Knowledge, Attitude And Practice Research Articles

Knowledge, attitude and practice regarding screening and managing diabetic microvascular complications among general practitioners of community health centres: a cross-sectional study in Shanghai, China

ObjectiveTo evaluate the knowledge, attitude and practice (KAP) regarding screening and managing diabetic microvascular complications, encompassing diabetic retinopathy (DR), diabetic kidney disease (DKD) and diabetic neuropathy (DN), among general practitioners...

P-615. Knowledge, attitudes and practice towards routine vaccination among medical students, Kazakhstan, 2023

Abstract Background In Kazakhstan, coverage for childhood immunizations has decreased in recent years. Healthcare workers have the ability to increase vaccine coverage if they are sufficiently trained and have correct knowledge, attitudes and practices (KAP) related to routine immunizations. To assess whether interventions are needed in pre-service medical training, we needed to understand current vaccine KAP in medical students.Table 1.Participant characteristics Methods We conducted a cross-sectional study among senior medical students in 3 universities in Karaganda, Astana and Almaty, from March to May 2023. We used multivariable logistic regression to test association with adequate knowledge, attitudes, and practices (KAP); threshold for adequate scores for questions in each domain was 70%. Adjusted odds ratios (OR) and 95% confidence intervals (CI) are reported.Figure 1.Factors associated with vaccine practice among medical students in Kazakhstan Results We interviewed 3,956 students: 1,716 (43%) in Astana, 1,313 (33%) in Almaty, and 927 (24%) in Karaganda. Of these, 74% were female, and 65% were 21-23 years old. Additionally, 89% were studying general medicine, 8% pediatrics, and 3% public health. Fewer than half (38%) reported having received training on vaccination. Adequate KAP scores were 11% for knowledge, 55% for attitudes, and 17% for practices. Most (74%) believed common myths about routine vaccinations, including 62% believing that the flu vaccine causes flu. Knowledge scores < 70% were associated with attitude scores < 70% (OR: 1.72; CI=1.37–2.17) and practice scores < 70% (OR: 1.66; CI=1.30–2.11). Attitude scores < 70% were associated with being male vs female (OR: 1.25; CI=1.07–1.47), living with anyone < 18 years old vs not (OR: 1.37; CI=1.08–1.73), and living in Astana vs Karaganda (OR: 1.69 CI=1.41–2.03). Practice scores < 70% were associated with living with anyone >65 years old vs not (OR: 1.32; CI=1.03–1.72), Islam religion vs no religion (OR: 2.03; CI=1.65–2.50) and having attitude score < 70% vs ≥70% (OR: 2.99; CI=2.45–3.66). Conclusion Our study revealed markedly low levels of correct KAP related to routine immunizations. These results demonstrate the need to increase training on vaccination among medical students, especially among pediatric and general medicine students who will be involved in immunizations. Trainings should address common myths about routine immunizations. Disclosures All Authors: No reported disclosures

Nurses' Knowledge, Attitude and Practice in Nutrition Management of Hospitalised Adults: A Mixed-Methods Study.

To examine nurses' knowledge, attitude and practice regarding nutrition management in hospitalised adults and explore their views on it. A mixed-method approach combining cross-sectional and descriptive qualitative methods. 379 enrolled/registered nurses working in acute or intensive units of a tertiary hospital were recruited between 24th August 2023 and 3rd December 2023. Participants completed a questionnaire on their sociodemographic profile, knowledge, attitude and practice (KAP) regarding nutrition management. Data analysis was conducted using R software, reporting levels of KAP and its associations with sociodemographic factors. Mann-Whitney U and Kruskal-Wallis tests were used for non-normally distributed knowledge and practice scores (reported as median and interquartile range). Two-sample t-tests and ANOVA were used for normally distributed attitude scores (reported as mean and standard deviation). 21 of the participants from the quantitative study were either purposively sampled or snowballed from the quantitative study to undergo semi-structured interviews (physically or virtually face-to-face), which were transcribed verbatim and analysed using content analysis. The mean scores on KAP were 61.6, 19.4 and 22.8, respectively. Knowledge varied significantly by educational level (p < 0.001), while attitudes also differed based on education (p = 0.001) and years of employment (p = 0.019). Practice scores showed differences based on subspeciality (p = 0.032), nursing rank (p < 0.001) and years of employment (p = 0.004). Findings identified barriers to effective nutrition management, including prioritisation issues, varying professional roles, limited autonomy and resource shortages. It also emphasises nurses' roles in nutrition management and strategies such as nurses' autonomy and family members involvement to improve nutrition management. Sociodemographic factors significantly influence nurses' KAP in nutrition management, revealing knowledge deficits, low prioritisation and time constraints. Tailored education and training, increased autonomy, resource expansion and greater family involvement can enhance nurses' KAP in nutrition management.

