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研究生:阮氏成
研究生(外文):Nguyen Thi Thanh
論文名稱:KNOWLEDGE AND PRACTICE OF SAFE BLOOD TRANSFUSION AMONG NURSES AT NHAN AI HOSPITAL
論文名稱(外文):KNOWLEDGE AND PRACTICE OF SAFE BLOOD TRANSFUSION AMONG NURSES AT NHAN AI HOSPITAL
指導教授:林麗敏林麗敏引用關係
指導教授(外文):Lin,Li-Min
口試委員:曾佳珍賴維淑
口試委員(外文):Tseng,Chia-ChenLai,Wei-Sue
口試日期:2023-12-08
學位類別:碩士
校院名稱:美和科技大學
系所名稱:護理系健康照護碩士班
學門:醫藥衛生學門
學類:護理學類
論文種類:學術論文
論文出版年:2024
畢業學年度:112
語文別:英文
論文頁數:82
外文關鍵詞:Knowledgepracticesafe blood transfusionnursing
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Background: Blood transfusion is an important technical process in the patient health care system. Nurses play a pivotal role in implementing this technical indicator. In Vietnam, safe blood transfusion is not taken seriously, there is verry little research about safe blood transfusion among nurses, prior research indicated that nurses' general knowledge and practice of blood transfusion safety is still limited and incomplete. At Nhan Ai Hospital, blood transfusion technology has only been applied since 2017. Therefore, evaluating knowledge and practicing new technical procedures is important and necessary.
Objective: This study aims to investigate how knowledge of safe blood transfusion influences practice of safe blood transfusion and how social-demographic characteristics influenes knowledge of safe blood transfusion and practice of safe blood transfusion at Nhan Ai Hospital.
Methods: The study was carried out by cross-sectional descriptive method, a total of 103 nurses participated in the study. The study used the RBTKQ instruments developed by Tetteh et al. (2015). The SPSS software version 26.0 was used for analysis in this study. Descriptive statistics are used to describe the socio-demographic characteristics, occupation characteristics, knowledge, and practices of nurses related to safe blood transfusion. ANOVA and t-tests were used to determine the relationship between socio-demographic characteristics, occupation characteristics, and knowledge. The chi-square test was used to evaluate the relationship between socio-demographic characteristics, occupation characteristics, and practices toward blood transfusion safety. Multiple Linear regression was used to analyze the relationships between knowledge and practices related to blood transfusion safety.
Result: The average general knowledge score of nurses related to safe blood transfusion was 4.39 ±0.33. The average score for nursing practice is (0.93±0.15). The majority of nurses have good practice toward safe blood transfusion (93.20%). There was a relationship between attending training programs about safe blood transfusion and practice toward safe blood transfusion (p<0.001). There was an association between knowledge of patient preparation, knowledge of complications related to blood transfusion, and practice toward safe blood transfusion (p=0.01, p=0.02, respectively), general knowledge associated practice toward safe blood transfusion among nurses (p<0.001).
Conclusion: Factors related knowledge toward safe blood transfusion includes age, religion, sensiority, blood transfusion involvement experience, hearing about safe blood transfusion, attending training programs, and practice to ward safe blood transfusion. Nurse’s practice toward safe blood transfusion associated the number of children in the family and attending training programs about safe blood transfusion.
Keywords: Knowledge, practice, safe blood transfusion, nursing

