{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T15:25:50Z","timestamp":1781018750449,"version":"3.54.1"},"reference-count":39,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T00:00:00Z","timestamp":1771286400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Hemodialysis, as one of the main alternative treatment methods for end-stage renal disease, has received much attention in recent years. Due to the particularity of hemodialysis treatment, patients have a relatively high risk of infection during the treatment process. Hemodialysis nurses, who are the main executors of the treatment operations and have the most contact with patients, have a close relationship with the infection risk of patients. The level of their hospital infection prevention and control literacy is closely related to the infection risk of patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To explore the current level of knowledge, attitudes, and practices (KAP) of hospital infection prevention and control among haemodialysis nurses in the Sichuan Province, China, and identified their potential categories. This provided evidence-based recommendations for improving infection control management in hemodialysis departments.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A cross-sectional study was conducted From July 15 to August 15, 2025 using a convenience sampling method to survey 470 hemodialysis nurses from 78 hospitals in Sichuan Province. Participants were licensed nurses with over 3\u202fmonths of hemodialysis experience. Data were collected using the\n                      <jats:italic>General Information Questionnaire<\/jats:italic>\n                      , the\n                      <jats:italic>Haemodialysis Nurses\u2019 KAP Questionnaire on Hospital Infection Prevention and Control<\/jats:italic>\n                      (48 items), the Utrecht Work Engagement Scale-9 (UWES-9) (9 items), and the\n                      <jats:italic>Organizational Support Scale<\/jats:italic>\n                      (12 items). Rigorous online data quality control measures were implemented, including IP duplication checks and response time validation. The latent potential profile (LPA) was used to analyze the current level of KAP of hospital infection prevention and control among haemodialysis nurses, and binary Logistic analysis was employed to identify the influencing factors.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 460 valid questionnaires were collected, with an effective response rate of 97.87%. The average scores for knowledge, attitudes, and practices related to hospital infection prevention and control among haemodialysis nurses were 4.67\u202f\u00b1\u202f0.43, 4.59\u202f\u00b1\u202f0.43, and 4.74\u202f\u00b1\u202f0.34, respectively. Three latent profile models were constructed, with the two-class model identified as the optimal solution, which were defined as the \u201cLow KAP Group\u201d (25.9%) and \u201cHigh KAP Group\u201d (74.1%). Logistic regression analysis revealed that sex, responsibility for infection control, hospital level, annual number of infection control training sessions, organizational support, and work engagement were significant influencing factors (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;0.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The KAP level of haemodialysis nurses in hospital infection prevention and control was relatively high. Hospital managers should tailor supportive work environments on the basis of the individual characteristics and work engagement of haemodialysis nurses to improve the KAP level of nosocomial infection prevention and control among haemodialysis nurses.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1734891","type":"journal-article","created":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T17:41:56Z","timestamp":1771350116000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Latent profile analysis of knowledge, attitude and practice of hospital infection prevention and control among haemodialysis nurses in Sichuan, China: a multicenter study"],"prefix":"10.3389","volume":"14","author":[{"given":"Li","family":"He","sequence":"first","affiliation":[{"name":"Hemodialysis Center, Department of Nephrology, West China Hospital, Sichuan University\/West China School of Nursing, Sichuan University","place":["Chengdu, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wen-Wen","family":"Yu","sequence":"additional","affiliation":[{"name":"Hemodialysis Center, Department of Nephrology, West China