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<p>Effective nurse management of Adverse Nursing Events (ANEs) is crucial for patient safety. This study aimed to investigate nurses’ knowledge, attitudes, and practices (self-reported clinical practice) regarding ANE management and compared KAP differences between nurses with and without clinical scenario simulation course (CSSC) training. A cross-sectional study was conducted among 931 nurses selected using convenience sampling from August 1st to August 15th 2024, across five hospitals in China. Data were collected using a self-designed KAP questionnaire. A total of 931 valid responses were collected. The knowledge, attitude, and practice scores were 7 (6, 8), 46 (40, 50), and 50 (42, 50), respectively. In unadjusted comparisons, nurses with CSSC training had higher knowledge, attitude, and practice scores than those without training (all <i>P</i> &lt; 0.001). Knowledge positively correlated with attitude (<i>r</i> = 0.628, <i>P</i> &lt; 0.001), and practice (<i>r</i> = 0.671, <i>P</i> &lt; 0.001). Attitude correlated with practice (<i>r</i> = 0.876, <i>P</i> &lt; 0.001). Nurses demonstrating adequate knowledge, positive attitudes, and practices towards the management of ANE, those who received CSSC training scored significantly higher across all domains. Therefore, CSSC may be considered as a component of in-service patient-safety education; however, the observed differences should be interpreted as associations and require confirmation in longitudinal or experimental studies.</p>

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A cross-sectional comparison of nursing knowledge attitudes and practices in adverse event management based on simulation training experience

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年2月11日

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  • Yi Shen,
  • Ye Wang,
  • Shiyu Wu,
  • Rumei Yang,
  • Ming He,
  • Qi Ma

摘要

Effective nurse management of Adverse Nursing Events (ANEs) is crucial for patient safety. This study aimed to investigate nurses’ knowledge, attitudes, and practices (self-reported clinical practice) regarding ANE management and compared KAP differences between nurses with and without clinical scenario simulation course (CSSC) training. A cross-sectional study was conducted among 931 nurses selected using convenience sampling from August 1st to August 15th 2024, across five hospitals in China. Data were collected using a self-designed KAP questionnaire. A total of 931 valid responses were collected. The knowledge, attitude, and practice scores were 7 (6, 8), 46 (40, 50), and 50 (42, 50), respectively. In unadjusted comparisons, nurses with CSSC training had higher knowledge, attitude, and practice scores than those without training (all P < 0.001). Knowledge positively correlated with attitude (r = 0.628, P < 0.001), and practice (r = 0.671, P < 0.001). Attitude correlated with practice (r = 0.876, P < 0.001). Nurses demonstrating adequate knowledge, positive attitudes, and practices towards the management of ANE, those who received CSSC training scored significantly higher across all domains. Therefore, CSSC may be considered as a component of in-service patient-safety education; however, the observed differences should be interpreted as associations and require confirmation in longitudinal or experimental studies.