Vox sanguinis · 2026
Cross-sectional survey of the barriers and enablers to preventing iatrogenic anaemia in inpatients with haematological malignancies: The CONSERVE study.
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Black Courtney, Gavin Nicole C, Ogle Theodora, Keogh Samantha
Аннотация
BACKGROUND AND OBJECTIVES: Patients with haematological malignancies are at high risk of anaemia due to disease and treatment factors, making patient blood management (PBM) strategies critical. We aimed to identify the barriers and enablers to implementing the principles of PBM to conserve patients' own blood and reduce the risk of iatrogenic anaemia in inpatients receiving treatment for haematological malignancies.
MATERIALS AND METHODS: A cross-sectional study of inpatient clinicians was conducted using a survey. Acute care clinicians (nursing and medical) from two wards that treat haematological malignancies at one hospital were invited to complete an online survey between December 2024 and January 2025. The 31 questions (answered on a 5-point Likert scale) were designed to assess awareness, enablers and barriers related to PBM. The survey was conceptually aligned to the 14 domains of the Theoretical Domains Framework and the six domains of the Capability, Opportunity, Motivation-Behaviour Model. Responses were condensed into barrier, neutral and enabler categories, and proportions were calculated.
RESULTS: The questionnaire was completed by 80 participants (52% response rate), 82% being nurses. Barriers were found in five domains, namely reinforcement, knowledge, behavioural regulation, training and goals. Enablers were found in 10 domains: beliefs about consequences, intentions, role and identity, emotion, skills, environment, social influence, beliefs about capabilities, memory and equipment.
CONCLUSION: This study highlights the barriers and enablers to implementing PBM strategies into inpatient haematology practice. Future implementation studies should address these enablers to assist in overcoming the barriers of implementing PBM strategies in this vulnerable patient cohort.
MATERIALS AND METHODS: A cross-sectional study of inpatient clinicians was conducted using a survey. Acute care clinicians (nursing and medical) from two wards that treat haematological malignancies at one hospital were invited to complete an online survey between December 2024 and January 2025. The 31 questions (answered on a 5-point Likert scale) were designed to assess awareness, enablers and barriers related to PBM. The survey was conceptually aligned to the 14 domains of the Theoretical Domains Framework and the six domains of the Capability, Opportunity, Motivation-Behaviour Model. Responses were condensed into barrier, neutral and enabler categories, and proportions were calculated.
RESULTS: The questionnaire was completed by 80 participants (52% response rate), 82% being nurses. Barriers were found in five domains, namely reinforcement, knowledge, behavioural regulation, training and goals. Enablers were found in 10 domains: beliefs about consequences, intentions, role and identity, emotion, skills, environment, social influence, beliefs about capabilities, memory and equipment.
CONCLUSION: This study highlights the barriers and enablers to implementing PBM strategies into inpatient haematology practice. Future implementation studies should address these enablers to assist in overcoming the barriers of implementing PBM strategies in this vulnerable patient cohort.