{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T06:04:02Z","timestamp":1789365842782,"version":"build-2803163510"},"reference-count":34,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T00:00:00Z","timestamp":1789344000000},"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>Objective<\/jats:title>\n                    <jats:p>This study aimed to investigate nurses' knowledge, attitude, and practice regarding bowel preparation for colonoscopy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This multicenter cross-sectional study was conducted among registered nurses from eight hospitals in Jiangsu Province, China, between December 2025 and March 2026. Data were collected using a self-administered online questionnaire covering demographic characteristics and KAP scores. Multivariable linear regression was used to identify factors associated with KAP scores, and structural equation modeling (SEM) was used to explore the relationships among knowledge, attitudes, and practices.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 382 valid questionnaires were included. The median knowledge, attitude, and practice scores were 10.00 (9.00, 14.00), 37.00 (36.00, 43.00), and 28.00 (23.00, 32.00), respectively. Lack of bowel preparation-related training was independently associated with lower knowledge (\u03b2 = \u22124.097, 95% CI: \u22125.006 to \u22123.188), attitude (\u03b2 = \u22121.052, 95% CI: \u22122.000 to \u22120.104), and practice scores (\u03b2 = \u22122.297, 95% CI: \u22123.335 to \u22121.260). SEM showed significant direct associations of knowledge with attitude (\u03b2 = 0.491, 95% CI: 0.407\u20130.584,\n                      <jats:italic>P<\/jats:italic>\n                      = 0.001) and practice (\u03b2 = 0.707, 95% CI: 0.626\u20130.780,\n                      <jats:italic>P<\/jats:italic>\n                      = 0.002), as well as a significant indirect association between knowledge and practice through attitude (\u03b2 = 0.068, 95% CI: 0.024\u20130.118,\n                      <jats:italic>P<\/jats:italic>\n                      = 0.002).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Nurses demonstrated insufficient knowledge, positive attitudes, and moderate practice regarding bowel preparation for colonoscopy. These findings identify potential targets for future nurse-oriented educational and organizational interventions, particularly knowledge gaps and bowel preparation-related practices.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1921528","type":"journal-article","created":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T05:38:22Z","timestamp":1789364302000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Knowledge, attitudes, and practices of nurses regarding bowel preparation for colonoscopy: a structural equation modeling analysis"],"prefix":"10.3389","volume":"14","author":[{"given":"Qian","family":"Han","sequence":"first","affiliation":[{"name":"Endoscopy Center, Affiliated Hospital of Jiangnan University","place":["Wuxi, Jiangsu, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hongping","family":"Zhou","sequence":"additional","affiliation":[{"name":"Endoscopy Center, Affiliated Hospital of Jiangnan University","place":["Wuxi, Jiangsu, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lin","family":"Xu","sequence":"additional","affiliation":[{"name":"Endoscopy Center, Affiliated Hospital of Jiangnan University","place":["Wuxi, Jiangsu, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Huiming","family":"Tu","sequence":"additional","affiliation":[{"name":"Endoscopy Center, Affiliated Hospital of Jiangnan University","place":["Wuxi, Jiangsu, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,9,14]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"229","DOI":"10.3322\/caac.21834","article-title":"Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries","volume":"74","author":"Bray","year":"2024","journal-title":"CA Cancer J Clin."},{"key":"B2","doi-asserted-by":"publisher","first-page":"47","DOI":"10.1016\/j.jncc.2024.01.006","article-title":"Cancer incidence and mortality in China, 2022","volume":"4","author":"Han","year":"2024","journal-title":"J Natl Cancer Center."},{"key":"B3","doi-asserted-by":"publisher","first-page":"1010","DOI":"10.1097\/DCR.0000000000003789","article-title":"Disparities in uptake of the 2021 US preventive services task force colorectal cancer screening recommendations among adults aged 45 to 49 Years","volume":"68","author":"Myers","year":"2025","journal-title":"Dis Colon Rectum."},{"key":"B4","doi-asserted-by":"publisher","first-page":"775","DOI":"10.1055\/a-0959-0505","article-title":"Bowel preparation for colonoscopy: European Society of Gastrointestinal Endoscopy (ESGE) Guideline - 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