Welcome to the latest key papers and publications focussing mainly on venous thromboembolism and VTE champions in the nursing profession and the role they play as part of a clinical team.
Please click on the links below and enter your OpenAthens username and password to download the full text or contact the library at esth.hirsonlibrary@nhs.net to request the full text.
Importance and performance of evidence-based clinical practice guidelines for prevention of venous thromboembolism among orthopedic hospital nurses
Abstract: Summary: Purpose: This study aimed to evaluate the perceived importance and performance of evidence-based clinical practice guidelines (EBCPG) for venous thromboembolism (VTE) prevention among nurses in orthopedic hospitals. Methods: A cross-sectional descriptive study was conducted among 188 nurses in three orthopedic hospitals in South Korea. Participants rated the importance and performance of 110 EBCPG for VTE prevention items across 10 domains using a 5-point Likert scale. Importance-performance analysis was utilized to identify gaps and prioritize areas for improvement. Results: The mean importance and performance scores for EBCPG for VTE prevention were 4.02 and 3.67, respectively, revealing a statistically significant gap (t = 10.67, p < .001). Differences were observed across domains, with “General interventions for VTE prevention” showing the highest scores for both importance and performance, while “VTE prevention for cancer patients” and “VTE prevention for surgical patients” exhibited the largest gaps. Conclusion: The findings highlight the need for targeted strategies to bridge the gap between the perceived importance and performance of EBCPG for VTE prevention, particularly in domains with significant performance deficiencies. Tailored education and institutional support are recommended to enhance guideline utilization and improve patient outcomes in orthopedic hospitals.
Source: Jeong D. Asian Nursing Research, Aug 2025; 19(3): 227-234
Risk factors and preventive measures of Venous Thromboembolism in trauma patients using trauma embolic scoring system: A retrospective chart review
Abstract: Background: Venous thromboembolism (VTE) is a major preventable complication in trauma patients, with varying incidence and risk factors across populations.
Aim/objective: To categorize VTE risk in Korean trauma patients using the Trauma Embolic Scoring System (TESS) and assess the application of prophylaxis by risk level.
Methods: This retrospective study at Korea University Guro Hospital involved 1913 trauma patients over two years. Data on demographics, injury specifics, and preventive treatments were analyzed using TESS. The study examined general, mechanical, and chemical interventions for VTE prevention.
Results: Of the patients, 1.4% were diagnosed with VTE. The average TESS score was 3.20, indicating lower injury severity but higher percentages of surgeries over 2 h and serious injuries. The findings showed VTE occurrences even in patients with TESS scores below the high-risk threshold, particularly in limb injuries. Nurse-led interventions like early physical activity were most common in the low-risk group, while mechanical prophylaxis like anti-embolism stockings was also predominantly used in this group. Chemical prophylaxis showed consistent administration across groups, with 37.5% of the high-risk group receiving Low Molecular Weight Heparin (LMWH), although only a minority received it within the recommended 48-hour.
Conclusions: The study reveals a need for vigilant monitoring and intervention across all risk categories, underscoring the importance of tailored VTE prevention guidelines in South Korea. It highlights the role of comprehensive management, including patient education and adherence to updated guidelines.
Source: Choi E J. International Emergency Nursing, Mar 2025; 79: 101585
Perioperative Hyperglycemia is an Independent Risk Factor for Venous Thromboembolism Events After Operative Treatment of Geriatric Femur Fractures
Abstract: Introduction: Geriatric femur fractures occur in complex hosts that pose significant challenges in perioperative management, with venous thromboembolism (VTE) as a well described complication. Hyperglycemia, prevalent in the perioperative period, has been implicated in increasing thrombotic risk. However, data on its impact on outcomes following femur fracture fixation in the elderly population remains limited.
Methods: A retrospective cohort analysis was conducted on adults >60 years old undergoing operative fixation for femur fractures between January 2017 and December 2019. Demographic information, comorbidities, and outcomes were collected from electronic medical records.
Results: Six hundred and fourteen patients met inclusion criteria. The average age was 78.7 years (30.3% male; 25.0% with diabetes mellitus (DM) diagnosis). Patients with postoperative glucose ≥180 mg/dL had significantly higher rates of pulmonary embolism (PE) and VTE within 90 days, and glucose ≥180 mg/dL was an independent predictor for these events. Those with a DM diagnosis had higher rates of sepsis but not PE, VTE, or other complications compared to those without DM.
Conclusion: Acute perioperative hyperglycemia, regardless of DM diagnosis, is an independent risk factor for VTE and PE following geriatric femur fracture fixation. Strict glucose control in the postoperative period may improve outcomes in this patient population.
Source: Herman Z J. Jun 2025; 16: 21514593251342423
Executive summary of the consensus document on home care treatment of pulmonary embolism
Abstract: Introduction: Hospital at Home (HaH) is a safe care modality that reduces costs and risks compared to conventional hospitalisation. Evidence supports the safety of outpatient management in patients with pulmonary embolism (PE).
Objectives and methods: To establish a protocol for the identification and clinical management of patients with PE who are candidates for HaH management. This document has been prepared jointly by the Venous Thromboembolism Group (VTE) and the Hospital at Home Group (HaH) of the Spanish Society of Internal Medicine (SEMI).
Results: A total of 44 statements were considered. Voting was carried out using a Likert scale. A total of 39 recommendations reached consensus.
Conclusions: The SEMI VTE and HaH working groups recommend evaluating home treatment of PE in patients with a low risk of complications.
Source: Ortega L O. Revista Clinica, May 2025; 225(5): 502280
Trust nurse wins international recognition for campaign to raise awareness of blood clot prevention
Abstract: A Trust Venous Thromboembolism (VTE) prevention campaign has received international recognition from the International Society on Thrombosis and Haemostasis (ISTH). Ahead of World Thrombosis Day on 13 October, the ISTH has announced its annual global advocacy award winners and awarded the Trust its Activity of the Year (high-income country) award.
Source: Buckinghamshire Healthcare NHS Trust. News 2025, Oct 2025
Venous Thromboembolism (VTE) Risk Assessment Collection
Abstract: The data collection was first made mandatory from June 2010, and data has been published quarterly from the first full quarter's data (July to September 2010).
Following feedback, the VTE Risk Assessment Data Collection was reinstated from April 2024, with the first submission due in July 2024.
The collection and publication of this data was paused to release NHS capacity to support the response to coronavirus (COVID-19). Following requests to restart, the collection underwent an assurance process which included consultation with providers.
The data collection remains unchanged from the previous collection.
Source: NHS England Data Collections, Sep 2025
Retrospective evaluation of the results of ultrasound-accelerated catheter-directed tombolysis in acute-subacute pulmonary embolism patients
Abstract: Objectives: Acute pulmonary embolism (PE) is one of the most serious forms of venous thromboembolism (VTE) with high mortality and morbidity. PE may present with right ventricular dysfunction and hemodynamic disturbances. Early diagnosis and appropriate treatment approaches play a critical role in improving survival. In this study, we evaluated the efficacy and safety of catheter-mediated thrombolytic therapy in intermediate-high-risk PE patients.
