self‐competence scores by 7%. Nurses in outpatient settings improved performance scores by 18.4% compared to inpatient nurses, whose scores improved by 9.4%. The simulation scenario completion time decreased by 8.3 minutes post‐implementation, and the training program earned a 90% satisfactory rating. LINKING EVIDENCE TO ACTION: A blended education program improves clinical skill performance and enhances confidence in performing critical interventions. Blended education provides a safe learning environment for nurses to be prepared for the management of low‐volume patient care emergencies. John Wiley and Sons Inc. 2021-07-01 2021-08 /pmc/articles/PMC8456870/ /pubmed/34212468 http://dx.doi.org/10.1111/wvn.12519 Text en Published 2021. This article is a U.S. Government work and is in the public domain in the USA. Worldviews on Evidence-based Nursing published by Wiley Periodicals LLC on behalf of Sigma Theta Tau International https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://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 | Implementing Ebp Columns Jumpp, Savannah Evidence‐Based Competency Training Program for Blood Product Administration |
title | Evidence‐Based Competency Training Program for Blood Product Administration |
title_full | Evidence‐Based Competency Training Program for Blood Product Administration |
title_fullStr | Evidence‐Based Competency Training Program for Blood Product Administration |
title_full_unstemmed | Evidence‐Based Competency Training Program for Blood Product Administration |
title_short | Evidence‐Based Competency Training Program for Blood Product Administration |
title_sort | evidence‐based competency training program for blood product administration |
topic | Implementing Ebp Columns |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8456870/ https://www.ncbi.nlm.nih.gov/pubmed/34212468 http://dx.doi.org/10.1111/wvn.12519 |
work_keys_str_mv | AT jumppsavannah evidencebasedcompetencytrainingprogramforbloodproductadministration |