Advancing Diagnostic Excellence Through Laboratory Nursing: A Review Of Practice Standards, Safety Protocols, And Workforce Development
VOLUME 21, 2024
The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review
VOLUME 6, 2023
Noora Saad Alghamdi, Nawaf Dhaifallah Al-Khadidi Al-Saadi, Mohammed Raddad Al-Thubaiti, Zeyad Abdulelah Mishal Alotaibi, Gazwa Mehmas Alshareef
Sharifah Atullah Althobity, Marzouq Awad Marzouq Alharthi, Mohammed Rashed Hussain Alrashdi, Fatemah Mohammed Alharbi, Eman Furyj Albalawi
Abstract
Laboratory nursing plays an increasingly critical role in ensuring diagnostic accuracy, patient safety, and effective infection control within modern healthcare systems. Positioned at the intersection of patient care and diagnostic services, laboratory nurses contribute significantly to pre-analytical and post-analytical processes, including specimen collection, handling, documentation, and communication with multidisciplinary teams. Despite their importance, laboratory nursing practice remains underrepresented in research and inconsistently supported by formalized standards, safety frameworks, and structured workforce development programs.
This review aims to synthesize current evidence on laboratory nursing practice standards, safety and infection control protocols, and workforce development strategies, with a focus on their collective contribution to diagnostic excellence. An integrative review methodology was applied, drawing on peer-reviewed literature published between 2016 and 2025 from major scientific databases. Findings indicate that adherence to standardized nursing practices, robust biosafety measures, and continuous professional development significantly reduce diagnostic errors, occupational risks, and healthcare-associated infections. Furthermore, emerging digital tools and laboratory information systems enhance the effectiveness of laboratory nursing roles. Strengthening governance, education, and competency frameworks for laboratory nurses is essential for advancing diagnostic quality and reinforcing healthcare system resilience.
Keywords :
Laboratory nursing; Diagnostic excellence; Infection control; Biosafety protocols; Workforce development; Patient safety.
Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.
Abstract
Atherosclerotic disease significantly impacts patients with type 2 diabetes, who often present with recalcitrant peripheral ulcers. The angiosome model of the foot presents an opportunity to perform direct angiosome-targeted endovascular interventions to maximise both wound healing and limb salvage. A systematic review was performed, with 17 studies included in the final review. Below-the-knee endovascular interventions present significant technical challenges, with technical success depending on the length of lesion being treated and the number of angiosomes that require treatment. Wound healing was significantly improved with direct angiosome-targeted angioplasty, as was limb salvage, with a significant increase in survival without major amputation. Indirect angioplasty, where the intervention is applied to collateral vessels to the angiosomes, yielded similar results to direct angiosome-targeted angioplasty. Applying the angiosome model of the foot in direct angiosome-targeted angioplasty improves outcomes for patients with recalcitrant diabetic foot ulcers in terms of primary wound healing, mean time for complete wound healing and major amputation-free survival.
Keywords :
Diabetic foot ulcer, angiosome, angioplasty