Methods: Our retrospective study was conducted at Ankara University between 2015 and 2020 and 66 intermediate-high-risk PE patients were analyzed. Clinical, biochemical and echocardiographic data of the patients were analyzed and their response to treatment was evaluated. The primary endpoint was 30-day mortality and secondary endpoints were hemodynamic improvement, length of hospitalization and complication rates.
Results: The mean age of the patients was 65 years and all of them presented with a diagnosis of symptomatic PE. After treatment, significant improvement was observed in right ventricular function, RV/LV ratio, ProBNP and Troponin I levels decreased significantly. Pulmonary artery pressures decreased and hemodynamic parameters improved. The early mortality rate after the procedure was 3% and the rate of major bleeding was low.
Conclusions: Catheter-mediated thrombolytic therapy provides hemodynamic improvement in intermediate-high-risk PE patients, while offering a low bleeding risk. Our results suggest that this therapy may be a safe and effective alternative. However, long-term results should be evaluated in large-scale, randomized studies.
Source: Karaçuha A F. Phlebology, Feb 2026; 41(1): 23-29
Contact the library for a copy of this article
Enhancing Patient Care: Venous Thromboembolism Prophylaxis in the Emergency Department
Abstract: Venous thromboembolism is a serious risk for hospitalized patients, especially those with long emergency department stays, yet preventive measures are often delayed. This review examines effective medication therapies and nursing interventions for venous thromboembolism prophylaxis in the emergency department. Accurate risk assessment, timely medication administration, and patient education are crucial. Medication prophylaxis, primarily with low-molecular-weight heparin, is preferred over mechanical methods. Barriers such as limited knowledge, unclear guidelines, patient refusal, and staffing shortages hinder optimal implementation. Strategies to improve prophylaxis include standardized protocols and nurse-driven initiatives. Emergency nurses are the first to care for patients in the healthcare setting and are in a key position to initiate risk assessments and additional prophylaxis but often lack the knowledge and resources. Healthcare institutions should prioritize education and address systemic barriers. Future research should focus on tailored guidelines for specific patient populations and evaluate prevention strategies. A multidisciplinary approach, incorporating evidence-based practices and patient input, is crucial for optimizing venous thromboembolism prevention and improving patient outcomes.
Source: Scannell M. Journal of Emergency Nursing, Jan 2026; 52(1): 59-65
Contact the library for a copy of this article
Nurses' knowledge and practice in Venous Thromboembolism prevention: Development and validation of a scale
Abstract: Aim: This study aimed to develop and evaluate a scale measuring nurses' knowledge and practice regarding VTE prevention.
Background: Venous thromboembolism (VTE) is serious but preventable. Nurses are crucial in risk assessment and prevention, yet gaps in knowledge and practice persist globally.
Design: A methodological design was used.
Methods: The item pool was generated through a literature review and expert consultation, followed by pilot testing. Nurses were recruited using convenience sampling from two large tertiary hospitals selected for their high patient volume and diverse clinical settings, ensuring adequate variability in VTE-related nursing practices. Eligible participants were registered nurses working in emergency, internal medicine, surgical, or intensive care units with at least six months of clinical experience. The final scale was administered to 200 nurses between March and May 2024. Construct validity was examined using exploratory and confirmatory factor analyses and reliability was assessed through internal consistency statistics.
Results: The Kaiser-Meyer-Olkin (KMO) measure was 0.953 and Bartlett's test was significant. Confirmatory factor analysis supported a two-factor model (knowledge and practice) with good fit indices (χ²/df = 1.09; GFI = 0.99; AGFI = 0.99; CFI = 1.00; RMSEA = 0.020; SRMR = 0.057). The final scale includes 20 items. Cronbach's alpha for the total scale was 0.965 and for the subscales it was above 0.90.
Conclusion: The developed scale is a valid and reliable tool for assessing nurses' knowledge and practice. It can be used in research and clinical audit to identify educational needs and guide interventions.
Source: Yuksel B. Nurse Education in Practice, Jan 2026; 90: 104660
Knowledge, Attitudes and Practices Regarding Venous Thromboembolism Prevention Among Orthopaedic Nurses in Comprehensive Hospitals: A Cross‐Sectional Survey
Abstract: Aims: This study aimed to investigate the current status of knowledge, attitudes and practices regarding venous thromboembolism (VTE) prevention among orthopaedic nurses in comprehensive hospitals in Yichang, Hubei Province, China, and to analyse influencing factors to provide a reference for implementing VTE prevention strategies.
Methods: From February to March 2024, a total of 257 orthopaedic nurses from nine comprehensive hospitals in Yichang were surveyed using a convenience sampling method and investigated with a knowledge, attitudes and practices questionnaire for VTE prevention. Multiple linear regression analysis was conducted to identify factors influencing knowledge, attitudes and practices regarding VTE prevention among orthopaedic nurses.
Results: The overall score for knowledge, attitudes and practices regarding VTE prevention among orthopaedic nurses was 88.54 ± 5.73, with knowledge scoring 73.56 ± 7.69, attitudes scoring 95.66 ± 7.79 and practices scoring 95.96 ± 7.04. Position, training frequency, quality inspection and discharge follow‐up were significant factors influencing knowledge, attitudes and practices scores (p < 0.05).
Conclusions: In the orthopaedic departments of comprehensive hospitals in Yichang, Hubei Province, China, the overall level of knowledge, attitudes and practices regarding VTE prevention among nurses is generally good, with positive attitudes and practices observed. However, there is potential for improvement in knowledge levels. Recommendations include enhancing standardized VTE training, improving knowledge levels, strengthening health education and ensuring discharge follow‐up to optimize VTE prevention efforts.
Source: Cui W. International Journal of Nursing Practice, Oct 2025; 31(5): e70048
Risk Factors and Preventive Measures of Venous Thromboembolism in Trauma Patients using Trauma Embolic Scoring System: A retrospective chart review
Abstract: Background: Venous thromboembolism (VTE) is a major preventable complication in trauma patients, with varying incidence and risk factors across populations.
Aim/objective: To categorize VTE risk in Korean trauma patients using the Trauma Embolic Scoring System (TESS) and assess the application of prophylaxis by risk level.
Methods: This retrospective study at Korea University Guro Hospital involved 1913 trauma patients over two years. Data on demographics, injury specifics, and preventive treatments were analyzed using TESS. The study examined general, mechanical, and chemical interventions for VTE prevention.
Results: Of the patients, 1.4% were diagnosed with VTE. The average TESS score was 3.20, indicating lower injury severity but higher percentages of surgeries over 2 h and serious injuries. The findings showed VTE occurrences even in patients with TESS scores below the high-risk threshold, particularly in limb injuries. Nurse-led interventions like early physical activity were most common in the low-risk group, while mechanical prophylaxis like anti-embolism stockings was also predominantly used in this group. Chemical prophylaxis showed consistent administration across groups, with 37.5% of the high-risk group receiving Low Molecular Weight Heparin (LMWH), although only a minority received it within the recommended 48-hour.