Medication reconciliation: impact of an educational intervention on the knowledge, attitude and practices of healthcare professionals - a prospective quasi-experimental study in a Saudi referral hospital

BackgroundMedication reconciliation has been acknowledged as a key intervention against medication errors. More than half of the medication errors that happen during care transitions are caused by unjustified medication discrepancies and up to one-third of these mistakes may be harmful. The study aimed to evaluate the knowledge, attitude and practices (KAP) of health care providers in on medication reconciliation process, pre and post educational intervention.MethodsA hospital-based prospective quasi-experimental pre-post intervention study was conducted from November 2023 to February 2024 among 346 healthcare professionals (medical doctors, pharmacists and nurses) practicing in King Saud Hospital (KSH), Unayzah, Saudi Arabia. The subjects were recruited using the convenience sampling method.An educational intervention workshop was conducted among the healthcare professionals. The KAP was assessed before and after the educational intervention using a content and face validated self-administered questionnaire. The statistical analyses were conducted using the Statistical Package for Social Sciences (SPSS). Wilcoxon Signed Rank Test was used to differentiate the mean response scores for knowledge, attitude, and practice domains, between pre and post intervention. Kruskal Wallis Test followed by Dunn’s post hoc test was used to compare the mean response scores for knowledge, attitude and practice domains based on educational qualification and practicing experience for the pre and post-test period. The level of significance is determined at P < 0.05.ResultsThere was a significant improvement in the participants’ knowledge, attitude and practice after the educational intervention with mean scores of 0.72 (SD = 1.67, p < 0.0001*), 0.76 (SD = 1.97, p < 0.0001*), and 0.56 (SD = 2.05, p = 0.001*) respectively. The overall KAP scores showed a statistically significant enhancement after the education intervention with a mean score difference of 2.04 (SD = 4.76, p < 0.0001*).Our study upholds that MedRec is highly valued by the participants due to its significant role in reducing medication errors and enhancing patient safety, and that it has the ability to recognize medication discrepancies and reduce adverse drug events.ConclusionThe education intervention effectively influenced the knowledge, attitude and practice of healthcare professionals regarding medication reconciliation. This study underscores the importance of continuous education and training for healthcare professionals to minimize medication discrepancies and improve patient care.

Knowledge, attitudes and practices of healthcare professionals in the management of patients with hypertension and concurrent bronchial asthma: a cross-sectional study in the Yellow River Delta region of China

ObjectiveTo assess the Knowledge, Attitudes and Practices (KAP) among healthcare professionals in managing patients with coexisting hypertension and bronchial asthma.DesignA cross-sectional survey. The reporting of this study followed the Strengthening...

Knowledge, attitudes and practices regarding pulmonary rehabilitation among patients with chronic respiratory diseases: a cross-sectional questionnaire-based study in a tertiary hospital in China

ObjectivesThis study aimed to evaluate the knowledge, attitudes and practices (KAP) of patients with chronic respiratory diseases towards pulmonary rehabilitation.DesignCross-sectional, web-based questionnaire study.SettingTertiary healthcare hospital in Taiyuan, Shanxi Province, China.ParticipantsA...

