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Sammanfattning

A survey of 81 nurses from six specialities at Rigshospitalet shows that nurses participate in and take responsibility for pa- tients' treatment with donor blood, yet they lack knowledge and consensus about optimal treatment. The survey found that nurses' decisions concerning transfusions using donor blood were not evidence-based. Only about half of the nurses believed that they had optimal transfusion techniques at their depart- ment, and only 10 were aware of evidence-based knowledge as a basis for a restrictive transfusion strategy. Concerning donor blood, nursing is in a developmental phase in which tasks that were formerly a physician's are increasingly being carried out in collaboration among nurses, patients and physicians. One goal ought to be to reduce the need for donor- blood transfusions as well as variations in the treatment, and it is therefore important that evidence-based knowledge be im- plemented allowing the staff to make more uniform decisions concerning transfusion. There is thus a need to increase the nurses' focus on the development of nursing in relation to pa- tients who have or will have a need for donor blood.

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