Improving transfusion education for junior doctors; exploring UK experiences

Transfusion Medicine

Volumn 27, Issue 2, 2017, Pages 96-104

  Graham, J E ^a   Narayan, S ^b   Pendry, K ^b,c  

^a UNIVERSITY HOSPITALS OF NORTH MIDLANDS NHS TRUST   (United Kingdom)

^b NHS BLOOD AND TRANSPLANT   (United Kingdom)

^c MANCHESTER UNIVERSITY NHS FOUNDATION TRUST   (United Kingdom)

Author keywords

blood component transfusion; competency assessment; education; focus groups; grounded theory; patient blood management; qualitative research; simulation; training; transfusion; transfusion medicine

Indexed keywords

BLOOD COMPONENT THERAPY; CAREER; CLINICAL PRACTICE; DECISION SUPPORT SYSTEM; DNA TRANSCRIPTION; EDUCATION; EXERCISE; GROUNDED THEORY; HUMAN; HUMAN EXPERIMENT; NONHUMAN; NURSING STAFF; QUALITATIVE RESEARCH; SIMULATION TRAINING; TEACHING; TICK; TRANSFUSION MEDICINE; BLOOD DONOR; BLOOD TRANSFUSION; CLINICAL TRIAL; EVIDENCE BASED PRACTICE; FEMALE; MALE; MEDICAL EDUCATION; MULTICENTER STUDY; UNITED KINGDOM;

BLOOD DONORS; BLOOD TRANSFUSION; EDUCATION, MEDICAL, CONTINUING; EVIDENCE-BASED PRACTICE; FEMALE; HUMANS; MALE; UNITED KINGDOM;

EID: 85001105732     PISSN: 09587578     EISSN: 13653148     Source Type: Journal    
DOI: 10.1111/tme.12373     Document Type: Article

References (55)