Evaluating rural adolescents’ climate change knowledge, attitudes and practices subsequent to a simple educational intervention in Bangalore, India

Objectives: This study aimed to evaluate the effectiveness of an educational intervention on adolescents’ knowledge, attitudes and practices (KAP) concerning climate change and its health impacts in rural Bangalore. Method: An interventional study design was employed, utilising a pre-test and post-test approach to measure changes in KAP before and after the intervention. Setting and Design: The study was conducted among students aged 12–16 years attending a government high school and a private high school in rural Bangalore, India. Baseline KAP was assessed using a semi-structured questionnaire. The intervention involved a child-to-child approach and flip charts in a manner informed by World Health Organization’s (WHO) Information, Education, and Communication (IEC) recommendations. A post-test was administered 6 weeks after the intervention. Data analysis included paired t-tests, Student t-tests and analysis of variance (ANOVA). Results: Out of 135 students with a mean age of 15 years, there was a significant increase in the mean knowledge scores from 9.97 to 14.27 ( p &lt; .05). Attitude scores improved slightly from 12.00 to 12.70, and practice scores increased from 7.53 to 9.67, though these changes were not statistically significant. Private school students showed more notable improvements in knowledge and attitudes compared to government school students. Conclusion: The educational intervention significantly enhanced students’ knowledge about climate change but had a more limited effect on attitudes and practices. The results highlight the importance of continued and diversified educational efforts to strengthen climate change awareness and promote sustainable behaviours among adolescents. Expanding such initiatives to other demographic groups could enhance their impact on fostering comprehensive climate action.

Knowledge, attitudes, and practices among physicians and pharmacists toward antibiotic use in sepsis.

Sepsis management in the Intensive Care Unit (ICU) presents a significant challenge within contemporary healthcare. The primary challenge lies in ensuring the timely and appropriate utilization of antibiotics. Inappropriate antibiotic use in sepsis management can result in a multitude of adverse outcomes. There has been insufficient focus on thoroughly understanding and resolving the issues related to the improper application of antibiotics in sepsis treatment by physicians and pharmacists. This gap in research is concerning, considering its potential implications for patient outcomes and public health. This study aimed to assess the knowledge, attitudes and practices (KAP) among physicians and pharmacists toward antibiotic use in sepsis. This web-based cross-sectional study was conducted at Shanxi Bethune Hospital between June 2023 and October 2023. A self-designed questionnaire was developed to collect demographic information of physicians and pharmacists, and to assess their knowledge, attitudes and practices toward antibiotic use in sepsis. A total of 200 valid questionnaires were collected. Among the participants, 115 (57.5%) were female and 118 (59%) had experience with ICU patient management. The mean knowledge, attitudes and practices scores were 10.2 ± 1.14 (possible range: 0-12), 45.88 ± 4.00 (possible range: 10-50) and 48.38 ± 5.84 (possible range: 11-55), respectively. Multivariate logistic regression showed that attitudes (OR = 1.59, 95%CI: 1.34-1.87, p < 0.001), work experience of 15 years and above (OR = 7.17, 95%CI: 2.33-22.0, p = 0.001) were independently associated with proactive practices. For physicians, the structural equation model (SEM) demonstrated that attitudes directly affects practices, as indicated by a path coefficient of 0.91 (p < 0.001). For pharmacist, SEM showed that knowledge directly affect attitudes, with a path coefficient of 0.75 (p < 0.024), moreover, attitudes directly affect practices, with a path coefficient of 0.87 (p < 0.001). The findings revealed that physicians and pharmacists have sufficient knowledge, active attitudes, and proactive practices toward the antibiotic use in sepsis. Nonetheless, the findings also reveal the persistence of certain misconceptions, alongside notable shortcomings in both attitudes and practices. Comprehensive training programs are imperative for enhancing the practices of physicians and pharmacists in this field.

Effectiveness of menstrual hygiene management training to enhance knowledge, attitude, and practice among adolescents in Sindhupalchowk, Nepal.

