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ORIGINAL ARTICLE
Influence of the leukoreduction moment of blood components on the clinical outcomes of transfused patients in the emergency department
Revista Brasileira de Enfermagem. 2024;77(5):e20230293
08-26-2024
Resumo
ORIGINAL ARTICLEInfluence of the leukoreduction moment of blood components on the clinical outcomes of transfused patients in the emergency department
Revista Brasileira de Enfermagem. 2024;77(5):e20230293
08-26-2024DOI 10.1590/0034-7167-2023-0293
Visualizações0ABSTRACT
Objectives:
to investigate the influence of the leukoreduction moment (preor post-storage) of blood components on the clinical outcomes of patients transfused in the emergency department.
Methods:
retrospective cohort study of patients aged 18 years or older who received preor post-storage leukoreduced red blood cell or platelet concentrate in the emergency department and remained in the institution for more than 24 hours. A generalized mixed-effects model was applied in the analyses.
Results:
in a sample of 373 patients (63.27% male, mean age 54.83) and 643 transfusions (69.98% red blood cell), it was identified that the leukoreduction moment influenced the length of hospital stay (p<0.009), but was not dependent on the transfused blood component (p=0.124). The leukoreduction moment had no effect (p>0.050) on transfusion reactions, healthcare-associated infections, or mortality.
Conclusions:
patients who received pre-storage leukoreduced blood components in the emergency department had a shorter length of hospital stay.
Palavras-chave: Blood TransfusionClinical EvolutionEmergency Medical ServiceLeukocyte Reduction ProceduresTransfusion ReactionVer mais -
ORIGINAL ARTICLE
Nursing work and competence in hemotherapy services: an ergological approach
Revista Brasileira de Enfermagem. 2020;73(3):e20180775
04-09-2020
Resumo
ORIGINAL ARTICLENursing work and competence in hemotherapy services: an ergological approach
Revista Brasileira de Enfermagem. 2020;73(3):e20180775
04-09-2020DOI 10.1590/0034-7167-2018-0775
Visualizações0Ver maisABSTRACT
Objetives:
to analyze the ingredients of the competence that the nurses use in the performance of their work in hemotherapy.
Methods:
qualitative study with 22 nurses, accomplished through documentary study, observation and semi-structured interview, with resources of Atlas.ti software based on the foundations of Historical Materialism Dialectic and Ergology. Performed Content Analysis.
Results:
the domain of specific knowledge of hemotherapy and the time of experience in the area, allied to the motivation of the worker and the ability to work in a team favor the competent action in the work activities. On the other hand, the lack of adequate work conditions, especially in relation to adequate materials, equipment and structure, impairs the work of the nurse in hemotherapy.
Final Considerations:
experience gained is critical to successful decision making. In addition, adequate working conditions, updating of knowledge and ability in teamwork favor a scenario of safe practices.
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RESEARCH
Creation and validation of a checklist for blood transfusion in children
Revista Brasileira de Enfermagem. 2018;71(6):3020-3026
01-01-2018
Resumo
RESEARCHCreation and validation of a checklist for blood transfusion in children
Revista Brasileira de Enfermagem. 2018;71(6):3020-3026
01-01-2018DOI 10.1590/0034-7167-2018-0098
Visualizações0Ver maisABSTRACT
Objective:
To describe the process for creating and validating a checklist for blood transfusion in children.
Method:
Methodological study, conducted from November 2016 to May 2017, developed in two stages. The content of the items that compose the instrument was based on scientific evidence and submitted to specialized nurses for content validation. We applied the Content Validity index, considering the value ≥ 0.80.
Results:
The content was considered valid with global CVI of 0.87. Suggestions for adjustments, such as deletion, replacement, and addition of terms, were included in the final version, which consisted of 14 items and 56 subitems.
Conclusion:
The checklist for blood transfusion in children was considered a technology with valid content to be used in the transfusion performed by nurses, thus contributing to transfusion safety in children.