Chew, Poh Ling
(2019)
Development And Validation Of
Questionnaire To Assess Knowledge,
Attitude And Perception Among Nurses
On Responsibility And Patient
Management Related To
Blood Transfusion.
Masters thesis, Universiti Sains Malaysia.
Abstract
Introduction: In modern clinical practice, transfusion of blood products was often used
to improve the hemodynamic profile and clinical condition of patients. However, error
in blood transfusion practice jeopardizing safe transfusion and may lead to severe and
life-threatening consequences to the patients. Haemovigilance program over the year
continue to report, human error is the greatest risks in safe blood transfusion. In
Malaysia, reported transfusion reaction due to incorrect blood component transfusion
was 0.73%, and the majority (80%) occur in the clinical ward. Nurses play a central role
in ensuring safe blood transfusions, as more than half of the steps in blood transfusion
are dependent on the nurse's awareness and skills. Sufficient knowledge among nurses
were essential to ensure safe practice in patient care and improve patient safety. Besides
professional knowledge, good attitudes and perception of health care worker can affect
safe behaviours practice and quality of patient care. However, there was no validated
questionnaire available to assess nurses’ knowledge, attitude and perception in patient
management related to blood transfusion.
Objective: To develop and validate a questionnaire about the knowledge, attitude and
perception among nurses on blood transfusion management.
Methods: A cross-sectional study was conducted among nurses at the Clinical Complex
(CC) of Advanced Medical and Dental Institute (AMDI), Hospital Kepala Batas and
Hospital Seberang Jaya, Penang, Malaysia. The study used a self-administrated
questionnaire that take approximately 30 minutes to complete. The validation involved content validation, exploratory factor analysis for construct validity, internal
consistency and test retest for reliability.
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