Cuidados de enfermagem a pacientes adultos submetidos à transfusão sanguínea: revisão de escopo

Francisco Mayron Morais Soares; Lucas Ribeiro Araujo; Ana Beatriz Frota Lima  Rodrigues; Davi Santos Magalhães; Gleiciane Kélen Lima; Elaine Cristina Negri

doi:10.5294/aqui.2025.25.1.5

Authors

Francisco Mayron Morais Soares Author Federal University of Maranhão https://orcid.org/0000-0001-7316-2519
Lucas Ribeiro Araujo Author Federal University of Maranhão https://orcid.org/0009-0005-2318-7706
Ana Beatriz Frota Lima Rodrigues Author Centro Universitário Inta https://orcid.org/0000-0002-7318-9188
Davi Santos Magalhães Author Centro Universitário Inta https://orcid.org/0000-0002-3739-8580
Gleiciane Kélen Lima Author State University of Ceará https://orcid.org/0000-0001-9334-1936
Elaine Cristina Negri Author University of Western São Paulo https://orcid.org/0000-0001-8665-1936

DOI:

https://doi.org/10.5294/aqui.2025.25.1.5

Keywords:

Blood safety, patient safety, nursing care, blood transfusion, evidence gaps

Abstract

Introduction: Blood transfusion is common, but transfusion reactions, often caused by human error, can be prevented. Nurse-led programs improve patient safety with safe nursing practices. This unprecedented study maps nursing care in blood transfusion, an underexplored theme in the literature. It aims to identify knowledge gaps and propose new approaches, contributing to nursing and other fields of healthcare, promoting safe care standards and interdisciplinary practices for excellence in transfusion care. Objective: To map the scientific production related to nursing care for adults undergoing blood transfusion in the light of patient safety. Materials and Methods: This is a scoping review based on the JBI methodology, covering seven databases, following the checklist of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews. Studies published from 2017 to 2024 were included; the descriptors ‘nursing care’ and ‘blood transfusion’ were used; 515 primary studies were initially included that covered nursing care for adult patients undergoing blood transfusion, in any language, with different methodological approaches. The review was registered on the Open Science Framework platform. Results: A total of 19 primary studies were selected. The most prevalent types of nursing care highlighted in this review are hand hygiene, the use of personal protective equipment, checking and verifying medical prescriptions, double-checking during blood collection and administration, monitoring vital signs, and advising patients on the signs and symptoms of transfusion reactions. Conclusion: In the synthesis conducted, it is concluded the adoption of nursing care standards based on good practices is vital for effective patient safety and reduces the risks and complications associated with blood transfusion procedures.

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Author Biography

Francisco Mayron Morais Soares, Federal University of Maranhão

Enfermeiro, Mestrando em Enfermagem.

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