ObjectiveTo understand the cognition about healthcareassociated infection(HAI) management among directors in secondary and above hospitals in Shaanxi Province. MethodsQuestionnaire survey was adopted to investigate hospital directors who participated in “The third session of Shaanxi Provincial HAI management training course for hospital directors”. ResultsA total of 181 questionnaires were distributed, 173 (95.58%) were qualified. 74.57% of surveyed hospitals were secondary hospitals, 61.85% were comprehensive hospitals, 67.05% of respondents received HAI training in recent 3 years, 81.50% and 55.49% of hospital directors thought the main factors influencing the HAI management were health care workers’ awareness on HAI and leaders’ attention respectively. 58.96%, 60.12%, and 46.82% of hospital directors thought the director of HAI management department should have intermediate and above professional title, bachelor degree or above education, and preventive medicine professional requirements respectively. The awareness rate of HAI managementrelated knowledge was 86.71%, difference in awareness rate of HAI managementrelated knowledge among respondents of different job, gender, and HAI training in recent 3 years were all significantly different(all P<0.05). ConclusionHospital directors’ cognition on HAI management affect the development of HAI work, strengthen the training on HAI knowledge among administrators can improve hospital administrators’ awareness on HAI prevention and control.