{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T06:59:37Z","timestamp":1785394777254,"version":"3.55.0"},"reference-count":38,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Sage Open Nursing"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Catheter associated urinary tract infections remain among the most prevalent hospital-acquired infections. However, no pooled estimates of nurse\u2019s knowledge and practice towards catheter associated urinary tract infection prevention currently exist in Africa and Asia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To assess nurses\u2019 knowledge, practice and associated factors towards Catheter associated urinary tract infection prevention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The researchers conducted extensive search of institutional repositories, PubMed, Science Direct, Hinari, Cochrane, and Google Scholar. The Newcastle-Ottawa Scale was used to assess the quality of the study. STATA 17 was used for data analysis, and funnel plot, Eggers test and meta-regression were used to examine publication bias and heterogeneity. Additionally, sensitivity analyses, and subgroup analysis were conducted. Studies on knowledge and practice toward catheter-associated urinary infection prevention among nurses were included and studies conducted other than nurses were excluded. A total of 8,647 articles were retrieved from online databases, of which only 21 articles were eligible for final analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Nurses\u2019 overall CAUTI preventive knowledge (61%, I\n                      <jats:sup>2<\/jats:sup>\n                      =3.47%) and practice (55%, I\n                      <jats:sup>2<\/jats:sup>\n                      =0.46%) are moderate, indicating a gap between knowledge and practice. The availability of guidelines (OR: 2.67, CI: 1.84\u20133.51, p&lt;0.001), training (OR: 1.82, 95% CI: 1.43\u20132.32, p &lt;0.001), and five to ten years of work experience (OR: 2.15, 95% CI: 1.45\u20133.17, p&lt;0.001) were all factors that were substantially associated with having good knowledge. Good practice was determined by good knowledge (OR: 2.66 (95% CI: 1.09\u20136.52), I\n                      <jats:sup>2<\/jats:sup>\n                      = 83.34%, p = 0.031), a good attitude (OR: 2.38 (95% CI: 1.80\u20133.15), I\n                      <jats:sup>2<\/jats:sup>\n                      =22.3 %, p&lt;0.001) and having infection prevention guidelines (OR: 2.23 (95% CI: 1.50, 3.32, I\n                      <jats:sup>2<\/jats:sup>\n                      = 0.0%, p &lt;0.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The knowledge and practice of catheter-associated urinary tract infection prevention among nurses in Africa and Asia were at a moderate level. However, significant regional disparities still exist, most likely due to variations in healthcare systems, resources, and research techniques.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/23779608261473953","type":"journal-article","created":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T23:36:26Z","timestamp":1785195386000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Nurses\u2019 Knowledge, Practice, and Associated Factors Regarding Catheter-Associated Urinary Tract Infection Prevention: A Systematic Review and Meta-Analysis"],"prefix":"10.1177","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5438-8237","authenticated-orcid":false,"given":"Addisu Simachew","family":"Asgai","sequence":"first","affiliation":[{"name":"Debark University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Desalegn Mitiku","family":"Kidie","sequence":"additional","affiliation":[{"name":"Debark University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tadios","family":"Lidetu","sequence":"additional","affiliation":[{"name":"Debark University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-0840-8707","authenticated-orcid":false,"given":"Tsegaamlak Kumelachew","family":"Derse","sequence":"additional","affiliation":[{"name":"Debark University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yideg Abinew","family":"Kebede","sequence":"additional","affiliation":[{"name":"Debark University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jenberu Mekurianew","family":"Kelkay","sequence":"additional","affiliation":[{"name":"Debark University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abiot Dagne","family":"Ayele","sequence":"additional","affiliation":[{"name":"Debre Markos University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Misganaw","family":"Alelign","sequence":"additional","affiliation":[{"name":"Debark University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moges Tadesse","family":"Abebe","sequence":"additional","affiliation":[{"name":"Debark University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,27]]},"reference":[{"issue":"11","key":"e_1_3_6_2_1","article-title":"A study to assess factors associated with urinary catheterization practice among nurses in three tertiary hospitals of the Amhara Region, Ethiopia: a cross-sectional study","volume":"5","author":"Abinew Y.","year":"2024","unstructured":"Abinew Y., Tesfaye B., Nahusenay H., Lake B., Fenta Y. (2024). A study to assess factors associated with urinary catheterization practice among nurses in three tertiary hospitals of the Amhara Region, Ethiopia: a cross-sectional study. J Comm Med and Pub Health Rep, 5(11).","journal-title":"J Comm Med and Pub Health Rep"},{"key":"e_1_3_6_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/1757177412436818"},{"issue":"2","key":"e_1_3_6_4_1","first-page":"52","article-title":"Nurses\u2019 Knowledge Regarding Catheter Associated Urinary Tract Infections in Public Tertiary Care Hospitals Peshawar, Pakistan","volume":"10","author":"Ali M.","year":"2020","unstructured":"Ali M., Shah M., Ayaz M. (2020). Nurses\u2019 Knowledge Regarding Catheter Associated Urinary Tract Infections in Public Tertiary Care Hospitals Peshawar, Pakistan. i-Manager's Journal on Nursing, 10(2), 52.","journal-title":"i-Manager's Journal on Nursing"},{"key":"e_1_3_6_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.70086"},{"key":"e_1_3_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.idh.2024.02.005"},{"key":"e_1_3_6_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-020-01001-2"},{"key":"e_1_3_6_8_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0040-1716664"},{"issue":"6","key":"e_1_3_6_9_1","first-page":"742","article-title":"The effect of a short educational intervention on the use of urinary catheters: a prospective cohort study","volume":"28","author":"Blondal K.","year":"2016","unstructured":"Blondal K., Ingadottir B., Einarsdottir H., Bergs D., Steingrimsdottir I., Steindorsdottir S., Hafsteinsdottir E. (2016). The effect of a short educational intervention on the use of urinary catheters: a prospective cohort study. International Journal for Quality in Health Care, 28(6), 742\u2013748. https:\/\/doi.org\/10.1093\/intqhc\/mzw108","journal-title":"International Journal for Quality in Health Care"},{"key":"e_1_3_6_10_1","volume-title":"Catheter-associated Urinary Tract Infection (CAUTI) Basics","author":"CDC","year":"2025","unstructured":"CDC. (2025). Catheter-associated Urinary Tract Infection (CAUTI) Basics."},{"key":"e_1_3_6_11_1","volume-title":"The knowledge, attitudes and practices on urinary catheterization and catheter-associated urinary tract infections among nursing officers in Teaching Hospital Karapitiya","author":"Chamini G.","year":"2020","unstructured":"Chamini G., Karunanayake A. (2020a). 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