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Knowledge, Attitude, and Practices Towards Hepatitis B Infection Among Nursing Students: A Cross-Sectional Study in
Nader Alaridah1, Raba'a F Jarrar1,2, Rayan M Joudeh3
1Department of Pathology, Microbiology, and Forensic Medicine, School of Medicine University of Jordan Amman Jordan.
Health Science Reports
|March 6, 2026
Summary
Jordanian nursing students have good knowledge of Hepatitis B virus transmission but need better education on treatment and prevention. Improving curricula can enhance knowledge, attitudes, and practices for future healthcare workers.
Area of Science:
- Hepatology
- Infectious Diseases
- Public Health
Background:
- Hepatitis B virus (HBV) infection is a significant communicable liver disease.
- Healthcare workers, including nursing students, face heightened risk of HBV exposure.
- Assessing knowledge, attitudes, and practices (KAP) of nursing students is crucial for infection control.
Purpose of the Study:
- To evaluate the knowledge, attitudes, and practices (KAP) of Jordanian nursing students regarding Hepatitis B virus (HBV).
- To identify factors predicting improved KAP among nursing students towards HBV.
- To inform targeted educational interventions for future healthcare professionals.
Main Methods:
- A cross-sectional online survey was administered to 617 nursing students (years 3-5) at two Jordanian universities.
- A validated questionnaire assessed knowledge (43 items), attitudes (8 items), and practices (3 items) related to HBV.
- Descriptive statistics, chi-square tests, and multivariable logistic regression were employed to analyze KAP and predictors (α=0.05).
Main Results:
- Overall knowledge of HBV transmission routes was satisfactory, but misconceptions existed regarding oral/airborne transmission and treatment urgency.
- A majority reported HBV vaccination (75.7%) and PPE use (~71%), yet only 45.4% had pre-rotation anti-HBV testing.
- Higher academic year, prior HBV coursework, and clinical exposure to HBV patients correlated with better KAP (p<0.05).
Conclusions:
- Jordanian nursing students exhibit adequate HBV transmission knowledge but lack understanding of treatment and neonatal prophylaxis.
- Educational curricula require enhancement to address misconceptions, reinforce vaccination protocols, and improve training on treatment indications.
- Targeted education, especially in earlier academic years, can significantly improve HBV-related KAP among future healthcare workers.
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