The effect of phlebotomy training on blood sample rejection and phlebotomy knowledge of primary health care providers in Cape Town: A quasi-experimental study.
Afr J Prim Health Care Fam Med
; 9(1): e1-e10, 2017 Apr 13.
Article
em En
| MEDLINE
| ID: mdl-28470073
ABSTRACT
BACKGROUND:
There is an increasing amount of blood sample rejection at primary health care facilities (PHCFs), impacting negatively the staff, facility, patient and laboratory costs.AIM:
The primary objective was to determine the rejection rate and reasons for blood sample rejection at four PHCFs before and after a phlebotomy training programme. The secondary objective was to determine whether phlebotomy training improved knowledge among primary health care providers (HCPs) and to develop a tool for blood sample acceptability. STUDYSETTING:
Two community health centres (CHCs) and two community day centres (CDCs) in Cape Town.METHODS:
A quasi-experimental study design (before and after a phlebotomy training programme).RESULTS:
The sample rejection rate was 0.79% (n = 60) at CHC A, 1.13% (n = 45) at CHC B, 1.64% (n = 38) at CDC C and 1.36% (n = 8) at CDC D pre-training. The rejection rate remained approximately the same post-training (p > 0.05). The same phlebotomy questionnaire was administered pre- and post-training to HCPs. The average score increased from 63% (95% CI 6.97â17.03) to 96% (95% CI 16.91â20.09) at CHC A (p = 0.039), 58% (95% CI 9.09â14.91) to 93% (95% CI 17.64â18.76) at CHC B (p = 0.006), 60% (95% CI 8.84â13.13) to 97% (95% CI 16.14â19.29) at CDC C (p = 0.001) and 63% (95% CI 9.81â13.33) to 97% (95% CI 18.08â19.07) at CDC D (p = 0.001).CONCLUSION:
There is no statistically significant improvement in the rejection rate of blood samples (p > 0.05) post-training despite knowledge improving in all HCPs (p < 0.05).
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Base de dados:
MEDLINE
Assunto principal:
Conhecimentos, Atitudes e Prática em Saúde
/
Pessoal de Saúde
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Flebotomia
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Testes Hematológicos
Idioma:
En
Ano de publicação:
2017
Tipo de documento:
Article