Menstrual Health (MH) knowledge, attitude and practice (KAP) are highly affected by access to information regarding menstruation. Despite being included in the school curriculum, Sexual and Reproductive Health (SRH) education is often not delivered in practice. School-based educational interventions have been shown to be effective in promoting MH. A school-based study was conducted in Indrawati rural municipality of Sindhupalchowk district in Nepal. 427 participants (175 boys and 252 girls), aged 11-13, completed a questionnaire evaluating MH KAP before receiving a structured training module on MH provided by experienced trainers from Putali Nepal using the Menstrupedia tool. The questionnaire was repeated one month after the training. Pre and post intervention scores were compared to determine the effect of the intervention. Focus group discussions were also conducted to understand the perceptions of participants toward SRH teaching. Association of independent socio-demographic with dependent variables knowledge and attitude towards menstrual health were analyzed using MANOVA test. The Wilcoxon signed-rank test was used to compare the median outcome of the pre and post-test attitude and knowledge. The maximum possible score was 6 for MH knowledge. The total attitude score ranged 14 to 70. The median knowledge score increased by 1 point (p = <0.001) and the median attitude score by 5 points (p = <0.001), one month after delivery of the intervention. Higher knowledge scores were significantly associated with Hindu religion, female gender, higher father's literacy, and mothers in an informal occupation on multivariate analysis. Higher attitude scores were significantly associated with Hindu religion while lower attitude scores were associated with a mother in an informal occupation. The Menstrupedia comic educational intervention improved knowledge and attitude towards menstruation among Nepali adolescents. A scale-up of the Menstrupedia based intervention would significantly change knowledge and attitude towards menstruation in Nepali adolescents.

Knowledge, attitudes and practices of intensive care unit physicians towards the management of acute respiratory distress syndrome in China: a cross-sectional survey

ObjectivesThis study aimed to assess the knowledge, attitudes and practices (KAP) of intensive care unit (ICU) physicians in China towards acute respiratory distress syndrome (ARDS).DesignA cross-sectional study was conducted between...

Evaluating interdisciplinary breastfeeding and lactation knowledge, attitudes and skills: An evaluation of a professional graduate programme for healthcare professionals.

Breastfeeding theoretical and skills training is important for health care professionals engaging with the mother infant dyad to increase breastfeeding exclusivity and duration. The aim of this study was to evaluate the knowledge, attitudes and practices (KAPs) of health care professionals following completion of a university professional graduate programme in breastfeeding and lactation. A pre and post-educational study design was used. All students enrolled in a six month programme were invited to complete an online anonymous survey at two time points: January 2023 and July 2023. Ethical approval (LS-C-23-17) was obtained in January 2023. Descriptive statistics were utilised to report percentages and means, and independent T tests were used to report mean differences between variables on knowledge, attitude and practices. All students completed the module. The pre survey participant response rate was n = 55 (92.82%) and the post survey participant response rate n = 33 (60%). Comparison of the pre and post questionnaire report nine statistically significant results following completion of the university breastfeeding and lactation programme. Knowledge scores increased specifically with higher mean knowledge scores for reporting "I am confident with my knowledge about breastfeeding" and statistically significant mean difference of 0.29 following completion of the module (95% CI, 0.13 to 0.45) (t (64) = 3.59, p = 0.001). The programme evaluation identifies the importance of a professional graduate breastfeeding and lactation education programme for interdisciplinary health care professionals increasing knowledge, attitudes and practices and ultimately increasing breastfeeding rates in the short and long term, with improved maternal and child health outcomes.

What do we know and how do we act: knowledge, attitude and practices around antimicrobial resistance

Background: The overuse and misuse of antibiotics has influenced a rise in antimicrobial resistance (AMR) thereby posing a significant threat to global health. Information on AMR has been available to the public; however, a gap exists in relay of information due to lack of effective interventions. This study focuses on exploring the knowledge, attitudes and practices (KAP) among rural, semi-urban and urban populations from Delhi NCR, India. Methods: This study was a cross-sectional questionnaire based online survey conducted across rural, semi-urban and urban areas of Delhi NCR for one month (June-July 2024). The questionnaire comprising 28 close-ended questions was administered in English and Hindi languages to participants aged 15-80 years. The questionnaire focused on knowledge, awareness and practices of antibiotics and antimicrobial resistance. Results: A total of 500 participants attempted the survey out of which 435 (87%) were aware about antibiotics. About 479 (95.8%) participants had earlier consumed antibiotics out of which 336/497 (70.1%) participants consumed antibiotics prescribed by doctors. Among 479 participants, 253 (52.8%) completed the course however 311 (69.1%) of the participants kept the antibiotics for reuse. Nearly 191/479 (39.9%) participants practiced antibiotics misuse by consumption of antibiotics when having similar symptoms as previously observed. The assessment of participants revealed that only 216/500 (43.2%) participants were knowledgeable about AMR. The participants aware of AMR agreed that the antibiotic practices of reuse (n=69/216, 31.9%), poor quality (n=87/216, 40.3%), lower dosage (n=81/216, 37.5%) and not completion of course (n=77/216, 35.6%) can result in AMR. Conclusions: The study highlights that despite the participants being informed about antibiotics and followed medical advice their practice of reusing antibiotics raises the need for tailored interventions to promote awareness about AMR and appropriate use of antibiotics.

