Comprehensive Report: Barriers and Challenges in Blood Transfusion
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This report delves into the significant barriers hindering effective blood transfusion practices. It highlights the importance of donor knowledge regarding blood donation criteria, potential risks, and the impact of healthcare provider attitudes on the donation process. The report identifies several challenges, including limited donor awareness, negative perceptions, and the influence of privacy concerns and ethnic discrimination. It also explores the reasons behind individuals' reluctance to donate blood, such as fear of weakness, needle phobia, lack of time, and concerns about infection risks. Furthermore, the report examines the knowledge, attitude, and practices of healthcare providers, emphasizing the need for improved training and awareness of blood transfusion protocols to ensure patient safety and optimize transfusion outcomes. The report emphasizes the necessity of addressing these barriers to improve blood transfusion services and ensure an adequate and safe blood supply for patients in need.

Running head: BARRIER OF BLOOD TRANSFUSION
BARRIER OF BLOOD TRANSFUSION
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BARRIER OF BLOOD TRANSFUSION
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Author Note
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1BARRIER OF BLOOD TRANSFUSION
Blood transfusion is a method of transfer of blood or constituents from donors to
recipients. It is essential when a person is severely ill like anemia or deficit of blood, undergone
blood loss. Therefore, the healthcare professionals should have detailed knowledge about the
process and the proper communication between healthcare givers and the donor is needed.
Barrier of blood transfusion among health care professionals and community
The first barrier is limited knowledge about the blood donation among blood donors.
Only few have idea about the preliminary age which is suitable for blood donation and the
highest donations number can be performed per year. Most of the times, healthcare providers are
incapable to provide safe, sufficient and constant blood supply because most of the donors are
first and they do not come back further. Moreover, the chance of getting infected is high among
first-time donor rather than repeated donors. The donors also do not know the criteria of
becoming a blood donor. The criteria includes enough hemoglobin, healthiness and devoid of
chronic illness. Anyone having one of these criteria is not allowed for blood donation. Therefore,
the absence of proper knowledge is hindering the blood transfusion process. The second hurdle
regarding this blood transfusion includes the negative attitude of healthcare providers towards
the donors [4]. The privacy during pre-donation evaluation possess as a barrier to blood
transfusion. This privacy has a major impact on first-time donor to make decision to donate
rather than repeat donors. Ethnic discrimination is another major factor that is adversely related
to blood donation [5].
The reason of people not prepared to donate blood:
Most of the cases the individuals are not willing to give blood owing some reasons. Fear
of weakness after donation among donors was a major factor for not donating blood. Some
Blood transfusion is a method of transfer of blood or constituents from donors to
recipients. It is essential when a person is severely ill like anemia or deficit of blood, undergone
blood loss. Therefore, the healthcare professionals should have detailed knowledge about the
process and the proper communication between healthcare givers and the donor is needed.
Barrier of blood transfusion among health care professionals and community
The first barrier is limited knowledge about the blood donation among blood donors.
Only few have idea about the preliminary age which is suitable for blood donation and the
highest donations number can be performed per year. Most of the times, healthcare providers are
incapable to provide safe, sufficient and constant blood supply because most of the donors are
first and they do not come back further. Moreover, the chance of getting infected is high among
first-time donor rather than repeated donors. The donors also do not know the criteria of
becoming a blood donor. The criteria includes enough hemoglobin, healthiness and devoid of
chronic illness. Anyone having one of these criteria is not allowed for blood donation. Therefore,
the absence of proper knowledge is hindering the blood transfusion process. The second hurdle
regarding this blood transfusion includes the negative attitude of healthcare providers towards
the donors [4]. The privacy during pre-donation evaluation possess as a barrier to blood
transfusion. This privacy has a major impact on first-time donor to make decision to donate
rather than repeat donors. Ethnic discrimination is another major factor that is adversely related
to blood donation [5].
The reason of people not prepared to donate blood:
Most of the cases the individuals are not willing to give blood owing some reasons. Fear
of weakness after donation among donors was a major factor for not donating blood. Some

2BARRIER OF BLOOD TRANSFUSION
people are afraid of needles. Some have phobia of blood also. The problem of donor clinic and
absenteeism of gift/reward was a factor for not contributing blood. Lack of time is another issue
related to blood donation [1]. Due to the busy schedule and the work pressure many people are
not able to donate blood. The people have perception that there is an increased risk of infections
like HIV by blood donation [3].
Attitude, Knowledge, and practice of healthcare providers in transfusion of blood:
Healthcare provider’s knowledge and skills, attitude and practice are essential to
strengthening the quality of blood transfusion practice. Most of the cases, the nurses are less
knowledgeable of changing the blood transfusion sets that can cause the fatal blood transfusion
reactions and different immunological reactions [2]. The nurses have lack of basic knowledge of
blood grouping system of ABO and RhD system. The majority of the nurses have lack of
awareness regarding the validated period of the transfusion that is used to prevent growth of
bacteria in blood. This, in turn, may raise sepsis in the patient. Sometimes, the nurses omit some
important steps like final checking. This imposes an incorrect practice as it accounts for the
safety issue related to blood transfusion. It is seen that female respondents perform poorly than
males in blood transfusion.
