Assessment of knowledge, attitude, practice and associated factors of venous thromboembolism prophylaxis among health professionals. A cross sectional study

Abstract

Introduction: Venous thromboembolism (VTE) is a leading cause of postoperative morbidity. In hospitalized patients, it is a common and potentially fatal complication. Knowledge, positive attitude, and effective practice on VTE prophylaxis are vital for the proper management of patients. Inadequate knowledge and poor practice of health professionals towards VTE prophylaxis increased patients’ complications. Objective: To assess knowledge, Attitude, practices, and associated factors towards VTE prophylaxis among health professionals for adults hospitalized patients at the University of X in 2021. Methods: A hospital-based cross-sectional study on 404 health professionals from May, 10 to June 20, 2021, at University of X hospital. Consecutive sampling was used to select the study participants. Both bivariable and multivariable logistic regressions were used to identify factors associated with the knowledge, attitude, and practice level of health professionals towards VTE prophylaxis. In multivariable analysis, variables with a p-value of <0.05 were considered statistically significant. Hosmer-Lemeshow test was used to check for model goodness-of-fit. Results: A total of 404 health professionals who worked at the University of X hospital involved in the study with a response rate of 96%. The overall proportion of satisfactory knowledge, positive attitude, and good practice towards VTE prophylaxis for hospitalized patients were 49.8% (95% CI: 44.8–54.7), 87.1% (95% CI: 83.85–90.41), and 39.9% (95% CI: 35.1–44.6) respectively. Health professionals whose years of experience >10 years were greater than 5 times (AOR = 5.415, 95% CI 1.037–28.287) more likely to have satisfactory knowledge about VTE prophylaxis as compared to professionals who had less than 5 years of experience. Experience, work unit, knowledge, and level of education were associated significantly with practice. Conclusion: and recommendations: A low degree of knowledge and poor practices on VTE prophylaxis among health professionals noted in this study. We recommend to implement local guidelines and policy. Highlights

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

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Knowledge, attitudes, and practices of orthopedic operating room personnel regarding the use of pneumatic tourniquets

“…The survey allows a better understanding of the current status of a population’s Knowledge (K), Attitudes (A), and Practices (P) towards a specific matter, such as PTs, as well as potential issues within the current state and barriers to safe clinical application. Previous KAP studies undertaken among orthopedic surgeons helped to gain a better insight and plan additional educational interventions regarding surgical antibiotic prophylaxis [ 13 ], pain management [ 14 ], and venous thromboembolism [ 15 , 16 ]. A few studies assessing tourniquet usage reported adequate practice among medical personnel [ 17 ] and low knowledge among patients [ 18 ].…”

Venous thromboembolism prophylaxis: Nurses' perceived knowledge and barriers

“…While the overall attitude towards VTE prophylaxis was positive, nurses exhibited poor knowledge, which was attributed to a lack of training programs. In a study conducted by Kiflie et al (2022), it was discovered that at least 65% of nurses possessed a good understanding of VTE prophylaxis. Nurses play a critical role in preventing VTE, and inadequate knowledge is perceived as the primary obstacle to conducting VTE risk assessments (Lee et al, 2014).…”