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Original Research
The interface between clinicians and laboratory staff: A field study in northern Tanzania
Submitted: 10 July 2013 | Published: 23 July 2014
About the author(s)
Coosje J. Tuijn, Royal Tropical Institute (KIT) Biomedical Research, Amsterdam, NetherlandsElizabeth Msoka, Kilimanjaro Clinical Research Institute (KCRI), Moshi, Tanzania, United Republic of
Declare L. Mushi, Kilimanjaro Christian Medical University College, Tumaini University Makumira, Moshi, Tanzania, United Republic of
Marion Sumari-de Boer, Kilimanjaro Clinical Research Institute (KCRI), Moshi, Tanzania, United Republic of
Jaffu Chilongola, Kilimanjaro Clinical Research Institute (KCRI), Moshi and Kilimanjaro Christian Medical University College, Tumaini University Makumira, Moshi, Tanzania, United Republic of
Ankie van den Broek, Royal Tropical Institute (KIT) Health, Amsterdam, Netherlands
Abstract
Background: Strengthening the communication and professional relationships between clinicians and laboratory workers is essential in order to positively change clinicians’ attitudes about the reliability of diagnostic tests, enhancing the use of laboratory diagnostics and, ultimately, improving patient care. We developed an analytical framework to gain insight into the factors that influence communication amongst health professionals.
Objective: To explore whether the interaction between clinicians and laboratory workers influences the use of laboratory test results in clinical decision making.
Methods: Four health facilities in northern Tanzania were selected using convenience sampling, whereas study participants were selected using purposive sampling. The quantitative and qualitative data collection methods included self-administered questionnaires; semistructured, individual interviews; in-depth, individual interviews; and/or focus group discussions with clinicians and laboratory workers. Thematic content analyses were performedon qualitative data based on the framework. Descriptive statistical analyses of quantitative data were conducted using Microsoft Excel.
Results: Contact between clinicians and laboratory professionals is seldom institutionalised and collaboration is rare. The clinicians believe collaboration with laboratory staff is a challenge because of the gap in education levels. Laboratory workers’ education levels areoften lower than their positions require, leading to clinicians’ lack of respect for and confidencein laboratory professionals, which compromises the laboratory staff’s motivation.
Conclusions: Hospital managers, clinicians and laboratory workers need to recognise the critical and complementary roles each professional plays and the importance of addressing the gap between them. Field application of the framework proved successful, justifying the expansion of this study to a larger geographical area to include additional healthcare institutions
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