Questions that should be asked related to the topic:
Q.1) What is people’s perception about blood donation?
Q.2) Have people knowledge about benefits or social welfare related to blood donation?
Q.3) Is there any past bitter incidence of blood donation that results in morbid situation?
people are afraid of needles. Some have phobia of blood also. The problem of donor clinic and
absenteeism of gift/reward was a factor for not contributing blood. Lack of time is another issue
related to blood donation [1]. Due to the busy schedule and the work pressure many people are
not able to donate blood. The people have perception that there is an increased risk of infections
like HIV by blood donation [3].
Attitude, Knowledge, and practice of healthcare providers in transfusion of blood:
Healthcare provider’s knowledge and skills, attitude and practice are essential to
strengthening the quality of blood transfusion practice. Most of the cases, the nurses are less
knowledgeable of changing the blood transfusion sets that can cause the fatal blood transfusion
reactions and different immunological reactions [2]. The nurses have lack of basic knowledge of
blood grouping system of ABO and RhD system. The majority of the nurses have lack of
awareness regarding the validated period of the transfusion that is used to prevent growth of
bacteria in blood. This, in turn, may raise sepsis in the patient. Sometimes, the nurses omit some
important steps like final checking. This imposes an incorrect practice as it accounts for the
safety issue related to blood transfusion. It is seen that female respondents perform poorly than
males in blood transfusion.
Questions that should be asked related to the topic:
Q.1) What is people’s perception about blood donation?
Q.2) Have people knowledge about benefits or social welfare related to blood donation?
Q.3) Is there any past bitter incidence of blood donation that results in morbid situation?
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3BARRIER OF BLOOD TRANSFUSION
Reference
1 Mohd Asmawi U, Osman M, Said N et al. Barriers for blood donation in non-blood donor: a
qualitaive study. Environment-Behaviour Proceedings Journal 2019;4:59. doi:10.21834/e-
bpj.v4i10.1622
2 Encan B, Akin S. Knowledge of Blood Transfusion Among Nurses. The Journal of Continuing
Education in Nursing 2019;50:176-182. doi:10.3928/00220124-20190319-08
3 Graw J, Eymann K, Kork F et al. Risk perception of blood transfusions – a comparison of
patients and allied healthcare professionals. BMC Health Services Research 2018;18.
doi:10.1186/s12913-018-2928-x
4 Mohammed S, Essel H. Motivational factors for blood donation, potential barriers, and
knowledge about blood donation in first-time and repeat blood donors. BMC
Hematology 2018;18. doi:10.1186/s12878-018-0130-3
5 Shaz B, Demmons D, Crittenden C et al. Motivators and barriers to blood donation in African
American college students. Transfusion and Apheresis Science 2009;41:191-197.
doi:10.1016/j.transci.2009.09.005
Extra 10 references
1 Abderrahman B, Saleh M. Investigating Knowledge and Attitudes of Blood Donors and
Barriers Concerning Blood Donation in Jordan. Procedia - Social and Behavioral
Sciences 2014;116:2146-2154. doi:10.1016/j.sbspro.2014.01.535
Reference
1 Mohd Asmawi U, Osman M, Said N et al. Barriers for blood donation in non-blood donor: a
qualitaive study. Environment-Behaviour Proceedings Journal 2019;4:59. doi:10.21834/e-
bpj.v4i10.1622
2 Encan B, Akin S. Knowledge of Blood Transfusion Among Nurses. The Journal of Continuing
Education in Nursing 2019;50:176-182. doi:10.3928/00220124-20190319-08
3 Graw J, Eymann K, Kork F et al. Risk perception of blood transfusions – a comparison of
patients and allied healthcare professionals. BMC Health Services Research 2018;18.
doi:10.1186/s12913-018-2928-x
4 Mohammed S, Essel H. Motivational factors for blood donation, potential barriers, and
knowledge about blood donation in first-time and repeat blood donors. BMC
Hematology 2018;18. doi:10.1186/s12878-018-0130-3
5 Shaz B, Demmons D, Crittenden C et al. Motivators and barriers to blood donation in African
American college students. Transfusion and Apheresis Science 2009;41:191-197.
