ArticleFrontiers in public health2026
Preparedness of Chinese nurses for emerging infectious diseases: evidence from a nationwide online cross-sectional survey on monkeypox knowledge and attitudes.
Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Emerging infectious diseases (EIDs) continue to pose recurrent challenges to global health systems. Nurses, as frontline healthcare professionals, play a pivotal role in early detection, infection control, and patient management. Mpox (monkeypox) outbreaks provide a real-world stress test for evaluating nurses' preparedness for EIDs. This study assessed Chinese nurses' knowledge and attitudes toward Mpox and examined training- and professional-related determinants of preparedness. Methods: A national online cross-sectional survey was conducted among nurses in China between January and March 2024 using convenience sampling. The questionnaire covered demographic characteristics, Mpox-related knowledge (27 items), and attitudes (7 items). Descriptive statistics, correlation analyses, and multivariable linear regression were performed. Results: A total of 387 valid responses were analyzed. Respondents were recruited from 24 provincial-level administrative regions, although the sample was concentrated in Eastern China. Overall, 81.9% of nurses demonstrated good Mpox-related knowledge, and 97.4% showed positive attitudes. Knowledge scores were positively correlated with attitudes ( Conclusion: Chinese nurses exhibited generally high levels of knowledge and positive attitudes toward Mpox in the post-outbreak period, suggesting a high baseline awareness of EIDs. Workplace training and professional role differentiation appear central to preparedness. These findings highlight the importance of sustained, structured infectious disease education and leadership-oriented training to strengthen nursing preparedness for future EID threats.
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