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Studies on blood transfusion reveal that specific rules are not always respected by healthcare professionals. This study aims to better understand the intention to apply the blood transfusion rules, and to examine, within the framework of the theory of planned behavior, the barriers and facilitators.In total, 2604 healthcare professionals from 13 French public hospitals responded to this survey. The questionnaire included measures related to attitudes, pressure from colleagues/physicians/institutions, and factors related to the intention to apply haemovigilance rules.The majority of healthcare professionals (67 %) received blood transfusion safety training, 56 % reported compliance of blood transfusion procedures, and 24 % would never meet them or occasionally. The regression analyzes show that the factors related to training, age, frequency of blood transfusion explain very little behavioral intention. Professionals' attitudes (utility and perceived value of behavior) (β=0.42) and peer pressure (β=0.21) are major predictors. The barriers related to habits/beliefs (β=-0.12), lack of time (β=-0.12), pressure from institutions (β=-0.05) also contribute, but to a lesser extent.The results confirm the theory of planned behavior showing that the intention to apply specific blood transfusion rules is related to attitude and social norms. These findings may encourage the development of networks of referents in healthcare units, and actions of prevention on the usefulness of blood transfusion rules. |
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