Abstract
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.
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Abbreviations
- KAP:
-
Knowledge, attitudes, and practices
- ANE:
-
Adverse nursing events
- CSSC:
-
Clinical scenario simulation course
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Yi Shen and Ye Wang carried out the studies, participated in collecting data, and drafted the manuscript. Ming He and Rumei Yang performed the statistical analysis and participated in its design. Yi Shen and Qi Ma participated in acquisition, analysis, or interpretation of data and draft the manuscript. Yi Shen, Ye Wang, Shiyu Wu, Rumei Yang, Ming He and Qi Ma read and approved the final manuscript.
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The study received approval from the Ruijin Hospital Luwan Branch Ethics Committee, Shanghai JiaoTong University School of Medicine (LWEC2024018) and written informed consent was obtained from all participants. I confirm that all methods were performed in accordance with the relevant guidelines. All procedures were performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki and its later amendments.
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Shen, Y., Wang, Y., Wu, S. et al. A cross-sectional comparison of nursing knowledge attitudes and practices in adverse event management based on simulation training experience. Sci Rep (2026). https://doi.org/10.1038/s41598-026-39781-0
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DOI: https://doi.org/10.1038/s41598-026-39781-0
