A Survey of the Knowledge of Venous Thromboembolism Prophylaxis among the Medical Staff of Intensive Care Units in North China

Tang, Xiao; Sun, Bing; Yang, Yuanhua; Tong, Zhaohui

doi:10.1371/journal.pone.0139162

Cited by 24 publications

(16 citation statements)

References 12 publications

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“…Only 31.2% of participants had good knowledge of GCS and the percentage of participants who had a good grasp of each item was less than one-third, which further suggests that the knowledge level of clinically applying GCS among medical staff is low. The survey results of Tang et al [ 6 ] showed that only 10.3% of the medical staff knew the appropriate indications for medical VTE prophylaxis (e.g., GCS and intermittent pneumatic compression). As Fig.…”

Section: Discussionmentioning

confidence: 99%

Knowledge, attitude, and practice of healthcare professionals toward clinically applying graduated compression stockings: results of a Chinese web-based survey

Wang

Zhao

et al. 2018

J Thromb Thrombolysis

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This study had three objectives: (1) to investigate healthcare professionals’ knowledge, attitude, and practice toward clinically applying graduated compression stockings, (2) to analyze the influencing factors, and (3) to provide data to support departments that develop health policies. A self-administered web-based survey was completed by 1,444 healthcare professionals, including physicians and nurses from 15tertiary hospitals and four secondary hospitals from 10 provinces in China. Reliability analysis and exploratory factor analysis were used to evaluate the researcher-designed questionnaire’s reliability and validity. The formal questionnaire, which included demographic data (eight items), knowledge (ten items), attitudes (four items), and clinical practice patterns (six items), was distributed among healthcare professionals. The relationships and mechanisms among the variables were explored using descriptive statistical analysis, Pearson’s correlation coefficients, and multiple linear regression analysis. Of the 1,444 respondents, 31.2% had good knowledge of clinically applying graduated compression stockings, 83.5% had a positive attitude toward clinically applying them, and 30.4% of respondents exhibited normative behavior when applying them. The multiple linear regression analysis indicated that training was an important factor influencing the knowledge, attitude, and practice toward clinically applying graduated compression stockings. The healthcare professionals’ attitude toward clinically applying graduated compression stockings was positive, but the related knowledge was poor, and the code of behavior was deficient. Medical institutions should improve training for clinically applying graduated compression stockings among healthcare professionals and standardize the use of graduated compression stockings to facilitate the prevention of hospital-acquired venous thromboembolism.

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Section: Discussionmentioning

confidence: 99%

Knowledge, attitude, and practice of healthcare professionals toward clinically applying graduated compression stockings: results of a Chinese web-based survey

Wang

Zhao

et al. 2018

J Thromb Thrombolysis

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“…Tang et al explored how the medical staff of intensive care units in China comprehend and practice VTE prophylaxis. In the questioned group of 1861 physicians and nurses, 36.5% of physicians and 22.2% of nurses were aware of the VTE guidelines, and 19.0% of physicians and 9.5% of nurses comprehended the latest ACCP Guideline edition (9 th Edition -2012) -37.6% of the medical staff chose the VTE prophylaxis method based on the related guidelines [14].…”

Section: Discussionmentioning

confidence: 99%

Venous thromboembolism awareness among medical students – intervention needed

Urbanek¹,

Wołkowski²,

Zembura³

et al. 2018

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Objectives: Venous thromboembolism (VTE) is one of the most common causes of death associated with cardiovascular diseases. Despite the relatively high incidence rate, awareness and access to information about VTE risk factors as well as knowledge concerning effective prevention possibilities remain limited, including among health care professionals. The aim of the study was to assess the knowledge and awareness concerning venous thromboembolism among students of the Medical University of Silesia. Material and methods: The study was performed on a group of 400 medical students from the Medical University of Silesia in Katowice from years 3 to 6, recruiting 100 people from each of the clinical years. The study was conducted based on a survey which included 27 questions concerning knowledge of the definition of venous thromboembolism, pathogenesis, epidemiology, risk factors, symptoms and diagnostics related to this group of patients. Results: The proper definition of venous thromboembolism was indicated by 60% of the respondents and the proper components of Virchow's triad, which underlies the pathogenesis of deep vein thrombosis, were defined by 69%. The further question answers revealed that although the study programme includes venous thromboembolism, the knowledge of the students in the field of epidemiology, symptomatology and risk factors of this affliction is still limited. Conclusions: According to the results of the study, it is advisable to take action, including educative effort, to increase the awareness of the future medical staff about problems related to VTE.

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“…A review of the current literature shows that a lack of awareness and knowledge of VTE prophylaxis and management is not limited to any location or medical specialty. Tang et al [14] in 2015 carried out a selfadministered questionnaire of 1,861 intensive care unit (ICU) staff in 23 tertiary hospitals in China and found that only 36.5% of physicians and 22% of nurses knew about the national VTE guidelines. Tang recognized that their study was only focused on one medical specialty which could have led to sample bias.…”

Section: Surveymentioning

confidence: 99%

Venous thromboembolism in the emergency department: A survey of current best practice awareness in physicians and nurses in China

Zhou¹,

He²,

Guo³

et al. 2019

World Journal of Emergency Medicine

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BACKGROUND: For emergency department (ED) patients, risk assessment, prophylaxis, early diagnosis and appropriate treatment of venous thromboembolism (VTE) are essential for preventing morbidity and mortality. This study aimes to investigate knowledge amongst emergency medical staff in the management of VTE. METHODS: We designed a questionnaire based on multiple scales. The questionnaire was distributed to the medical and nursing clinical staff in the large urban ED of a medical center in Northern China. Data was described with percentages and the Kruskal-Wallis test was used to compare ranked data between different groups. The statistical analysis was done using the SPSS 22.0 software. RESULTS: In this survey, 180 questionnaires were distributed and 174 valid responses (response rate of 96.67%) were collected and analyzed. In scores of VTE knowledge, no signifi cant differences were found with respect to job (doctor vs. nurse), the number of years working in clinical medicine, education level, and current position, previous hospital experience and nurses' current work location within the ED. However, in pair wise comparison, we found participants who worked in ED for more than 5 years (n=83) scored signifi cantly higher on the questionnaire than those under 5 years (n=91) (95.75 vs. 79.97, P=0.039). There was a signifi cant difference in some questions based on gender, age, job, and nurse work location, number of working years, education level, and different ED working lifetime. CONCLUSION: Our survey has shown defi ciencies among ED medical staff in knowledge and awareness of the management of VTE. We recommend several changes be considered, such as the introduction of an interdisciplinary workshop for medical staff; the introduction of a standardized VTE protocol; a mandatory study module on VTE for new physicians and nurses; the introduction of a mandatory reporting system for adverse events (including VTE).

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A Survey of the Knowledge of Venous Thromboembolism Prophylaxis among the Medical Staff of Intensive Care Units in North China

Cited by 24 publications

References 12 publications

Knowledge, attitude, and practice of healthcare professionals toward clinically applying graduated compression stockings: results of a Chinese web-based survey

Knowledge, attitude, and practice of healthcare professionals toward clinically applying graduated compression stockings: results of a Chinese web-based survey

Venous thromboembolism awareness among medical students – intervention needed

Venous thromboembolism in the emergency department: A survey of current best practice awareness in physicians and nurses in China

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