Abstract
Objective: To describe the current level of knowledge and attitudes toward surgical site infection (SSI) prevention among nurses and midwives, and to identify factors associated with their SSI knowledge.
Methods: A descriptive cross-sectional study was conducted between July and August 2024 among 87 nurses and midwives at Hung Vuong General Hospital. Data were collected via a standardized self-administered questionnaire developed according to Ministry of Health guidelines, which was reviewed by five experts (Content Validity Index = 98%) and demonstrated a reliability coefficient of 0.89.
Results: Participants had a mean age of 29.4 ± 5.0 years; 69% were female, and the majority (1–5 years) of clinical experience. The proportion of respondents demonstrating satisfactory SSI prevention knowledge exceeded 90%, and 100% exhibited positive attitudes toward monitoring and preventing SSI. The only factor significantly associated with knowledge was place of training (p < 0.05).
Conclusion: The high levels of SSI-related knowledge and attitudes among nurses and midwives at Hung Vuong General Hospital underscore effective baseline awareness, yet targeted training interventions-particularly tailored by training background-are recommended to sustain and further improve SSI prevention practices.
Keywords
References
Bộ Y tế. Hướng dẫn phòng ngừa nhiễm khuẩn vết mổ, Quyết định số: 3671/QĐ-BYT ngày 27 tháng 9 năm 2012 của Bộ Y tế về Hướng dẫn phòng ngừa nhiễm khuẩn vết mổ, 2012.
Bộ Y tế. Ban hành theo Quyết định số 1526/QĐBYT ngày 24/3/2023 của Bộ trưởng Bộ Y tế về Hướng dẫn phòng ngừa nhiễm khuẩn vết mổ, 2023.
Allegranzi B et al. New WHO recommendations on preoperative measures for surgical site infection prevention: an evidence-based global perspective. The Lancet Infectious Diseases. 16, 12 (2016), e276-e287. doi: 10.1016/S1473-3099(16)30398-X.
Rickard J et al., Surgical Infections in Low- And Middle-Income Countries: A Global Assessment of the Burden and Management Needs. Surg Infect (Larchmt). 21:478–94 (2020). doi: 10.1089/sur.2019.142.
Waltz PK & Zuckerbraun BS. Surgical site infections and associated operative characteristics. Surg Infect (Larchmt). 18:447–50 (2017). doi: 10.1089/ sur.2017.062.
Ansari S et al. Risk Factors Associated with Surgical Site Infections: A Retrospective Report from a Developing Country. Cureus. 11 (2019). doi: 10.7759/ cureus.4801.
Niyomugabo A et al., Knowledge and Practice of Health Care Professionals Regarding the Prevention of Surgical Site Infections at Tertiary Hospitals in Rwanda. Rwanda J Med Health Sci. 7(1):22-35 (2024). https://dx.doi.org/10.4314/rjmhs.v7i1.2.
Yusoff, M. ABC of content validation and content validity index calculation. Education in medicine journal, 11(2), 49-54 (2019). DOI:10.21315/eimj2019.11.2.6.
Ahmed, I., & Ishtiaq, S. Reliability and validity: Importance in Medical Research. JPMA. The Journal of the Pakistan Medical Association, 71(10), 2401–2406 (2021). doi.org/10.47391/JPMA.06-861
Vũ Ngọc Anh và cộng sự. Thực trạng kiến thức về phòng ngừa nhiễm khuẩn vết mổ của Điều dưỡng viên tại các Khoa ngoại Bệnh viện Đa khoa tỉnh Nam Định năm 2020. Tạp chí Khoa học Điều dưỡng, 3(3), 97–106 (2020).
Lin, F et al. Preventing surgical site infections: Facilitators and barriers to nurses’ adherence to clinical practice guidelines-A qualitative study. Journal of clinical nursing, 28(9-10), 1643-1652 (2019). https://doi.org/10.1111/jocn.14766.
Sham, F et al., Nurses’ knowledge and practice towards prevention of surgical site infection. International Journal of Service Management and Sustainability (IJSMS), 6(1), 1-20 (2021). Doi: https://ir.uitm.edu.my/id/eprint/44902.
Vincent. Knowledge, Attitude and Practice of Prevention of Surgical Site Infection Among Nurses in Federal Medical Centre (FMC). Journal of Nursing, 5(1): 20-29 (2024). doi.org/10.22259/2639-1783.050104.
Teshager. Nurses’ Knowledge and Practice Regarding Prevention of Surgical Site Infection in Bahir Dar, Northwest Ethiopia. 20 (1):71-77 (2019). DOI: 10.1089/sur.2018.081.

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Copyright (c) 2025 Journal of Nursing Science