Hepatitis B Patients' Adherence to Treatment in Relation to Knowledge, Attitudes, and Practices (KAP) in the West Bank, Palestine, 2022–2023

ABSTRACTHepatitis B is an infectious disease that inflicts high health and economic costs on the healthcare system. Poor adherence to treatment increases that cost. We aimed to assess the levels of knowledge, attitudes and practices (KAP) among patients in the West Bank, Palestine, and identify factors associated with good adherence. We conducted a cross‐sectional study surveying hepatitis B patients visiting primary healthcare during October 2022 until June 2023 using an interviewer‐administered questionnaire covering qualitative and quantitative aspects regarding hepatitis B. We considered adherence as good if participants received &gt; 90% of their monthly prescription antiviral doses. Among 386 participants, the median age was 45 years (range 20–81); 80% had good adherence to treatment. Mean knowledge score was 11.4 (on a 13‐point scale), mean attitude score was 3.4 (on a 4‐point scale), mean practices score was 6 (on a 7‐point scale) and the mean overall KAP score was 21.8 (on a 24‐point scale). KAP components (Cronbach alpha = 0.820) were correlated with good adherence (p &lt; 0.001). After adjustment for other factors, participants with good KAP scores had better adherence to treatment than those without (prevalence ratio: 1.41, 95% CI: 1.10–1.84, p‐value = 0.011). We recommend investment in education and awareness campaigns to improve adherence.

Knowledge, Attitude and Practice Regarding Biomedical Waste Management Among The Health Care Workers In Hospitals Of Bikaner, Rajasthan, India

Objective: To estimate the Knowledge, Attitude and Practice (KAP) with regarding to bio-medical waste management among the healthcare workers in hospitals of Bikaner district. Place and duration of study: The study was carried out at the affiliated hospitals of S. P. Medical College, Bikaner and at the hospitals under C.M.H.O., Bikaner from October 2022 to December 2022. Method: The study employed a quantitative research methodology, specifically utilizing a descriptive research design and simple random sampling technique to evaluate the levels of knowledge, attitude, and practice (KAP). A self-designed questionnaire and checklist were created to gather data before and after the trial. A preliminary study was carried out to assess the knowledge, attitude and practice level of 120 healthcare professionals working in hospitals in the Bikaner district regarding the management of biomedical waste. Subsequently, they were educated on this topic using a self-instructional module. A follow-up study was then conducted to measure the improvement in their knowledge, attitude and practice level regarding biomedical waste management. Result: After providing healthcare personnel at Bikaner district hospitals with a Self-Instructional Module, it was noted that their knowledge and level of practice regarding biomedical waste management improved. Conclusion: The study's findings indicate that strict compliance with regulations and the implementation of an enhanced environmental management system are necessary for the proper handling, sorting, transportation, storage, and disposal of biomedical waste. Additionally, training is essential for garbage handlers, scavengers, sweepers, as well as higher authorities and nursing staff.

Parents’ knowledge, attitudes and practices towards the prevention and treatment of dust mite allergy: a cross-sectional study in Shenyang (China)

ObjectiveThis cross-sectional study aimed to evaluate parents’ knowledge, attitudes and practices (KAP) concerning the prevention and treatment of dust mite allergy in children.DesignThis cross-sectional study survey was conducted from September...

