{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T18:15:30Z","timestamp":1788286530501,"version":"build-2803163510"},"reference-count":37,"publisher":"Public Library of Science (PLoS)","issue":"9","license":[{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosglobalpublichealth.org"],"crossmark-restriction":false},"short-container-title":["PLOS Glob Public Health"],"abstract":"<jats:p>This study aimed to assess undergraduate nursing students\u2019 knowledge and attitudes toward Primary Health Care in Jordan. This study adopted a descriptive cross-sectional design, involving 157 nursing students from two private and two public universities in the central region of Jordan. It utilized an Arabic version of a self-administered online Primary Health Care Questionnaire. The findings indicated that the majority of students exhibited high knowledge (77%) and positive attitudes (97%); however, there was a significant difference between students\u2019 knowledge, attitudes, and their socio-demographic factors. Moreover, the results revealed that demographic factors affect primary healthcare attitudes and knowledge, indicating that students\u2019 perspectives concerning PHC can be influenced by demographic factors, including gender (B\u2009=\u20090.173), academic performance (B\u2009=\u20090.044), and intent to leave nursing in the future (B\u2009=\u20090.122) at a significance level (&lt;0.05). Furthermore, the findings demonstrated that these demographic and academic factors significantly predicted the attitudes of undergraduate nursing students toward PHC in Jordan. Nursing students demonstrated high knowledge and positive attitudes toward primary healthcare services. Selected demographic characteristics were significantly associated with knowledge and attitudes, as supported by the statistical analysis. These findings highlight the importance of strengthening primary healthcare content and practical learning experiences within nursing education to support students\u2019 preparedness for future community-based health promotion and disease-prevention roles.<\/jats:p>","DOI":"10.1371\/journal.pgph.0007178","type":"journal-article","created":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T17:37:56Z","timestamp":1788284276000},"page":"e0007178","update-policy":"https:\/\/doi.org\/10.1371\/journal.pgph.corrections_policy","source":"Crossref","is-referenced-by-count":0,"title":["Undergraduate nursing students\u2019 knowledge and attitudes towards Primary Health Care"],"prefix":"10.1371","volume":"6","author":[{"given":"Nafa","family":"Odeh","sequence":"first","affiliation":[{"name":"Faculty of Nursing\/Al-Ahliyya Amman University","place":["Amman, Jordan"]},{"name":"Hamad Medical Corporation\/Qatar","place":["Doha, Qatar"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0892-346X","authenticated-orcid":true,"given":"Rabia S.","family":"Allari","sequence":"additional","affiliation":[{"name":"Faculty of Nursing\/Al-Ahliyya Amman University","place":["Amman, Jordan"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2026,9,1]]},"reference":[{"key":"pgph.0007178.ref001","author":"WHO","year":"2020"},{"key":"pgph.0007178.ref002","doi-asserted-by":"crossref","first-page":"66","DOI":"10.56284\/tnjr.v17i1.28","article-title":"Primary health care approach to achieving universal health coverage in Nigeria: are extant legal and policy regimes adequate?","volume":"17","author":"O Nnamuchi","year":"2022","journal-title":"Nig J R"},{"issue":"3","key":"pgph.0007178.ref003","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1080\/17441692.2020.1867881","article-title":"Health equity and health system strengthening - Time for a WHO re-think","volume":"17","author":"N Jensen","year":"2022","journal-title":"Glob Public Health"},{"key":"pgph.0007178.ref004","doi-asserted-by":"crossref","first-page":"23779608251340682","DOI":"10.1177\/23779608251340682","article-title":"Association between nurses\u2019 experiences of workplace incivility and caring responsibilities: a cross-sectional study","volume":"11","author":"RS Allari","year":"2025","journal-title":"SAGE Open Nurs"},{"issue":"1","key":"pgph.0007178.ref005","doi-asserted-by":"crossref","first-page":"16","DOI":"10.5334\/ijic.5518","article-title":"Nursing care coordination for patients with complex needs in primary healthcare: a scoping review","volume":"21","author":"M Karam","year":"2021","journal-title":"Int J Integr Care"},{"issue":"1","key":"pgph.0007178.ref006","article-title":"Attitudes toward health promotion among nurses in primary care settings: a cross-sectional study","volume":"16","author":"NN Abu-Baker","year":"2022","journal-title":"TONURSJ"},{"issue":"1","key":"pgph.0007178.ref007","doi-asserted-by":"crossref","DOI":"10.4102\/phcfm.v11i1.1916","article-title":"Primary