Nursing open · 2026
Knowledge, Attitudes and Practises Amongst Nursing Staff in a Tertiary Hospital Regarding Subcutaneous Anticoagulant Administration in Jiaxing City, Southeast China.
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Wang Qianjuan, Lu Jiali, Zhu Zhihong, Wang Yuwei, Zhu Liangfeng, Shen Lan
Аннотация
AIM: This study evaluates the knowledge, attitude and practise (KAP) of nursing staff in Jiaxing City, Southeast China, regarding the subcutaneous administration of anticoagulants, a critical aspect of managing venous thromboembolism (VTE).
DESIGN: A cross-sectional study.
REVIEW METHODS: The study was conducted at a tertiary hospital in Jiaxing, using a self-administered questionnaire to collect demographic data and assess KAP related to subcutaneous anticoagulant administration amongst nursing staff.
RESULTS: The study included 545 nursing staff with a mean age of 32.11 years. The mean (SD) scores for knowledge, attitude and practise were 56.23 (6.21), 47.35 (4.35) and 67.03 (6.15), respectively, with possible score ranges of 0-72, 10-50 and 14-70. In the knowledge section, the highest accuracy was observed for the item 'Complications that may occur during subcutaneous anticoagulant injection include: Subcutaneous bleeding', with an accuracy rate of 99%. However, only 16.88% of participants correctly identified the item 'Absolute contraindications for subcutaneous anticoagulant injection include: Impaired liver or kidney function' as incorrect. Spearman correlation and path analyses indicated positive associations amongst KAP dimensions based on self-reported data. Nursing staff generally demonstrated relatively adequate knowledge, positive attitudes and self-reported proactive practises regarding subcutaneous anticoagulant administration, although certain knowledge deficiencies were observed and may benefit from targeted educational interventions.
IMPLICATIONS FOR THE PROFESSION: The findings highlight the need for ongoing education and training programmes to enhance the knowledge of nursing staff, particularly related to contraindications in anticoagulant therapy. These self-reported results suggest that strengthening standardised nursing education may contribute to improved patient safety and care quality in clinical practise, although outcomes were not directly measured.
DESIGN: A cross-sectional study.
REVIEW METHODS: The study was conducted at a tertiary hospital in Jiaxing, using a self-administered questionnaire to collect demographic data and assess KAP related to subcutaneous anticoagulant administration amongst nursing staff.
RESULTS: The study included 545 nursing staff with a mean age of 32.11 years. The mean (SD) scores for knowledge, attitude and practise were 56.23 (6.21), 47.35 (4.35) and 67.03 (6.15), respectively, with possible score ranges of 0-72, 10-50 and 14-70. In the knowledge section, the highest accuracy was observed for the item 'Complications that may occur during subcutaneous anticoagulant injection include: Subcutaneous bleeding', with an accuracy rate of 99%. However, only 16.88% of participants correctly identified the item 'Absolute contraindications for subcutaneous anticoagulant injection include: Impaired liver or kidney function' as incorrect. Spearman correlation and path analyses indicated positive associations amongst KAP dimensions based on self-reported data. Nursing staff generally demonstrated relatively adequate knowledge, positive attitudes and self-reported proactive practises regarding subcutaneous anticoagulant administration, although certain knowledge deficiencies were observed and may benefit from targeted educational interventions.
IMPLICATIONS FOR THE PROFESSION: The findings highlight the need for ongoing education and training programmes to enhance the knowledge of nursing staff, particularly related to contraindications in anticoagulant therapy. These self-reported results suggest that strengthening standardised nursing education may contribute to improved patient safety and care quality in clinical practise, although outcomes were not directly measured.