Factors associated with Saudi nurses’ knowledge, attitudes, and practices in preventing catheter-associated urinary tract infection in Aljouf City: a cross-sectional study
Abstract
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…
How strong is the evidence?
Evidence Hub reads this as a cross-sectional. Its evidence level is 4 of 5 (Low · observational). Observational designs can show an association but not prove cause.
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