The factors impacting nurses awareness on prevention healthcare-associated infections: A systematic review

Diah Arruum, Enie Novieastari, Dewi Gayatri, Nur Meity Sulistia Ayu

Research output: Contribution to journalReview articlepeer-review

2 Citations (Scopus)


BACKGROUND: Healthcare-Associated Infections (HAIs) are significant causes of illness and mortality, and nurses are healthcare professionals with the most consistent contact with patients, therefore nurses need to possess adequate knowledge, and awareness. AIM: This study aims to analyze factors impacting nurses awareness of the prevention of HAIs, such as their knowledge, attitude, and practice compliance. METHODS: A systematic review was conducted from the sources of data collection, namely ProQuest, ScienceDirect, PubMed, and Google Scholar from 2011 to 2020, with English guidelines used to review the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. RESULTS: Data were obtained through a questionnaire survey, direct observation, and self-report from 4329 nurses with a total of 12 inclusion criteria. The result showed that a significant number of nurses do not possess an acceptable level of knowledge and practice, although nurses have a positive attitude. Hand hygiene and other protective personal equipment need to be used by nurses and other health personal to prevent urinary tract infection, respiratory, and surgical site infection in the hospital. CONCLUSION: Nurses had low levels of knowledge with higher positive attitudes and low level of practice compliance. Nurses need to possess the right knowledge, attitude, and guidelines. Standard precaution is important for patient safety management, and nurses need to be adequately trained to increase awareness.

Original languageEnglish
Pages (from-to)595-600
Number of pages6
JournalOpen Access Macedonian Journal of Medical Sciences
Publication statusPublished - 10 Jan 2021


  • Attitude
  • Awareness
  • Compliance
  • Knowledge
  • Prevention healthcare-associated infections


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