Conclusions: The study reveals a need for vigilant monitoring and intervention across all risk categories, underscoring the importance of tailored VTE prevention guidelines in South Korea. It highlights the role of comprehensive management, including patient education and adherence to updated guidelines.
Source: Choi, E. International Emergency Nursing, Mar 2025; 79: 101585
Contact the library for a copy of this article
The Status of Nurses Working in Surgical Units in Delivering Patient Education on Venous Thromboembolism
Abstract: Objective: This study was planned to examine the status of education delivered by nurses working in surgical units regarding venous thromboembolism (VTE).
Methods: This descriptive cross-sectional study was conducted between May 2024 and June 2024. The study participants consisted of 126 nurses working in the surgical units of a city hospital in Türkiye. Data were collected using the "Patient Education Practice Form" developed by the researcher. Descriptive statistics (number, percentage, mean, standard deviation, median values) were used for data analysis.
Results: When examining the nurses' education practices, 19.8% stated that they always delivered patient education on mobilization, ankle exercises, and correct leg positioning while sitting; 19.1% on signs and symptoms of VTE; 19.0% on lifestyle changes; 18.3% on anticoagulants; 18.2% on laboratory tests in pharmacological prophylaxis; 17.5% on situations requiring emergency admission and patient safety; 16.7% on hydration; and 15.9% on elevating the legs and using compression stockings. The issues nurses faced in delivering patient education included difficult working conditions and insufficient nursing staff (86.5%), lack of knowledge about VTE (54.8%), absence of guidelines on VTE and patient education in the clinic (53.2%), considering patient education as the physician's responsibility (48.4%), insufficient presentation and teaching skills (47.6%), lack of prioritization of patient education activities in the institution, lack of teaching materials (45.2%), and low health literacy of patients (32.5%).
Conclusion: Increasing nurses' knowledge and awareness through education on delivering patient education regarding VTE and addressing the perceived barriers to patient education by surgical nurses are essential for ensuring effective patient instruction.
Source: Özbaş N. Journal of Nursology, Mar 2025; 28(1): 56-63
VTE Prevention Ability Among Community Nurses in the Medical Consortium Based on the Kirkpatrick Model Evaluation of the Effects of Training
Abstract: Purpose: To explore the application of the Kirkpatrick model in VTE prevention training among community nurses in the medical consortium.
Method: A team of experts was established to formulate a VTE prevention ability training program for community nurses in the medical consortium. According to a literature review, the results of a questionnaire survey and the results of on-site supervision surveys of nurses in five community health service centers in the medical consortium. The Kirkpatrick model was applied to train 117 nurses in five community service centers, and the effects on the four dimensions (i.e., the reaction layer, learning layer, behavior layer, and results layer) were observed.
Results: A total of 100% of nurses’ reported satisfaction with the training, and the attendance rate was ≥98%. After the training, the theoretical knowledge of VTE prevention and the results of the skills assessment of community nurses in the medical consortium were significantly greater than the pretraining levels (p < 0.001). Three months after training, the nurses’ VTE prevention execution score significantly improved compared with the pretraining scores (p < 0.001). The compliance rate and standard rate of ankle pump movement significantly improved compared with those before training (p < 0.001).
Conclusion: Training based on the offset model can effectively improve VTE prevention knowledge among community nurses in the medical consortium, thereby enhancing VTE prevention among patients and at improving the compliance and standardization of patients' self-prevention. These findings provide a reference for future in-service training programs targeting VTE prevention among nurses in community hospitals.
Source: Fan W. Public Health Nursing, Mar 2025; 42(2): 949-956
Nursing Assessment to Prevent Venous Thromboembolism
Abstract: Medical-surgical nurses care for patients who are at risk for venous thromboembolism (VTE). Through increased knowledge, assessment skills, team communication, and patient education, nurses play a key role in preventing VTE and improving patient outcomes.
Source: Bartzak P. MEDSURG Nursing, Jan/Feb 2025; 34(1): 49-51
Contact the library for a copy of this article
Nursing Interventions for People at Risk of Venous Thromboembolism Associated with Chemotherapy: Scoping Review
Abstract: Introduction: Venous thromboembolism is the second leading cause of death in people
with cancer. This risk increases in people undergoing chemotherapy. This complication causes physical and emotional suffering, and targeted nursing interventions are essential.
Results: Of the patients, 1.4% were diagnosed with VTE. The average TESS score was 3.20, indicating lower injury severity but higher percentages of surgeries over 2 h and serious injuries. The findings showed VTE occurrences even in patients with TESS scores below the high-risk threshold, particularly in limb injuries. Nurse-led interventions like early physical activity were most common in the low-risk group, while mechanical prophylaxis like anti-embolism stockings was also predominantly used in this group. Chemical prophylaxis showed consistent administration across groups, with 37.5% of the high-risk group receiving Low Molecular Weight Heparin (LMWH), although only a minority received it within the recommended 48-hour.
Conclusions: The study reveals a need for vigilant monitoring and intervention across all risk categories, underscoring the importance of tailored VTE prevention guidelines in South Korea. It highlights the role of comprehensive management, including patient education and adherence to updated guidelines.
Source: Choi E J. International Emergency Nursing, Mar 2025; 79: 101585
Perioperative Hyperglycemia is an Independent Risk Factor for Venous Thromboembolism Events After Operative Treatment of Geriatric Femur Fractures
Abstract: Introduction: Geriatric femur fractures occur in complex hosts that pose significant challenges in perioperative management, with venous thromboembolism (VTE) as a well described complication. Hyperglycemia, prevalent in the perioperative period, has been implicated in increasing thrombotic risk. However, data on its impact on outcomes following femur fracture fixation in the elderly population remains limited.
Methods: A retrospective cohort analysis was conducted on adults >60 years old undergoing operative fixation for femur fractures between January 2017 and December 2019. Demographic information, comorbidities, and outcomes were collected from electronic medical records.
Results: Six hundred and fourteen patients met inclusion criteria. The average age was 78.7 years (30.3% male; 25.0% with diabetes mellitus (DM) diagnosis). Patients with postoperative glucose ≥180 mg/dL had significantly higher rates of pulmonary embolism (PE) and VTE within 90 days, and glucose ≥180 mg/dL was an independent predictor for these events. Those with a DM diagnosis had higher rates of sepsis but not PE, VTE, or other complications compared to those without DM.
Conclusion: Acute perioperative hyperglycemia, regardless of DM diagnosis, is an independent risk factor for VTE and PE following geriatric femur fracture fixation. Strict glucose control in the postoperative period may improve outcomes in this patient population.
