Nurses’ objective knowledge regarding venous thromboembolism prophylaxis

Abstract

Venous thromboembolism (VTE) is a common vascular disorder with high mortality and morbidity. Clinical nurses are a pivotal group that can serve as first-line health care providers. Lack of knowledge about VTE is an important barrier to effective nursing performance. This study aimed to determine nurses’ knowledge of VTE prophylaxis through a nationwide survey across China, to understand gaps between current knowledge, and guidelines, and to help improve clinical nursing.The survey included 5 topics with 68 items on VTE, including basic knowledge, risk assessment, basic prophylaxis, physical prophylaxis, and pharmacological prophylaxis.The survey was distributed to 106 AAA-grade hospitals throughout China; 5218 valid questionnaires were submitted for analysis. There were 5097 women and 121 men respondents, with average age 30.29 ± 8.60 years. The average rate of correct responses regarding VTE knowledge was 59.90 ± 15.63%; 77.81% of subjects answered more than half of the survey items correctly. Better knowledge about thromboprophylaxis was observed among nurses who were more highly educated, more experienced, had received continuing education, intensive care unit (ICU), and lead nurses. Correct response rates were 68.39 ± 17.03%, 60.35 ± 21.01%, 75.51 ± 22.85%, 41.72 ± 17.47%, and 46.01 ± 21.22% for basic knowledge, risk assessment, basic prophylaxis, physical prophylaxis, and pharmacological prophylaxis, respectively.Respondents showed satisfactory results regarding basic prophylaxis, basic knowledge, and risk assessment for VTE; respondents had poorer knowledge regarding physical and pharmacological prophylaxis. Better mastery of knowledge about thromboprophylaxis was observed among nurses who were more highly educated, more experienced, had received continuous education, ICU, and lead nurses.This study suggested that nurse trainers should develop comprehensive educational programs that focus on low correct rate aspects. Higher-level continuous education could improve nurses’ knowledge of thromboprophylaxis.

Escore de risco para tromboembolismo e preven��ǜo em pacientes hospitalizados em uma cl��nica cirǧrgica

“…A enfermagem pode contribuir seja na avaliação de risco, orientação e administração medicamentosa, elaboração e implementação de protocolos de profilaxia como membro da equipe multidisciplinar (21) . Um estudo avaliou o conhecimento da equipe de enfermagem sobre profilaxia de TEV, o melhor domínio do conhecimento sobre tromboprofilaxia foi relacionado ao maior nível educacional, mais experiência e educação continuada, profissionais de terapia intensiva e enfermeiros líderes (22) . Há necessidade de fortalecimento da formação de enfermagem específica nessa área, que, consequentemente, contribuirá com abordagem direcionada e assertiva para prevenção de TEV (21) .…”

Conhecimento, avaliação de risco e autoeficácia quanto a tromboembolismo venoso entre enfermeiros

“…(12) Além de melhorar a autopercepção sobre o conhecimento, a educação continuada de enfermeiros se associa a maior conhecimento objetivo sobre tromboprofilaxia. (21) No entanto, embora o conhecimento percebido tenha sido predominantemente "bom" em nossa amostra, a proporção de respostas corretas às questões objetivas sobre TEV ficou abaixo de 60%, o que indica inadequado conhecimento objetivo. Essa discrepância pode ter acarretado a avaliação de risco de TEV pelos enfermeiros em apenas alguns pacientes.…”

Awareness level of deep vein thrombosis the general population living in the Western region of Saudi Arabia

“…[ 6 7 ] Unfortunately, previous research indicates that 10% of the patients with PE die because of the late diagnosis,[ 8 ] and one of its major risk factors increasing the occurrence of VTE is aging. [ 9 ] Others factors worldwide are the obesity epidemic and the aging population. [ 6 ] Another research is done in 2018 in China to assess the nurse’s knowledge about VTE and found that the more practiced, highly educated, lead nurses have better knowledge.…”