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ORIGINAL RESEARCH article

Front. Med.

Sec. Healthcare Professions Education

Volume 12 - 2025 | doi: 10.3389/fmed.2025.1645570

Healthcare Professionals' Knowledge, Attitudes and Practices in Thromboelastography Application

Provisionally accepted
Yifei  JiaYifei JiaXiangyu  ZhuXiangyu ZhuXiaoling  YuXiaoling YuWeihong  XuWeihong XuWeidong  WuWeidong WuJianfeng  YeJianfeng YeLiping  WangLiping Wang*
  • The Clinical Laboratory of Shanghai Tongren Hospital, Shanghai, China

The final, formatted version of the article will be published soon.

Objective: This study aims to investigate the knowledge, attitudes, and practices (KAP) of healthcare professionals regarding thromboelastography (TEG). Methods: A cross-sectional study was conducted at Tongren Hospital in Shanghai from January to February 2025. Demographic data, knowledge, attitude, and practices scores, were collected and evaluated via a self-developed questionnaire. Results: A total of 218 valid responses were included in the analysis. Of the participants, 130 (59.63%) were physicians, and 88 (40.37%) were nurses. TEG-related training had been received by 149 (68.35%) of the participants. The mean proficiency score for TEG use was 5.83 ± 2.90 (range: 0-10). The mean scores for knowledge, attitude, and practice were 8.10 ± 2.44 (range: 0-12), 30.81 ± 7.11 (range: 8-40), and 28.92 ± 8.87 (range: 8-40), respectively. Significant positive correlations were observed between knowledge and attitude (r = 0.1722, P = 0.0109) and between attitude and practice (r = 0.6945, P < 0.001). The structural equation model revealed that knowledge (β = 0.76, P < 0.001) directly influenced attitude, and attitude (β = 1.10, P < 0.001) directly influenced practice. Additionally, years of practice (β = 0.84, P = 0.003) and frequent use of TEG (β = -0.79, P = 0.024) were found to impact knowledge, which in turn affected attitude (β = 0.76, P < 0.001). Conclusion: The majority of healthcare professionals demonstrated inadequate knowledge, positive attitudes, and optimal practices regarding TEG. Enhanced training programs focused on TEG could improve proficiency and optimize its clinical application, especially for professionals with fewer years of experience.

Keywords: Thromboelastography, healthcare professionals, knowledge, attitudes, Practices, Cross-sectional study

Received: 17 Jun 2025; Accepted: 22 Sep 2025.

Copyright: © 2025 Jia, Zhu, Yu, Xu, Wu, Ye and Wang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Liping Wang, wlp2272@shtrhospital.com

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