Hospital, Sichuan University\/West China School of Nursing, Sichuan University","place":["Chengdu, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hao-Tian","family":"Zheng","sequence":"additional","affiliation":[{"name":"Hemodialysis Center, Department of Nephrology, West China Hospital, Sichuan University\/West China School of Nursing, Sichuan University","place":["Chengdu, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xu-Hua","family":"Zhou","sequence":"additional","affiliation":[{"name":"Hemodialysis Center, Department of Nephrology, West China Hospital, Sichuan University\/West China School of Nursing, Sichuan University","place":["Chengdu, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fu","family":"Qiao","sequence":"additional","affiliation":[{"name":"Hemodialysis Center, Department of Nephrology, West China Hospital, Sichuan University\/West China School of Nursing, Sichuan University","place":["Chengdu, China"]},{"name":"Department of Infection Control, West China Hospital, Sichuan University","place":["Chengdu, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ying-Jun","family":"Zhang","sequence":"additional","affiliation":[{"name":"Hemodialysis Center, Department of Nephrology, West China Hospital, Sichuan University\/West China School of Nursing, Sichuan University","place":["Chengdu, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lin","family":"Chen","sequence":"additional","affiliation":[{"name":"Hemodialysis Center, Department of Nephrology, West China Hospital, Sichuan University\/West China School of Nursing, Sichuan University","place":["Chengdu, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,2,17]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"e307","DOI":"10.1016\/s2214-109x(16)00071-1","article-title":"Chronic kidney disease and cardiovascular risk in six regions of the world (ISN-KDDC): a cross-sectional study","volume":"4","author":"Ene-Iordache","year":"2016","journal-title":"Lancet Glob Health"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"709","DOI":"10.1016\/s0140-6736(20)30045-3","article-title":"Global, regional, and national burden of chronic kidney disease, 1990-2017: a systematic analysis for the global burden of disease study 2017","volume":"395","year":"2020","journal-title":"Lancet"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"298","DOI":"10.1001\/jamainternmed.2022.6817","article-title":"Prevalence of chronic kidney disease in China: results from the sixth China chronic disease and risk factor surveillance","volume":"183","author":"Wang","year":"2023","journal-title":"JAMA Intern Med"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"230","DOI":"10.1111\/hdi.12728","article-title":"Increased risk of Staphylococcus aureus bacteremia in hemodialysis-a nationwide study","volume":"23","author":"Chaudry","year":"2019","journal-title":"Hemodial Int"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"2738","DOI":"10.4103\/jfmpc.jfmpc_955_23","article-title":"To assess the impact of training about hospital infection control measures related to hemodialysis services on the knowledge of healthcare providers (HCPs) at the teaching institution of Haryana","volume":"12","author":"Singh","year":"2023","journal-title":"J Family Med Prim Care"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"688","DOI":"10.1186\/s12879-018-3594-7","article-title":"Risk of death after first-time blood stream infection in incident dialysis patients with specific consideration on vascular access and comorbidity","volume":"18","author":"Nelveg-Kristensen","year":"2018","journal-title":"BMC Infect Dis"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"2143","DOI":"10.4103\/0366-6999.213961","article-title":"Community Hemodialysis in China: opportunities and challenges","volume":"130","author":"Zhou","year":"2017","journal-title":"Chin Med J"},{"key":"ref8","first-page":"276","article-title":"Vascular access and risk of bloodstream infection among older incident hemodialysis patients","author":"Kazakova","year":"2020"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"e146","DOI":"10.1016\/j.jhin.2018.07.041","article-title":"Risk behaviours for organism transmission in daily care activities: a longitudinal observational case study","volume":"100","author":"Lindberg","year":"2018","journal-title":"J Hosp Infect"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"e19125","DOI":"10.7759\/cureus.19125","article-title":"Impact of video modules-based training on knowledge, attitude, and practices of cleaning and disinfection