{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T16:56:43Z","timestamp":1783702603708,"version":"3.55.0"},"reference-count":42,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T00:00:00Z","timestamp":1775088000000},"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>Catheter-associated urinary tract infection (CAUTI) is a leading healthcare-associated infection worldwide, associated with increased morbidity, prolonged hospitalization, higher costs, and antimicrobial resistance. Nurses play a critical role in prevention through evidence-based catheter insertion, maintenance, and timely removal.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To assess factors associated with knowledge, attitudes, and preventive practices regarding CAUTI among nurses in Aljouf City, Saudi Arabia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A descriptive cross-sectional study was conducted among 184 registered nurses in governmental hospitals in Aljouf City using a structured questionnaire on demographics, knowledge, attitudes, and practices (KAP) toward CAUTI prevention. Data were analyzed with descriptive statistics, independent t-tests, ANOVA, and Spearman\u2019s correlations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Overall, 77.7% of nurses had good knowledge, 84.8% showed positive attitudes, and 84.8% had adequate preventive practices. Knowledge scores differed significantly by years of experience (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.001), urinary catheter (UC) insertion frequency (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.001), and CAUTI guideline awareness (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.002). Attitudes varied by hospital (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.014), ward (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.007), and UC insertion frequency (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.032). Practices differed by hospital (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.006), UC insertion frequency (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.009), and guideline awareness (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.049). Spearman\u2019s correlations showed weak knowledge-attitude (\n                      <jats:italic>r<\/jats:italic>\n                      \u202f=\u202f0.231,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.002), moderate knowledge-practice (\n                      <jats:italic>r<\/jats:italic>\n                      \u202f=\u202f0.446,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.001), and strong attitude-practice (\n                      <jats:italic>r<\/jats:italic>\n                      \u202f=\u202f0.525, p\u202f&amp;lt;\u202f0.001) associations. Multivariable logistic regression showed that attitude was the strongest independent factor associated with adequate practice (AOR\u202f=\u202f0.251,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.005).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study demonstrates generally favorable knowledge, attitudes, and practices toward CAUTI prevention among Al-Jouf nurses, with moderate correlations, attitudes showed the strongest association with preventive practices.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1781575","type":"journal-article","created":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T05:24:31Z","timestamp":1775107471000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Factors associated with Saudi nurses\u2019 knowledge, attitudes, and practices in preventing catheter-associated urinary tract infection in Aljouf City: a cross-sectional study"],"prefix":"10.3389","volume":"14","author":[{"given":"Bahia Galal Abd Elrazik","family":"Siam","sequence":"first","affiliation":[{"name":"College of Nursing, University of Hail","place":["Hail, Saudi Arabia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khalda Mnawer M.","family":"Alshammari","sequence":"additional","affiliation":[{"name":"Al-Jouf Health Cluster, Ministry of Health","place":["Sakaka, Saudi Arabia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bassam Shayhan F.","family":"Alshammari","sequence":"additional","affiliation":[{"name":"Al-Jouf Health Cluster, Ministry of Health","place":["Sakaka, Saudi Arabia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aiman Mojidea M.","family":"Alshammari","sequence":"additional","affiliation":[{"name":"Prince Muteb Bin Abdulaziz Hospital, Al-Jouf Health Cluster, Ministry of Health","place":["Sakaka, Saudi Arabia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saad Majed Saad","family":"Alderaan","sequence":"additional","affiliation":[{"name":"King Khaled Hospital, Ha\u2019il Cluster","place":["Hail, Saudi Arabia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saad Thamer","family":"Alshammari","sequence":"additional","affiliation":[{"name":"Nursing Executive Administration, Hail Health Cluster","place":["Hail, Saudi Arabia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdulellah Nasser Abdulaziz","family":"Alshammari","sequence":"additional","affiliation":[{"name":"King Khaled Hospital, Ha\u2019il Cluster","place":["Hail, Saudi Arabia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Omar Nasser Saud","family":"Almaslamani","sequence":"additional","affiliation":[{"name":"King Khaled Hospital, Ha\u2019il Cluster","place":["Hail, Saudi Arabia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salman Amish Ayad","family":"Alshammari","sequence":"additional","affiliation":[{"name":"King Khaled Hospital, Ha\u2019il Cluster","place":["Hail, Saudi Arabia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wadha Habeeb","family":"Almatrafy","sequence":"additional","affiliation":[{"name":"Al-Jouf Health Cluster, Ministry of Health","place":["Sakaka, Saudi Arabia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Faisal Dakhilallah J.","family":"Alruwaili","sequence":"additional","affiliation":[{"name":"Al-Jouf Health Cluster, Ministry of Health","place":["Sakaka, Saudi Arabia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdulaziz Fayez L.","family":"Alruwaili","sequence":"additional","affiliation":[{"name":"Suwair General Hospital, Al-Jouf Health Cluster","place":["Sakaka, Saudi Arabia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jawaher Jaza M.","family":"Alruwaili","sequence":"additional","affiliation":[{"name":"Al-Jouf Health Cluster, Ministry of Health","place":["Sakaka, Saudi Arabia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mashael Musallam","family":"Alahmadi","sequence":"additional","affiliation":[{"name":"King Salman Bin Abdulaziz Medical City, Madinah Health Cluster","place":["Madinah, Saudi Arabia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mona Lahilam Alsamah","family":"Aldoghmani","sequence":"additional","affiliation":[{"name":"Al-Jouf Health Cluster, Ministry of Health","place":["Sakaka, Saudi Arabia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wejdan Sager S.","family":"Alrwaili","sequence":"additional","affiliation":[{"name":"Al-Jouf Health Cluster, Ministry of Health","place":["Sakaka, Saudi Arabia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mashal Khaled","family":"Alrowily","sequence":"additional","affiliation":[{"name":"Al-Jouf Health Cluster, Ministry of Health","place":["Sakaka, Saudi Arabia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hamdah Falgi Basheer","family":"Alruwaili","sequence":"additional","affiliation":[{"name":"Al-Jouf Health Cluster, Ministry of Health","place":["Sakaka, Saudi Arabia"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,4,2]]},"reference":[{"key":"ref1","year":"2022"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"356","DOI":"10.12788\/jhm.2724","article-title":"Systematic review of interventions to reduce urinary tract infection in nursing home residents","volume":"12","author":"Meddings","year":"2017","journal-title":"J Hosp Med"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"1209","DOI":"10.1017\/ice.2023.137","article-title":"Strategies to prevent catheter-associated urinary tract 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