Health-care workers’ perspectives on workplace safety, infection control, and drug-resistant tuberculosis in a high-burden HIV setting

Zelnick, Jennifer; Gibbs, Andrew; Loveday, Marian; Padayatchi, Nesri; O’Donnell, Max R

doi:10.1057/jphp.2013.20

Cited by 41 publications

(69 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The importance of infection control (IC) resources was emphasized in a study conducted in South Africa, where drug-resistant tuberculosis (TB) is an occupational hazard for health-care workers (HCWs) (Zelnick, Gibbs, Loveday, & Padayatchi, 2013). Health care professionals working in hospitals of KwaZulu Natal (KZN) identified lack of resources and inconsistent supplies that hindered IC.…”

Section: Discussionmentioning

confidence: 99%

Nursing Clinical Instructor Experiences of Empowerment in Rwanda: Applying Kanter’s and Spreitzer’s Theories

Thuss

Babenko-Mould

Andrusyszyn

et al. 2016

International Journal of Nursing Education Scholarship

View full text Add to dashboard Cite

Clinical instructors (CIs) play a vital role in students' development by facilitating learning in various health care practice environments. Quality nursing education hinges on the CI's ability to enact his or her professional role. The purpose of this study was to explore Rwandan nursing clinical instructors' experiences of structural and psychological empowerment.A descriptive qualitative method was used to obtain an understanding of CIs empowerment experiences in practice settings. Kanter's (1993) Theory of Structural Power in Organizations and Spreitzer's (1995) Psychological Empowerment Theory were used as a theoretical framework to interpret their experiences. Interview data from 21 nursing CIs in Rwanda were used to complete a secondary data analysis for this study.Most study participants perceived the structural components of informal power, resources, and support while formal power and opportunity were limited, diminishing their sense of structural empowerment. Psychological empowerment for the CIs in Rwanda stemmed from a sense of competence, meaning, impact and self-determination they had for their teaching roles and responsibilities in the practice setting. Implications and recommendations for CIs and administration are suggested to support, recruit and retain clinical instructors.

show abstract

Section: Discussionmentioning

confidence: 99%

Nursing Clinical Instructor Experiences of Empowerment in Rwanda: Applying Kanter’s and Spreitzer’s Theories

Thuss

Babenko-Mould

Andrusyszyn

et al. 2016

International Journal of Nursing Education Scholarship

View full text Add to dashboard Cite

show abstract

“…N95 respirator masks provide a high filtration barrier and protect HCWs from TB infection. Therefore, it is recommended that HCWs should wear N95 respirator masks when taking care of patients with TB or those surmised to have TB [21]. However, adherence to the use of facial N95 respirator masks is not always observed in clinical practice because of their inadequate availability [8].…”

Section: Discussionmentioning

confidence: 99%

Perceived risk of tuberculosis infection among healthcare workers in Swaziland

et al. 2016

View full text Add to dashboard Cite

BackgroundThe incidence of tuberculosis (TB) in the Kingdom of Swaziland is extremely high. How healthcare workers (HCWs) in Swaziland perceive infection control (IC) measures for preventing TB transmission is unclear. This study aimed to determine perceived risk of TB infection in relation to IC measures among HCWs in three institutions of Swaziland.MethodsA cross-sectional questionnaire survey was conducted in 2014. Demographic data and IC measures were collected from main and allied HCWs.ResultsIn total, 186 HCWs (19 doctors, 99 nurses, and 68 allied HCWs) were enrolled. The multivariate logistic regression analyses revealed that nurses (OR = 39.87, 95% CI = 2.721–584.3) and other HCWs (OR =99.34, 95% CI = 7.469–1321) perceived a higher TB infection risk than did doctors. Moreover, HCWs working for <4 years at the TB department perceived a lower TB infection risk (OR = 0.099, 95% CI = 0.022–0.453). Availability of N95 respirator masks (OR = 0.055, 95% CI = 0.005–0.586) and a designated sputum collection area (OR = 0.142, 95% CI = 0.037–0.545) also carried lower TB infection risks.ConclusionThis study depicts the current status of IC measures for TB infection in a high prevalence country. The results suggest that HCWs perceived a greater TB infection risk at inadequate environmental IC measures.Electronic supplementary materialThe online version of this article (doi:10.1186/s12879-016-2029-6) contains supplementary material, which is available to authorized users.

show abstract

“…These measures should be considered at the outset during the health facility planning process and IC officers should thus be part of advisory committees to architects designing health facilities to give input on TB-IC measures. Although it is essential that HCWs as well as ancillary staff working in patient-care areas should have access to N95 respirators that fit them correctly, this should not preclude concurrent implementation of administrative TB-IC controls 60 . Staff shortages and inadequate training at facilities where TB is treated should be addressed 37 .…”

Section: Solutionsmentioning

confidence: 99%

Agents of change: The role of healthcare workers in the prevention of nosocomial and occupational tuberculosis

Nathavitharana

Bond²,

Dramowski

et al. 2017

La Presse Médicale

View full text Add to dashboard Cite

Healthcare workers (HCWs) play a central role in global tuberculosis (TB) elimination efforts but their contributions are undermined by occupational TB. HCWs have higher rates of latent and active TB than the general population due to persistent occupational TB exposure, particularly in settings where there is a high prevalence of undiagnosed TB in healthcare facilities and TB infection control (TB-IC) programmes are absent or poorly implemented. Occupational health programmes in high TB burden settings are often weak or non-existent and thus data that record the extent of the increased risk of occupational TB globally are scarce. HCWs represent a limited resource in high TB burden settings and occupational TB can lead to workforce attrition. Stigma plays a role in delayed diagnosis, poor treatment outcomes and impaired wellbeing in HCWs who develop TB. Ensuring the prioritization and implementation of TB-IC interventions and occupational health programmes, which include robust monitoring and evaluation, is critical to reduce nosocomial TB transmission to patients and HCWs. The provision of preventive therapy for HCWs with latent TB infection can also prevent progression to active TB. Unlike other patient groups, HCWs are in a unique position to serve as agents of change to raise awareness, advocate for necessary resource allocation and implement TB-IC interventions, with appropriate support from dedicated TB-IC officers at the facility and national TB programme level. Students and community health workers (CHWs) must be engaged and involved in these efforts. Nosocomial TB transmission is an urgent public health problem and adopting rights-based approaches can be helpful. However, these efforts cannot succeed without increased political will, supportive legal frameworks and financial investments to support HCWs in efforts to decrease TB transmission.

show abstract

Health-care workers’ perspectives on workplace safety, infection control, and drug-resistant tuberculosis in a high-burden HIV setting

Cited by 41 publications

References 16 publications

Nursing Clinical Instructor Experiences of Empowerment in Rwanda: Applying Kanter’s and Spreitzer’s Theories

Nursing Clinical Instructor Experiences of Empowerment in Rwanda: Applying Kanter’s and Spreitzer’s Theories

Perceived risk of tuberculosis infection among healthcare workers in Swaziland

Agents of change: The role of healthcare workers in the prevention of nosocomial and occupational tuberculosis

Contact Info

Product

Resources

About