Nursing care in the transfusion of blood components to surgical patients in the perioperative period
Introduction: blood transfusion consists of the administration of blood components intravenously in clinical or surgical treatments. In the preoperative period, it is performed with the objective of improving tissue oxygenation, as well as promoting hemodynamic and hemostatic balance.
Objective: to understand nursing care in the transfusion of blood components to surgical patients in the perioperative period.
Method: this is a descriptive and exploratory study with a qualitative approach. Grounded Theory was used, with constant comparative analysis. A total of 18 nurses and 28 nursing technicians from a university hospital took part in the study. Data were collected between October 2019 and February 2020, through a sociodemographic questionnaire and semi-structured interviews.
Results: the study resulted in the central category nursing care during transfusion, which gave rise to the categories: caring for before transfusion; caring for during transfusion; and caring for after transfusion, which were discussed according to the standardized nursing methodology.
Conclusion: it was understood that nursing care is planned and implemented following an ordering of practices in a logical sequence due to the characteristics of the procedure in the perioperative period. Nurses demand indirect care; in contrast, nursing technicians engage in direct patient care.
2.Freixo A, Matos I, Leite A, Silva A, Bischoff F, Carvalho M, et al. Nurses knowledge in Transfusion Medicine in a Portuguese university hospital: the impact of an education. Blood Transfus. [Internet] 2017; 15(1):49-52. doi: http://dx.doi.org/10.2450/2016.0185-15.
3.Tavares JL, Barichello E, Mattia AL, Barbosa MH. Factors associated with knowledge of the nursing staff at a teaching hospital on blood transfusion. Rev latinoam enferm. (Online). 2015; 23(4):595-602. doi: http://dx.doi.org/10.1590/0104-1169.0024.2593.
4.Mattia D, Andrade SR. Nursing care in blood transfusion: a tool for patient monitoring. Texto & contexto enferm.[Internet] 2016; 25(2): e2600015. doi: http://dx.doi.org/10.1590/0104-07072016002600015.
5.Amaral JHS, Nunes RLS, Rodrigues LMS, Braz MR, Balbino CM, Silvino ZR. Hemoterapia: um desafio no cotidiano da equipe de enfermagem. Rev enferm UFPE on line. [Internet] 2016;10(Suppl-6):4820-7. doi: http://dx.doi.org/10.5205/reuol.8200-71830-3-SM.1006sup201614.
6.Conselho Federal de Enfermagem. Resolução COFEN nº 629, de 09 de março de 2020. Aprova e Atualiza a Norma Técnica que dispõe sobre Atuação de Enfermeiro e Técnico de Enfermagem em Hemoterapia [Internet].2020[cited 2020 Jun 10]. Available from: http://www.cofen.gov.br/resolucao-cofen-no-629-2020_77883.html.
7.Forster F, Câmara AL, Moraes CLK, Honório MT, Mattia D, Lazzari DD. Percepção dos enfermeiros quanto à assistência de enfermagem no processo transfusional. Enferm foco (Brasília). [Internet] 2018; 9(3):71-5. doi: http://dx.doi.org/10.21675/2357-707X.2018.
8.Isidoro REC, Silva KFN, Oliveira JK, Barichello E, Pires PS, Barbosa MH. Blood orders and predictors for hemotransfusion in elective femur fracture repair surgery. Texto & contexto enferm. [Internet] 2019; 28: e20180129. doi: http://dx.doi.org/10.1590/1980-265x-tce-2018-0129.
9.Girardon-Perlini NMO, Simon BS, Lacerda MR. Grounded Theory methodological aspects in Brazilian nursing thesis. Rev bras enferm. [Internet] 2020;73(6): e20190274. doi: http://dx.doi.org/10.1590/0034-7167-2019-0274.
10.Glaser B. The Grounded Theory Perspective: its origin and growth. Mill Valley: Sociology Press; 2016. 436 p.
