Effectiveness of Interventional Training in Improving Midwives and Nurses’ Knowledge of Pre-transfusion initiation nursing responsibilities at Nasser Medical Hospital, Palestine

Background: Blood transfusion is a crucial procedure in medical care, especially in obstetrics and emergencies, where strict adherence to protocols is essential to avoid severe complications. This study aimed to assess the impact of a targeted training program on midwives and nurses at Nasser Medical Hospital in Palestine, focusing on essential pre-transfusion nursing responsibilities. Methods: Using a Randomized Controlled Trial (RCT) design, 45 midwives and nurses were randomly chosen to participate. Data collected through structured questionnaires were analyzed with SPSS to evaluate knowledge levels before and after training. Demonstrating the training program's strong effectiveness across diverse demographics. Results: Demographic analysis showed that the majority of participants were female (84.4%), married (84.4%), and held bachelor’s degrees (77.8%). Post-training assessments revealed significant knowledge gains across all measured areas, with overall knowledge scores rising from 70.51±12.55 to 96.67±4.59 (P<0.001), indicating a large effect size (Cohen’s d = 2.16). Improvements were consistent across experience levels, educational backgrounds, and departments, with the highest gains noted in the Labor and Maternity Ward. The training’s effectiveness was particularly evident in areas like intravenous access verification, patient education on transfusion risks, and compliance with informed consent protocols. Conclusion:This study highlights the value of structured training in enhancing midwives' and nurses' transfusion competencies and supports similar training initiatives to uphold transfusion safety standards in healthcare settings across Palestine.