Source: Herman Z J. Jun 2025; 16: 21514593251342423
Executive summary of the consensus document on home care treatment of pulmonary embolism
Abstract: Introduction: Hospital at Home (HaH) is a safe care modality that reduces costs and risks compared to conventional hospitalisation. Evidence supports the safety of outpatient management in patients with pulmonary embolism (PE).
Objectives and methods: To establish a protocol for the identification and clinical management of patients with PE who are candidates for HaH management. This document has been prepared jointly by the Venous Thromboembolism Group (VTE) and the Hospital at Home Group (HaH) of the Spanish Society of Internal Medicine (SEMI).
Results: A total of 44 statements were considered. Voting was carried out using a Likert scale. A total of 39 recommendations reached consensus.
Conclusions: The SEMI VTE and HaH working groups recommend evaluating home treatment of PE in patients with a low risk of complications.
Source: Ortega L O. Revista Clinica, May 2025; 225(5): 502280
Trust nurse wins international recognition for campaign to raise awareness of blood clot prevention
Abstract: A Trust Venous Thromboembolism (VTE) prevention campaign has received international recognition from the International Society on Thrombosis and Haemostasis (ISTH). Ahead of World Thrombosis Day on 13 October, the ISTH has announced its annual global advocacy award winners and awarded the Trust its Activity of the Year (high-income country) award.
Source: Buckinghamshire Healthcare NHS Trust. News 2025, Oct 2025
Venous Thromboembolism (VTE) Risk Assessment Collection
Abstract: The data collection was first made mandatory from June 2010, and data has been published quarterly from the first full quarter's data (July to September 2010).
Following feedback, the VTE Risk Assessment Data Collection was reinstated from April 2024, with the first submission due in July 2024.
The collection and publication of this data was paused to release NHS capacity to support the response to coronavirus (COVID-19). Following requests to restart, the collection underwent an assurance process which included consultation with providers.
The data collection remains unchanged from the previous collection.
Source: NHS England Data Collections, Sep 2025
Retrospective evaluation of the results of ultrasound-accelerated catheter-directed tombolysis in acute-subacute pulmonary embolism patients
Abstract: Objectives: Acute pulmonary embolism (PE) is one of the most serious forms of venous thromboembolism (VTE) with high mortality and morbidity. PE may present with right ventricular dysfunction and hemodynamic disturbances. Early diagnosis and appropriate treatment approaches play a critical role in improving survival. In this study, we evaluated the efficacy and safety of catheter-mediated thrombolytic therapy in intermediate-high-risk PE patients.
Methods: Our retrospective study was conducted at Ankara University between 2015 and 2020 and 66 intermediate-high-risk PE patients were analyzed. Clinical, biochemical and echocardiographic data of the patients were analyzed and their response to treatment was evaluated. The primary endpoint was 30-day mortality and secondary endpoints were hemodynamic improvement, length of hospitalization and complication rates.
Results: The mean age of the patients was 65 years and all of them presented with a diagnosis of symptomatic PE. After treatment, significant improvement was observed in right ventricular function, RV/LV ratio, ProBNP and Troponin I levels decreased significantly. Pulmonary artery pressures decreased and hemodynamic parameters improved. The early mortality rate after the procedure was 3% and the rate of major bleeding was low.
Conclusions: Catheter-mediated thrombolytic therapy provides hemodynamic improvement in intermediate-high-risk PE patients, while offering a low bleeding risk. Our results suggest that this therapy may be a safe and effective alternative. However, long-term results should be evaluated in large-scale, randomized studies.
Source: Karaçuha A F. Phlebology, Feb 2026; 41(1): 23-29
Contact the library for a copy of this article
Enhancing Patient Care: Venous Thromboembolism Prophylaxis in the Emergency Department
Abstract: Venous thromboembolism is a serious risk for hospitalized patients, especially those with long emergency department stays, yet preventive measures are often delayed. This review examines effective medication therapies and nursing interventions for venous thromboembolism prophylaxis in the emergency department. Accurate risk assessment, timely medication administration, and patient education are crucial. Medication prophylaxis, primarily with low-molecular-weight heparin, is preferred over mechanical methods. Barriers such as limited knowledge, unclear guidelines, patient refusal, and staffing shortages hinder optimal implementation. Strategies to improve prophylaxis include standardized protocols and nurse-driven initiatives. Emergency nurses are the first to care for patients in the healthcare setting and are in a key position to initiate risk assessments and additional prophylaxis but often lack the knowledge and resources. Healthcare institutions should prioritize education and address systemic barriers. Future research should focus on tailored guidelines for specific patient populations and evaluate prevention strategies. A multidisciplinary approach, incorporating evidence-based practices and patient input, is crucial for optimizing venous thromboembolism prevention and improving patient outcomes.
Source: Scannell M. Journal of Emergency Nursing, Jan 2026; 52(1): 59-65
Contact the library for a copy of this article
Nurses' knowledge and practice in Venous Thromboembolism prevention: Development and validation of a scale
Abstract: Aim: This study aimed to develop and evaluate a scale measuring nurses' knowledge and practice regarding VTE prevention.
Background: Venous thromboembolism (VTE) is serious but preventable. Nurses are crucial in risk assessment and prevention, yet gaps in knowledge and practice persist globally.
Design: A methodological design was used.
Methods: The item pool was generated through a literature review and expert consultation, followed by pilot testing. Nurses were recruited using convenience sampling from two large tertiary hospitals selected for their high patient volume and diverse clinical settings, ensuring adequate variability in VTE-related nursing practices. Eligible participants were registered nurses working in emergency, internal medicine, surgical, or intensive care units with at least six months of clinical experience. The final scale was administered to 200 nurses between March and May 2024. Construct validity was examined using exploratory and confirmatory factor analyses and reliability was assessed through internal consistency statistics.
Results: The Kaiser-Meyer-Olkin (KMO) measure was 0.953 and Bartlett's test was significant. Confirmatory factor analysis supported a two-factor model (knowledge and practice) with good fit indices (χ²/df = 1.09; GFI = 0.99; AGFI = 0.99; CFI = 1.00; RMSEA = 0.020; SRMR = 0.057). The final scale includes 20 items. Cronbach's alpha for the total scale was 0.965 and for the subscales it was above 0.90.
Conclusion: The developed scale is a valid and reliable tool for assessing nurses' knowledge and practice. It can be used in research and clinical audit to identify educational needs and guide interventions.
Source: Yuksel B. Nurse Education in Practice, Jan 2026; 90: 104660
Knowledge, Attitudes and Practices Regarding Venous Thromboembolism Prevention Among Orthopaedic Nurses in Comprehensive Hospitals: A Cross‐Sectional Survey
Abstract: Aims: This study aimed to investigate the current status of knowledge, attitudes and practices regarding venous thromboembolism (VTE) prevention among orthopaedic nurses in comprehensive hospitals in Yichang, Hubei Province, China, and to analyse influencing factors to provide a reference for implementing VTE prevention strategies.
