TB infection prevention and control experiences of South African nurses : a phenomenological study

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dc.contributor.author Sissolak, Dagmar
dc.contributor.author Marais, Frederick
dc.contributor.author Mehtar, Shaheen
dc.date.accessioned 2011-05-25T13:35:55Z
dc.date.available 2011-05-25T13:35:55Z
dc.date.issued 2011-04
dc.identifier.citation Sissolak, D, Marais, F & Mehtar, S 2011. 'TB infection prevention and control experiences of South African nurses : a phenomenological study', BMC Public Health, 11(1):262. en_ZA
dc.identifier.issn 1471-2458
dc.identifier.other http://dx.doi.org/10.1186/1471-2458-11-262
dc.identifier.uri http://hdl.handle.net/10019.1/14767
dc.description The original publication is available at http://www.biomedcentral.com/1471-2458/11/262 en_ZA
dc.description.abstract Abstract. Background. The tuberculosis (TB) epidemic in South Africa is characterised by one of the highest levels of TB/HIV co-infection and growing multidrug-resistant TB worldwide. Hospitals play a central role in the management of TB. We investigated nurses' experiences of factors influencing TB infection prevention and control (IPC) practices to identify risks associated with potential nosocomial transmission. Methods. The qualitative study employed a phenomenological approach, using semi-structured interviews with a quota sample of 20 nurses in a large tertiary academic hospital in Cape Town, South Africa. The data was subjected to thematic analysis. Results. Nurses expressed concerns about the possible risk of TB transmission to both patients and staff. Factors influencing TB-IPC, and increasing the potential risk of nosocomial transmission, emerged in interconnected overarching themes. Influences related to the healthcare system included suboptimal IPC provision such as the lack of isolation facilities and personal protective equipment, and the lack of a TB-IPC policy. Further influences included inadequate TB training for staff and patients, communication barriers owing to cultural and linguistic differences between staff and patients, the excessive workload of nurses, and a sense of duty of care. Influences related to wider contextual conditions included TB concerns and stigma, and the role of traditional healers. Influences related to patient behaviour included late uptake of hospital care owing to poverty and the use of traditional medicine, and poor adherence to IPC measures by patients, family members and carers. Conclusions. Several interconnected influences related to the healthcare system, wider contextual conditions and patient behavior could increase the potential risk of nosocomial TB transmission at hospital level. There is an urgent need for the implementation and evaluation of a comprehensive contextually appropriate TB IPC policy with the setting and auditing of standards for IPC provision and practice, adequate TB training for both staff and patients, and the establishment of a cross-cultural communication strategy, including rapid access to interpreters. en_ZA
dc.format.extent 10 p.
dc.language.iso en_US en_ZA
dc.publisher BioMed Central en_ZA
dc.subject Tuberculosis -- Infection prevention en_ZA
dc.subject HIV infections en_ZA
dc.subject Communicable diseases -- Transmission en_ZA
dc.subject Healthcare system -- South Africa en_ZA
dc.subject Infection prevention and control policy -- South Africa en_ZA
dc.title TB infection prevention and control experiences of South African nurses : a phenomenological study en_ZA
dc.type Article en_ZA
dc.date.updated 2011-05-19T05:10:18Z
dc.description.version Publisher's version en_ZA
dc.language.rfc3066 en
dc.rights.holder Sissolak et al.; licensee BioMed Central Ltd. en_ZA


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