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    Education needs of nurses in thrombosis and hemostasis: An international, mixed-methods study

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    Author
    Lazure, P; Munn, J; Labbe, S; Murray, S; Butler, R; Khair, K; Lambing, A; Malone, M; Reiser, T; Newall, F
    Date
    2019-01-01
    Source Title
    Research and Practice in Thrombosis and Haemostasis
    Publisher
    WILEY
    University of Melbourne Author/s
    Newall, Fiona
    Affiliation
    Nursing
    Metadata
    Show full item record
    Document Type
    Journal Article
    Citations
    Lazure, P., Munn, J., Labbe, S., Murray, S., Butler, R., Khair, K., Lambing, A., Malone, M., Reiser, T. & Newall, F. (2019). Education needs of nurses in thrombosis and hemostasis: An international, mixed-methods study. RESEARCH AND PRACTICE IN THROMBOSIS AND HAEMOSTASIS, 3 (1), pp.99-108. https://doi.org/10.1002/rth2.12155.
    Access Status
    Open Access
    URI
    http://hdl.handle.net/11343/253757
    DOI
    10.1002/rth2.12155
    Abstract
    Background: The need for a more integrated, multidisciplinary approach to care for individuals with bleeding or clotting disorders has been highlighted in recent years. Evidence-based education adapted to nurses' needs is essential for a successful evolution. However, limited data currently exist on the clinical challenges nurses face in this specialty area. Objectives: Identify barriers and challenges faced by specialty nurses, and determine possible causes, to develop appropriate educational interventions. Methods: A mixed-methods study, combining qualitative (semi-structured interviews) and quantitative (online survey) data was conducted on the challenges experienced by hemostasis nurses in nine countries (Argentina, Australia, Canada, China, France, Germany, Spain, the UK, and the US), and deployed in five languages (English, French, German, Mandarin, and Spanish). Qualitative data were analyzed using thematic analysis. Quantitative data were analyzed using frequency tables, chi-squares and standard deviations. Results: Participants (n = 234) included nurses (n = 212; n = 22 qualitative; n = 190 quantitative); and patients receiving care for bleeding or clotting conditions or their caretakers (n = 22 qualitative phase only). Through triangulated data analysis, six challenging areas emerged: (a) Understanding of von Willebrand disease (VWD); (b) Anticoagulant safety profile in specific patients; (c) Understanding the treatment of patients with inhibitors; (d) Patient risk assessments; (e) Individualization of care and communication with patients; and (f) Accessing and implementing relevant professional education. Conclusions: This needs assessment provides a comprehensive illustration of the current challenges faced by nurses in the field of bleeding and clotting disorders, and indicates where gaps in skills, knowledge or confidence would benefit from nurse-specific educational programming.

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