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Curationis

On-line version ISSN 2223-6279
Print version ISSN 0379-8577

Curationis vol.35 n.1 Pretoria Jan. 2012

 

ORIGINAL RESEARCH

 

Role of community nurses in the prevention of tuberculosis in the Tshwane Health District of Gauteng

 

 

Siphiwe D. MnisiI; Mmapheko D. PeuII; Salomé M. MeyerIII

IDepartment of Health, SG Lourens Nursing College, South Africa
IIDepartment of Nursing Science, University of Pretoria, South Africa
IIIClinical Arts and Technology Centre, New Zealand

Correspondence

 

 


ABSTRACT

The objectives of this study were to identify the role of community nurses in the prevention of tuberculosis (TB) and to identify problems experienced by them when fulfilling this role in the Tshwane Health District of Gauteng. A non-experimental, descriptive, quantitative research design method was used to collect data from community nurses. The sample included 59 registered nurses who voluntarily agreed to participate in the study. A questionnaire was used to collect data and quantitative data analysis methods were employed. Various opinions and ideas on the role of community nurses in the prevention of TB and the problems experienced were identified. Based on the results of this research, measures to protect community nurses from contracting TB whilst on duty should be a priority. Government should support TB programmes by providing money to non-governmental organisations and direct observed treatment short course (DOTS) supporters to make follow-up visits to patients possible, thus reducing the number of defaulters. Stringent measures should be taken at all border points to ensure that foreigners are screened for TB, multidrug-resistant TB and extensively drug-resistant TB. This study was limited to community nurses in the Tshwane Health District of Gauteng who were registered with the South African Nursing Council (SANC) and therefore this study could not be generalised to registered nurses in the hospital setting or even to clinics in the rest of South Africa.


 

 

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References

Bell, C., 2004, 'The treatment of patients with TB and the role of the nurse', Infection Control Fact File 100(36), 48-50.         [ Links ]

Burger, D., 2011, 'Government Communication and Information System', in South Africa Yearbook 2010/2011, viewed 08 March 2012, from http://www.info.gov.za/about_sa/health.htm        [ Links ]

Burger, D., 2007, 'Government Communication and Information System', in South Africa Yearbook 2006/07, viewed 27 November 2007, from http://www.info.gov.za/about_sa/health.htm        [ Links ]

Burns, N. & Grove, S.K., 2009, The Practice of Nursing Research, Appraisal, Synthesis, And Generation Of Evidence, 6th edn., Saunders, Elsevier.         [ Links ]

Burns, N. & Grove, S.K., 2007, Understanding nursing research, Building An Evidence-Based Practice, 4th edn., Saunders, Elsevier.         [ Links ]

Chanda, D. & Gosnell, D.J., 2006, 'The impact of tuberculosis on Zambia and the Zambian workforce', Online Journal of Issues in Nursing 11(1), 1-16.         [ Links ]

Cioffi, J., 2001, 'A study of the use of past experience in clinical decision making in emergency situations', International Journal of Nursing Studies 38(5), 591-599. http://dx.doi.org/10.1016/S0020-7489(00)00096-1        [ Links ]

Department of Health (South Africa), 2007, The draft national infection prevention and control policy for TB, MDRTB and XDRTB, viewed 27 February 2007, from http://www.doh.gov.za/docs/policy/tb/part1.pdf.         [ Links ]

Dreyer, M, Hattingh, S. & Lock, M., 1999, Fundamental aspects of community nursing, 2nd edn., Oxford, Cape Town.         [ Links ]

Dick, J., Clarke, M., Van Zyl, H. & Daniels, K., 2007, 'Primary health care nurses implement and evaluate a community outreach approach to health care in the South African agricultural sector', International Nursing Review 54, 383-390. http://dx.doi.org/10.1111/j.1466-7657.2007.00566.x, PMid:17958668        [ Links ]

Dudley, L., Azevedo, V., Grant, R., Schoeman, J.H., Dikweni, L. & Maher, D., 2003, 'Evaluation of community contribution to tuberculosis control in Cape Town, South Africa', International Journal of Tuberculosis and Lung Disease 7(9), 548-555.         [ Links ]

Escott, S. & Walley, J., 2005, 'Listening to those on the frontline: Lessons for community-based tuberculosis programmes from a qualitative study in Swaziland', Social Science & Medicine, 61(2005), 1701-1710. http://dx.doi.org/10.1016/j.socscimed.2005.03.040        [ Links ]

Ghebrehiwet, T., 2007, 'Tuberculosis fact sheet', in Nursing Matters, viewed 27 November 2007, from http://www.icn.ch/matters-tb.htm        [ Links ]

Ghebrehiwet, T., 2006, 'Nurses in the forefront of tuberculosis prevention, care and treatment', International Nursing Review 53(4), 239-240. http://dx.doi.org/10.1111/j.1466-7657.2006.00531.x, PMid:17083406        [ Links ]

