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Knowledge, Attitudes, and Practices of Healthcare Workers Regarding Postoperative Behavioral Changes in Pediatric
Jianxing Chen1,2,3, Zanhui Gong4, Shuhui Hu5
1Department of Anesthesiology, The First Affiliated Hospital, Fujian Medical University, Fuzhou, People's Republic of China.
Insights
Healthcare workers have moderate knowledge and positive attitudes but suboptimal practices regarding postoperative behavioral changes (POBC) in pediatric anesthesia. Improving practices is crucial for better patient outcomes.
Area of Science:
- Pediatric Anesthesia
- Behavioral Science
- Healthcare Quality Improvement
Background:
- Postoperative behavioral changes (POBC) present significant challenges in pediatric anesthesia.
- Understanding healthcare workers' knowledge, attitudes, and practices (KAP) is vital for enhancing patient care.
Purpose of the Study:
- To assess the knowledge, attitudes, and practices (KAP) of healthcare workers towards postoperative behavioral changes (POBC) in pediatric anesthesia.
- To identify factors influencing KAP and explore differences between professional roles.
Main Methods:
- A cross-sectional study involving 618 healthcare workers in China.
- Data collected via a self-developed questionnaire assessing KAP of POBC.
- Structural equation modeling used to analyze relationships between KAP and professional roles.
Main Results:
- Healthcare workers demonstrated moderate knowledge (score: 20.49) and positive attitudes (score: 34.21) but suboptimal practices (score: 19.89) regarding POBC.
- Knowledge positively influenced attitude (β=0.15) and practice (β=0.35). Attitude also correlated with practice (β=0.10).
- Knowledge indirectly impacted practice through attitude (β=0.02), with direct knowledge-to-practice association observed in nurses (β=0.27).
Conclusions:
- Healthcare workers possess foundational knowledge and positive attitudes towards POBC, but clinical practices need enhancement.
- Targeted training interventions are recommended to improve practice skills.
- Optimizing pediatric anesthesia outcomes requires addressing the gap between knowledge/attitudes and actual practices.
Purpose:
Postoperative behavioral changes (POBC) pose significant challenges in pediatric anesthesia. Understanding healthcare workers' knowledge, attitudes, and practices (KAP) towards POBC is essential for improving patient care.
Patients And Methods:
A cross-sectional study was conducted between April and May 2024 across China, involving 618 healthcare workers (75.57% physicians; mean experience: 9.44 [SD = 6.36] years). The respondents' feedback was collected using a self-developed questionnaire assessing KAP of POBC in children.
Results:
Moderate knowledge (score: 20.49, SD = 6.35), positive attitudes (score: 34.21, SD = 5.25), but suboptimal practices (score: 19.89, SD = 7.42). Structural equation modeling indicated that knowledge was associated with attitude (β=0.15, P=0.010) and practice (β=0.35, P=0.018). Attitude was also associated with practice (β=0.10, P=0.017), and knowledge showed an indirect association with practice mediated through attitude (β=0.02, P=0.008). Similar trends were observed in physicians. Among nurses, knowledge was directly associated with practice (β=0.27, P=0.012), highlighting differences based on professional roles.
Conclusion:
While healthcare workers demonstrated a foundational understanding and positive attitudes towards POBC, their clinical practices require improvement. Targeted training interventions are recommended to enhance practice skills and optimize pediatric anesthesia outcomes.
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