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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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Autor principal: Jumpp, Savannah
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2021
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
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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.
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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
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