Background: Blood transfusion is an important technical process in the patient health care system. Nurses play a pivotal role in implementing this technical indicator. In Vietnam, safe blood transfusion is not taken seriously, there is verry little research about safe blood transfusion among nurses, prior research indicated that nurses' general knowledge and practice of blood transfusion safety is still limited and incomplete. At Nhan Ai Hospital, blood transfusion technology has only been applied since 2017. Therefore, evaluating knowledge and practicing new technical procedures is important and necessary.
Objective: This study aims to investigate how knowledge of safe blood transfusion influences practice of safe blood transfusion and how social-demographic characteristics influenes knowledge of safe blood transfusion and practice of safe blood transfusion at Nhan Ai Hospital.
Methods: The study was carried out by cross-sectional descriptive method, a total of 103 nurses participated in the study. The study used the RBTKQ instruments developed by Tetteh et al. (2015). The SPSS software version 26.0 was used for analysis in this study. Descriptive statistics are used to describe the socio-demographic characteristics, occupation characteristics, knowledge, and practices of nurses related to safe blood transfusion. ANOVA and t-tests were used to determine the relationship between socio-demographic characteristics, occupation characteristics, and knowledge. The chi-square test was used to evaluate the relationship between socio-demographic characteristics, occupation characteristics, and practices toward blood transfusion safety. Multiple Linear regression was used to analyze the relationships between knowledge and practices related to blood transfusion safety.
Result: The average general knowledge score of nurses related to safe blood transfusion was 4.39 ±0.33. The average score for nursing practice is (0.93±0.15). The majority of nurses have good practice toward safe blood transfusion (93.20%). There was a relationship between attending training programs about safe blood transfusion and practice toward safe blood transfusion (p<0.001). There was an association between knowledge of patient preparation, knowledge of complications related to blood transfusion, and practice toward safe blood transfusion (p=0.01, p=0.02, respectively), general knowledge associated practice toward safe blood transfusion among nurses (p<0.001).
Conclusion: Factors related knowledge toward safe blood transfusion includes age, religion, sensiority, blood transfusion involvement experience, hearing about safe blood transfusion, attending training programs, and practice to ward safe blood transfusion. Nurse’s practice toward safe blood transfusion associated the number of children in the family and attending training programs about safe blood transfusion.
Keywords: Knowledge, practice, safe blood transfusion, nursing

Abstract i
CHAPTER 1. INTRODUCTION 1
1.1. Statement of this research 1
1.2. Significance of this research 3
1.3. Aims of this research 4
1.4. Research questions 4
1.5. Chapter summary 4
CHAPTER 2. LITERATURE REVIEW 6
2.1. Concept of knowledge and practice of safe blood transfusion 6
Concept of Blood transfusion errors 6
2.2. Factors related to knowledge and practice of safe blood transfusion 7
2.2.1 Relationship between nurses’ knowledge and socio-demographic characteristics 7
2.3. Situation of research worldwide and in Vietnam 10
CHAPTER 3. RESEARCH METHODOLOGY 18
3.1. Introduction 18
3.2. Research design 18
3.3. Research framework 18
3.4. Measurement development 19
3.5. Validity and reliability of research instrument when applying in Vietnam 20
3.6. Sampling issue 25
3.7. Information bias control 26
3.8. Data analysis 27
3.9. Ethic issue 28
CHAPTER 4. RESULTS 29
4.1. Introduction 29
4.2. Socio-demographic characteristics (N=103) 29
4.3. Occupational characteristics of nurses (N=103) 30
4.5. Nurses’ practice regarding safe blood transfusion 35
4.6. The relationship between socio-demographic characteristics and nurses’ knowledge toward safe blood transfusion 37
4.7. The relationship between occupational characteristics and nurses’ knowledge toward safe blood transfusion 40
4.8. The relationship between sociodemographic characteristics and nurses’ practice toward safe blood transfusion. 43
*p-value < 0.05, **p-value < 0.001, ***p-value < 0.0001 44
4.9. The relationship between occupational characteristics and nurses’ practice toward safe blood transfusion 44
4.10. The relationship between knowledge and practice toward safe blood transfusion 46
Chapter summary 47
CHAPTER 5. DISCUSSION AND CONCLUSION 49
5.1. Socio-demographic characteristics 49
5.2. Occupational characteristics 49
5.3. Knowledge of safe Blood Transfusion. 50
5.3.1. Patient preparation knowledge 50
5.3.2. Blood bag collection knowledge 51
5.3.3. Administering the transfusion knowledge 51
5.3.4. Nurses’ knowledge regarding post transfusion activities and issues 52
5.3.5. Knowledge about complications related to blood transfusion. 52
5.4. Practicing safe blood transfusion. 53
5.5. The relationship between sociodemographic characteristics and knowledge regarding safe blood transfusion 54
5.6. The relationship between occupational characteristics and knowledge regarding safe blood transfusion 55
5.7. Relationship between sociodemographic characteristics and nurses’ practice regarding safe blood transfusion 56
5.8. The relationship between occupational characteristics and safe blood transfusion practice 56
5.9. The relationship between knowledge and safe blood transfusion practice 57

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