Methods: From February to March 2024, a total of 257 orthopaedic nurses from nine comprehensive hospitals in Yichang were surveyed using a convenience sampling method and investigated with a knowledge, attitudes and practices questionnaire for VTE prevention. Multiple linear regression analysis was conducted to identify factors influencing knowledge, attitudes and practices regarding VTE prevention among orthopaedic nurses.
Results: The overall score for knowledge, attitudes and practices regarding VTE prevention among orthopaedic nurses was 88.54 ± 5.73, with knowledge scoring 73.56 ± 7.69, attitudes scoring 95.66 ± 7.79 and practices scoring 95.96 ± 7.04. Position, training frequency, quality inspection and discharge follow‐up were significant factors influencing knowledge, attitudes and practices scores (p < 0.05).
Conclusions: In the orthopaedic departments of comprehensive hospitals in Yichang, Hubei Province, China, the overall level of knowledge, attitudes and practices regarding VTE prevention among nurses is generally good, with positive attitudes and practices observed. However, there is potential for improvement in knowledge levels. Recommendations include enhancing standardized VTE training, improving knowledge levels, strengthening health education and ensuring discharge follow‐up to optimize VTE prevention efforts.
Source: Cui W. International Journal of Nursing Practice, Oct 2025; 31(5): e70048
Risk Factors and Preventive Measures of Venous Thromboembolism in Trauma Patients using Trauma Embolic Scoring System: A retrospective chart review
Abstract: Background: Venous thromboembolism (VTE) is a major preventable complication in trauma patients, with varying incidence and risk factors across populations.
Aim/objective: To categorize VTE risk in Korean trauma patients using the Trauma Embolic Scoring System (TESS) and assess the application of prophylaxis by risk level.
Methods: This retrospective study at Korea University Guro Hospital involved 1913 trauma patients over two years. Data on demographics, injury specifics, and preventive treatments were analyzed using TESS. The study examined general, mechanical, and chemical interventions for VTE prevention.
Results: Of the patients, 1.4% were diagnosed with VTE. The average TESS score was 3.20, indicating lower injury severity but higher percentages of surgeries over 2 h and serious injuries. The findings showed VTE occurrences even in patients with TESS scores below the high-risk threshold, particularly in limb injuries. Nurse-led interventions like early physical activity were most common in the low-risk group, while mechanical prophylaxis like anti-embolism stockings was also predominantly used in this group. Chemical prophylaxis showed consistent administration across groups, with 37.5% of the high-risk group receiving Low Molecular Weight Heparin (LMWH), although only a minority received it within the recommended 48-hour.
Conclusions: The study reveals a need for vigilant monitoring and intervention across all risk categories, underscoring the importance of tailored VTE prevention guidelines in South Korea. It highlights the role of comprehensive management, including patient education and adherence to updated guidelines.
Source: Choi, E. International Emergency Nursing, Mar 2025; 79: 101585
Contact the library for a copy of this article
The Status of Nurses Working in Surgical Units in Delivering Patient Education on Venous Thromboembolism
Abstract: Objective: This study was planned to examine the status of education delivered by nurses working in surgical units regarding venous thromboembolism (VTE).
Methods: This descriptive cross-sectional study was conducted between May 2024 and June 2024. The study participants consisted of 126 nurses working in the surgical units of a city hospital in Türkiye. Data were collected using the "Patient Education Practice Form" developed by the researcher. Descriptive statistics (number, percentage, mean, standard deviation, median values) were used for data analysis.
Results: When examining the nurses' education practices, 19.8% stated that they always delivered patient education on mobilization, ankle exercises, and correct leg positioning while sitting; 19.1% on signs and symptoms of VTE; 19.0% on lifestyle changes; 18.3% on anticoagulants; 18.2% on laboratory tests in pharmacological prophylaxis; 17.5% on situations requiring emergency admission and patient safety; 16.7% on hydration; and 15.9% on elevating the legs and using compression stockings. The issues nurses faced in delivering patient education included difficult working conditions and insufficient nursing staff (86.5%), lack of knowledge about VTE (54.8%), absence of guidelines on VTE and patient education in the clinic (53.2%), considering patient education as the physician's responsibility (48.4%), insufficient presentation and teaching skills (47.6%), lack of prioritization of patient education activities in the institution, lack of teaching materials (45.2%), and low health literacy of patients (32.5%).
Conclusion: Increasing nurses' knowledge and awareness through education on delivering patient education regarding VTE and addressing the perceived barriers to patient education by surgical nurses are essential for ensuring effective patient instruction.
Source: Özbaş N. Journal of Nursology, Mar 2025; 28(1): 56-63
VTE Prevention Ability Among Community Nurses in the Medical Consortium Based on the Kirkpatrick Model Evaluation of the Effects of Training
Abstract: Purpose: To explore the application of the Kirkpatrick model in VTE prevention training among community nurses in the medical consortium.
Method: A team of experts was established to formulate a VTE prevention ability training program for community nurses in the medical consortium. According to a literature review, the results of a questionnaire survey and the results of on-site supervision surveys of nurses in five community health service centers in the medical consortium. The Kirkpatrick model was applied to train 117 nurses in five community service centers, and the effects on the four dimensions (i.e., the reaction layer, learning layer, behavior layer, and results layer) were observed.
Results: A total of 100% of nurses’ reported satisfaction with the training, and the attendance rate was ≥98%. After the training, the theoretical knowledge of VTE prevention and the results of the skills assessment of community nurses in the medical consortium were significantly greater than the pretraining levels (p < 0.001). Three months after training, the nurses’ VTE prevention execution score significantly improved compared with the pretraining scores (p < 0.001). The compliance rate and standard rate of ankle pump movement significantly improved compared with those before training (p < 0.001).
Conclusion: Training based on the offset model can effectively improve VTE prevention knowledge among community nurses in the medical consortium, thereby enhancing VTE prevention among patients and at improving the compliance and standardization of patients' self-prevention. These findings provide a reference for future in-service training programs targeting VTE prevention among nurses in community hospitals.
Source: Fan W. Public Health Nursing, Mar 2025; 42(2): 949-956
Nursing Assessment to Prevent Venous Thromboembolism
Abstract: Medical-surgical nurses care for patients who are at risk for venous thromboembolism (VTE). Through increased knowledge, assessment skills, team communication, and patient education, nurses play a key role in preventing VTE and improving patient outcomes.
Source: Bartzak P. MEDSURG Nursing, Jan/Feb 2025; 34(1): 49-51
Contact the library for a copy of this article
Nursing Interventions for People at Risk of Venous Thromboembolism Associated with Chemotherapy: Scoping Review
Abstract: Introduction: Venous thromboembolism is the second leading cause of death in people
with cancer. This risk increases in people undergoing chemotherapy. This complication causes physical and emotional suffering, and targeted nursing interventions are essential.
Objective: To map the scientific evidence on nursing interventions to prevent and manage venous thromboembolism in people with cancer undergoing chemotherapy.
Methods: Scoping Review according to the methodology of the Joanna Briggs Institute. The research was conducted in the MEDLINE® and CINAHL® databases in April 2023. The review followed the PRISMA-ScR EQUATOR checklist.
