Why the study?
Subcutaneous anticoagulant administration is a critical aspect of managing venous thromboembolism, but the knowledge, attitude, and practice among nursing staff needed evaluation.
Nursing staff generally demonstrated adequate knowledge, positive attitudes, and proactive practices regarding subcutaneous anticoagulant administration, although specific knowledge deficiencies (e.g., regarding contraindications) highlight the need for targeted educational interventions.
Adequate nurse KAP supports targeted education on anticoagulant contraindications; leaves open impact on VTE outcomes.
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.
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Wang et al. (2026) studied this question.
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