health care nursing students\u2019 knowledge of and attitude towards the provision of preconception care in KwaZulu-Natal","volume":"11","author":"WC Ukoha","year":"2019","journal-title":"Afr J Prim Health Care Fam Med"},{"issue":"9","key":"pgph.0007178.ref008","doi-asserted-by":"crossref","first-page":"722","DOI":"10.22454\/FamMed.2022.167204","article-title":"Interprofessional primary care course impact on knowledge, attitudes, and careers","volume":"54","author":"WR Phillips","year":"2022","journal-title":"Fam Med"},{"key":"pgph.0007178.ref009","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.nepr.2019.07.006","article-title":"The impact of curriculum on nursing students\u2019 attitudes, perceptions and preparedness to work in primary health care: an integrative review","volume":"39","author":"KRB Calma","year":"2019","journal-title":"Nurse Educ Pract"},{"issue":"1","key":"pgph.0007178.ref010","doi-asserted-by":"crossref","first-page":"9","DOI":"10.37762\/jgmds.9-1.136","article-title":"Knowledge of and attitude towards primary healthcare among undergraduate medical students","volume":"9","author":"A Khattak","year":"2022","journal-title":"J Gandhara Med Dent Sci"},{"issue":"3","key":"pgph.0007178.ref011","doi-asserted-by":"crossref","first-page":"466","DOI":"10.1111\/phn.13296","article-title":"Patient satisfaction with primary health care services and primary health care providers","volume":"41","author":"RA Alburmawi","year":"2024","journal-title":"Public Health Nurs"},{"key":"pgph.0007178.ref012","doi-asserted-by":"crossref","first-page":"1","DOI":"10.3390\/healthcare11222924","article-title":"Knowledge and attitudes toward first aid among medical and nursing students at Taibah University in Madinah City, Saudi Arabia: a cross-sectional study","volume":"11","author":"MS Albadrani","year":"2023","journal-title":"Healthcare"},{"issue":"0","key":"pgph.0007178.ref013","doi-asserted-by":"crossref","DOI":"10.1590\/1518-8345.0327.2803","article-title":"Factors associated to clinical learning in nursing students in primary health care: an analytical cross-sectional study","volume":"24","author":"P Serrano-Gallardo","year":"2016","journal-title":"Rev Lat Am Enfermagem"},{"issue":"2","key":"pgph.0007178.ref014","doi-asserted-by":"crossref","first-page":"695","DOI":"10.1111\/ppc.12597","article-title":"Nursing students\u2019 views on the COVID-19 pandemic and their percieved stress levels","volume":"57","author":"H Aslan","year":"2021","journal-title":"Perspect Psychiatr Care"},{"issue":"2","key":"pgph.0007178.ref015","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1016\/j.colegn.2015.02.001","article-title":"Nursing students\u2019 intentions to enter primary health care as a career option: findings from a national survey","volume":"22","author":"JG Bloomfield","year":"2015","journal-title":"Collegian"},{"key":"pgph.0007178.ref016","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1016\/j.nedt.2017.10.001","article-title":"Factors associated with final year nursing students\u2019 desire to work in the primary health care setting: findings from a national cross-sectional survey","volume":"61","author":"JG Bloomfield","year":"2018","journal-title":"Nurse Educ Today"},{"key":"pgph.0007178.ref017","doi-asserted-by":"crossref","first-page":"103561","DOI":"10.1016\/j.nepr.2023.103561","article-title":"Examining family and community nurses\u2019 core competencies in continuing education programs offered in primary health care settings: an integrative literature review","volume":"67","author":"M Azimirad","year":"2023","journal-title":"Nurse Educ Pract"},{"key":"pgph.0007178.ref018","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1186\/s12912-015-0089-3","article-title":"Clinical supervision in primary health care; experiences of district nurses as clinical supervisors - a qualitative study","volume":"14","author":"E Bos","year":"2015","journal-title":"BMC Nurs"},{"key":"pgph.0007178.ref019","author":"GJ Hopkinson","year":"2021"},{"key":"pgph.0007178.ref020","doi-asserted-by":"crossref","first-page":"1476225","DOI":"10.3389\/fmed.2024.1476225","article-title":"The psychological empowerment and quality of work life among Jordanian primary care nurses and midwives","volume":"11","author":"AM Al-Obiedat","year":"2024","journal-title":"Front Med (Lausanne)"},{"issue":"1","key":"pgph.0007178.ref021","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1080\/00207411.2016.1264039","article-title":"Factors affecting help-seeking attitudes regarding mental health services among attendance of primary health care centers in Jordan","volume":"46","author":"NM Al Ali","year":"2017","journal-title":"International Journal of Mental