Other Titles

PechaKucha Presentation

Abstract

Background: An estimated 30% of oncology patients receiving chemotherapy will require a blood transfusion at least once for survival. At our designated infusion clinic, blood transfusions are not provided, forcing patients into emergency departments for treatment. Clinic staff expressed the desire to administer transfusions on-site, but nurses lacked the necessary training and support. This QI project aimed to create and evaluate an educational module to ensure staff competency and aid in administering blood transfusions in the clinic.

Methods: The Johns Hopkins Nursing Evidence-Based Practice Model and the Practice Evidence Translation process were utilized to identify key stakeholders and address barriers. Based on feedback from nurses during development, an educational module was created. The module was delivered to two groups of infusion nurses: in-person training and asynchronously online. Knowledge was assessed using the Blood Administration Knowledge Assessment (BAKA) instrument; both quantitative and qualitative data were collected.

Results: The module was developed, revised, and tested. Nurses (n=25) reported the final module was helpful and informative. The module's video component (11 minutes) covered critical topics such as informed consent, transfusion setup, monitoring, and handling reactions. Barriers to implementation were identified, including staffing ratios, time constraints, space limitations, and emergency response capabilities. Post-training BAKA scores demonstrated improved/increased knowledge with 74% demonstrating correct monitoring before the module completion to 100% correct monitoring post-completion. Mean overall score went from 91.7% (pre-module) to 97.5% (post-module). Notably, 100% (n=25) of nurses were deemed competent to administer blood in the outpatient setting per the protocol and BAKA scoring after module completion.

Discussion/Implications for Practice: The educational module improved and verified nurses’ competency in administering blood transfusions in an outpatient clinic. Both in-person and online training methods effectively enhanced knowledge, though the online module provided flexibility by allowing nurses to complete the training without leaving the clinic. High competence levels were noted before, but the education reinforced knowledge and improved BAKA scores. This project demonstrates how engaging nursing staff and key clinic stakeholders helps identify barriers and implement solutions to enhance care quality

Description

A blood administration educational module was developed in collaboration with nurses at an oncology infusion clinic. This process assists in educating and verify knowledge for safely administering blood to anemic patients. This quality improvement project is as a step toward providing oncology patients a safe alternative to emergency department visits for blood transfusions.

Author Details

As shown on title slide: Madison K. Strebel, BSN, RN; Christine Platt, PhD, DNP, FNP-C; Taylor Russell, SN; Michael S. Robinson, DNP, FNP-C; Sheri Tessyman, PhD, RN; Marie Prothero, PhD, RN, FACHE; Jeanette Drake, PhD, RN

Note, order of authors/presenters differs from order in event system.

Sigma Membership

Iota Iota

Type

Presentation

Format Type

Text-based Document

Study Design/Type

Other

Research Approach

Translational Research/Evidence-based Practice

Keywords:

Teaching Learning Strategies, Virtual Learning, Academic-Clinical Partnership

Conference Name

36th International Nursing Research Congress

Conference Host

Sigma Theta Tau International

Conference Location

Seattle, Washington, USA

Conference Year

2025

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

Review Type

Abstract Review Only: Reviewed by Event Host

Acquisition

Proxy-submission

Click on the above link to access the slide deck.

Additional Files

References.pdf (78 kB)

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Outpatient Transfusion for Oncology Patients: Development and Evaluation of Staff Education

Seattle, Washington, USA

Background: An estimated 30% of oncology patients receiving chemotherapy will require a blood transfusion at least once for survival. At our designated infusion clinic, blood transfusions are not provided, forcing patients into emergency departments for treatment. Clinic staff expressed the desire to administer transfusions on-site, but nurses lacked the necessary training and support. This QI project aimed to create and evaluate an educational module to ensure staff competency and aid in administering blood transfusions in the clinic.

Methods: The Johns Hopkins Nursing Evidence-Based Practice Model and the Practice Evidence Translation process were utilized to identify key stakeholders and address barriers. Based on feedback from nurses during development, an educational module was created. The module was delivered to two groups of infusion nurses: in-person training and asynchronously online. Knowledge was assessed using the Blood Administration Knowledge Assessment (BAKA) instrument; both quantitative and qualitative data were collected.

Results: The module was developed, revised, and tested. Nurses (n=25) reported the final module was helpful and informative. The module's video component (11 minutes) covered critical topics such as informed consent, transfusion setup, monitoring, and handling reactions. Barriers to implementation were identified, including staffing ratios, time constraints, space limitations, and emergency response capabilities. Post-training BAKA scores demonstrated improved/increased knowledge with 74% demonstrating correct monitoring before the module completion to 100% correct monitoring post-completion. Mean overall score went from 91.7% (pre-module) to 97.5% (post-module). Notably, 100% (n=25) of nurses were deemed competent to administer blood in the outpatient setting per the protocol and BAKA scoring after module completion.

Discussion/Implications for Practice: The educational module improved and verified nurses’ competency in administering blood transfusions in an outpatient clinic. Both in-person and online training methods effectively enhanced knowledge, though the online module provided flexibility by allowing nurses to complete the training without leaving the clinic. High competence levels were noted before, but the education reinforced knowledge and improved BAKA scores. This project demonstrates how engaging nursing staff and key clinic stakeholders helps identify barriers and implement solutions to enhance care quality