Biochemia Medica, Vol. 28 No. 1, 2018.
Original scientific paper
https://doi.org/10.11613/BM.2018.010703
Nurses’ knowledge on phlebotomy in tertiary hospitals in China: a cross-sectional multicentric survey
Qian Cai
; School of Nursing, Zhejiang Chinese Medical University, Hangzhou, China
Yunxian Zhou
; School of Nursing, Zhejiang Chinese Medical University, Hangzhou, China
Dangan Yang
; Department of Laboratory Medicine, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, China
Abstract
Introduction: In China, phlebotomy practice is mostly executed by nurses instead of phlebotomists. Our hypothesis was that these nurses may lack
of knowledge on phlebotomy, especially factors influencing quality of blood samples. This study aims to assess the overall nurses’ knowledge on
phlebotomy to provide reference for improving blood sampling practice in China.
Materials and methods: A survey was conducted involving nurses from 4 regions and 13 hospitals in China. A phlebotomy knowledge questionnaire
was designed based on the Clinical and Laboratory Standards Institute H3-A6 guidelines, combining with the situations in China. Descriptive
analysis and binary logistic regression analysis were used to analyze the knowledge level and its influencing factors.
Results: A total of 3400 questionnaires were distributed and 3077 valid questionnaires were returned, with an effective return rate of 90.5%. The
correct rates of patient identification, hand sanitization, patient assessment, tube mixing time, needle disposing location and tube labelling were
greater than 90%. However, the correct rates of order of draw (15.5%), definition of an inversion (22.5%), time to release tourniquet (18.5%) and
time to change tube (28.5%) were relatively low. Binary logistic regression analysis showed that the correct rates of the aforementioned four questions
were mainly related to the regional distribution of the hospitals (P < 0.001).
Conclusions: The knowledge level on phlebotomy among Chinese nurses was found unsatisfactory in some areas. An education program on phlebotomy
should be developed for Chinese nurses to improve the consistency among different regions and to enhance nurse’s knowledge level on
phlebotomy.
Keywords
pre-analytical phase; venous blood sampling; knowledge; nurses; phlebotomy
Hrčak ID:
189593
URI
Publication date:
15.2.2018.
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