Factors associated with Saudi nurses’ knowledge, attitudes, and practices in preventing catheter-associated urinary tract infection in Aljouf City

A cross-sectional study

Bibliographic Data

ID22089031
AuthorsBahia Galal Abd Elrazik Siam (University of Ha'il), Khalda Mnawer M Alshammari (Ministry of Health), Bassam Shayhan F Alshammari (Ministry of Health), Aiman Mojidea M Alshammari (Prince Mohammed bin Abdulaziz Hospital), Saad Majed Saad Alderaan (King Khaled Hospital), Saad Thamer Alshammari (Innovation Cluster (Canada)), Abdulellah Nasser Abdulaziz Alshammari (Prince Mohammed bin Abdulaziz Hospital), Omar Nasser Saud Almaslamani (King Khaled Hospital), Salman Amish Ayad Alshammari (Innovation Cluster (Canada)), Wadha Habeeb Almatrafy (Ministry of Health), Faisal Dakhilallah J Alruwaili (Ministry of Health), Abdulaziz Fayez L Alruwaili (Amiri Hospital), Jawaher Jaza M Alruwaili (Ministry of Health), Mashael Musallam Alahmadi (King Salman Bin Abdulaziz Medical City, Madinah Health Cluster), Lama M Alahmadi (King Saud bin Abdulaziz University for Health Sciences), Mona Lahilam Alsamah Aldoghmani (Ministry of Health), Wejdan Sager S Alrwaili (Ministry of Health), Mashal Khaled Alrowily (Ministry of Health), Hamdah Falgi Basheer Alruwaili (Ministry of Health)
Year2026
Volume14
Pages1781575-1781575
Publication date2026-04-02
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2026.1781575
PMID42007341
OpenAlexW7147348432
LanguageEN
Citations received1
References cited33

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

Descriptive statistics · Guideline · Infection control · Logistic regression · Risk factor · Urinary system · Pressure Ulcer Prevention and Management · Surgical site infection prevention · Urinary Tract Infections Management

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