Knowledge, attitudes, and practices of healthcare providers in pre-hospital care in Nepal
Bibliographic Data
| ID | 22070698 |
|---|---|
| Authors | Pavan Kumar Sah (Southern Medical University), Wenyi Lai (Southern Medical University), Neelam Gupta (Sukraraj Tropical & Infectious Disease Hospital), Bimal Singh Bist (0000-0001-9078-3878, Tribhuvan University), Sanjib Gautam, Khem Raj Sapkota (Southern Medical University), Bipin Koirala (Southern Medical University), Ileana Kong Zhuo (Southern Medical University), Momodu Sesay (0000-0002-9305-9874, Southern Medical University), Morlai Sesay, Ying Guan (0000-0002-1021-9917, Southern Medical University, corresponding author) |
| Year | 2025 |
| Volume | 13 |
| Pages | 1623868-1623868 |
| Publication date | 2025-07-25 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Frontiers in Public Health (JOURNAL) |
| Journal identifiers | ISSN: 2296-2565 • E-ISSN: 2296-2565 |
| Publisher | Frontiers Media SA (PUBLISHER • CH) |
| DOI | 10.3389/fpubh.2025.1623868 |
| PMID | 40786165 |
| OpenAlex | W4412926686 |
| Language | EN |
| References cited | 14 |
Introduction Pre-hospital emergency care is crucial for improving patient outcomes, especially in low- and middle-income countries (LMICs) where trauma is a leading cause of death. In Nepal, inadequate pre-hospital care contributes to approximately 16,600 preventable deaths annually. This study assessed the knowledge, attitudes, and practices (KAP) of healthcare providers in pre-hospital care to identify factors influencing their preparedness. Methods A quantitative, descriptive cross-sectional design was employed, utilizing a 35-item questionnaire based on a 5-point Likert scale. Data were collected via an online survey (Google Forms) from 517 healthcare providers (doctors, nurses, and paramedics) across 16 hubs and 76 satellite hospitals in Nepal’s seven provinces based on a systematic randomization technique. Data were described with median and interquartile range. Nonparametric analysis, rank Spearman’s rank correlation, and ordinal regression were used to analyze the data. Results The study revealed that 62% of providers had good knowledge, 66% exhibited positive attitudes, but only 25% demonstrated good practice. Significant variations were observed by gender, profession, and workplace, with males, doctors, and private hospital providers scoring higher in knowledge and practice. Moderate correlations were found between knowledge, attitude, and practice (rs = 0.420–0.562, p < 0.001). Ordinal logistic regression indicated significant associations between demographic factors and KAP levels. Conclusion Despite good knowledge and positive attitudes, only 25% demonstrated good practice, indicating practical implementation of pre-hospital care remains suboptimal. Targeted training programs, simulation-based learning, and continuous professional development will be needed to bridge the gap between knowledge and practice
Cross-sectional study · Descriptive statistics · Family medicine · Health care · Likert scale · Ordered logit · Ordinal regression · Preparedness · Cardiac Arrest and Resuscitation · Global Health and Surgery · Medicine · Nursing · Psychology · Trauma and Emergency Care Studies
| Citation velocity | historical |
|---|---|
| Highly cited | No |