1. Ambruso, D.R., Sanchez, R., Sloan, S.R. et al. (2013) How do we teach pediatric topics in transfusion medicine: curriculum development, learners, and instructional strategies. Transfusion, 53, 250–256.
2. Arinsburg, S.A., Skerrett, D.L., Friedman, M.T. et al. (2012) A survey to assess transfusion medicine education needs for clinicians. Transfusion Medicine, 22, 44–51.
3. (Bolton-Maggs, P.H.B. ed.), Poles, D, Watt, A, Thomas, D, on behalf of the Serious Hazards of Transfusion (SHOT) Steering Group. (2014) The 2013 Annual SHOT Report. URL http://www.shotuk.org/home (Accessed 20/05/2016).
4. Carignan, B. & Sheehan, C. (2010) Safe blood administration learning activity. Journal of Nursing Education, 49, 174–175.
5. Coffey, C. & Narayan, S. (2013) Variability in transfusion education for doctors, nurses, midwives and operating department practitioners – the results so far…. Blood and Transplant Matters, 39, 14–16.
6. Corrie, K., Wiles, M., Flack, J. & Lamb, J. (2011) A novel objective structured clinical examination for the assessment of transfusion practice in anaesthesia. The Clinical Teacher, 8, 97–100.
7. Cottrell, S. & Donaldson, J.H. (2013) Exploring the opinions of registered nurses working in a clinical transfusion environment on the contribution of e-learning to personal learning and clinical practice: results of a small scale educational research study. Nurse Education in Practice, 13, 221–227.
8. Cox, M. & Irby, D.M. (2006) A new series on medical education. New England Journal of Medicine, 355, 13.
9. Department of Health/Workforce (2011) A Framework for Technology Enhanced Learning. Best Practice Guidance 16787. London; DoH https://www.gov.uk/government/publications [accessed 03/04/2016].
10. Duguid, J. & Copplestone, J.A. (2008) Teaching transfusion in UK medical schools: a survey by the National Blood Transfusion Committee. Medical Education, 42, 439–442.
11. Eichbaum, Q., Shan, H., Goncalez, T.T., Duits, A.J., Knox, P., Reilly, J. & Andrews, D. (2014) Global health and transfusion medicine: education and training in developing countries. Transfusion, 54, 1893–1898.
12. General Medical Council (2009) Tomorrow's Doctors: Outcomes and standards for undergraduate medical education. URL http://www.gmc-uk.org/education/undergraduate/tomorrows_doctors_2009.asp (Accessed 06/06/2016).
13. Gharehbaghian, A., Shahshahani, H.J., Attar, M., Rahbari Bonab, M., Mehran, M. & Tabrizi Namini, M. (2007) Assessment of physicians knowledge in transfusion medicine, Iran, 2007. Transfusion Medicine, 19, 132–138.
14. Graham, J.E. (2015) Transfusion e-learning for junior doctors: the educational role of ‘learnbloodtransfusion’. Transfusion Medicine, 25, 144–150.
15. Graham, J., Grant-Casey, J., Alston, R., Baker, P. & Pendry, K. (2014) Assessing transfusion competency in junior doctors: a retrospective cohort study. Transfusion, 54, 128–136.
16. Hajji, B., Parahoo, K., Hossain, M.M. & Barr, O. (2010) Nurses' practice of blood transfusion in the United Arab Emirates: an observational study. Journal of Clinical Nursing, 19, 3347–3357.
17. Hajji, B., Parahoo, K., Hussein, M.M. & Barr, O. (2012) Knowledge of blood transfusion among nurses. Journal of Clinical Nursing, 22, 2536–2550.
18. Haspel, R.L., Lin, Y., Fisher, P., Ali, A., Parks, E. (2014) Development of a validated exam to assess physician transfusion medicine knowledge. Transfusion, 54, 1225–1230.
19. Haynes, S.L. & Torella, F. (2004) The role of hospital transfusion committees in blood product conservation. Transfusion Medicine Reviews, 18, 93–104.
20. Hibbs, S.P. (2016) eLearning: the right tool for the job? Transfusion Medicine, 26, 67.
21. Hill, Q.A., Hill, A., Allard, S. et al. (2009) Towards better blood transfusion – recruitment and training. Transfusion Medicine, 19, 2–5.
22. Issenberg, S.B., McGaghie, W.C., Petrusa, E.R., Gordon, D.L. & Scalese, R.J. (2005) Features and uses of high-fidelity medical simulations that lead to effective learning: a BEME systematic review. Medical Teacher, 27, 10–28.
23. Karafin, M.S. (2014) Transfusion medicine education: an integral foundation of effective blood management. Transfusion, 54, 1208–1211.
24. Karp, J., Weston, C.M. & King, K. (2011) Transfusion medicine in American undergraduate medical education. Transfusion, 51, 2470–2479.
25. Kirkpatrick, D.L. & Kirkpatrick, J.D. (2005) Transferring Learning to Behaviour: Using the Four Levels to Improve Performance. Berrett-Koehler Publishers, Williston, North Dakota.
26. Kram, R. & Loer, S.A. (2005) Transfusion-related acute lung injury: lack of recognition because of unawareness of this complication? European Journal of Anaesthesiology, 22, 369–372.
27. Liu, D., Grundgeiger, T., Sanderson, P.M., Jenkins, S.A. & Leane, T.A. (2009) Interruptions and blood transfusion checks: lessons from the simulated operating room. Anesthesia & Analgesia, 108, 219–222.
