engleski

Another perspective on reducing preanalytical errors - nurse education

Background: The preanalytical phase shows the highest prevalence of errors in laboratory diagnostics. In Croatia, nurses present an important bond between patients and the laboratory since they perform blood sampling in hospital wards and primary care dispensaries. Laboratory of General Hospital Dubrovnik conducts nurse education trough written instructions. The aim of this paper is to analyze nurse experience in previous education and suggestions about additional education in the area of preanalytical phase. Materials and methods: Anonymous, voluntary questionnaire containing 5 questions was filled out by 101 of 380 nurse employed in General Hospital Dubrovnik (response 27%). Subjects were distributed according to school education and work experience. The differences in frequency distributions of qualitative variables were analyzed by Fisher exact test and chi-square test, with a significance level of P < 0, 05. Results: Results showed that 73/101 nurses acquired most of their knowledge of the preanalytical phase by learning from more experienced nurses in their workplace. Written instruction from the laboratory used 32/101 nurses, but only 10/101 consider that most of their knowledge originated from those instructions. It is considered that school education was insufficient and that additional training is required (64/98). Of 64 respondents who believe that the additional training is required, 77% suggested using written instructions from the laboratory, 51% suggested organizing workshops, and 43% suggested organizing lectures and courses. Implementing the part of their internship in the laboratory is considered useful by 70/100 nurses. For all questions answered no significant difference regarding school education and work was found. Conclusions: Although nurses most frequently suggest using written instructions from the laboratory for education, survey showed that a small number of nurses actually used them for education. It is considered to be useful ensuring continuous education of new nurses by the laboratory staff or implementing part of internship in the laboratory.

preanalytical phase ; nurse ; education

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