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Background <p>This study aimed to investigate knowledge, attitudes, and practices (KAP) regarding occupational protection among Central Sterile Supply Department nurses.</p> Methods <p>A cross-sectional online survey was conducted among a convenience sample of Central Sterile Supply Department nurses recruited through a province-level CSSD professional network in Zhejiang Province, China, between 4 January and 1 March 2026. A self-designed questionnaire with acceptable reliability (Cronbach’s α = 0.725) was used to assess demographic characteristics and the three KAP dimensions.</p> Results <p>A total of 306 participants were included; most were female (95.8%), aged &gt; 45 years (41.5%), and had a bachelor’s degree or above (85.3%). Mean knowledge, attitude, and practice scores were 14.77 ± 1.73 (possible range: 0–18), 37.06 ± 2.87 (possible range: 8–40), and 45.90 ± 3.52 (possible range: 10–50), respectively. Path analysis revealed that attitudes showed the strongest direct association with practices (β = 0.542, <i>P</i> = 0.014). In multivariable analysis, higher attitude scores (β = 0.667, 95% CI: 0.549–0.784, <i>P</i> &lt; 0.001) and ≥ 3 training sessions/year (β = 0.930, 95% CI: 0.062–1.798, <i>P</i> = 0.036) were associated with better practices, whereas 11–20 years (β=−1.249, <i>P</i> = 0.049) and &gt; 30 years (β=−1.773, <i>P</i> = 0.009) of nursing experience were associated with lower practice scores, suggesting experience-related variations rather than a direct negative impact. Attitudes correlated strongly with practices (<i>r</i> = 0.584, <i>P</i> &lt; 0.001), whereas knowledge showed no significant correlation with attitudes (<i>r</i> = 0.088, <i>P</i> = 0.125).</p> Conclusions <p>In this convenience sample, CSSD nurses in Zhejiang Province showed favourable self-reported occupational protection attitudes and practices, but exhibited substantial and critical item-level deficits in knowledge regarding bloodborne exposure management and post-exposure prophylaxis timing. Implementing a mandatory, high-frequency (≥ 3 sessions per year), scenario-based occupational protection training programme linked to annual performance evaluation, alongside targeted modules for senior nurses, is recommended to improve protective practices.</p> Clinical trial number <p>Not applicable.</p>

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A cross-sectional study on knowledge, attitudes, and practices of occupational protection among central sterile supply department nurses: current status, associated factors, and an exploratory path analysis

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  • 发表日期：

    2026年7月17日

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  • Feifei Jing,
  • Shuyan Li

摘要

Background

This study aimed to investigate knowledge, attitudes, and practices (KAP) regarding occupational protection among Central Sterile Supply Department nurses.

Methods

A cross-sectional online survey was conducted among a convenience sample of Central Sterile Supply Department nurses recruited through a province-level CSSD professional network in Zhejiang Province, China, between 4 January and 1 March 2026. A self-designed questionnaire with acceptable reliability (Cronbach’s α = 0.725) was used to assess demographic characteristics and the three KAP dimensions.

Results

A total of 306 participants were included; most were female (95.8%), aged > 45 years (41.5%), and had a bachelor’s degree or above (85.3%). Mean knowledge, attitude, and practice scores were 14.77 ± 1.73 (possible range: 0–18), 37.06 ± 2.87 (possible range: 8–40), and 45.90 ± 3.52 (possible range: 10–50), respectively. Path analysis revealed that attitudes showed the strongest direct association with practices (β = 0.542, P = 0.014). In multivariable analysis, higher attitude scores (β = 0.667, 95% CI: 0.549–0.784, P < 0.001) and ≥ 3 training sessions/year (β = 0.930, 95% CI: 0.062–1.798, P = 0.036) were associated with better practices, whereas 11–20 years (β=−1.249, P = 0.049) and > 30 years (β=−1.773, P = 0.009) of nursing experience were associated with lower practice scores, suggesting experience-related variations rather than a direct negative impact. Attitudes correlated strongly with practices (r = 0.584, P < 0.001), whereas knowledge showed no significant correlation with attitudes (r = 0.088, P = 0.125).

Conclusions

In this convenience sample, CSSD nurses in Zhejiang Province showed favourable self-reported occupational protection attitudes and practices, but exhibited substantial and critical item-level deficits in knowledge regarding bloodborne exposure management and post-exposure prophylaxis timing. Implementing a mandatory, high-frequency (≥ 3 sessions per year), scenario-based occupational protection training programme linked to annual performance evaluation, alongside targeted modules for senior nurses, is recommended to improve protective practices.

Clinical trial number

Not applicable.