{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T13:14:50Z","timestamp":1774444490644,"version":"3.50.1"},"reference-count":25,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,7,28]],"date-time":"2025-07-28T00:00:00Z","timestamp":1753660800000},"content-version":"vor","delay-in-days":27,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"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":["Nursing in Critical Care"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Multidrug\u2010resistant organisms (MDROs) pose a serious threat to patient safety in intensive care units (ICUs), where invasive procedures and extensive antibiotic use elevate the risk of transmission. Although educational interventions can enhance infection control compliance, their effects often decline over time.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To evaluate the effectiveness and sustainability of a repeated education programme on ICU nurses' knowledge and performance related to MDRO infection control.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>A one\u2010group pretest\u2013posttest study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Forty\u2010three ICU nurses received three monthly 50\u2010min education sessions. Knowledge scores significantly increased from 19.60 (SD\u2009=\u20091.62) at baseline to 21.79 (SD\u2009=\u20091.60) 2\u2009weeks post\u2010intervention and were maintained at 21.42 (SD\u2009=\u20091.40) after 3\u2009months (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Performance scores also improved from 94.65 (SD\u2009=\u200911.69) to 101.49 (SD\u2009=\u20098.29) and remained elevated at 102.63 (SD\u2009=\u20097.26) (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). No significant decline was observed between the post\u2010intervention measurements.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Repeated education significantly improved and sustained ICU nurses' knowledge and performance in MDRO infection control. The spaced and unit\u2010based format supports routine integration and reinforcement of infection control competencies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Relevance to Clinical Practice<\/jats:title>\n                    <jats:p>Brief, structured and repeated education sessions can be feasibly incorporated into ICU training programmes. This approach may strengthen adherence to MDRO prevention protocols and improve patient safety in high\u2010risk clinical settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/nicc.70123","type":"journal-article","created":{"date-parts":[[2025,7,28]],"date-time":"2025-07-28T08:58:47Z","timestamp":1753693127000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Effect of Repeated Education on\n                    <scp>ICU<\/scp>\n                    Nurses' Knowledge and Performance in\n                    <scp>MDRO<\/scp>\n                    Infection Control: A Pretest\u2013Posttest Study"],"prefix":"10.1111","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3599-4183","authenticated-orcid":false,"given":"Kyeongmin","family":"Jang","sequence":"first","affiliation":[{"name":"Department of Nursing, College of Health Sciences Daejin University  Pocheon\u2010si Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,7,28]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1126\/scitranslmed.abo7793"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40360\u2010023\u201000710\u2010w"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare11131946"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000023686"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598\u2010023\u201028270\u20103"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1004264"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.heliyon.2024.e33047"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.4266\/acc.2021.00409"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.iccn.2022.103227"},{"key":"e_1_2_14_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000037018"},{"key":"e_1_2_14_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13756\u2010021\u201000957\u20100"},{"key":"e_1_2_14_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2022.05.001"},{"key":"e_1_2_14_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/1129729820938202"},{"key":"e_1_2_14_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/00469580221098755"},{"key":"e_1_2_14_16_1","doi-asserted-by":"publisher","DOI":"10.1038\/s44159\u2010022\u201000089\u20101"},{"key":"e_1_2_14_17_1","doi-asserted-by":"publisher","DOI":"10.29333\/ejgm\/12571"},{"key":"e_1_2_14_18_1","doi-asserted-by":"publisher","DOI":"10.2147\/IDR.S461188"},{"key":"e_1_2_14_19_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889\u2010025\u201021836\u2010y"},{"key":"e_1_2_14_20_1","doi-asserted-by":"publisher","DOI":"10.1177\/20503121251318153"},{"key":"e_1_2_14_21_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13756\u2010020\u201000756\u2010z"},{"key":"e_1_2_14_22_1","first-page":"1","volume-title":"Knowledge, Health Belief and Confidence in Performance of Multidrug\u2010Resistant Organisms Infection Control Among Nurses in Small and Medium Sized Hospitals","author":"Choi M.","year":"2019"},{"issue":"1","key":"e_1_2_14_23_1","first-page":"89","article-title":"Path Analysis of Performance of Multidrug\u2010Resistant Organisms Management Guidelines Among Intensive Care Unit Nurses: With Focus on the Theory of Planned Behavior and Patient Safety Culture","volume":"11","author":"Gu J. 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