doi:10.1016/j.transci.2009.09.005
Extra 10 references
1 Abderrahman B, Saleh M. Investigating Knowledge and Attitudes of Blood Donors and
Barriers Concerning Blood Donation in Jordan. Procedia - Social and Behavioral
Sciences 2014;116:2146-2154. doi:10.1016/j.sbspro.2014.01.535
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4BARRIER OF BLOOD TRANSFUSION
2 Akhter S, Anwar I, Akter R et al. Barriers to Timely and Safe Blood Transfusion for PPH
Patients: Evidence from a Qualitative Study in Dhaka, Bangladesh. PLOS
ONE 2016;11:e0167399. doi:10.1371/journal.pone.0167399
3 Delaforce A, Duff J, Munday J et al. Overcoming barriers to evidence-based patient blood
management: a restricted review. Implementation Science 2020;15. doi:10.1186/s13012-020-
0965-4
4 Dubey A, Sonker A, Chaudhary R. Knowledge, attitude, and beliefs of young, college student
blood donors about Human immunodeficiency virus. Asian Journal of Transfusion
Science 2014;8:39. doi:10.4103/0973-6247.126689
5 Graw J, Eymann K, Kork F et al. Risk perception of blood transfusions – a comparison of
patients and allied healthcare professionals. BMC Health Services Research 2018;18.
doi:10.1186/s12913-018-2928-x
6 Kabinda J, Miyanga S, Donnen P et al. Knowledge, Attitudes and Practices of Medical and
Paramedical Staff in Blood Transfusion in the Democratic Republic of Congo. Open Journal of
Preventive Medicine 2014;04:672-680. doi:10.4236/ojpm.2014.48076.
7 Azdiana T, Arzuar A, Siew Lee L. Knowledge of Blood Transfusion among Nurses at Hospital
Pulau Pinang: Nursing Responsibilities and Patient Management Related to Transfusion
Reactions. Education in Medicine Journal 2016;8. doi:10.5959/eimj.v8i4.473
8 Mei Ling L, Sheng Hui T, Andrew K. G. T et al. Determinants of Blood Donation Status in
Malaysia: Profiling the Non-Donors, Occasional Donors and Regular Donors. Kajian
Malaysia 2018;36:43-62. doi:10.21315/km2018.36.1.3
2 Akhter S, Anwar I, Akter R et al. Barriers to Timely and Safe Blood Transfusion for PPH
Patients: Evidence from a Qualitative Study in Dhaka, Bangladesh. PLOS
ONE 2016;11:e0167399. doi:10.1371/journal.pone.0167399
3 Delaforce A, Duff J, Munday J et al. Overcoming barriers to evidence-based patient blood
management: a restricted review. Implementation Science 2020;15. doi:10.1186/s13012-020-
0965-4
4 Dubey A, Sonker A, Chaudhary R. Knowledge, attitude, and beliefs of young, college student
blood donors about Human immunodeficiency virus. Asian Journal of Transfusion
Science 2014;8:39. doi:10.4103/0973-6247.126689
5 Graw J, Eymann K, Kork F et al. Risk perception of blood transfusions – a comparison of
patients and allied healthcare professionals. BMC Health Services Research 2018;18.
doi:10.1186/s12913-018-2928-x
6 Kabinda J, Miyanga S, Donnen P et al. Knowledge, Attitudes and Practices of Medical and
Paramedical Staff in Blood Transfusion in the Democratic Republic of Congo. Open Journal of
Preventive Medicine 2014;04:672-680. doi:10.4236/ojpm.2014.48076.
7 Azdiana T, Arzuar A, Siew Lee L. Knowledge of Blood Transfusion among Nurses at Hospital
Pulau Pinang: Nursing Responsibilities and Patient Management Related to Transfusion
Reactions. Education in Medicine Journal 2016;8. doi:10.5959/eimj.v8i4.473
8 Mei Ling L, Sheng Hui T, Andrew K. G. T et al. Determinants of Blood Donation Status in
Malaysia: Profiling the Non-Donors, Occasional Donors and Regular Donors. Kajian
Malaysia 2018;36:43-62. doi:10.21315/km2018.36.1.3

5BARRIER OF BLOOD TRANSFUSION
9 Muthivhi T, Olmsted M, Park H et al. Motivators and deterrents to blood donation among
Black South Africans: a qualitative analysis of focus group data. Transfusion
Medicine 2015;25:249-258. doi:10.1111/tme.12218.
10 Zanin T, Hersey D, Cone D et al. Tapping into a vital resource: Understanding the motivators
and barriers to blood donation in Sub-Saharan Africa. African Journal of Emergency
Medicine 2016;6:70-79. doi:10.1016/j.afjem.2016.02.003
9 Muthivhi T, Olmsted M, Park H et al. Motivators and deterrents to blood donation among
Black South Africans: a qualitative analysis of focus group data. Transfusion
Medicine 2015;25:249-258. doi:10.1111/tme.12218.
10 Zanin T, Hersey D, Cone D et al. Tapping into a vital resource: Understanding the motivators
and barriers to blood donation in Sub-Saharan Africa. African Journal of Emergency
Medicine 2016;6:70-79. doi:10.1016/j.afjem.2016.02.003
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