{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T23:53:40Z","timestamp":1792108420992,"version":"4.4.0"},"reference-count":18,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T00:00:00Z","timestamp":1791763200000},"content-version":"vor","delay-in-days":11,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["International Wound Journal"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    Surgical site infection rates in Sub\u2010Saharan African tertiary hospitals remain high. As primary frontline caregivers, nurses' and midwives' theoretical knowledge and bedside practice directly govern clinical outcomes. However, empirical data evaluating baseline competence and its determinants in Wachemo University Nigist Eleni Mohamed Memorial Comprehensive Specialized Hospital remain limited. To evaluate knowledge, attitudes, self\u2010reported practices, and associated determinants regarding wound care among nurses and midwives at Wachemo University Nigist Eleni Mohamed Memorial Comprehensive Specialized Hospital. An institutional cross\u2010sectional study was conducted from January 15 to 30, 2026. Systematic random sampling selected 188 participants from a source population of 337 registered nurses and midwives. Data were collected via a validated questionnaire adapted from national guidelines and analysed using SPSS v25. Multivariable logistic regression computed Adjusted Odds Ratios (AOR) with 95% Confidence Intervals (CI). Spearman correlation (\u03c1) and Chi\u2010square tests evaluated domain relationships. Among 178 respondents (94.7% response rate), 33.7% demonstrated good theoretical knowledge (&gt;\u20096.0), 49.4% held an excellent attitude (&gt;\u20094.0), and 42.1% reported exemplary practice (&gt;\u20094.0). Multivariable regression revealed formal in\u2010service training as the sole independent predictor of good knowledge (AOR\u2009=\u20096.12, 95% CI: [2.45, 15.28],\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.001). Independent predictors of exemplary practice were clinical experience &gt;\u20095\u2009years (AOR\u2009=\u20092.68, 95% CI: [1.39, 5.17],\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.003) and good knowledge (AOR\u2009=\u20092.14, 95% CI: [1.08, 4.24],\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.029). Knowledge and practice scores showed a significant positive correlation (\u03c1\u2009=\u20090.398,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.001). Although nurses maintain favourable attitudes, theoretical knowledge regarding evidence\u2010based wound care remains suboptimal. This gap is driven primarily by a lack of post\u2010service training rather than basic academic qualifications. Structured continuous professional development programs are urgently required.\n                  <\/jats:p>","DOI":"10.1111\/iwj.71073","type":"journal-article","created":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T01:30:33Z","timestamp":1791855033000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Knowledge, Attitudes, and Practice Determinants of Wound Management Among Nurses and Midwives in Central Ethiopia: A Cross\u2010Sectional Study"],"prefix":"10.1111","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8302-9201","authenticated-orcid":false,"given":"Deginet Tesfaye","family":"Lonsako","sequence":"first","affiliation":[{"name":"Department of Nursing, College of Medicine and Health Sciences Wachemo University  Hossana Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6341-4679","authenticated-orcid":false,"given":"Ermias Sigebo","family":"Sugebo","sequence":"additional","affiliation":[{"name":"Department of Nursing, College of Medicine and Health Sciences Wachemo University  Hossana Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,12]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1089\/wound.2021.0026"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40719-022-00229-1"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13037-020-00232-y"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1089\/wound.2020.1232"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.2147\/CWCMR.S366322"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/hsr2.677"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12909-025-07883-4"},{"key":"e_1_2_13_9_1","unstructured":"(ET) MoH Human Resources for Health Strategic and Investment Plan for Ethiopia:2016\u20132022 EFY \/2024\u20132030(2024)."},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.4102\/hsag.v28i0.2180"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnsa.2023.100171"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare13182343"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.70178"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.13495"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.4103\/jfmpc.jfmpc_2331_20"},{"issue":"4","key":"e_1_2_13_16_1","doi-asserted-by":"crossref","first-page":"319","DOI":"10.12923\/pielxxiw-2024-0051","article-title":"Nurses' Motivation, Attitudes and Knowledge in Wound Care: A Cross\u2010Sectional Study","volume":"23","author":"Hal\u00e1sz B. G.","year":"2024","journal-title":"Pielegniarstwo XXI Wieku"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2015.06.006"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.12822"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.4314\/ejhs.v28i2.9"}],"container-title":["International Wound Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/iwj.71073","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/iwj.71073","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/iwj.71073","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T23:36:17Z","timestamp":1792107377000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/iwj.71073"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10]]},"references-count":18,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1111\/iwj.71073"],"URL":"https:\/\/doi.org\/10.1111\/iwj.71073","archive":["Portico"],"relation":{},"ISSN":["1742-4801","1742-481X"],"issn-type":[{"value":"1742-4801","type":"print"},{"value":"1742-481X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10]]},"assertion":[{"value":"2026-04-04","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-29","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-12","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e71073"}}