Knowledge and Practice Of Nurses, And Midwives On Blood Transfusion And Its Associated Factors At Public Hospitals In West Shewa Zone, Ethiopia, 2021

Abstract

Background: Blood transfusion is both a life-saving practice and a high-risk invasive procedure. Nurses and midwives who are actual administering blood to the patient, however, the current status of knowledge and practice of nurses and midwives to deliver safe blood transfusions is not further stated. Objective: to assess knowledge, and practice of blood transfusion and its associated factors among nurses, and midwives at public hospitals in West Shawa, Ethiopia Method: Institution based cross-sectional study was conducted from August 01 to 30 2021 among 278 participants. Data were collected through a self-administered questionnaire from randomly selected participants, coded and entered into Epi-data version 3.1 and exported to SPSS version 25.0 for cleaning and analysis. Bivariate logistic regression model analysis was conducted, and variables having a p-value less than 0.25 were transferred to multivariable regression analysis. The odds ratio was used for a measure association between variable and a p-value of < 0.05 was considered to declare statistical significance. Result: Of 267 participants were involved in the study with 96 % response rate. About (57.30%) participants had inadequate knowledge and (51.70%) had inappropriate practice of blood transfusion. Work experience (AOR=2.51, 95% CI: 1.04, 6.08), availability guidelines inward (AOR= 2.75, 95% CI: 1.50, 5.01), and reading guidelines (AOR= 5.43, 95% CI: 2.91, 10.16) were significant association with knowledge of blood transfusion. While, work experience (AOR=5.80, 95%, CI: 2.30, 14.65), and having training on blood transfusion (AOR=8.08, 95% CI: 4.26, 15.30) were significant association with practice of blood transfusion. Conclusion: More than half of Nurses and midwives had inadequate knowledge and inappropriate practice of blood transfusion. Work experience, availability of blood transfusion guidelines, and reading guidelines were significant associations with knowledge score. Work experience, and having blood training, was significantly associated with the practice of blood transfusion. Recommendation: Provide continuous in-service training, and educational programs to improve the knowledge and practice of participants about blood transfusion.