Frontiers in public health · 2026
Factors associated with Saudi nurses' knowledge, attitudes, and practices in preventing catheter-associated urinary tract infection in Aljouf City: a cross-sectional study.
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Siam Bahia Galal Abd Elrazik, Alshammari Khalda Mnawer M, Alshammari Bassam Shayhan F, Alshammari Aiman Mojidea M, Alderaan Saad Majed Saad, Alshammari Saad Thamer, Alshammari Abdulellah Nasser Abdulaziz, Almaslamani Omar Nasser Saud, Alshammari Salman Amish Ayad, Almatrafy Wadha Habeeb, Alruwaili Faisal Dakhilallah J, Alruwaili Abdulaziz Fayez L, Alruwaili Jawaher Jaza M, Alahmadi Mashael Musallam, Aldoghmani Mona Lahilam Alsamah, Alrwaili Wejdan Sager S, Alrowily Mashal Khaled, Alruwaili Hamdah Falgi Basheer
Аннотация
BACKGROUND: Catheter-associated urinary tract infection (CAUTI) is a leading healthcare-associated infection worldwide, associated with increased morbidity, prolonged hospitalization, higher costs, and antimicrobial resistance. Nurses play a critical role in prevention through evidence-based catheter insertion, maintenance, and timely removal.
AIM: To assess factors associated with knowledge, attitudes, and preventive practices regarding CAUTI among nurses in Aljouf City, Saudi Arabia.
METHODS: A descriptive cross-sectional study was conducted among 184 registered nurses in governmental hospitals in Aljouf City using a structured questionnaire on demographics, knowledge, attitudes, and practices (KAP) toward CAUTI prevention. Data were analyzed with descriptive statistics, independent t-tests, ANOVA, and Spearman's correlations.
RESULTS: Overall, 77.7% of nurses had good knowledge, 84.8% showed positive attitudes, and 84.8% had adequate preventive practices. Knowledge scores differed significantly by years of experience (p = 0.001), urinary catheter (UC) insertion frequency (p < 0.001), and CAUTI guideline awareness (p = 0.002). Attitudes varied by hospital (p = 0.014), ward (p = 0.007), and UC insertion frequency (p = 0.032). Practices differed by hospital (p = 0.006), UC insertion frequency (p = 0.009), and guideline awareness (p = 0.049). Spearman's correlations showed weak knowledge-attitude (r = 0.231, p = 0.002), moderate knowledge-practice (r = 0.446, p < 0.001), and strong attitude-practice (r = 0.525, p < 0.001) associations. Multivariable logistic regression showed that attitude was the strongest independent factor associated with adequate practice (AOR = 0.251, p = 0.005).
CONCLUSION: This study demonstrates generally favorable knowledge, attitudes, and practices toward CAUTI prevention among Al-Jouf nurses, with moderate correlations, attitudes showed the strongest association with preventive practices.
AIM: To assess factors associated with knowledge, attitudes, and preventive practices regarding CAUTI among nurses in Aljouf City, Saudi Arabia.
METHODS: A descriptive cross-sectional study was conducted among 184 registered nurses in governmental hospitals in Aljouf City using a structured questionnaire on demographics, knowledge, attitudes, and practices (KAP) toward CAUTI prevention. Data were analyzed with descriptive statistics, independent t-tests, ANOVA, and Spearman's correlations.
RESULTS: Overall, 77.7% of nurses had good knowledge, 84.8% showed positive attitudes, and 84.8% had adequate preventive practices. Knowledge scores differed significantly by years of experience (p = 0.001), urinary catheter (UC) insertion frequency (p < 0.001), and CAUTI guideline awareness (p = 0.002). Attitudes varied by hospital (p = 0.014), ward (p = 0.007), and UC insertion frequency (p = 0.032). Practices differed by hospital (p = 0.006), UC insertion frequency (p = 0.009), and guideline awareness (p = 0.049). Spearman's correlations showed weak knowledge-attitude (r = 0.231, p = 0.002), moderate knowledge-practice (r = 0.446, p < 0.001), and strong attitude-practice (r = 0.525, p < 0.001) associations. Multivariable logistic regression showed that attitude was the strongest independent factor associated with adequate practice (AOR = 0.251, p = 0.005).
CONCLUSION: This study demonstrates generally favorable knowledge, attitudes, and practices toward CAUTI prevention among Al-Jouf nurses, with moderate correlations, attitudes showed the strongest association with preventive practices.