Knowledge, attitudes, and practices and associated factors of hematology nurses on preventing and controlling multidrug-resistant organisms (MDROs) infections.

BACKGROUND

This nationwide survey aimed to assess hematology nurses' knowledge, attitudes, and practices (KAP) and its influencing factors on preventing and controlling multidrug-resistant organisms (MDROs) infections.

METHODS

This cross-sectional study surveyed hematology nurses at 185 hospitals across 26 provinces and municipalities in mainland China. Descriptive analysis, correlation tests, generalized linear models, and decision tree modeling were used to assess the current status of KAP and influencing factors.

RESULTS

A total of 1,984 nurses participated. The median scores for KAP, management, and surveillance in preventing and controlling MDROs infections among study subjects were 44 (out of a total of 53, 83%), 60 (out of a total of 60, 100%), 210 (out of a total of 210, 100%), 53 (out of a total of 58, 91%), and 10 (out of a total of 10, 100%), respectively. Correlation analyses revealed significant positive associations between MDROs infections management and KAP dimensions. The generalized linear models and decision tree analysis showed MDROs infections management and hematology nurses' attitudes were strong predictors of their practices, especially the perceived importance of MDROs infections management (β = 1.13, P < .001), key process management (β = 1.17, P < .001), and staff training (β = 1.90, P < .001).

CONCLUSIONS

This study highlights strong hospital MDROs management boosts nurses' KAP, enhancing MDROs infections control and prevention in hematology settings.