# Healthcare professionals’ knowledge, attitudes and practices in thromboelastography application

## TL;DR

This study examines healthcare professionals' knowledge, attitudes, and practices regarding thromboelastography and finds that training can improve its clinical use.

## Contribution

The study provides empirical insights into TEG application among healthcare professionals and identifies factors influencing their proficiency.

## Key findings

- Most professionals showed inadequate knowledge but positive attitudes and optimal practices regarding TEG.
- Training and years of experience significantly influence knowledge and, consequently, attitudes and practices.
- A strong correlation exists between attitude and practice in TEG application.

## Abstract

This study aims to investigate the knowledge, attitudes, and practices (KAP) of healthcare professionals regarding thromboelastography (TEG).

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.

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).

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.