Knowledge, attitude, and practice regarding standard precautions among nurses at aprovincial general Hospital in Vietnam: A cross-sectional study

Tóm tắt

Objective: This study aimed to assess knowledge, attitude, and practice (KAP) regarding standard precautions (SPs) among nurses at Vinh City General Hospital and to identify factors associated with adequate knowledge, positive attitude, and good practice.
Method: A single-site cross-sectional study was conducted at Vinh City General Hospital from July 2024 to March 2025 among 254 nurses directly involved in patient care. A census sampling method was used. Data were collected by direct interview using a structured questionnaire developed from infection-control guidance and previous studies. Adequate knowledge was defined as a score of at least 25/35 points (>=70%); positive attitude as at least 36/45 points (>=80%); and good practice as at least 20/22 points (>=80%) with correct responses to two reverse-coded questions. Descriptive statistics, chi-square tests, and multivariable logistic regression were used.
Results: Among 254 nurses, 68.9% had adequate knowledge, 76.4% had a positive attitude, and 66.5% had good practice regarding SPs. University-level education or higher (AOR=3.06; 95% CI: 1.5-6.1; p=0.001) and prior SP training (AOR=4.85; 95% CI: 1.9-12.7; p=0.001) were associated with adequate knowledge. Age 40-49 years (AOR=2.43; 95% CI: 1.0-5.9; p=0.048) and longer work experience were associated with positive attitude (5-10 years: AOR=2.34; 95% CI: 1.1-5.1; p=0.030; 11-15 years: AOR=3.16; 95% CI: 1.3-7.5; p=0.009; >15 years: AOR=3.63; 95% CI: 1.5-8.7; p=0.004). Good practice was associated with university-level education or higher (AOR=2.34; 95% CI: 1.3-4.3; p=0.006), prior training (AOR=3.49; 95% CI: 1.3-9.5; p=0.014), adequate knowledge (AOR=5.26; 95% CI: 2.8-10.0; p<0.001), and positive attitude (AOR=4.40; 95% CI: 2.3-8.6; p<0.001).
Conclusion: Although nurses generally showed a positive attitude toward SPs, gaps remained in knowledge and practice. Competency-based training, practical reinforcement, supportive supervision, and a non-punitive peer-feedback culture should be strengthened to improve SP compliance.