Clinical Nurses’ Knowledge, Attitude and Practice of Catheter-Related Thrombosis and Its Influencing Factors: A Cross-Sectional Survey

Abstract

Purpose The present study aims to evaluate the current situation of knowledge, attitude and practice of clinical nurses in catheter-related thrombosis, analyze its influencing factors, enhance the attention of nursing managers and clinical nurses about catheter-related thrombosis, and provide a basis for formulating catheter-related thrombosis training plan. Patients and Methods The research was conducted from January 1 to February 31, 2022, we recruited 549 nurses from two hospitals in Hunan province in this cross-sectional study using a two-stage random sampling method. We used a self-designed questionnaire with good reliability and validity to measure clinical nurses’ knowledge, attitudes, and practice toward catheter-related thrombosis. We used χ 2 test, Welch t -test, and multiple linear regression analysis to analyze the data. Results The knowledge of clinical nurses about catheter-related thrombosis was insufficient (55.00%), while the attitude was positive (88.49%) and the practice was inadequate (68.62%). Knowledge of clinical nurses was significantly associated with job title (β: 1.069, P <0.001), educational level (β: 0.094, P <0.05), and training times (β: 0.085, P <0.05), which were positive factors while whether they are specialized nurses in intravenous therapy (β: −0.126, P <0.05), and hospital level (β: −0.101, P <0.05) were negative factors. Training times (β: 0.166, P <0.001), job title (β: 0.099, P <0.019), and hospital level (β: 0.090, P <0.05) were associated factors of attitude. Moreover, training times (β: 0.255, P <0.001) was the only factor associated with the practice. Conclusion Although clinical nurses hold a positive attitude towards catheter-related thrombosis, their knowledge level was unsatisfactory and their practice was affected by many factors, suggesting that nursing managers should strengthen the training and skill assessment of catheter-related thrombosis. At the same time, the hospital can formulate relevant rules, regulations, and guidelines to reduce the incidence of catheter-related thrombosis.

Intern-Nursing Students’ Knowledge of Vascular Catheter-Associated Infections and Its Associated Factors: A Cross-Sectional Survey in China

“…Therefore, we should review the current status and influencing factors of VCAIs knowledge among other populations, consider factors that may affect the mastery of VCAIs knowledge among nursing interns, and conduct further research. (5) The actual number of respondents is significantly higher than the calculated sample size, potentially benefiting the statistical analysis by facilitating the identification of significant differences. Therefore, findings should be interpreted cautiously.…”

“…1 CVADs are frequently used in parenteral nutrition, chemotherapy, immunotherapy, hemodynamic monitoring, and blood purification, which build effective venous catheters for treatment. [2][3][4][5] CVADs may cause some complications; vascular catheter-associated infections (VCAIs) are one of the most frequent problems associated with CVADs. 6,7 VCAIs describe the occurrence of microorganisms that have been found in blood but are also present at the catheter's tip or in blood samples obtained via the catheter.…”