An interactive two-step training and management model of point-of-care glucose testing in northern Finland

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Lehto, Liisa ; Liikanen, Eeva ; Melkko, Tarja ; Ebeling, Tapani ; Kouri, Timo (2012)
  • Publisher: Co-Action Publishing
  • Journal: International Journal of Circumpolar Health (issn: 1797-237X, eissn: 1239-9736)
  • Related identifiers: doi: 10.3402/ijch.v70i3.17830
  • Subject: glucose test, point-of-care testing, training, management, nurse
    mesheuropmc: education

Objectives. To assess an interactive 2-step training and management model for nurses in glucose pointof- care testing (POCT). Study design. The training of the nursing staff by the point-of-care coordinator of the laboratory started with interactive sessions with contact persons who subsequently trained their nursing colleagues at the Oulu University Hospital in northern Finland. The 2-step training model was applied in blood glucose testing as a pilot study. Methods. Functional quality was assessed through interviews with clinical contact persons and a questionnaire was given to the trained nurses. Technical quality was assessed through control measurements by laboratory and nursing staff. Results. Training succeeded because of basic resources (trainers’ knowledge and skills, organized contents of training and place), interpersonal communication and high-quality interactions. Nurses were especially satisfied with the prerequisite training of the contact persons (mean score 1.58, Likert scale from -2 to +2, strongly disagree – strongly agree). Day-to-day repeatabilities of less than 3% were achieved in control measurements by both nursing and laboratory staff. Conclusions. The interactive 2-step training and management model could be implemented in the clinical units using a reasonable amount of laboratory resources. The goal of good functional and technical quality in point-of-care testing in the clinical units was achieved. Despite successful implementation, POCT needs continuous support from the laboratory.(Int J Circumpolar Health 2011; 70(3):329-338)Keywords: glucose test, point-of-care testing, training, management, nurse
  • References (27)
    27 references, page 1 of 3

    1 .  Altinier  S ,  Zaninotto  M ,  Mion  M ,  Carraro  P,  Rocco  S , Tosato  F,  et  al .  Point-of-care  testing  of  cardiac  markers :  results  from  an  experience  in  an  emergency  department.  Clin  Chim  Acta 2001;311(1):67-72.

    2 .  Price  C.  Point  of  care  testing.  Regular  review.  BMJ  2001;26:543-550.

    3 .  Buhling  K,  Henrich  W,  Kjos  S,  Siebert  G,  Starr  E,  Dreweck  C ,  et  al .  Comparison  of  point-of-care-testing  glucose  meters  with  standard  laboratory  measurement  of  the  50g-glucose-challenge  test  (GCT)  during  pregnancy.  Clin  Biochem  2003;36(5):333-337.

    4 .  Lacara  T,  Domagtoy  C ,  Lickliter  D,  Quattrocchi  K ,  Snipes  L ,  Kuszaj  J ,  et  al .  Comparison  of  point-of-care  and  laboratory  glucose  analysis  in  critically  ill  patients . Am  J  Crit  Care  2007;16(6):336-346.

    5.  Lee-Lewandrowski  E,  Lewandrowski  K.  Point-of-care  testing :  an  overview  and  a  look  to  the  future .  Clin  Lab  Med  2001;21(2):217-239.

    6 .  Blake  DR ,  Nathan  DM .  Point-of-care  testing  for  diabetes .  Crit  Care  Nurs  Q  2004;27(2):150-161.

    7 .  Lamb  LS  Jr,  Parrish  RS ,  Goran  SF,  Biel  MH .  Current  nursing  practice  of  point-of-care  laboratory  diagnostic  testing  in  critical  care  units . Am  J  Crit  Care  1995;4(6) :  429- 434.

    8 .  McVicar  A ,  Clancy  J .  The  biosciences  and  tfiness   for  practice :  a  time  for  review?  Br  J  Nurs  2001;10(21):1415- 1420. 

    9 .  Kyriacos  U,  Jordan  S ,  van  den  Heever  J .  The  biological  sciences  in  nursing :  a  developing  country  perspective .  J  Adv  Nurs  2005;52(1):91-103.

    10 .  Pearson  J .  Point-of-care  testing  and  clinical  governance.  Clin  Chem  Lab  Med 2006;44(6):765-767.

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