{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T14:03:00Z","timestamp":1788357780460,"version":"build-2803163510"},"reference-count":54,"publisher":"Public Library of Science (PLoS)","issue":"12","license":[{"start":{"date-parts":[[2025,12,9]],"date-time":"2025-12-09T00:00:00Z","timestamp":1765238400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS One"],"abstract":"<jats:p>To explore the current status of knowledge, attitudes, and practices (KAP) regarding incontinence-associated dermatitis (IAD) among clinical nurses in China and identify factors influencing these three aspects, this study adopted a cross-sectional design and was conducted in a tertiary hospital in Fujian Province, China, with 1,153 nurses completing the questionnaire. Primary outcome measures included nurses\u2019 IAD-related knowledge, attitude, and practice scores, with scoring rates of 70.6%, 90.9%, and 69.9% respectively; key low-scoring items in knowledge were \u201cIAD care products\u201d (2.04\u2009\u00b1\u20091.019) and \u201cIAD assessment tools\u201d (2.12\u2009\u00b1\u20090.923), while low-scoring practice items included \u201cactively participating in IAD seminars\u201d (60%) and \u201cusing IAD assessment tools\u201d (66%). Demographic and professional information collected included gender, age, highest educational attainment, work experience, job position, job grade, department, wound\/ostomy\/incontinence (W\/O\/I) team membership, and participation in W\/O\/I care training. Results showed that clinical nurses had insufficient IAD knowledge (only 15.3% with high knowledge levels) and inadequate practices, but held positive attitudes (75.4% with positive attitudes). Notably, male nurses demonstrated more comprehensive IAD knowledge than female nurses (p\u2009&lt;\u20090.05), though no significant gender difference was observed in practice (p\u2009=\u20090.883); this knowledge difference may be associated with male nurses\u2019 more frequent assignment to IAD-high-incidence departments (e.g., ICUs) and higher participation in W\/O\/I training. Factors influencing nurses\u2019 IAD-KAP included: 1) Common factors across KAP: job position (specialist nurses and head nurses performed better) and W\/O\/I team membership; 2) Dimension-specific factors: department affiliation (ICU nurses outperformed general ward nurses in knowledge and practice), participation in W\/O\/I training (improved knowledge and practice), gender (influencing knowledge only), and work experience (longer tenure correlated with more positive attitudes). Highest educational attainment was not a significant influencing factor, possibly due to inconsistent quality of part-time continuing education for nurses. In conclusion, participating nurses exhibited insufficient IAD knowledge and inadequate practices despite positive attitudes, presenting a notable \u201cattitude-practice gap\u201d. Nursing administrators should develop targeted training (e.g., scenario-based training on IAD assessment tools and care products) and encourage female nurses to rotate in high-incidence departments (e.g., ICUs), strengthen resource allocation (e.g., ensuring supply of IAD care products) and promote W\/O\/I team construction, and optimize continuing education quality to address knowledge disparities, thereby enhancing nurses\u2019 understanding of IAD prevention and improving their related practices.<\/jats:p>","DOI":"10.1371\/journal.pone.0337721","type":"journal-article","created":{"date-parts":[[2025,12,9]],"date-time":"2025-12-09T18:22:59Z","timestamp":1765304579000},"page":"e0337721","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":1,"title":["Clinical nurses\u2019 knowledge, attitudes and practices regarding incontinence-associated dermatitis: A cross-sectional study from China"],"prefix":"10.1371","volume":"20","author":[{"given":"Mufen","family":"Ye","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Siyue","family":"Fan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yanni","family":"Lin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoying","family":"Tong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuangling","family":"Kang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoxia","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qiuni","family":"Cai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Huiling","family":"Zeng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8730-6947","authenticated-orcid":true,"given":"Lijuan","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2025,12,9]]},"reference":[{"issue":"4","key":"pone.0337721.ref001","doi-asserted-by":"crossref","first-page":"388","DOI":"10.1097\/WON.0000000000000656","article-title":"Knowledge 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