Kontakt 2021, 23(1):33-39 | DOI: 10.32725/kont.2021.003

Questionnaire survey: The process of quality management in the preanalytical phase of laboratory examination in the department of joint laboratoriesNursing - Original article

Iveta Slabíková¹, Lada Nováková², Lada Cetlová², Vlasta Dvořáková², Andrea Pokorná^{2,3, *}

¹ Hospital of Havlíčkův Brod, Havlíčkův Brod, Czech Republic

² College of Polytechnics Jihlava, Jihlava, Czech Republic

³ Masaryk University, Faculty of Medicine, Department of Nursing and Midwifery, Brno, Czech Republic

Introduction: Preparation of a patient for an examination and taking samples of biological material belong to critical factors of the laboratory preanalytical phase's quality. Taking of venous blood is one of the most common nursing care interventions.

Methods: A questionnaire survey using a content validated questionnaire from the laboratory of clinical biochemistry of University hospital in Umeå in Sweden has been carried out. Data analysis was performed using the Statistics 12 program at a significance level of 0.05.

Aim: The main aim was to evaluate a selected group of general nurses' awareness about the correct procedures for collecting venous blood in two accredited inpatient health care providers.

Results: One-hundred-and-fifty-three general nurses from two health care facilities took part in the study (hospital A: n = 71, hospital B: n = 82). The answers of the general nurses from both monitored facilities were almost identical, but not always correct. There was a statistically insignificant difference (p < 0.05) in the knowledge of general nurses in the procedure of venous blood collection. Still, there was a statistically significant difference in the declared labeling of tubes before collecting or in the collection of several different tubes at once (p < 0.05).

Conclusions: The identified inconsistencies in the procedures during blood taking conform to previous foreign studies. The need for close collaboration with clinical laboratory personnel and the requirement of control in the preanalytical phase concerning taking samples of biological material is essential to ensure better quality care.

Keywords: General nurse; Health care risk; Patient safety; Preanalytical phase; Venous blood collection

Received: September 8, 2020; Revised: January 21, 2021; Accepted: January 22, 2021; Prepublished online: February 4, 2021; Published: March 3, 2021  Show citation