Nurses' Performance Regarding Venous Thromboembolism Prophylaxis at Intensive Care Unit

Document Type : Original Article

Authors

1 faculty of nursing, zagazig university

2 faculty of nursing , zagazig university

Abstract

Abstract
Background: Venous thromboembolism (VTE) is a major health issue worldwide which includes deep venous thrombosis (DVT) and pulmonary embolism (PE).The aim of the study: was to assess nurse's performance regarding venous thromboembolism prophylaxis in Intensive Care Unit at Zagazig University Hospital. Subjects & Methods: Research design: A descriptive exploratory design was utilized. Setting: Medical Intensive Care Units at Zagazig University Hospitals. Subjects: ninety one ICU nurses from the same hospital setting which have been selected to the study. Tools of data collection: Two tools were used for collection of data, first tool: a structure questionnaire for nurses to assess personal and job characteristics and assess nurses' knowledge regarding venous thromboembolism and their attitude regarding VTE prophylaxis. Second tool: an observational checklist to assess nurses' practice regarding venous thromboembolism prophylaxis. Results: results showed that, about two thirds of the studied nurses were more than 30 years. Majority of them were female and married. Most of them had diploma and more than half of them had experience in ICU more than 10 years. 27.5% of the studied nurses had satisfactory total knowledge regarding venous thromboembolism and prophylaxis. None of the studied nurses had satisfactory total practice regarding venous thromboembolism prophylaxis. 56.0% of the studied nurses had satisfactory attitude regarding venous thromboembolism prophylaxis. Relation's analysis showed no statistically significant relation between studied nurses’ knowledge, attitude and personal and job characteristics. There was statistically significant positive correlation between age and experience and significant negative correlation between total knowledge and experience. Conclusion: A nurses had unsatisfactory level of knowledge and practice about venous thromboembolism and its prophylaxis while satisfactory attitude toward it. Recommendations: provide training and educational program for nurses who provide bed side care to patients in ICU to enhance their knowledge and practice.

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