临床检验人员专业知识现状和需求质性研究

Knowledge status quo and needs of clinical laboratory personnel

目的现场调查了解临床检验人员专业知识现状和需求,为其适应临床检验工作发展和更新知识培训提供参考依据。方法选择浙江省3家综合性医院、1家中医院和1家儿童医院的15名检验人员进行现场访谈与录音,并用现象学方法分析访谈录音资料,以凝练临床检验人员知识现状和需求点。结果被调查检验人员自认为专业知识能够满足检验常规工作的73.3%(11/15名),自认为科研、临床、管理等知识欠缺的66.7%(10/15名)。检验人员遇到疑难问题的解决方式,首选互联网查询,其次是期刊数据库和书籍,较少通过专家交流。所有人员愿意参加专业领域继续教育培训,其中急需专业仪器知识的80.0%(12/15名),迫切需要科研知识的73.3%(11/15名),缺乏临床沟通知识的60.0%(9/15名)。检验人员自认为英语水平一般,影响最新知识的获取和快速应用的73.3%(11/15名)。结论临床检验人员知识需求迫切,需按不同岗位和职称需求提供不同层次的培训和教育,通过合理利用期刊数据库和专家交流,可提高其疑难问题解决能力,通过自身努力学习也是提高其检验服务水平的始动力。

Objective To investigate the knowledge status quo and knowledge needs of clinical laboratory personnel, so as to provide reference for accommodating the development of clinical laboratory work and updating new knowledge training. Methods Fifteen laboratory technicians were chosen from 3 general hospitals, 1 traditional Chinese hospital and 1 children＇s hospital in Zhejiang Province; they were interviewed face to face and andio-recorded. Data were analyzed using phenomenological approach and themes on knowledge status quo and knowledge needs of clinical laboratory personnel were extracted. Results 73.3% （11/15 persons） Participants considered professional knowledge could meet their daily requirements, 66.7% （10/15 persons） considered they lacked research ability together with clinic and management related knowledge. The most common way they solve problems relies on internet search as the top priority and journal database together with books were in the next place. There were very few expert consultations. All participants were willing to attend professional knowledge training and 80.0% （12/15 persons） of them was in urgent need of knowledge on instrument, 73.3% （ll/15 persons） was in pressing need for research knowledge, and 60.0% （9/15 persons） was in need of clinic communication knowledge. 73.3% （11/15 persons） of them perceived their inadequate English proficiency which influence the access and quick application of the newest knowledge. Conclusions Clinical laboratory technicians have an urgentneed for knowledge. It is necessary to provide different levels of training and education based on position and professional title to improve problem solving ability using journal database and expert consultation, and to improve laboratory service through self hard learning.