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Human Monkeypox knowledge gaps among nurses

Implications for training and outbreak preparedness

Bibliographic Data

ID22424050
AuthorsImad Asmar (0000-0002-9378-5841, Birzeit University, corresponding author), Omar Almahmoud (0000-0003-2899-5954, Birzeit University), Mohammad Kahla (Birzeit University), Rama Ghazawneh (Birzeit University), Hala Obaid (Birzeit University), Omar Badaha (Birzeit University), Yasmeen Hamed (Birzeit University)
Year2026
Volume26
Issue1
Publication date2026-02-05
Open AccessYes
TypeARTICLE
VenueBMC Medical Education (JOURNAL)
Journal identifiersISSN: 1472-6920 • E-ISSN: 1472-6920
PublisherSpringer Science and Business Media LLC (PUBLISHER)
DOI10.1186/s12909-026-08623-y
PMID41639669
OpenAlexW7128063919
LanguageEN
References cited35

Monkeypox (MPX) has become a significant global health concern, and the 2022 outbreak highlights weaknesses in healthcare preparedness and international travel safety. The lack of information on medical experts’ awareness emphasizes the necessity for immediate assessment, even though no instances have been documented in Palestine. This study aimed to evaluate Palestinian nurses’ knowledge of MPOX and explore variables that may influence their understanding. Three hundred seventy-nine nurses working in various healthcare facilities in Palestine participated in this cross-sectional study using a validated electronic questionnaire. Sociodemographic information was collected and 30 multiple-choice questions measuring MPOX-related knowledge were rated on a scale of 0 to 10. The average knowledge score of the participants was 5.5 out of 10 (SD = 3.27). Only 33.5% of respondents had a high degree of understanding. Age, education level, location of residence, workplace, clinical experience, and prior attendance at MPOX lectures were significantly associated with higher knowledge scores (all p < 0.001). Attending MPOX lectures (B = 5.595, p < 0.001), having a higher level of education (B = 5.074, p < 0.001), working in closed units (B = 1.764, p = 0.005), and having more clinical experience (B = 0.308, p = 0.018) were significant predictors of higher knowledge. While they show a rudimentary awareness of MPOX, Palestinian nurses are not well-versed in its prevention, treatment, and transmission. Healthcare preparation must be strengthened by addressing urban-rural inequities, implementing thorough training, and incorporating MPOX into nursing curricula. • Overall, nurses demonstrated average knowledge levels of MPOX, with 33.5% showing high knowledge, 23.0% showing moderate knowledge, and 43.5% showing low knowledge. • Greater clinical experience was significantly associated with higher MPOX knowledge. • Nurses who received prior MPOX training scored significantly higher, highlighting the importance of structured educational interventions. • Those working in closed units (e.g., ICU, ER) exhibited significantly better knowledge than nurses in open units. • Urban-residing nurses demonstrated significantly higher MPOX knowledge scores than their rural counterparts.

Health care · MEDLINE · Monkeypox · Outbreak · Patient care · Preparedness · Bacillus and Francisella bacterial research · Poxvirus research and outbreaks · Viral Infections and Outbreaks Research

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