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Nurses' knowledge, attitude, and practice in peripherally inserted central catheter-related thrombosis prophylactic
Ning Zhang1, Yuan Xu2, Qiao-Dan Lu3
1School of Nursing, Chinese Academy of Medical Sciences and Peking Union Medical College, Peking Union Medical College Hospital, Beijing, China.
Nurses play a vital role in preventing peripherally inserted central catheter (PICC)-related thrombosis. While most nurses have a positive attitude, improving knowledge and practice in risk assessment and symptom identification is crucial for better patient outcomes.
Area of Science:
- Nursing
- Vascular Access Devices
- Thrombosis Prevention
Background:
- Peripherally inserted central catheter (PICC)-related thrombosis is a significant concern in patient care.
- Nurses are pivotal in implementing preventive practices to mitigate PICC-related thrombosis.
- Assessing nurses' knowledge, attitude, and practice (KAP) is essential for effective prevention strategies.
Purpose of the Study:
- To evaluate the knowledge, attitude, and practice levels of clinical nurses concerning PICC-related thrombosis prevention.
- To identify specific areas within KAP that require improvement based on evidence-based guidelines.
- To explore the correlation between nurses' KAP scores in PICC-related thrombosis prevention.
Main Methods:
- A cross-sectional study utilizing an anonymous electronic questionnaire.
- Data collected from 5544 clinical nurses involved in PICC maintenance across 5 regions in China.
- Assessment of KAP scores related to PICC-related thrombosis prevention.
Main Results:
- Over 97% of nurses exhibited a positive attitude, but knowledge regarding risk factors, signs, symptoms, and treatment was limited.
- Approximately 55% met the median knowledge score, with over 58% not consistently performing risk factor assessments.
- A significant positive correlation was found between nurses' knowledge, attitude, and practice scores.
Conclusions:
- Chinese nurses show enthusiasm for PICC-related thrombosis prevention, but targeted interventions are needed to enhance knowledge and practice.
- Focusing on improving knowledge and practice in risk factor assessment, symptom identification, and treatment is recommended.
- Diversifying training methods and updating educational content are crucial for effective PICC-related thrombosis prevention.
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