Nurses' Knowledge and Practices Toward Parenteral Infusion (IV fluid administration and blood transfusion) in Intensive Care Units at Kirkuk city Teaching Hospitals
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Parenteral Infusion, IV Fluid Infusion Blood Transfusion, Intensive Care Unit, Nurse, Knowledge, And Practice
Abstract
Parenteral infusion errors occur worldwide. A key component of critical care management in intensive care units (ICUs) is parenteral infusion therapy, which involves the delivery of intravenous (IV) fluids, IV drugs, blood transfusions, and parenteral nutrition. Because these interventions are complex and high-risk, nursing staff knowledge, competence, and adherence to best practices are critical to achieving the best possible patient outcomes. In order to ensure patient safety, avoid complications like infection, infiltration, or medication errors, and promote recovery, intensive care unit nurses are crucial in the initiation, monitoring, and management of infusion therapies. This study aims to evaluate nurses' knowledge and practices related to parenteral infusion therapy (IV fluid administration and blood transfusion).
Subjects and Methods: A quantitative design, descriptive study had been used through the present study with the application of test-retest approach for the studied sample during the period from 8th October, 2024 to 15th June, 2025. the sample include (95) nurses who were responsible for giving IV therapy and work in Intensive Care Units at Kirkuk city teaching hospitals.
Data collection: demographic information, nurses’ knowledge about (IV fluid administration and blood transfusion) through structured questionnaire, and nurses’ practice regarding parenteral infusion therapy through an observational checklist.
Result: The majority of nurses were female, majority of them in age group of (25-30) years. overall nurses’ knowledge about IV fluid administration was in test and retest (64.84 (Moderate)) and (69.68 (High)) respectively. overall nurses’ knowledge about blood transfusion was moderate in both test and retest (72.84 (High)) in the first test and (75.58 (High)) in the retest. Percentile Grand/or Global Mean of Score of nurses’ practice was (53.45 (Moderate)) in the first test and (55.21 (Moderate)) in the retest.
Conclusion: The present study nurses’ knowledge and practices as regards to parenteral infusion therapy were (high regarding blood transfusion, moderate regarding IV fluid administration and moderate regarding nurses’ practices related to parenteral infusion therapy).
Recommendation: Ongoing supervision and evaluation of nurses regarding the follow up of protocols and guidelines could help improve their practical levels.
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References
Abo Aita, M. E., Aboelfetoh, E. E. E., & Mahmoud, B. H. (2022). Assessment of Critical Care Nurses’ Knowledge and Practice Regarding Care of Patients Undergoing Total Parenteral Nutrition. The Egyptian Journal of Hospital Medicine, 89(2), 7263-7271.
Aggarwal, P., Calderon Martinez, E., & Quijano Avalos, E. B. (2023). An overview of the identification, prevention, and management of immunological reactions to blood transfusion. J Cardiol Cardiovasc Ther, 18, 1-8.
Ahmed M., Gaheen M., Elkazeh E., El- Zeftawy A. Knowledge and Compliance of Nursing Students regarding Infection Control Standard Precautions during their Clinical Training. Tanta Scientific Nursing Journal. 2021; 20: 1.
Al-Faouri I, Okour SH, Alakour NA, Alrabadi N. Knowledge and compliance with standard precautions among registered nurses: A cross-sectional study. Ann Med Surg.2021; 29;62: 419-24. doi: 10.1016/j.amsu.2021.01.058.
Alwan, A. H., & Kumait, A. S. (2023). Effect of an educational program to improve nursing staff knowledge toward preventing urinary tract infection associated with catheters at Kirkuk City, Iraq. Rawal Medical Journal, 48(4), 835-835.
Amin D., Hiba A.; Ahsun J. Knowledge of standard precautions among healthcare professionals at a Teaching Hospital in Karachi, Pakistan. Journal of Family Medicine and Primary Care. 2021; 10(1): p 249-53. DOI: 10.4103/jfmpc.jfmpc_1622_20
Amouei Foumani, S., Paryad, E., Ghanbari Khanghah, A., & Kazemnezhad Leili, E. (2019). Complications of peripheral intravenous catheters during 72 hours after Insertion. Journal of Holistic Nursing and Midwifery, 29(3), 137-144.