Results: Twenty-six articles published between 2004 and 2023 were included. After analysis,
three main dimensions emerged: assessment of the risk of venous thromboembolism,
independent interventions, and interdependent interventions.
three main dimensions emerged: assessment of the risk of venous thromboembolism,
independent interventions, and interdependent interventions.
Conclusion: Nurses play a crucial role in preventing and managing venous thromboembolism, using a
systematised approach to risk assessment, education, monitoring for signs and/or symptoms of these complications and implementing targeted interventions.
Source: Robalo Lopes Marcelino A I. Onco.news, Jan-Jun2025; 18(50): 33-45
The Effect of a Mobile-Supported Venous Thromboembolism Training Program on Surgical Nurses' Knowledge and Practices
Abstract: Providing effective training for surgical nurses is important to prevent venous thromboembolism (VTE). This study was conducted to evaluate the effect of a mobile-supported venous thromboembolism training program on the knowledge and practices of surgical nurses. A total of 147 surgical nurses were given mobile-supported venous thromboembolism training. The data were collected using an Information and Practices Form. It was determined that the nurses' knowledge and practice scores increased significantly over time, from baseline (T0) to immediately after training (T1) and 1 month after training (T2) (P < .0005). All nurses were satisfied with the mobile-based VTE training. A moderate and positive correlation was found between the satisfaction scores of the nurses and their knowledge and practice scores immediately after training (P < .05). A weak and positive correlation was found between knowledge and practice scores immediately after training and 1 month later (P < .05). One month before VTE training, two patients were readmitted to the hospital with postoperative VTE. No patients who were given care by the same nurses were readmitted with postoperative VTE 1 month after training. In conclusion, mobile-supported training provided improvement and ensured the sustainability of nurses' knowledge and practices regarding VTE, was a satisfactory and acceptable training strategy, positively affected patient outcomes, and prevented repeated hospitalizations.
Source: Özbaş N. CIN: Computers, Informatics, Nursing, Jan 2026; 44(1): e01271
Contact the library for a copy of this article
Venous thromboembolism prophylaxis in adults hospitalised for psychiatric illness: an evidence-based clinical practice guideline developed using GRADE
Abstract: Introduction: Venous thromboembolism (VTE) is the leading cause of preventable hospital deaths. Adults hospitalised with psychiatric illness vary in their risk of VTE, and therefore in their likelihood of benefiting from thromboprophylaxis. There is a paucity of evidence-based practice guidelines addressing VTE prophylaxis for this population despite recognition of additional VTE risk factors in this population.
Aim: To develop an evidence-based guideline on VTE prophylaxis for patients hospitalised with psychiatric illness using Grading of Recommendations, Assessment, Development and Evaluation (GRADE).
Method: An international, multidisciplinary, guideline panel including clinical experts, methodologists, and a patient partner was recruited by invitation. Panelists were selected based on methodological and clinical expertise on this subject. Panel members were diverse in geography (from Ireland, the United Kingdom, France, and Canada), expertise and gender. The panel was composed of four advanced specialist psychiatric pharmacists, four consultant haematologists, four consultant psychiatrists, one advanced nurse practitioner in psychiatry, one advanced nurse practitioner in anticoagulation, a methodologist with expertise using GRADE, and a patient partner with lived experience of VTE. The panel prioritised two clinical questions and related population, interventions, outcomes, and secondary analyses according to their importance for patients. GRADE was used to assess certainty of evidence and to move from evidence to risk-stratified recommendations.
Results: The panel made three recommendations: a strong recommendation against parenteral pharmacological prophylaxis for patients at low risk of VTE (moderate-certainty evidence); a conditional recommendation in favour of parenteral pharmacological prophylaxis in high-risk patients (low-certainty evidence); and a strong recommendation against graduated compression stockings in patients at high risk of VTE with a contraindication to parenteral pharmacological prophylaxis (low-certainty evidence).
Conclusion: Clinicians should not use parenteral pharmacological prophylaxis in adults hospitalised with psychiatric illness at low risk of VTE; and should consider using parenteral pharmacological prophylaxis for high-risk adults with no contraindications. Graduated compression stockings are not recommended in high-risk patients when parenteral pharmacological prophylaxis is contraindicated. These GRADE- based recommendations offer one of the first evidence-based practice guidelines for thromboprophylaxis decisions in psychiatric in-patient settings.
Source: Purcell A. International Journal of Clinical Pharmacology, Jan 2026
Venous Thromboembolism (VTE) Risk Assessments in Psychiatric Inpatients Audit
Abstract: Aims: The aim of this audit was to assess the compliance of Coventry and Warwickshire Partnership NHS Trust (CWPT) with the National Institute for Health and Care Excellence (NICE) venous thromboembolism (VTE) in over-16s guidelines. NICE guidelines recommend that all acute psychiatric patients should be assessed to identify their risk of VTE and bleeding as soon as possible after admission to hospital or by the time of the first consultant review. In addition, NICE guidelines also recommend that all patients admitted to an acute psychiatric ward should be reassessed for risk of VTE and bleeding at the point of consultant review.
Methods: All patients admitted to inpatient wards in CWPT are required to have a digital physical health document, which contains a section on VTE risk assessment, completed by the duty doctor. The digital physical health document for all inpatients (n=244) across 16 wards in CWPT were retrospectively reviewed in October 2024. A standardised tool was created to collect data using an adaptation of the NICE VTE guidelines. This tool ensured parallel data was collected for each patient, including whether patients had a VTE risk assessment completed on admission to hospital, whether VTE risk assessments were dated and signed, at what point in time VTE risk assessments were completed following admission, and whether patients had a VTE risk assessment completed at the point of consultant review.
Results: 63% (n=153) of patients had a VTE risk assessment completed and documented on admission to hospital, including being signed and dated. 63% (n=154) of patients had a VTE risk assessment completed within 24 hours of admission. 99% (n=242) of patients did not have a VTE risk assessment completed at the point of consultant review. 5% (n=13) of patients had a VTE risk assessment completed without being signed and/or dated. 7% (n=16) of patients had documentation of communication of assessment with a registered mental health nurse.
Conclusion: CWPT’s compliance with NICE recommendations for VTE risk assessment was deemed below standard. Recommendations have been made to introduce a VTE risk assessment section into every new doctor’s induction, to ensure they are aware of the importance of completing them and how to complete them appropriately. In addition, if possible, making the VTE risk assessment a required field to submit the physical health aspect of the clerking proforma would aid in increasing compliance rates. A re-audit in 6–12 months is also recommended.
Source: Kanabar R. BJPsych Open, Jun 2025; 11(S1): S249-S250
Venous Thromboembolism Risk Assessment Audit
Abstract: Aims: This audit is most relevant to acute inpatients at a general psychiatric hospital (St Ann’s Hospital and Chase Farm Hospital) in which there is high turnover of acutely unwell psychiatric patients being admitted. This set of patients are at significant risk of venous thromboembolism due to immobility and the nature of their illnesses.
