Healthcare workers' challenges in the implementation of tuberculosis infection prevention and control measures in Mozambique
| Autor: | Eliana Coelho, Carla das Dores Mosse, Frank van Leth, Laura Winterton, Miranda Brouwer, Luciana Brondi |
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| Přispěvatelé: | Global Health, Infectious diseases |
| Rok vydání: | 2014 |
| Předmět: |
Adult
Male Bacterial Diseases Tuberculosis Pulmonology Nosocomial Infections health care facilities manpower and services Health Personnel Population education MEDLINE lcsh:Medicine Nurses Research and Analysis Methods Health administration Young Adult Nursing Risk Factors Occupational Exposure Physicians Health care Medicine and Health Sciences Medicine Infection control Humans lcsh:Science Mozambique education.field_of_study Infection Control Multidisciplinary business.industry Risk of infection lcsh:R virus diseases Middle Aged Qualitative Studies medicine.disease Focus group Infectious Diseases Research Design Respiratory Infections Healthcare-Associated Infections lcsh:Q Female business Research Article |
| Zdroj: | PLoS ONE PLoS ONE, 9(12). Public Library of Science PLoS ONE, Vol 9, Iss 12, p e114364 (2014) |
| ISSN: | 1932-6203 |
| Popis: | Objective Healthcare Workers (HCWs) have a higher frequency of TB exposure than the general population and have therefore an occupational TB risk that infection prevention and control (IPC) measures aim to reduce. HCWs are crucial in the implementation of these measures. The objective of the study was to investigate Mozambican HCWs' perceptions of their occupational TB risk and the measures they report using to reduce this risk. In addition, we explored the challenges HCWs encounter while using these TBIPC measures. Methods Focus group discussion. Analysis according content method. Participants Four categories of HCWs: auxiliary workers, medical (doctors and clinical officers), nurses and TB program staff. Results HCWs are aware of their occupational TB risk and use various measures to reduce their risk of infection. HCWs find it challenging to employ measures that minimize such risks and a lack of clear guidelines contributes to these challenges. HCWs' and patient behavior further complicate the use of TBIPC measures. Conclusion HCWs in Mozambique perceive a high occupational risk of TB infection. They report several challenges using measures to reduce this risk such as shortage of material, lack of clear guidelines, insufficient motivation and inadequate training. Robust training with motivational approaches, alongside supervision and support for HCWs could improve implementation of TBIPC measures. Healthcare management should address the areas for improvement that are beyond the individual HCW's control. |
| Databáze: | OpenAIRE |
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