Needs Assessment for an Interprofessional Module for Enhancing Competencies Required for Fine Needle Aspiration Cytology (FNAC)

IF 1.1 4区医学 Q4 CELL BIOLOGY

Cytopathology Pub Date : 2025-03-30 DOI:10.1111/cyt.13487

Crysle Saldanha, Sharada Rai, Abhishek Chaturvedi

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引用次数: 0

Abstract

Fine needle aspiration cytology (FNAC) is a cost-effective, minimally invasive diagnostic tool requiring collaboration among pathologists, radiologists, nurses, and technicians for optimal outcomes. However, interprofessional collaboration remains limited, leading to diagnostic delays and reduced patient satisfaction. This study identifies the need for an interprofessional FNAC training module through a comprehensive needs assessment among the stakeholders involved in FNAC service.

Methods

A mixed-methods approach was used, comprising a retrospective laboratory audit for the quantitative arm (2007 FNAC procedures were audited for diagnostic accuracy, turnaround time, and non-diagnostic aspirates) and focus group discussions (FGDs) and in-depth interviews (IDIs) for the qualitative arm. SPSS Version 20 was used to evaluate the quantitative data, and thematic content analysis was used to analyse the qualitative data.

Results

Quantitative analysis of 2007 FNAC procedure revealed a diagnostic accuracy rate of 87.5%, with 12.5% discordant cases and 4.58% non-diagnostic aspirates. Key issues from qualitative research included incorrect labelling of slides and improper disposal of FNAC items. However, effective collaboration, particularly between laboratory technicians and pathologists, enhanced the smear quality.

Conclusion

This needs assessment highlights critical deficiencies in FNAC services, emphasising the urgency of an interprofessional training module. Addressing gaps in guided FNACs, sample handling, waste disposal, and patient scheduling, the module can enhance diagnostic accuracy, reduce errors, and improve patient care. Implementing this initiative promotes collaboration, fostering a culture of excellence and continuous improvement in healthcare.

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查看原文本刊更多论文

加强细针抽吸细胞学（FNAC）能力的跨专业模块需求评估。

细针抽吸细胞学（FNAC）是一种具有成本效益的微创诊断工具，需要病理学家、放射科医生、护士和技术人员之间的合作才能获得最佳结果。然而，跨专业合作仍然有限，导致诊断延误和降低患者满意度。本研究通过对参与FNAC服务的利益相关者进行全面的需求评估，确定了对跨专业FNAC培训模块的需求。方法：采用混合方法，包括定量组的回顾性实验室审核（2007年FNAC程序审核诊断准确性、周转时间和非诊断性抽吸）和定性组的焦点小组讨论（fdd）和深度访谈（IDIs）。定量数据采用SPSS Version 20进行评价，定性数据采用专题内容分析。结果：2007年FNAC程序的定量分析显示诊断准确率为87.5%，不一致病例12.5%，非诊断性抽吸病例4.58%。定性研究的关键问题包括不正确的载玻片标签和不适当的处理FNAC项目。然而，有效的合作，特别是实验室技术人员和病理学家之间的合作，提高了涂片质量。结论：该需求评估突出了FNAC服务的严重缺陷，强调了跨专业培训模块的紧迫性。该模块解决了指导性FNACs、样品处理、废物处理和患者调度方面的差距，可以提高诊断准确性、减少错误并改善患者护理。实施这一举措可促进合作，培育卓越文化，并不断改善医疗保健。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Cytopathology 生物-病理学

CiteScore

2.30

自引率

15.40%

发文量

107

审稿时长

6-12 weeks

期刊介绍： The aim of Cytopathology is to publish articles relating to those aspects of cytology which will increase our knowledge and understanding of the aetiology, diagnosis and management of human disease. It contains original articles and critical reviews on all aspects of clinical cytology in its broadest sense, including: gynaecological and non-gynaecological cytology; fine needle aspiration and screening strategy. Cytopathology welcomes papers and articles on: ultrastructural, histochemical and immunocytochemical studies of the cell; quantitative cytology and DNA hybridization as applied to cytological material.