People with psychiatric disorders may be at risk of developing venous thromboembolism, particularly when acutely unwell and admitted to an acute psychiatric ward. This may be due to the presence of risk factors such as reduced mobility due to psychiatric illness or sedation, dehydration due to poor oral intake or comorbid physical illnesses. The use of antipsychotic medications also increases thrombotic risk. Parity of esteem for mental health is a priority for health care and should include equity of provision for the management of physical health problems in those people presenting primarily with mental illness.
Also, there are issues which may cause concerns with regard to VTE prophylaxis in this population such as capacity to consent to interventions, interactions of psychotropic medications with pharmacological thromboprophylaxis and risk issues around the use of pharmacological and mechanical strategies for people who self harm.
The aim of this audit is to find out if admitting doctors are complying with North London NHS Foundation Trust policy and Department of Health guidelines. This will be carried out looking at 40 admissions across 4 wards in St Ann’s Hospital and Chase Farm Hospital between 1/1/2023 to 30/6/2023.
Methods: Data collection using designed questionnaire.
Standards: Trust policy and Department of Health guideline to be used as standard.
Results: Out of the 40 admission cases viewed, none of them had VTE risk assessment done. Hence no data available to analyse.
Conclusion: It is unfortunate that doctors are no longer doing VTE risk assessment on an acute psychiatric ward. This is still being emphasized by Department of Health.
Source: Neru S. BJPsych Open, Jun 2025; 11(S1): S261-S262
Acceptance of artificial intelligence clinical assistant decision support system to prevent and control venous thromboembolism among healthcare workers: an extend Unified Theory of Acceptance and Use of Technology Model
Abstract: Background: Venous thromboembolism (VTE) is an important global health problem and the third most prevalent cardiovascular disorder. It has been proven that computerized tools were helpful in the prevention and control of VTE. However, studies that focused on the acceptance of computerized tools for VTE prevention among healthcare workers were limited.
Objective: This study aims to explore what factors are influencing healthcare workers’ acceptance of the Artificial Intelligence Clinical Assistant Decision Support System (AI-CDSS) for VTE prevention based on the extended Unified Theory of Acceptance and Use of Technology (UTAUT).
Methods: We conducted a cross-sectional survey among healthcare workers in three grade-A tertiary hospitals in Shanxi, China. Statistically, the hypothesized model was evaluated by AMOS structural equation modeling.
Results: 510 (72.86%) valid surveys were collected in total. The results showed that performance expectancy (β = 0.45, P < 0.001), effort expectancy (β = 0.21, P < 0.001), and top management support (β = 0.30, P < 0.001) positively influenced healthcare workers’ intention. Top management support was an antecedent of performance expectancy (β = 0.41, P < 0.001), social influence (β = 0.57, P < 0.001), effort expectancy (β = 0.61, P < 0.001), and information quality (β = 0.59, P < 0.001). In addition, Social influence positively influenced performance expectancy (β = 0.52, P < 0.001), and information quality positively influenced system quality (β = 0.65, P < 0.001). Social influence did not influence nurses’ behavioral intention (β = 0.06, p = 0.376), but negatively influenced clinicians’ behavioral intention in the model (β = −0.19, P < 0.001). System quality positively influenced nurses’ behavioral intention; (β = 0.16, P < 0.001), and information quality positively influenced clinicians’ behavioral intention (β = 0.15, p = 0.025).
Conclusion: With this model explaining 76.3% variance of the behavioral intention variable, this study could be useful as a reference for hospital administrators to evaluate future developments and facilitate the implementation of AI-CDSS for VTE prevention.
Source: Wang J. Frontiers in Medicine, Feb 2025; 12
systematised approach to risk assessment, education, monitoring for signs and/or symptoms of these complications and implementing targeted interventions.
Source: Robalo Lopes Marcelino A I. Onco.news, Jan-Jun2025; 18(50): 33-45
The Effect of a Mobile-Supported Venous Thromboembolism Training Program on Surgical Nurses' Knowledge and Practices
Abstract: Providing effective training for surgical nurses is important to prevent venous thromboembolism (VTE). This study was conducted to evaluate the effect of a mobile-supported venous thromboembolism training program on the knowledge and practices of surgical nurses. A total of 147 surgical nurses were given mobile-supported venous thromboembolism training. The data were collected using an Information and Practices Form. It was determined that the nurses' knowledge and practice scores increased significantly over time, from baseline (T0) to immediately after training (T1) and 1 month after training (T2) (P < .0005). All nurses were satisfied with the mobile-based VTE training. A moderate and positive correlation was found between the satisfaction scores of the nurses and their knowledge and practice scores immediately after training (P < .05). A weak and positive correlation was found between knowledge and practice scores immediately after training and 1 month later (P < .05). One month before VTE training, two patients were readmitted to the hospital with postoperative VTE. No patients who were given care by the same nurses were readmitted with postoperative VTE 1 month after training. In conclusion, mobile-supported training provided improvement and ensured the sustainability of nurses' knowledge and practices regarding VTE, was a satisfactory and acceptable training strategy, positively affected patient outcomes, and prevented repeated hospitalizations.
Source: Özbaş N. CIN: Computers, Informatics, Nursing, Jan 2026; 44(1): e01271
Contact the library for a copy of this article
Venous thromboembolism prophylaxis in adults hospitalised for psychiatric illness: an evidence-based clinical practice guideline developed using GRADE
Abstract: Introduction: Venous thromboembolism (VTE) is the leading cause of preventable hospital deaths. Adults hospitalised with psychiatric illness vary in their risk of VTE, and therefore in their likelihood of benefiting from thromboprophylaxis. There is a paucity of evidence-based practice guidelines addressing VTE prophylaxis for this population despite recognition of additional VTE risk factors in this population.
Aim: To develop an evidence-based guideline on VTE prophylaxis for patients hospitalised with psychiatric illness using Grading of Recommendations, Assessment, Development and Evaluation (GRADE).
Method: An international, multidisciplinary, guideline panel including clinical experts, methodologists, and a patient partner was recruited by invitation. Panelists were selected based on methodological and clinical expertise on this subject. Panel members were diverse in geography (from Ireland, the United Kingdom, France, and Canada), expertise and gender. The panel was composed of four advanced specialist psychiatric pharmacists, four consultant haematologists, four consultant psychiatrists, one advanced nurse practitioner in psychiatry, one advanced nurse practitioner in anticoagulation, a methodologist with expertise using GRADE, and a patient partner with lived experience of VTE. The panel prioritised two clinical questions and related population, interventions, outcomes, and secondary analyses according to their importance for patients. GRADE was used to assess certainty of evidence and to move from evidence to risk-stratified recommendations.
