Associations between workplace affiliation and phlebotomy practices regarding patient identification and test request handling practices in primary healthcare centres : a multilevel model approach
Background: Clinical practice guidelines aim to enhance patient safety by reducing inappropriate variations in practice. Despite considerable efforts to enhance the use of clinical practice guidelines, adherence is often suboptimal. We investigated to what extent workplace affiliation explains varia...
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Umeå universitet, Institutionen för omvårdnad
2015
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ftumeauniv:oai:DiVA.org:umu-112246 2023-10-09T21:54:36+02:00 Associations between workplace affiliation and phlebotomy practices regarding patient identification and test request handling practices in primary healthcare centres : a multilevel model approach Nilsson, Karin Juthberg, Christina Söderberg, Johan Bölenius, Karin Grankvist, Kjell Brulin, Christine Lindkvist, Marie 2015 application/pdf http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-112246 https://doi.org/10.1186/s12913-015-1157-9 eng eng Umeå universitet, Institutionen för omvårdnad Umeå universitet, Klinisk kemi Umeå universitet, Epidemiologi och global hälsa Umeå universitet, Statistik BMC Health Services Research, 2015, 15, http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-112246 doi:10.1186/s12913-015-1157-9 PMID 26552430 ISI:000364771700001 Scopus 2-s2.0-84946429842 info:eu-repo/semantics/openAccess Clinical practice guidelines Guideline adherence Nursing Phlebotomy Professional socialization Venous blood specimen collection Workplace affiliation Omvårdnad Article in journal info:eu-repo/semantics/article text 2015 ftumeauniv https://doi.org/10.1186/s12913-015-1157-9 2023-09-22T13:59:40Z Background: Clinical practice guidelines aim to enhance patient safety by reducing inappropriate variations in practice. Despite considerable efforts to enhance the use of clinical practice guidelines, adherence is often suboptimal. We investigated to what extent workplace affiliation explains variation of self-reported adherence to venous blood specimen collection regarding patient identification and test request handling practices, taking into consideration other primary healthcare centre and individual phlebotomist characteristics. Methods: Data were collected through a questionnaire survey of 164 phlebotomy staff from 25 primary healthcare centres in northern Sweden. To prevent the impact of a large-scale education intervention in 2008, only baseline data, collected over a 3-month period in 2006-2007, were used and subjected to descriptive statistics and multilevel logistic analyses. Results: In two patient identification outcomes, stable high median odds ratios (MOR) were found in both the empty model, and in the adjusted full model including both individual and workplace factors. Our findings suggest that variances among phlebotomy staff can be largely explained by primary healthcare centre affiliation also when individual and workplace demographic characteristics were taken in consideration. Analyses showed phlebotomy staff at medium and large primary healthcare centres to be more likely to adhere to guidelines than staff at small centres. Furthermore, staff employed shorter time at worksite to be more likely to adhere than staff employed longer. Finally, staff performing phlebotomy every week or less were more likely to adhere than staff performing phlebotomy on a daily basis. Conclusion: Workplace affiliation largely explains variances in self-reported adherence to venous blood specimen collection guidelines for patient identification and test request handling practices among phlebotomy staff. Characteristics of the workplace, as well as of the individual phlebotomist, need to be identified in order to ... Article in Journal/Newspaper Northern Sweden Umeå University: Publications (DiVA) BMC Health Services Research 15 1 |
institution |
Open Polar |
collection |
Umeå University: Publications (DiVA) |
op_collection_id |
ftumeauniv |
language |
English |
topic |
Clinical practice guidelines Guideline adherence Nursing Phlebotomy Professional socialization Venous blood specimen collection Workplace affiliation Omvårdnad |
spellingShingle |
Clinical practice guidelines Guideline adherence Nursing Phlebotomy Professional socialization Venous blood specimen collection Workplace affiliation Omvårdnad Nilsson, Karin Juthberg, Christina Söderberg, Johan Bölenius, Karin Grankvist, Kjell Brulin, Christine Lindkvist, Marie Associations between workplace affiliation and phlebotomy practices regarding patient identification and test request handling practices in primary healthcare centres : a multilevel model approach |
