Nurses’ knowledge, attitudes and practices regarding the prevention of post-operative infections: a cross-sectional study at Wangata General Referral Hospital, DRC

Abstract

Introduction: Postoperative infections (POIs) constitute a major patient safety issue in resource-limited countries. This study aimed to assess the knowledge, attitudes and practices (KAP) of nurses at the Wangata General Referral Hospital (DRC) regarding the prevention of POIs.

Methods: A cross-sectional survey was conducted among 102 nurses working in surgery, the operating theatre and intensive care. A structured questionnaire comprising 35 items was administered. Univariate, bivariate (Chi²) and multivariate (logistic regression) analyses were performed using SPSS 25.

Results: The mean age was 42.3 years (± 8.7); 56.9% were women. Whilst 100% were familiar with preoperative preparation, 68.6% were unaware of the pathogens responsible for postoperative infections. Knowledge of postoperative complications was lacking in 37.3%. Technical vigilance was cited by only 15.3% of respondents, compared with 30.8% for empathy. Seniority of ≥ 20 years (OR = 3.2; 95% CI: 1.5–6.8) and knowledge of pathogens (OR = 4.1; 95% CI: 1.9–8.9) were the main predictors of good practice.

Conclusion: Critical gaps persist in microbiological knowledge and technical vigilance. Targeted continuing education on nosocomial pathogens and aseptic bundles is required.

Keywords: Postoperative infections, prevention, knowledge, attitudes, practices, nurses, RDC.

Received Date: February 22, 2026

Accepted Date: March 14, 2026

Published Date: April 02, 2026

Available Online at: https://www.ijsrisjournal.com/index.php/ojsfiles/article/view/661