Results: The panel made three recommendations: a strong recommendation against parenteral pharmacological prophylaxis for patients at low risk of VTE (moderate-certainty evidence); a conditional recommendation in favour of parenteral pharmacological prophylaxis in high-risk patients (low-certainty evidence); and a strong recommendation against graduated compression stockings in patients at high risk of VTE with a contraindication to parenteral pharmacological prophylaxis (low-certainty evidence).
Conclusion: Clinicians should not use parenteral pharmacological prophylaxis in adults hospitalised with psychiatric illness at low risk of VTE; and should consider using parenteral pharmacological prophylaxis for high-risk adults with no contraindications. Graduated compression stockings are not recommended in high-risk patients when parenteral pharmacological prophylaxis is contraindicated. These GRADE- based recommendations offer one of the first evidence-based practice guidelines for thromboprophylaxis decisions in psychiatric in-patient settings.
Source: Purcell A. International Journal of Clinical Pharmacology, Jan 2026
Venous Thromboembolism (VTE) Risk Assessments in Psychiatric Inpatients Audit
Abstract: Aims: The aim of this audit was to assess the compliance of Coventry and Warwickshire Partnership NHS Trust (CWPT) with the National Institute for Health and Care Excellence (NICE) venous thromboembolism (VTE) in over-16s guidelines. NICE guidelines recommend that all acute psychiatric patients should be assessed to identify their risk of VTE and bleeding as soon as possible after admission to hospital or by the time of the first consultant review. In addition, NICE guidelines also recommend that all patients admitted to an acute psychiatric ward should be reassessed for risk of VTE and bleeding at the point of consultant review.
Methods: All patients admitted to inpatient wards in CWPT are required to have a digital physical health document, which contains a section on VTE risk assessment, completed by the duty doctor. The digital physical health document for all inpatients (n=244) across 16 wards in CWPT were retrospectively reviewed in October 2024. A standardised tool was created to collect data using an adaptation of the NICE VTE guidelines. This tool ensured parallel data was collected for each patient, including whether patients had a VTE risk assessment completed on admission to hospital, whether VTE risk assessments were dated and signed, at what point in time VTE risk assessments were completed following admission, and whether patients had a VTE risk assessment completed at the point of consultant review.
Results: 63% (n=153) of patients had a VTE risk assessment completed and documented on admission to hospital, including being signed and dated. 63% (n=154) of patients had a VTE risk assessment completed within 24 hours of admission. 99% (n=242) of patients did not have a VTE risk assessment completed at the point of consultant review. 5% (n=13) of patients had a VTE risk assessment completed without being signed and/or dated. 7% (n=16) of patients had documentation of communication of assessment with a registered mental health nurse.
Conclusion: CWPT’s compliance with NICE recommendations for VTE risk assessment was deemed below standard. Recommendations have been made to introduce a VTE risk assessment section into every new doctor’s induction, to ensure they are aware of the importance of completing them and how to complete them appropriately. In addition, if possible, making the VTE risk assessment a required field to submit the physical health aspect of the clerking proforma would aid in increasing compliance rates. A re-audit in 6–12 months is also recommended.
Source: Kanabar R. BJPsych Open, Jun 2025; 11(S1): S249-S250
Venous Thromboembolism Risk Assessment Audit
Abstract: Aims: This audit is most relevant to acute inpatients at a general psychiatric hospital (St Ann’s Hospital and Chase Farm Hospital) in which there is high turnover of acutely unwell psychiatric patients being admitted. This set of patients are at significant risk of venous thromboembolism due to immobility and the nature of their illnesses.
People with psychiatric disorders may be at risk of developing venous thromboembolism, particularly when acutely unwell and admitted to an acute psychiatric ward. This may be due to the presence of risk factors such as reduced mobility due to psychiatric illness or sedation, dehydration due to poor oral intake or comorbid physical illnesses. The use of antipsychotic medications also increases thrombotic risk. Parity of esteem for mental health is a priority for health care and should include equity of provision for the management of physical health problems in those people presenting primarily with mental illness.
Also, there are issues which may cause concerns with regard to VTE prophylaxis in this population such as capacity to consent to interventions, interactions of psychotropic medications with pharmacological thromboprophylaxis and risk issues around the use of pharmacological and mechanical strategies for people who self harm.
The aim of this audit is to find out if admitting doctors are complying with North London NHS Foundation Trust policy and Department of Health guidelines. This will be carried out looking at 40 admissions across 4 wards in St Ann’s Hospital and Chase Farm Hospital between 1/1/2023 to 30/6/2023.
Methods: Data collection using designed questionnaire.
Standards: Trust policy and Department of Health guideline to be used as standard.
Results: Out of the 40 admission cases viewed, none of them had VTE risk assessment done. Hence no data available to analyse.
Conclusion: It is unfortunate that doctors are no longer doing VTE risk assessment on an acute psychiatric ward. This is still being emphasized by Department of Health.
Source: Neru S. BJPsych Open, Jun 2025; 11(S1): S261-S262
Acceptance of artificial intelligence clinical assistant decision support system to prevent and control venous thromboembolism among healthcare workers: an extend Unified Theory of Acceptance and Use of Technology Model
Abstract: Background: Venous thromboembolism (VTE) is an important global health problem and the third most prevalent cardiovascular disorder. It has been proven that computerized tools were helpful in the prevention and control of VTE. However, studies that focused on the acceptance of computerized tools for VTE prevention among healthcare workers were limited.
Objective: This study aims to explore what factors are influencing healthcare workers’ acceptance of the Artificial Intelligence Clinical Assistant Decision Support System (AI-CDSS) for VTE prevention based on the extended Unified Theory of Acceptance and Use of Technology (UTAUT).
Methods: We conducted a cross-sectional survey among healthcare workers in three grade-A tertiary hospitals in Shanxi, China. Statistically, the hypothesized model was evaluated by AMOS structural equation modeling.
Results: 510 (72.86%) valid surveys were collected in total. The results showed that performance expectancy (β = 0.45, P < 0.001), effort expectancy (β = 0.21, P < 0.001), and top management support (β = 0.30, P < 0.001) positively influenced healthcare workers’ intention. Top management support was an antecedent of performance expectancy (β = 0.41, P < 0.001), social influence (β = 0.57, P < 0.001), effort expectancy (β = 0.61, P < 0.001), and information quality (β = 0.59, P < 0.001). In addition, Social influence positively influenced performance expectancy (β = 0.52, P < 0.001), and information quality positively influenced system quality (β = 0.65, P < 0.001). Social influence did not influence nurses’ behavioral intention (β = 0.06, p = 0.376), but negatively influenced clinicians’ behavioral intention in the model (β = −0.19, P < 0.001). System quality positively influenced nurses’ behavioral intention; (β = 0.16, P < 0.001), and information quality positively influenced clinicians’ behavioral intention (β = 0.15, p = 0.025).
Conclusion: With this model explaining 76.3% variance of the behavioral intention variable, this study could be useful as a reference for hospital administrators to evaluate future developments and facilitate the implementation of AI-CDSS for VTE prevention.
Source: Wang J. Frontiers in Medicine, Feb 2025; 12
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