Adequacy of the activities in “blood products administration”, of the nursing interventions classification, for adult patients

Abstract

Introduction: prevention and/or early identification of transfusion-associated reactions
rely on safe, evidence-based vigilance and direct care by nurses. Blood Products
Administration, an intervention in the Nursing Interventions classification (NIC),
comprises 27 activities that have not been previously validated. Objective: to evaluate
the adequacy of the activities in the NIC intervention Blood Products Administration
for adult patients. Methods: the adequacy of Blood Products Administration activities
for adult patients was evaluated by 73 critical care nurses of a private hospital.
Activities with weighted ratios (WR) <0.80 but >0.50 were labeled as minor. Activities
with WR ≥0.80 were classified as major. Activities with WR <0.50 were discarded.
Additionally, the activities within their classifications as major or minor were typified
by the researchers in six subgroups: Baseline care; Care throughout transfusion; Care after transfusion; Care throughout & after transfusion; Baseline care,
care throughout & care after transfusion and Care after reaction.
Results: 22 activities were classified as major, four were classified as
minor (two were baseline care activities, one activity regarding care
throughout transfusion and one regarding care after transfusion)
and one was considered nonessential (Obtain blood sample and first
voided urine specimen after a transfusion reaction). Conclusions: in
the opinion of critical care nurses, the adequacy of most activities in
Blood Product Administration was supported. A few changes to some
activities’ writing could improve clarity and accuracy. Our results can
contribute to future content validation studies with larger samples of
nurses from different backgrounds, such as Oncology nurses.