Health"},{"issue":"3","key":"pgph.0007178.ref022","doi-asserted-by":"crossref","first-page":"1393","DOI":"10.30574\/wjarr.2023.18.3.1254","article-title":"A systematic review on the healthcare system in Jordan: strengths, weaknesses, and opportunities for improvement","volume":"18","author":"A Yussuf","year":"2023","journal-title":"World J Adv Res Rev"},{"issue":"3","key":"pgph.0007178.ref023","doi-asserted-by":"crossref","first-page":"266","DOI":"10.1108\/WWOP-04-2024-0019","article-title":"Knowledge and attitudes of nurses toward caring of older people in primary health-care centers at South of Jordan","volume":"29","author":"N Alhroub","year":"2024","journal-title":"Working with Older People"},{"issue":"11","key":"pgph.0007178.ref024","doi-asserted-by":"crossref","DOI":"10.1111\/ijcp.14797","article-title":"Perceptions of primary healthcare physicians in Jordan of their role in the COVID-19 pandemic: a cross-sectional study","volume":"75","author":"R Saadeh","year":"2021","journal-title":"Int J Clin Pract"},{"key":"pgph.0007178.ref025","volume-title":"The practice of social research","author":"ER Babbie","year":"2020"},{"key":"pgph.0007178.ref026","volume-title":"Essentials of nursing research: Appraising evidence for nursing practice","author":"DF Polit","year":"2020","edition":"10"},{"issue":"4","key":"pgph.0007178.ref027","doi-asserted-by":"crossref","first-page":"1149","DOI":"10.3758\/BRM.41.4.1149","article-title":"Statistical power analyses using G*Power 3.1: tests for correlation and regression analyses","volume":"41","author":"F Faul","year":"2009","journal-title":"Behav Res Methods"},{"issue":"1","key":"pgph.0007178.ref028","first-page":"79","article-title":"Development and testing of the Primary Health Care Questionnaire (PHCQ): results with students and faculty in diploma and degree nursing programs","volume":"29","author":"KI Chalmers","year":"1997","journal-title":"Can J Nurs Res"},{"issue":"24","key":"pgph.0007178.ref029","doi-asserted-by":"crossref","first-page":"3186","DOI":"10.1097\/00007632-200012150-00014","article-title":"Guidelines for the process of cross-cultural adaptation of self-report measures","volume":"25","author":"DE Beaton","year":"2000","journal-title":"Spine (Phila Pa 1976)"},{"key":"pgph.0007178.ref030","author":"Jordanian Nursing Council","year":"2016"},{"key":"pgph.0007178.ref031","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1016\/j.nedt.2017.10.003","article-title":"Australian student nurse\u2019s knowledge of and attitudes toward primary health care: a cross-sectional study","volume":"60","author":"S Mackey","year":"2018","journal-title":"Nurse Educ Today"},{"key":"pgph.0007178.ref032","doi-asserted-by":"crossref","DOI":"10.1093\/oso\/9780195125429.001.0001","volume-title":"Primary care: balancing health needs, services, and technology","author":"B Starfield","year":"1998"},{"key":"pgph.0007178.ref033","doi-asserted-by":"crossref","first-page":"581","DOI":"10.2147\/JMDH.S259905","article-title":"Anxiety and its association with preparation for future specialty: a cross-sectional study among medical students, Saudi Arabia","volume":"13","author":"NA AlShamlan","year":"2020","journal-title":"J Multidiscip Healthc"},{"issue":"1","key":"pgph.0007178.ref034","doi-asserted-by":"crossref","first-page":"162","DOI":"10.1186\/s12875-026-03261-1","article-title":"Choice of primary healthcare providers among population in urban areas of low- and middle-income countries: a systematic review of literature","volume":"27","author":"MZ Hasan","year":"2026","journal-title":"BMC Prim Care"},{"key":"pgph.0007178.ref035","author":"WHO","year":"2019"},{"issue":"8","key":"pgph.0007178.ref036","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0327506","article-title":"Clinical learning environments and experiences of nursing students in West Bank Universities: a mixed-methods study","volume":"20","author":"N Bsharat","year":"2025","journal-title":"PLoS One"},{"key":"pgph.0007178.ref037","author":"WHO","year":"2015"}],"container-title":["PLOS Global Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pgph.0007178","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T17:38:05Z","timestamp":1788284285000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pgph.0007178"}},"subtitle":[],"editor":[{"given":"Pengpeng","family":"Ye","sequence":"first","affiliation":[{"name":"National Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention","place":["CHINA"]}],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2026,9,1]]},"references-count":37,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2026,9,1]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pgph.0007178","relation":{},"ISSN":["2767-3375"],"issn-type":[{"value":"2767-3375","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,1]]}}}