28. Liumbruno, G.M. & Rafanelli, D. (2012) Appropriateness of blood transfusion and physicians' education: a continuous challenge for Hospital Transfusion Committees? Blood Transfusion, 10, 1–3.
29. Louw, V.J., Nel, M.N. & Hay, J.F. (2013) Postgraduate education in transfusion medicine in the absence of formal residency training: assessment of factors needed to develop and sustain a postgraduate diploma program. Transfusion and Apheresis Science, 49, 681–686.
30. Morgan, S., Rioux-Masse, B., Oancea, C., Cohn, C., Harmon, J Jr. & Konia, M. (2015) Simulation-based education for transfusion medicine. Transfusion, 55, 919–925.
31. Motola, I., Devine, L.A., Chung, H.S., Sullivan, J.E. & Issenberg, S.B. (2013) Simulation in healthcare education: a best evidence practical guide. AMEE guide No. 82. Medical Teacher, 35, e1511–e1530.
32. Narayanan, R.P., Kirk, P. & Lewis, S. (2008) Uptake and perceptions of an e-learning package on blood transfusion by trainees in Wales. Journal of the Royal College of Physicians of Edinburg, 38, 298–301.
33. NBTC (2016) National Blood Transfusion Committee Requirements for Training and Assessment in Transfusion version 1. http://www.nrls.npsa.nhs.uk/resources/collections/right-patient-right-blood/ (Accessed 01/05/2016).
34. NPSA (2006) NHS National Patient Safety Agency Safer Practice Notice NPSA/2008/SPN14.
35. O'Brien, K.L., Champeaux, A.L., Sundell, Z.E., Short, M.W. & Roth, B.J. (2010) Transfusion medicine knowledge in postgraduate year 1 residents. Transfusion, 50, 1649–1653.
36. Oliver, J.C., Griffin, R.L., Hannon, T. & Marques, M.B. (2014) The success of our patient blood management program depended on an institution-wide change in transfusion practices. Transfusion, 54, 2617–2624.
37. Owens, W., Gagliardi, K. & Lauzon, D. (2012) Building better hospital transfusion committees for Ontario. Transfusion and Apheresis Science, 46, 323–327.
38. Patton, M.Q. (2015) Qualitative Research & Evaluation Methods: Integrating Theory and Practice (4th edn). Sage Publications, Los Angeles, California.
39. Pirie, E.S. & Gray, M.A. (2007) Exploring the assessors' and nurses' experience of formal assessment of clinical competency in the administration of blood components. Nurse Education in Practice, 7, 215–227.
40. Prentice, D. & O'Rourke, T. (2013) Using high-fidelity simulation to teach blood transfusion reactions. Journal of Infusion Nursing, 36, 207–210.
41. Ramani, S., Mann, K. & Peters, A. (2012) Beyond Numbers: Observational and Qualitative Methods for Medical Education Researchers. Association for Medical Education in Europe (AMEE) Pre-Conference Workshop, Glasgow.
42. Rebel, A., Hassan, Z.-U. & Boral, L. (2011) Initial results of a structured rotation in hematology and transfusion medicine for anesthesiology residents. Journal of Clinical Anesthesia, 23, 469–474.
43. Rothschild, J.M., McGurk, S., Honour, M. et al. (2007) Assessment of education and computerized decision support interventions for improving transfusion practice. Transfusion, 47, 228–239.
44. Saidenberg, E. & Pugh, D. (2014) The use of an objective structured clinical examination to assess internal medicine residents' transfusion knowledge. Transfusion, 54, 1537–1541.
45. Sajwani, F.H. (2012) Improving blood transfusion practice by regular education in the United Arab Emirates. Transfusion, 52, 1628–1631.
46. Salem-Schatz, S.R., Avorn, J. & Soumerai, S.B. (1993) Influence of knowledge and attitudes on the quality of physicians' transfusion medicine. Medical Care, 31, 868–878.
47. Sellu, D.H., Davis, R.E. & Vincent, C.A. (2012) Assessment of blood administration competencies using objective structured clinical examination. Transfusion Medicine, 22, 409–417.
48. Shafiee, A., Nazari, S., Mogharreban, M. & Koupaei, M.T.S. (2013) Evaluating medical interns' knowledge of common blood transfusion complications. Transfusion and Apheresis Science, 48, 253–256.
49. Smith, F.C., Donaldson, J. & Pirie, L. (2010) Pre-registration adult nurses' knowledge of safe transfusion practice: results of a 12 month follow-up study. Nurse Education in Practice, 10, 101–107.
50. Smith, A., Gray, A., Atherton, I. et al. (2014) Does time matter? An investigation of knowledge and attitudes following blood transfusion training. Nurse Education in Practice, 14, 176e182.
51. Stout, L. (2013) Nurse's perceptions of transfusion training: an evaluation. British Journal of Nursing (IV Therapy Supplement), 22, s22–s28.
52. Strauss, R.G. (2010) Transfusion medicine education in medical school: only the first of successive steps to improving patient care. Transfusion, 50, 1632–1635.
53. Tinmouth, A. (2007) Reducing the amount of blood transfused by changing clinicians' transfusion practices. Transfusion, 47, 132S–136S.
54. Toy, P. (1999) Guiding the decision to transfuse; interventions that do and do not work. Archives of Pathology & Laboratory Medicine, 123, 592–594.
55. Wu, Y., Tormey, C. & Stack, G. (2007) Resident and fellow training in transfusion medicine. Clinics in Laboratory Medicine, 27, 293–342.