The effect of phlebotomy training on blood sample rejection and phlebotomy knowledge of primary health care providers in Cape Town: A quasi-experimental study

African Journal of Primary Health Care & Family Medicine

 
 
Field Value
 
Title The effect of phlebotomy training on blood sample rejection and phlebotomy knowledge of primary health care providers in Cape Town: A quasi-experimental study
 
Creator Abbas, Mumtaz Mukinda, Fidele K. Namane, Mosedi
 
Subject Family medicine; primary health care, laboratory medicine, primary care Phlebotomy; primary health care; health care costs; blood sample rejection; community health centres
Description 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.Study setting: 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 6.97‒17.03) to 96% (95% CI 16.91‒20.09) at CHC A (p = 0.039), 58% (95% CI 9.09‒14.91) to 93% (95% CI 17.64‒18.76) at CHC B (p = 0.006), 60% (95% CI 8.84‒13.13) to 97% (95% CI 16.14‒19.29) at CDC C (p = 0.001) and 63% (95% CI 9.81‒13.33) to 97% (95% CI 18.08‒19.07) 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).
 
Publisher AOSIS
 
Contributor
Date 2017-04-13
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Quasi-experimental study design
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/phcfm.v9i1.1242
 
Source African Journal of Primary Health Care & Family Medicine; Vol 9, No 1 (2017); 10 pages 2071-2936 2071-2928
 
Language eng
 
Relation
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:

https://phcfm.org/index.php/phcfm/article/view/1242/1988 https://phcfm.org/index.php/phcfm/article/view/1242/1987 https://phcfm.org/index.php/phcfm/article/view/1242/1989 https://phcfm.org/index.php/phcfm/article/view/1242/1986
 
Coverage Western Cape; South Africa 2014 primary health care providers; nurses; doctors
Rights Copyright (c) 2017 Mumtaz Abbas, Fidele K. Mukinda, Mosedi Namane https://creativecommons.org/licenses/by/4.0
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