topic_facet |
Clinical practice guidelines Guideline adherence Nursing Phlebotomy Professional socialization Venous blood specimen collection Workplace affiliation Omvårdnad |
description |
Background: Clinical practice guidelines aim to enhance patient safety by reducing inappropriate variations in practice. Despite considerable efforts to enhance the use of clinical practice guidelines, adherence is often suboptimal. We investigated to what extent workplace affiliation explains variation of self-reported adherence to venous blood specimen collection regarding patient identification and test request handling practices, taking into consideration other primary healthcare centre and individual phlebotomist characteristics. Methods: Data were collected through a questionnaire survey of 164 phlebotomy staff from 25 primary healthcare centres in northern Sweden. To prevent the impact of a large-scale education intervention in 2008, only baseline data, collected over a 3-month period in 2006-2007, were used and subjected to descriptive statistics and multilevel logistic analyses. Results: In two patient identification outcomes, stable high median odds ratios (MOR) were found in both the empty model, and in the adjusted full model including both individual and workplace factors. Our findings suggest that variances among phlebotomy staff can be largely explained by primary healthcare centre affiliation also when individual and workplace demographic characteristics were taken in consideration. Analyses showed phlebotomy staff at medium and large primary healthcare centres to be more likely to adhere to guidelines than staff at small centres. Furthermore, staff employed shorter time at worksite to be more likely to adhere than staff employed longer. Finally, staff performing phlebotomy every week or less were more likely to adhere than staff performing phlebotomy on a daily basis. Conclusion: Workplace affiliation largely explains variances in self-reported adherence to venous blood specimen collection guidelines for patient identification and test request handling practices among phlebotomy staff. Characteristics of the workplace, as well as of the individual phlebotomist, need to be identified in order to ... |
format |
Article in Journal/Newspaper |
author |
Nilsson, Karin Juthberg, Christina Söderberg, Johan Bölenius, Karin Grankvist, Kjell Brulin, Christine Lindkvist, Marie |
author_facet |
Nilsson, Karin Juthberg, Christina Söderberg, Johan Bölenius, Karin Grankvist, Kjell Brulin, Christine Lindkvist, Marie |
author_sort |
Nilsson, Karin |
title |
Associations between workplace affiliation and phlebotomy practices regarding patient identification and test request handling practices in primary healthcare centres : a multilevel model approach |
title_short |
Associations between workplace affiliation and phlebotomy practices regarding patient identification and test request handling practices in primary healthcare centres : a multilevel model approach |
title_full |
Associations between workplace affiliation and phlebotomy practices regarding patient identification and test request handling practices in primary healthcare centres : a multilevel model approach |
title_fullStr |
Associations between workplace affiliation and phlebotomy practices regarding patient identification and test request handling practices in primary healthcare centres : a multilevel model approach |
title_full_unstemmed |
Associations between workplace affiliation and phlebotomy practices regarding patient identification and test request handling practices in primary healthcare centres : a multilevel model approach |
title_sort |
associations between workplace affiliation and phlebotomy practices regarding patient identification and test request handling practices in primary healthcare centres : a multilevel model approach |
publisher |
Umeå universitet, Institutionen för omvårdnad |
publishDate |
2015 |
url |
http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-112246 https://doi.org/10.1186/s12913-015-1157-9 |
genre |
Northern Sweden |
genre_facet |
Northern Sweden |
op_relation |
BMC Health Services Research, 2015, 15, http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-112246 doi:10.1186/s12913-015-1157-9 PMID 26552430 ISI:000364771700001 Scopus 2-s2.0-84946429842 |
op_rights |
info:eu-repo/semantics/openAccess |
op_doi |
https://doi.org/10.1186/s12913-015-1157-9 |
container_title |
BMC Health Services Research |
container_volume |
15 |
container_issue |
1 |
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1779318243308077056 |