Goodburn, A. & Drennan, V., 2000, 'The use of directly observed therapy in TB: A brief pan-London survey', Nursing Standard 14(46), 36-8. http://dx.doi.org/10.1046/j.1365-2850.2001.00409.x, PMid:11882159        [ Links ]

Hairon, N., 2007, 'Managing the increasing incidence of tuberculosis', Nursing Times 103(14), 23-4.         [ Links ]

Hill, K., 2010, 'Improving Quality and Patient Safety by Retaining Nursing Expertise', Online Journal of Issues in Nursing 15(3).         [ Links ]

Humpel, N. & Caputi, P., 2001, 'Exploring the relationship between work stress, years of experience and emotional competency using a sample of Australian mental health nurses', Journal of Psychiatric & Mental Health Nursing 8(5), 399-403.         [ Links ]

Lewin, S., Dick, J., Zwarenstein, M. & Lombard, C.J., 2005, 'Staff training and ambulatory tuberculosis treatment outcomes: A cluster randomized controlled trial in South Africa', Bulletin of the World Health Organization 83(4), 1-14. PMCid:2623473        [ Links ]

Ligwalagwala Radio News, 2008, 'Radio news bulletin', 08 October.         [ Links ]

Lyris Listmanager, 2006, 'News items', TB-Related News and Journal Items Weekly Update, 08 June.         [ Links ]

Maher, D., 2003, 'The role of the community in the control of tuberculosis', Tuberculosis 83, 177-183. http://dx.doi.org/10.1016/S1472-9792(02)00066-5        [ Links ]

Molefe, M., 1999, 'South Africa responds to a TB emergency', International Nurses Review 46(6), 178-180. PMid:10674205        [ Links ]

Naidoo, S. & Jinabhai, C.C., 2006, 'TB in health care workers in KwaZulu-Natal, South Africa', International Journal of Tuberculosis and Lung Disease 10(6), 676-682. PMid:16776456        [ Links ]

Norvelli, V., 2004, 'TB clinics short of staff', Nursing Times, 100(32), 5-8.         [ Links ]

Parahoo, K., 2006., Nursing research: Principles, process and issues, 2nd edn., Palgrave Macmillan, Hampshire.         [ Links ]

Polit, D.F. & Beck, C.T., 2012, Nursing research: Generating and Assessing Evidence for Nursing Practice, 9th edn., Lippincott, London.         [ Links ]

Richter, M.S. & Peu, M.D., 2004, The educational and supportive needs of informal care givers working at Refentse Clinic, Hammanskraal', Curationis 27(1), 31-40. PMid:15168623        [ Links ]

Smeltzer, S.C., Bare, B.G., Hinkle, J.L. & Cheever, K.H., 2010, Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 12th edn., Lippincott, Philadelphia.         [ Links ]

South African Nursing Council, 2007, 'Geographical distribution', viewed 09 December 2008, from http://www.co.za/stats/stat2007/Distribution%202007xls.htm        [ Links ]

Spader, C., 2006, 'Career management', in Nursing Spectrum-Career Fitness Online, viewed 20 December 2007, from http://community.nursingspectrum/MagazineArticles/article.cfm?AID        [ Links ]

Torfoss, T., 2007, 'Frontline health workers (FLHW) can organise and encourage...', in Tuberkulose, viewed 01 August 2007, from http://www.lhl.no/portal/page?        [ Links ]

Toth, A., Fackelmann, J., Pigott, W. & Tolomeo, O., 2004, 'Tuberculosis prevention and treatment', Public Health 100(9), 27-30.         [ Links ]

Tulchinsky, T.H. & Varavikova, E.A., 2009, The new public health, 2nd edn., Elsevier Academic Press, Amsterdam.         [ Links ]

Tzeng, H.M., 2005, 'Promoting a safer environment as related to occupational tuberculosis: A nursing care quality issue in Taiwan', Journal of Nursing Care Quality 20(4), 356-363. http://dx.doi.org/10.1097/00001786-200510000-00012, PMid:16177588        [ Links ]

Van Rensburg, H.C.J., 2004, Health and health care in South Africa, Van Schaik, Pretoria.         [ Links ]

Vlok, M.E., 2006, Manual of communicable nursing: Communicable diseases, 5th edn., Juta, Cape Town.         [ Links ]

Williams, V.G., 2006, 'Tuberculosis: Clinical features, diagnosis and management', Nursing Standards 20(22), 49-53.         [ Links ]

World Health Organization (WHO), 2005, 'WHO declares TB an emergency in Africa', viewed 23 March 2007, from http://www.who.int/mediacentre/news/release/2005/africa-emergency/en/index.html        [ Links ]

 

 

Correspondence:
Mapheko Peu
PO Box 667, Pretoria 0001
South Africa
Email: doriccah.peu@up.ac.za

Received: 22 Aug. 2011
Accepted: 07 Aug. 2012
Published: 09 Nov. 2012

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