Impact of community nursing educational intervention on antimicrobial resistance awareness, knowledge, and attitudes in Kuantan, Malaysia

Che Hasan, Muhammad Kamil and Mahat, Nur Ain and Firdaus, Mohd Khairul Zul Hasymi and Abd Hamid, Shidqiyyah and Jamaludin, Thandar Soe @ Sumaiyah and Nik Mohd Hatta, Nik Noor Kaussar and Sidek Ahmad, Zulkhairul Naim and Triastuti, Efta and Kow, Fang Fang (2026) Impact of community nursing educational intervention on antimicrobial resistance awareness, knowledge, and attitudes in Kuantan, Malaysia. Discover Public Health, 23 (1334). pp. 1-14. E-ISSN 3005-0774

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Abstract

Background Antimicrobial resistance (AMR) is a major global health threat driven by inappropriate antibiotic use and limited public awareness. Evidence on communitybased interventions, particularly in low- and middle-income settings, remains limited. This study aimed to evaluate the effects of a community nursing educational intervention on AMR awareness, knowledge, and attitudes in Malaysia. Methods A community-based pre - post intervention study was conducted in Kuantan, Malaysia, between July and September 2024. Individuals aged 15 years and older were recruited through convenience sampling from various community settings. A validated, Malay-translated questionnaire evaluating awareness, knowledge, and attitudes regarding AMR was administered prior to and immediately following a nurse-led educational intervention. The intervention was delivered in person utilising standardised educational materials by trained nursing professionals. Paired analyses were performed to compare scores before and after the intervention. Results A total of 505 participants were included in the study. Significant improvements were observed across all domains following the intervention. The largest improvement was observed in knowledge scores (pre: 5.94 to post: 9.53 (p < 0.001; d = 1.03), followed by awareness (pre: 2.77 to post: 4.58 (p < 0.001; d = 0.94), and attitudes (pre: 5.65 to post: 6.79 (p < 0.001; d = 0.60). Conclusion The short-term nursing-led community education programme demonstrates significant improvements in AMR, especially in the cognitive domain. The integration of these interventions into routine community health programmes, along with repeated engagement, is recommended to strengthen long-term effectiveness and promote appropriate antibiotic use.

Item Type:	Article (Journal)
Uncontrolled Keywords:	Antimicrobial resistance, Educational intervention, Nursing, Antibiotics, Community education, KAP
Subjects:	R Medicine > RT Nursing
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Nursing Kulliyyah of Nursing > Department of Professional Nursing Studies
Depositing User:	Nur Ain Mahat
Date Deposited:	21 Aug 2026 10:35
Last Update:	21 Aug 2026 10:35
Queue Number:	2026-08-Q4867
URI:	http://irep.iium.edu.my/id/eprint/130957

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