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Emergency Nurses' Knowledge, Attitudes, and Practices Related to Blood Sample Hemolysis Prevention: An Exploratory

Christian N Burchill, Spencer S Seballos, Edmunds Z Reineks

    Journal of Emergency Nursing
    |March 1, 2021
    PubMed
    Summary

    Emergency nurses show gaps in knowledge and suboptimal practices regarding blood sample hemolysis prevention. Addressing attitudes towards phlebotomy is crucial for improving patient care and reducing healthcare costs.

    Keywords:
    AttitudeClinical practice nursing researchEmergency nursingHemolysisKnowledgePhlebotomy

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    Area of Science:

    • Nursing
    • Laboratory Science
    • Emergency Medicine

    Background:

    • Blood sample hemolysis is a common issue in emergency care.
    • Understanding emergency nurses' knowledge, attitudes, and practices (KAP) regarding hemolysis prevention is essential.
    • Current knowledge gaps exist in the literature regarding emergency nurses' KAP in hemolysis prevention.

    Purpose of the Study:

    • To identify emergency nurses' knowledge, attitudes, and practices related to blood sample hemolysis prevention.
    • To explore associations between these factors and demographic characteristics.
    • To address the gap in understanding baseline KAP in hemolysis prevention.

    Main Methods:

    • Exploratory, descriptive design with cross-sectional survey methodology.
    • A study-specific instrument was used to collect data.
    • Data were collected from 427 emergency nurses (8.5% response rate).

    Main Results:

    • Only 19.9% of participants answered all knowledge questions correctly.
    • Correct knowledge was associated with being a certified emergency nurse (P < .01).
    • Emergency nurses primarily responsible for phlebotomy but rarely address hemolysis at a departmental level.

    Conclusions:

    • Emergency nurses demonstrate deficits in knowledge regarding best practices for blood sample hemolysis prevention.
    • Attitudes towards phlebotomy practices may impede the adoption of improved practices.
    • Preventing hemolyzed blood samples is critical to reduce delays and costs in emergency care.