Nurses’ knowledge, attitudes, and behaviors toward venous thromboembolism prophylaxis: How to do better

Abstract

Objectives To investigate the cognition of nurses on the control and treatment of venous thromboembolism in China, thereby providing suitable countermeasures for clinical venous thromboembolism prophylaxis and treatment. Methods In December 2019, a total of 1121 registered nurses from a university-affiliated hospital were selected to answer the self-designed and electronic questionnaire (Wenquanxing: www.wjx.cn/ ), which was designed to evaluate the nurses’ knowledge (21 items), attitudes (6 items), and behaviors (9 items) toward venous thromboembolism prophylaxis. Descriptive, correlation, and regression analyses were conducted for data analysis. Results Of the included 1121 nurses, only 55.43% nurses selected 100% correct answer. The influencing factors of knowledge included the department, education, professional ranks, and venous thromboembolism nursing experience. The nurses from ICU department gained the highest score, but the nurses from pediatrics department obtained the lowest score. The nurses with higher education level and professional ranks, and nursing experiences achieved higher scores. The total positive response rate for the attitude-related items was 68.54%. Nurses were primarily concerned about the financial penalty due to the inability to complete the work (49.0%). An increasing workload is the second primary concern of nurses (40.8%). The increasing medical cost, extension of hospital stay, and exacerbation of doctor–patient conflicts were the most serious difficulties involved in venous thromboembolism prophylaxis. The total correct score rate for the behaviors was 56.19%. Nearly half of the nurses could not offer advice for venous thromboembolism patients. The nursing experience, department, and years of work were related to the scores of knowledge-related items (all P < 0.05). Conclusions The overall knowledge level of the nurses was not optimistic. Although their general attitude toward venous thromboembolism prophylaxis was positive, their behaviors were influenced by many factors. Administrators should, therefore, make countermeasures to deal with these problems.

Nurses’ Knowledge, Perceived Practice, and their Associated Factors regarding Deep Venous Thrombosis (DVT) Prevention in Amhara Region Comprehensive Specialized Hospitals, Northwest Ethiopia, 2021: A Cross-Sectional Study

“…is finding was consistent with the study conducted in South Korea [18]. However, it differ from a study conducted in the University Hospital of China in which the higher was ICU nurses [19]. is might be explained that nurses working in medical wards may encounter DVT cases that can sensitize nurses' knowledge about the prevention of DVT.…”

“…is might be due to the sampling difference on which convince sampling method and only 100 nurses were included a study conducted in Amrita institute of medical science of India. And lower than a study conducted in China (55.4%) [19]. is discrepancy may be due to the study conducted in China has only assessed the practice of nurses exclusively on prophylactic prevention of DVT.…”

Nursing Care and Barriers for Prevention of Venous Thromboembolism in Total Knee and Hip Arthroplasty Patients: A Qualitative Study

“…The lack of knowledge related to VTE knowledge and practice was reported in different studies. 20 , 35 The lack of knowledge of deep vein thrombosis prophylaxis was a significant barrier among nurses. 25 The use of nurses who lack this knowledge threatens patients’ safety and health.…”

Compliance of non-pharmacological preventive practice of venous thromboembolism among Jordanian nurses

“…The low level of education, staff nurses, and low years of experience participant's reported low VTE compliance with statistical significance, the findings were consistent with. [19,23] It can be attributed that nurses gained their knowledge practice from normal clinical works without supervision, and most nurses do not spend more effort to improve their VTE knowledge practice such as self-study, workshop, and congress. [17] Moreover, nurses may have lacked confidence while applying mechanical prophylaxis because of a lack of supervision and resources.…”