Knowledge, attitudes and practices of intensive care unit physicians towards the management of acute respiratory distress syndrome in China: a cross-sectional survey
Objectives This study aimed to assess the knowledge, attitudes and practices (KAP) of intensive care unit (ICU) physicians in China towards acute respiratory distress syndrome (ARDS).Design A cross-sectional study was conducted between September and November 2022.Participants A total of 497 ICU phys...
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BMJ Publishing Group
2025-01-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/15/1/e092069.full |
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| author | Jing Qian Yinglin Wu Xiaoqin Zhao Zhidan Qin Yongyi Meng Mingjing Yin Hanchun Wen Juntao Hu Zhanhong Tang |
| author_facet | Jing Qian Yinglin Wu Xiaoqin Zhao Zhidan Qin Yongyi Meng Mingjing Yin Hanchun Wen Juntao Hu Zhanhong Tang |
| author_sort | Jing Qian |
| collection | DOAJ |
| description | Objectives This study aimed to assess the knowledge, attitudes and practices (KAP) of intensive care unit (ICU) physicians in China towards acute respiratory distress syndrome (ARDS).Design A cross-sectional study was conducted between September and November 2022.Participants A total of 497 ICU physicians participated, with 258 (51.91%) being male and the majority aged 30–40 years (56.74%).Interventions Participants were surveyed to evaluate their KAP regarding ARDS, with mediation analysis employed to elucidate the association between demographic characteristics and KAP scores.Primary and secondary outcome measures The mean scores for KAP were 11.89±2.64 (range: 0–17), 44.73±4.85 (range: 12–60) and 18.26±3.43 (range: 1–48), respectively. Pearson correlation analysis showed positive correlations between knowledge and attitude (0.367), knowledge and practice (0.582) and attitude and practice (0.314) (all p<0.001).Results Mediation analysis indicated that attitude (β=0.07, p<0.001) and hospital type (β=−0.84, p=0.005) had direct effects on practice, while knowledge had significant direct (β=0.68, p<0.001) and indirect (β=0.03, p=0.019) effects. Additionally, education (β=0.47, p<0.001), work experience (β=0.25, p<0.001), hospital classification (β=−0.91, p<0.001), ICU type (β=−0.61, p=0.001) and ARDS experience (β=−1.57, p<0.001) showed various indirect effects on practice.Conclusions ICU physicians in China exhibited inadequate knowledge, moderate attitudes and suboptimal practices regarding ARDS management. Enhancing education and work experience is crucial, along with practical, scenario-based training, to improve KAP in ARDS management. |
| format | Article |
| id | doaj-art-190d361ef8104168bdab20c63297d24a |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-190d361ef8104168bdab20c63297d24a2025-01-28T11:35:12ZengBMJ Publishing GroupBMJ Open2044-60552025-01-0115110.1136/bmjopen-2024-092069Knowledge, attitudes and practices of intensive care unit physicians towards the management of acute respiratory distress syndrome in China: a cross-sectional surveyJing Qian0Yinglin Wu1Xiaoqin Zhao2Zhidan Qin3Yongyi Meng4Mingjing Yin5Hanchun Wen6Juntao Hu7Zhanhong Tang8Cardiothoracic Intensive Care Unit, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi Zhuang Autonomous Region, People`s Republic of ChinaDepartment of Critical Care Medicine, The First Affiliated Hospital of Guangxi Medical University; Guangxi Clinical Research Center for Critical Care Medicine, Nanning, Guangxi Zhuang Autonomous Region, People`s Republic of ChinaDepartment of Critical Care Medicine, The First Affiliated Hospital of Guangxi Medical University; Guangxi Clinical Research Center for Critical Care Medicine, Nanning, Guangxi Zhuang Autonomous Region, People`s Republic of ChinaDepartment of Critical Care Medicine, The First Affiliated Hospital of Guangxi Medical University; Guangxi Clinical Research Center for Critical Care Medicine, Nanning, Guangxi Zhuang Autonomous Region, People`s Republic of ChinaDepartment of Critical Care Medicine, The First Affiliated Hospital of Guangxi Medical University; Guangxi Clinical Research Center for