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Nurses' Knowledge, Practice, and Associated Factors Regarding Catheter-Associated Urinary Tract Infection Prevention:
Addisu Simachew Asgai1, Desalegn Mitiku Kidie2, Tadios Lidetu3
1Department of Nursing, College of Health Sciences, Debark University, Debark, Ethiopia.
SAGE Open Nursing
|July 29, 2026
Summary
Nurses in Africa and Asia demonstrate moderate knowledge and practice in preventing catheter-associated urinary tract infections (CAUTI). This highlights a gap between knowing and doing, necessitating targeted interventions to improve patient safety.
Area of Science:
- Healthcare-associated infections
- Nursing research
- Infection prevention and control
Background:
- Catheter-associated urinary tract infections (CAUTI) are a significant burden in healthcare settings.
- No previous pooled estimates exist for nurses' CAUTI prevention knowledge and practices in Africa and Asia.
- This study addresses a critical gap in understanding CAUTI prevention among nurses in these regions.
Purpose of the Study:
- To assess the pooled knowledge of nurses regarding CAUTI prevention.
- To evaluate the pooled practice of nurses in preventing CAUTI.
- To identify factors associated with nurses' knowledge and practice of CAUTI prevention.
Main Methods:
- A systematic literature search was conducted across multiple databases (PubMed, Science Direct, etc.).
- The Newcastle-Ottawa Scale assessed study quality, and STATA 17 was used for meta-analysis.
- 21 eligible studies involving 8,647 participants were analyzed to determine pooled estimates.
Main Results:
- Nurses exhibited moderate knowledge (61%) and practice (55%) concerning CAUTI prevention.
- Factors associated with good knowledge included guideline availability, training, and experience.
- Good practice was linked to strong knowledge, positive attitudes, and access to infection prevention guidelines.
Conclusions:
- Nurses' CAUTI prevention knowledge and practice in Africa and Asia are at a moderate level.
- A notable gap exists between nurses' knowledge and their actual practice.
- Regional disparities in healthcare systems and resources may contribute to variations in CAUTI prevention efforts.
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