Knowledge, attitude and practice toward fibromyalgia among fibromyalgia patients: A web-based cross-sectional study in China

BackgroundThis study aimed to explore the knowledge, attitude and practice (KAP) of fibromyalgia patients toward fibromyalgia.MethodsThis web-based cross-sectional study was conducted in China between February and March 2023 among fibromyalgia patients using a self-administered questionnaire.ResultsA total of 401 valid questionnaires were enrolled, including 326 (81.30%) females and with a mean age of 42.42 ± 11.78 years. The mean scores for KAP were 7.14 ± 2.72 (possible range: 0–10), 27.31 ± 4.24 (possible range: 8–40) and 28.08 ± 5.55 (possible range: 10–50), respectively. Multivariate logistic regression analysis showed knowledge (OR = 1.09, 95%CI: 1.04–1.15, P = 0.001) and patient global impression (PGI) on average pain severity in the last week (OR = 0.89, 95%CI: 0.81–0.97, P = 0.011) were independently associated with positive attitude. Attitude (OR = 1.08, 95%CI: 1.02–1.14, P = 0.006), initial consultation in orthopedics (OR = 2.15, 95%CI: 1.24–3.73, P = 0.006) and age (OR = 0.98, 95%CI: 0.96–1.00, P = 0.037) were independently associated with proactive practice. The structural equation model demonstrated that knowledge had a positive effect on attitude (β = 0.21, P = 0.006), and Widespread Pain Index (WPI) exhibited an impact on both knowledge (β = -0.04, P < 0.001) and attitude (β = -0.52, P = 0.001).ConclusionFibromyalgia patients showed suboptimal knowledge, moderate attitude and inactive practice toward fibromyalgia. To enhance fibromyalgia patient outcomes, recommendations include targeted education, addressing rural-urban disparities in knowledge, emphasizing early diagnosis, and adopting patient-centered approaches to promote positive attitude and better disease management.

Creation and validation of a tool to identify knowledge, attitudes and practices of Competitive Intelligence in Microentrepreneurs

One out of every two microenterprises survive during the first 5 years of its operation, due to factors such as lack of knowledge about the business environment and its administrative and financial structures, on the part of its managers and employees. In this scenario, competitive intelligence (CI) represents an alternative solution in the midst of the current changing and accelerated pace of doing business, including those associated with the Covid19 pandemic. However, the existing competitive intelligence implementation methodologies are currently very complex and costly for smaller companies, which is why this non-experimental cross-sectional research is based on the creation and systematic validation of an agile and practical tool to identify knowledge, attitudes and practices (KAP) on CI, starting with a systematic review of the state of the art related to the concepts of microenterprise and CI, a review of Competitive Intelligence questionnaires and Knowledge, Attitudes and Practices (KAP) questionnaires; and then a content validation by experts, and culminating with a pilot application to measure its reliability through Cronbach's Alpha index; resulting in a tool that favors methodologies or managerial, scientific, commercial or governmental actions that promote the competitive permanence of microenterprises, and therefore, the sustainable economic development of the regions

Individual-Level Drivers of Food Choices and Diet Quality Among Adolescents in Urban West Africa: Evidence From Accra, Ghana.

Diet quality is influenced by multiple individual factors, but their relative strength and importance remain unclear. We investigate the associations between five domains of individual factors (economic, cognitive, aspirational, situational and consumer behaviour) and diet intake of adolescents in Accra, Ghana. A cross-sectional survey among Junior High School (JHS) students (n = 409, mean age 14.3 years ± 1.28 (SD)) in Accra, Ghana, was conducted. Data on diet intake, knowledge, attitude and practices (KAP) and socioeconomic background characteristics were collected. Adjusting for other factors, students' total budget was positively associated with food group diversity (β = 0.12, 95% confidence interval [CI] 0.09-0.15) but inversely associated with diet quality (β = -0.07, 95% CI -0.11 to -0.03). Positive attitude towards nutrition and healthy eating was inversely associated with unfavourable diversity (β = -0.17, 95% CI -0.31 to -0.03). Differences between negative deviants relative to positive deviants were determined by attitude towards healthy eating (odds ratio [OR] = 0.41; 95% CI 0.17-0.99) and family practices (OR = 0.48; 95% CI 0.23-1.00). We provide evidence that higher food budgets were associated with higher diet diversity, but not with improved diet quality. Attitude, but not knowledge, was linked to better diet quality. Future studies should focus on the specific contribution of aspirational, situational and behavioural factors in directing increased diversity towards favourable eating habits.

