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Leveraging Turbidity and Thromboelastography for Complementary Clot Characterization
Published on: June 4, 2020
Healthcare professionals' knowledge, attitudes and practices in thromboelastography application.
Yifei Jia1, Xiangyu Zhu1, Xiaoling Yu1
1The Clinical Laboratory of Shanghai Tongren Hospital, Shanghai, China.
Healthcare professionals show insufficient knowledge but positive attitudes and practices towards thromboelastography (TEG). Enhanced training is recommended to improve TEG proficiency and clinical use, particularly for less experienced staff.
Area of Science:
- Clinical Diagnostics
- Hemostasis and Thrombosis
Background:
- Thromboelastography (TEG) is a valuable tool for assessing hemostasis.
- Understanding healthcare professionals' knowledge, attitudes, and practices (KAP) regarding TEG is crucial for its effective clinical application.
Purpose of the Study:
- To investigate the KAP of healthcare professionals concerning thromboelastography (TEG).
- To identify factors influencing KAP and explore potential areas for improvement in TEG utilization.
Main Methods:
- A cross-sectional survey was conducted among 218 healthcare professionals (physicians and nurses) at Tongren Hospital.
- Data on demographics, TEG knowledge, attitude, and practice scores were collected using a self-developed questionnaire.
Main Results:
- Most participants had received TEG training, but proficiency scores were moderate (5.83/10).
- Knowledge scores were generally inadequate (8.10/12), while attitudes (30.81/40) and practices (28.92/40) were more positive.
- Knowledge positively correlated with attitude (r=0.1722, p=0.0109), and attitude strongly correlated with practice (r=0.6945, p<0.001).
- Structural equation modeling indicated knowledge directly influences attitude, and attitude directly influences practice.
- Years of practice and frequent TEG use impacted knowledge, which subsequently affected attitude.
Conclusions:
- The study highlights a gap between positive attitudes/practices and insufficient knowledge regarding TEG among healthcare professionals.
- Targeted educational interventions and training programs are essential to enhance TEG proficiency.
- Improving TEG knowledge and application is particularly important for professionals with less clinical experience to optimize patient care.
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