Needs Assessment for an Interprofessional Module for Enhancing Competencies Required for Fine Needle Aspiration...

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.

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.

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.

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.