among housekeeping staff at a tertiary care Center during the COVID-19 pandemic","volume":"13","author":"Singh","year":"2021","journal-title":"Cureus"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"547","DOI":"10.1186\/s12913-019-4347-z","article-title":"Nurses' knowledge, behaviour and compliance concerning hand hygiene in nursing homes: a cross-sectional mixed-methods study","volume":"19","author":"Hammerschmidt","year":"2019","journal-title":"BMC Health Serv Res"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"126","DOI":"10.1111\/nhs.12659","article-title":"Factors contributing to clinical nurse compliance with infection prevention and control practices: a cross-sectional study","volume":"22","author":"Kim","year":"2020","journal-title":"Nurs Health Sci"},{"key":"ref13","first-page":"648","article-title":"The performance of healthcare-associated infection control guideline among hospital nurses: a structural equation model","volume":"47","author":"Moon","year":"2018","journal-title":"Iran J Public Health"},{"key":"ref14","first-page":"1178","article-title":"General standard for infection prevention and control of departments with high infection risk in healthcare facilities","volume":"24","year":"2025","journal-title":"Chin J Infect Control"},{"key":"ref15","volume-title":"The standard accuracy of nosocomial infection monitoring in hospitals WS\/T312-2023","year":"2023"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"555","DOI":"10.1007\/978-3-031-31986-0_54","article-title":"Perceptions of teamwork and knowledge attitudes of hemodialysis unit nurses on infection prevention","volume":"1425","author":"Prevyzi","year":"2023","journal-title":"Adv Exp Med Biol"},{"key":"ref17","first-page":"2536","article-title":"Current situation of knowledge, attitude and practice of clinical nurses in prevention of hemodialysis catheter-related bloodstream infection and influencing factors","volume":"34","author":"Hui","year":"2024","journal-title":"Chin J Nosocomiol"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"640","DOI":"10.1080\/10705511.2013.824781","article-title":"Statistical power to detect the correct number of classes in latent profile analysis","volume":"20","author":"Tein","year":"2013","journal-title":"Struct Equ Modeling"},{"key":"ref19","first-page":"387","article-title":"Guidelines for the prevention and control of vessel catheter associated infection (2021 Edition)","volume":"20","year":"2021","journal-title":"Chin J Infect Control"},{"key":"ref20","first-page":"S1","article-title":"KDOQI clinical practice guideline for vascular access: 2019 update","author":"Lok","year":"2020"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"686","DOI":"10.3969\/j.issn.1671-4091.2022.09.014","article-title":"Strategy and status of nosocomial infection control in hemodialysis centers: experience from Beijing blood purification quality control and improvement Center. Chinese journal of","volume":"21","author":"Yue","year":"2022","journal-title":"Blood Purif"},{"key":"ref22","first-page":"701","article-title":"Measurement, p., The measurement of work engagement with a short questionnaire: a cross-national study","author":"Schaufeli","year":"2006"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"97","DOI":"10.11847\/zgggws2013-29-01-32","article-title":"Evaluation on reliability and validity of Utrecht work engagement scale(UWES-9),Chinese version among policemen","volume":"29","author":"Xinwei","year":"2013","journal-title":"Chin J Public Health"},{"key":"ref24","author":"Xiaohua","year":"2011"},{"key":"ref25","first-page":"1519","article-title":"Standard for infection prevention and control in hemodialysis department (center)","volume":"24","year":"2025","journal-title":"Chin J Infect Control"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"117","DOI":"10.1515\/ijnes-2023-0117","article-title":"Knowledge, attitudes, and practices toward infection control precautions among nurses in Palestinian hospitals","volume":"21","author":"Ayed","year":"2024","journal-title":"Int J Nurs Educ Scholarsh"},{"key":"ref27","doi-asserted-by":"publisher","first-page":"831","DOI":"10.3390\/ijerph182211831","article-title":"Knowledge, attitude and practice of standard infection control precautions among health-Care Workers in a University Hospital in Qassim, Saudi Arabia: a cross-sectional survey","volume":"18","author":"Abalkhail","year":"2021","journal-title":"Int J Environ Res Public Health"},{"key":"ref28","doi-asserted-by":"publisher","first-page":"20","DOI":"10.1016\/j.nedt.2018.06.021","article-title":"Nursing