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Pre-analytical errors contribute the biggest error portions in laboratory (46-77,1%). Improper phlebotomy execution, lack of knowledge, and non compliance of nurses as phlebotomy officers were reported as the causes of pre-analytical errors related to specimen qualities. Objectives of this study are to find out the knowledge, attitudes, and behavior of nurses regarding phlebotomy as well as their effect on the specimen quality. This is an observational analytic study with cross sectional approach. The study population was 129 randomly selected inpatient nurses (with minimum working period of 1 year). Respondents' knowledge and attitudes about phlebotomy were measured using a questionnaire. Nurse's behavior and the specimen quality were measured through interviews and observation. Data analysis used were Spearman correlation, independent sample t-test, and multiple logistic regression. There was a significant positive correlation between nurses' knowledge and the quality of the specimen (r=0,190; p=0,031). However, there was no significant difference in the average score of nurses' attitudes about phlebotomy based on the laboratory specimen quality (p=0,698) and there was no correlation between the nurses' behavior and the specimen quality (r=0,017; p=0,846). Knowledge, attitude, and behavior of nurses do not affect the changes in the specimen quality. It is suspected that equipment used for phlebotomy has a role in determining the specimen quality. Updating knowledge, maintaining positive attitudes, improving negative attitudes, and revising SOP for blood sampling must be executed to improve the service quality.

Pengaruh Pengetahuan, Sikap, dan Perilaku Perawat tentang Flebotomi terhadap Kualitas Spesimen Laboratorium