Critical Care Medicine, Nanning, Guangxi Zhuang Autonomous Region, People`s Republic of ChinaDepartment of Emergency, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi Zhuang Autonomous Region, People`s Republic of ChinaDepartment of Critical Care Medicine, The First Affiliated Hospital of Guangxi Medical University; Guangxi Clinical Research Center for Critical Care Medicine, Nanning, Guangxi Zhuang Autonomous Region, People`s Republic of ChinaDepartment of Critical Care Medicine, The First Affiliated Hospital of Guangxi Medical University; Guangxi Clinical Research Center for Critical Care Medicine, Nanning, Guangxi Zhuang Autonomous Region, People`s Republic of ChinaDepartment of Critical Care Medicine, The First Affiliated Hospital of Guangxi Medical University; Guangxi Clinical Research Center for Critical Care Medicine, Nanning, Guangxi Zhuang Autonomous Region, People`s Republic of ChinaObjectives This study aimed to assess the knowledge, attitudes and practices (KAP) of intensive care unit (ICU) physicians in China towards acute respiratory distress syndrome (ARDS).Design A cross-sectional study was conducted between September and November 2022.Participants A total of 497 ICU physicians participated, with 258 (51.91%) being male and the majority aged 30–40 years (56.74%).Interventions Participants were surveyed to evaluate their KAP regarding ARDS, with mediation analysis employed to elucidate the association between demographic characteristics and KAP scores.Primary and secondary outcome measures The mean scores for KAP were 11.89±2.64 (range: 0–17), 44.73±4.85 (range: 12–60) and 18.26±3.43 (range: 1–48), respectively. Pearson correlation analysis showed positive correlations between knowledge and attitude (0.367), knowledge and practice (0.582) and attitude and practice (0.314) (all p<0.001).Results Mediation analysis indicated that attitude (β=0.07, p<0.001) and hospital type (β=−0.84, p=0.005) had direct effects on practice, while knowledge had significant direct (β=0.68, p<0.001) and indirect (β=0.03, p=0.019) effects. Additionally, education (β=0.47, p<0.001), work experience (β=0.25, p<0.001), hospital classification (β=−0.91, p<0.001), ICU type (β=−0.61, p=0.001) and ARDS experience (β=−1.57, p<0.001) showed various indirect effects on practice.Conclusions ICU physicians in China exhibited inadequate knowledge, moderate attitudes and suboptimal practices regarding ARDS management. Enhancing education and work experience is crucial, along with practical, scenario-based training, to improve KAP in ARDS management.https://bmjopen.bmj.com/content/15/1/e092069.full |
| spellingShingle | Jing Qian Yinglin Wu Xiaoqin Zhao Zhidan Qin Yongyi Meng Mingjing Yin Hanchun Wen Juntao Hu Zhanhong Tang Knowledge, attitudes and practices of intensive care unit physicians towards the management of acute respiratory distress syndrome in China: a cross-sectional survey BMJ Open |
| title | Knowledge, attitudes and practices of intensive care unit physicians towards the management of acute respiratory distress syndrome in China: a cross-sectional survey |
| title_full | Knowledge, attitudes and practices of intensive care unit physicians towards the management of acute respiratory distress syndrome in China: a cross-sectional survey |
| title_fullStr | Knowledge, attitudes and practices of intensive care unit physicians towards the management of acute respiratory distress syndrome in China: a cross-sectional survey |
| title_full_unstemmed | Knowledge, attitudes and practices of intensive care unit physicians towards the management of acute respiratory distress syndrome in China: a cross-sectional survey |
| title_short | Knowledge, attitudes and practices of intensive care unit physicians towards the management of acute respiratory distress syndrome in China: a cross-sectional survey |
| title_sort | knowledge attitudes and practices of intensive care unit physicians towards the management of acute respiratory distress syndrome in china a cross sectional survey |
| url | https://bmjopen.bmj.com/content/15/1/e092069.full |
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