students' knowledge, attitude and practices of infection prevention and control guidelines at a tertiary institution in the Western cape: a cross sectional study","volume":"69","author":"Rahiman","year":"2018","journal-title":"Nurse Educ Today"},{"key":"ref29","doi-asserted-by":"publisher","first-page":"3816","DOI":"10.11816\/cn.ni.2023-230821","article-title":"Construction of the core competence evaluation index system for specialist nurses in nosocomial infection prevention and control department","volume":"33","author":"Li","year":"2023","journal-title":"Chin J Nosocomiol"},{"key":"ref30","doi-asserted-by":"publisher","first-page":"145","DOI":"10.1016\/j.jhin.2024.04.004","article-title":"Human resource management to assist infection prevention and control professionals: a scoping review","volume":"148","author":"\u00dclg\u00fct","year":"2024","journal-title":"J Hosp Infect"},{"key":"ref31","doi-asserted-by":"publisher","first-page":"1906","DOI":"10.11816\/cn.ni.2019-190825","article-title":"Nosocomial infection prevention and control knowledge, attitude and practice and influencing factor survey among healthcare workers","volume":"29","author":"Yuping","year":"2019","journal-title":"Chin J Hosp Infect"},{"key":"ref32","doi-asserted-by":"publisher","first-page":"278","DOI":"10.11816\/cn.ni.2026-251157","article-title":"Current status of infection control in tertiary public general hospitals of selected provinces in eastern central and western China and regional characteristics","volume":"36","author":"Luo","year":"2025","journal-title":"Chin J Nosocomiol"},{"key":"ref33","doi-asserted-by":"publisher","first-page":"98238","DOI":"10.1177\/20503121221098238","article-title":"Practices and associated factors of infection prevention of nurses working in public and private hospitals toward COVID-19 in Bahir Dar City, Northwest Ethiopia: institution-based cross-sectional study","volume":"10","author":"Eyayu","year":"2022","journal-title":"SAGE Open Med"},{"key":"ref34","doi-asserted-by":"publisher","first-page":"291","DOI":"10.1016\/s0140-6736(20)31678-0","article-title":"The truth is out there, somewhere","volume":"396","author":"The","year":"2020","journal-title":"Lancet"},{"key":"ref35","doi-asserted-by":"publisher","first-page":"e19126","DOI":"10.2196\/19126","article-title":"Information overload in emergency medicine physicians: a multisite case study exploring the causes, impact, and solutions in four North England National Health Service Trusts","volume":"22","author":"Sbaffi","year":"2020","journal-title":"J Med Internet Res"},{"key":"ref36","doi-asserted-by":"publisher","first-page":"551","DOI":"10.2147\/rmhp.S395918","article-title":"Relationships between perceived organizational support, psychological capital and work engagement among Chinese infection control nurses","volume":"16","author":"Tian","year":"2023","journal-title":"Risk Manag Healthc Policy"},{"key":"ref37","doi-asserted-by":"publisher","first-page":"8296762","DOI":"10.1155\/2024\/8296762","article-title":"Organizational support for nurses' career planning and development: a scoping review","volume":"2024","author":"Kallio","year":"2024","journal-title":"J Nurs Manag"},{"key":"ref38","doi-asserted-by":"publisher","first-page":"683","DOI":"10.1111\/sjop.13017","article-title":"Nurses' organizational climate of perceived organizational support and its relationships with psychosocial working conditions and psychological contracts: a longitudinal questionnaire study","volume":"65","author":"Larsman","year":"2024","journal-title":"Scand J Psychol"},{"key":"ref39","doi-asserted-by":"publisher","first-page":"765","DOI":"10.1111\/jan.15889","article-title":"The role of perceived organizational support for nurses' ability to handle and resolve ethical value conflicts: a mixed methods study","volume":"80","author":"Skyvell Nilsson","year":"2024","journal-title":"J Adv Nurs"}],"container-title":["Frontiers in Public Health"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2026.1734891\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T17:42:01Z","timestamp":1771350121000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2026.1734891\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,17]]},"references-count":39,"alternative-id":["10.3389\/fpubh.2026.1734891"],"URL":"https:\/\/doi.org\/10.3389\/fpubh.2026.1734891","relation":{},"ISSN":["2296-2565"],"issn-type":[{"value":"2296-2565","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,17]]},"article-number":"1734891"}}