Document Detail


Assessment of blood administration competencies using objective structured clinical examination.
MedLine Citation:
PMID:  23035992     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
BACKGROUND: In order to minimise the risk of blood transfusion errors, all healthcare professionals who participate in the transfusion process are required to be assessed as competent. New and innovative methods of training and competency assessment are required to improve the training process. AIM/OBJECTIVE: The aim of this study was to explore the use of objective structured clinical examination (OSCE) in the assessment of competencies for blood administration. DESIGN: A mixed-methods approach was employed using structured observations of simulated practice through a three station OSCE to assess three stages of the blood transfusion process: (i) communication; (ii) documentation and (iii) identification of patients and blood products. Nurses and midwives were assessed using a 28-item checklist that was rated on a 5-point Bondy scale. After the OSCE, a questionnaire was given to participants to evaluate their attitudes. SETTING AND PARTICIPANTS: Eighty four midwives and nurses from 10 different clinical areas in a District General Hospital in London. RESULTS: Inter-rater reliability between assessors was high (>0.8). Overall assessors scored participants highest on aseptic technique (97%) and lowest for positive patient identification (81%). Participants felt that the OSCE was a useful intervention and could contribute to improving the competences of staff in blood transfusion safety. CONCLUSION: A simulation OSCE is valid and reliable for competency asessment in blood administration. The checklist is simple to complete and can be used to identify weaknesses and evaluate learning needs of staff in blood administration.
Authors:
D H Sellu; R E Davis; C A Vincent
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-10-5
Journal Detail:
Title:  Transfusion medicine (Oxford, England)     Volume:  -     ISSN:  1365-3148     ISO Abbreviation:  Transfus Med     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-10-5     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9301182     Medline TA:  Transfus Med     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2012 The Authors. Transfusion Medicine © 2012 British Blood Transfusion Society.
Affiliation:
Ealing Hospital, Southall, Middlesex, UK.
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