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35 Years After CLIA 1988
Dataset

35 Years After CLIA 1988

Jaime Nieto Sierra and David Gefen
2024
url
https://doi.org/10.3886/e207701v1View
Open

Abstract

Distributive justice justice Justice theory procedural justice professional identity social identity turnover intentions
The Clinical Laboratory Improvement Amendments (CLIA) regulations of 1988 required certification of some clinical laboratory professionals but not of others. Analyzing survey data 35 years later, we explore how laboratory professionals today are inadvertently affected by those regulations, specifically their sense of professional identity and their perceptions of justice—and the consequences of those on their turnover intentions. Turnover is a major concern among laboratory professionals. Survey results show that even 35 years after the unintended disenfranchisement caused by CLIA, clinical laboratory professionals whose specialty was included in CLIA have a stronger sense of being an ingroup, expressed as positive professional identity, and had a higher assessment of there being procedural and distributive justice than those excluded in CLIA. Turnover intentions, however, were primarily a matter of negative professional identity and reduced distributive justice.

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