Doganay GE, Ulger G, DOGANAY GE. The Relationship of Nutritional Treatments Applied to Patients in a Nutritional Clinic and Mortality. Cureus. 2022 Jan 25;14(1).
Faizi F, Bahramifar A, Sirati Nir M, Soleymanzadeh H, Rahimi A. The effectiveness of nutrition care training program to nurses of Intensive Care Unit on patient‘s nutritional consequences. Academic Journal of Health Science. 2021;36(2):70-5
Haileyesus W and Muluken T. “Assessment of Knowledge and Practice Towards Intravenous Cannulation Among Nurses Who are Working in Bahirdar City Hospitals, Northwest Ethiopia". Acta Scientific Women's Health 4.5 (2022): 35-41.
Khalefa A, Ismail M, Ali F (2018): Assessment of critical care nurse's knowledge and practices regarding care of patients receiving total parenteral nutrition. The Medical Journal of Cairo University, 86 (9): 2763- 2773.
Kumait AL-Jumaily, A. S., & Khudur, K. M. (2019). Effectiveness of an Education Program on Nurses knowledge concerning in Nursing Management for patients with Heart Block in Kirkuk Teaching Hospitals. Indian Journal of Public Health Research & Development, 10(4).
https://doi.org/10.5958/0976-5506.2019.00765.4
Mahdi, F. A., Saber, H. F., & Ahmed, Z. N. (2024). Comparative Study between Colloid versus Crystalloid Solutions during Spinal Anesthesia for Elective Cesarean Section. Kirkuk Journal of Medical Sciences, 12(2).
Malhotra, S., Negi, G., Sharma, S. K., & Kaur, R. (2022). A prospective interventional study to assess the impact of a ‘structured compact training’ on knowledge and skills of safe blood transfusion practices among nurses working in a tertiary care institute. Transfusion Medicine, 32(1), 32-37.
Mohammed, A., & Baeez, Y. K. (2023). Assessment of Nurses' Knowledge and Practices Regarding Nursing Management for Patients on Hemodialysis at Kirkuk General Hospital/Iraq. Mosul Journal of Nursing (Print ISSN: 2311-8784 Online ISSN: 2663-0311), 11(1), 48-58.
Nema, S., & Ludwig, J. D. (Eds.). (2019). Parenteral medications. CRC Press.
Njung'e, W. W., & Kamolo, E. K. (2021). Nurses’ knowledge regarding intravenous fluid therapy at a County hospital in Kenya. International Journal of Africa Nursing Sciences, 14, 100305.
Qamar Z, Afzal M, Kousar R, Waqas A, Gilani SA. Assess nurses’ knowledge and practices towards care and maintenance of peripheral intravenous cannulation in Services Hospital Lahore, Pakistan. Saudi Journal of Medical and Pharmaceutical Sciences. 2017;3(6B):608-14.
Raoof, A. A., & Baeez, Y. K. (2024). The Nurses’ Knowledge Regarding Endotracheal Suctioning at Critical Care Unit of Kirkuk Teaching Hospital, Iraq. The Malaysian Journal of Nursing (MJN), 16(2), 126-135.
Sharadha Ramesh M. Knowledge and Practices on Intra Venous Cannulation among Student Nurses. Indian Journal of Forensic Medicine & Toxicology. 2020 Oct 29;14(4):3598-602
Teshome, M., Geda, B., Yadeta, T. A., Mideksa, L., & Tura, M. R. (2023). Intravenous fluid administration practice among nurses and midwives working in public hospitals of central Ethiopia: A cross-sectional study. Heliyon, 9(8).
Tomas, N., & Kamati, L. N. (2024). Registered Nurses’ Knowledge of Intravenous Fluid Therapy at a Teaching Hospital in Namibia: A Cross-Sectional Survey. SAGE Open Nursing, 10, 23779608241272607.
Weheida, P., Mohamed, S., Shehata Atia, A. M., Abd El Rassol, Z. F., & Abdelaziz, T. M. (2023). Assessment of Nurses’ Knowledge and Practices concerning Safety Measures throughout Intravenous Therapy Administration. Damanhour Scientific Nursing Journal, 1(1), 35-41.
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