Knowledge, attitudes and practices among patients with periodontal disease toward disease management.

Periodontal disease is a common chronic inflammatory condition that affects oral health and carries broader public health implications. This study aimed to assess the levels of knowledge, attitudes and practices (KAP) among patients with periodontal disease toward disease management. This cross-sectional web-based study was conducted between March 2022 and March 2023. A self-administered questionnaire was designed to evaluate KAP toward disease management. A total of 514 questionnaires were collected. Among the patients, 313 (60.89%) of them were female, 309 (60.12%) resided in urban areas and 130 (25.29%) reported having severe periodontal disease. The mean scores of knowledge, attitudes and practices were 3.05 ± 2.03 (possible range: 0-8), 18.71 ± 3.64 (possible range: 6-30), and 14.85 ± 3.63 (possible range: 5-25), respectively. The knowledge item with highest correctness rate was the link between periodontal disease and systemic health (60.70%), while the lowest correctness rate was seen for understanding disease classification (36.96%). Pearson's analysis revealed positive correlations between knowledge and attitude (r = 0.31, p < 0.001), knowledge and practices (r = 0.23, p < 0.001) attitudes, as well as attitudes and practices (r = 0.17, p < 0.001). Multivariate logistic regression analysis showed that knowledge (OR = 1.30, 95% CI: 1.14-1.49, p < 0.001), age ≥ 33 years old (OR = 0.33, 95% CI: 0.18-0.62, p = 0.001), housewife/househusband (OR = 0.41, 95% CI: 0.17-0.95, p = 0.037) and student (OR = 0.43, 95% CI: 0.20-0.92, p = 0.029) were independently associated with practices. Patients with periodontal disease had insufficient knowledge, negative attitudes, and passive practices toward disease management. Further efforts could be directed toward enhancing patient education on periodontal disease to improve knowledge, thereby positively influencing attitudes and disease management practices.

Empowering Nursing Practices: Enhancing Patient Care Through Knowledge, Attitude and Practice Towards Urinary Catheterisation in Taicang City.

To assess the knowledge, attitude and practice (KAP) towards unnecessary urinary catheterisation among nurses in Taicang City, China. Cross-sectional study. This study included nurses from our hospital and was conducted between February 2023 and June 2023. A self-administered questionnaire was designed to collect their demographic characteristics and KAP. A total of 233 valid questionnaires were collected. The mean KAP scores were 13.44 ± 1.62 (possible range: 0-17), 45.28 ± 3.87 (possible range: 10-50) and 43.85 ± 5.98 (possible range: 10-50), which indicated moderate knowledge, positive attitude and proactive practice, respectively. The Pearson's correlation analysis showed positive correlations between knowledge and attitude (r = 0.253, p < 0.001), knowledge and practice (r = 0.279, p < 0.001), as well as attitude and practice (r = 0.441, p < 0.001). Partial correlation analysis adjusted for age, gender, department, working experience and experience in treating patients with catheter-associated urinary tract infections also showed positive correlations among KAP. A structural equation modelling showed that both knowledge (β = 0.501, p = 0.047) and attitude (β = 0.691, p < 0.001) had direct effect on practice. This study found moderate knowledge, positive attitude and proactive practice among the participants. Both knowledge and attitude might affect their practice. We wanted to know the knowledge, attitude and behaviour of nurses in Taicang City towards unnecessary catheterisation. Moderate knowledge, positive attitude and proactive practice were found among the participants. The findings would provide evidence for policymakers to develop targeted educational intervention to improve nurses' practice and might improve the outcomes of patients. This study was reported to be adhered to the STROBE guideline. No patient or public contribution. Targeted educational intervention was needed to improve nurses' practice.