11.Santos JLG, Cunha KS, Adamy EK, Backes MTS, Leite JL, Sousa FGM. Data analysis: comparison between the different methodological perspectives of the Grounded Theory. Rev Esc Enferm USP. 2018; 52:e03303. doi: http://dx.doi.org/10.1590/s1980-220x2017021803303.
12.Garcia TR. Classificação Internacional para a Prática de Enfermagem (CIPE®): versão 2017. Porto Alegre: Artmed, 2018. 254 p.
13.Cohen R, Ning S, Yan MTS, Callum J. Transfusion Safety: the nature and outcomes of errors in patient registration. Transfus med rev. 2019; 33(2):78-83. doi: http://dx.doi.org/10.1016/j.tmrv.2018.11.004.
14.Stout L, Joseph S. Blood transfusion: patient identification and empowerment. Br j nurs. 2016; 25(3):138-143. doi: http://dx.doi.org/10.12968/bjon.2016.25.3.138.
15.Mueller MM, Remoortel HV, Meybohm P, Aranko K, Aubron C, Buger R, et al. Patient blood management: recommendations from the 2018 Frankfurt Consensus Conference. 2019; 321(10):983-997. doi: http://dx.doi.org/10.1001/jama.2019.0554.
16.Diniz DPR, Moreno AH. Reações de transfusão de sangue e cuidados peritransfusionais. CuidArte, Enferm [Internet]. 2018 [cited 2020 Aug 5];12(1):59-66. Available from: http://www.webfipa.net/facfipa/ner/sumarios/cuidarte/2018v1/59.pdf.
17.Lima GL, Byk J. Trauma and early blood transfusion: the challenging hemorrhage management in Jehovah's Witnesses. Rev Col Bras Cir. 2018; 45(6): e1974. doi: http://dx.doi.org/10.1590/0100-6991e-20181974.
18.Carneiro VS, Barp M, Coelho MA. Hemotherapy and immediate transfusion reactions: action and knowledge of the nursing team. revista mineira de enfermagem. 2017; 21: e-1031. doi: http://dx.doi.org/10.5935/1415-2762.20170041.
19.Silva EM, Vieira CA, Silva FO, Ferreira EV. Nursing challenges in responding to transfusion reactions. Rev enferm UERJ. 2017; 25: e-11552. doi: http://dx.doi.org/10.12957/reuerj.2017.11552.
20.Buozi BC, Lopes CT, Santos ER, Bergamasco EC, Murakami BM. Adequacy of the activities in “blood products administration”, of the nursing interventions classification, for adult patients. revista mineira de enfermagem. 2019; 23: e-1258. doi: http://dx.doi.org/10.5935/1415-2762.20190106.
21.Cherem EO, Alves VH, Rodrigues DP, Souza FDL, Guerra JVV, Maciel VL. Nurses’ knowledge of blood transfusion in neonate. Rev gaúch enferm. 2017; 38(1): e63557. doi: 10.1590/1983-1447.2017.01.63557.
22.Gorski L, Hadaway L, Hagle M, McGoldrick M, Orr M, Doellman D. Infusion Nurses Society. Infusion therapy standards of practice. J infus nurs. [Internet]. 2016 [cited 2020 Sep 30]; 39(62): S135. Available from: https://source.yiboshi.com/20170417/1492425631944540325.pdf.
23.Nazário SS, Barancelli MDC, Gandolfi M, Marcondes C, Spagnolo LML. Permanent education of the nursing team in transfusional reaction. Rev enferm UFPE on line. 2019 [cited 2019 Nov 18];13(2):307-14. Available from: https://periodicos.ufpe.br/revistas/revistaenfermagem/article/view/237361/31272.
24.Andrzejewski C, O'Hearn L, Rock J, Passanisi K, Eaton L, Knee A, et al. Enhancing hemotherapy safety through pertinent diagnostic testing and electronic "provisional diagnosis" reporting: expanding roles for blood bank technologists in biovigilance and patient safety. Transfusion. 2018; 58:1708-1717. doi: http://dx.doi.org/10.1111 / trf.14769.
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