Healthcare Workers' Challenges in the Implementation of Tuberculosis Infection Prevention and Control Measures in Mozambique
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{"title"=>"Healthcare workers' challenges in the implementation of tuberculosis infection prevention and control measures in Mozambique", "type"=>"journal", "authors"=>[{"first_name"=>"Miranda", "last_name"=>"Brouwer", "scopus_author_id"=>"46960926100"}, {"first_name"=>"Eliana", "last_name"=>"Coelho", "scopus_author_id"=>"8606738800"}, {"first_name"=>"Carla", "last_name"=>"Das Dores Mosse", "scopus_author_id"=>"55793311000"}, {"first_name"=>"Luciana", "last_name"=>"Brondi", "scopus_author_id"=>"57194630425"}, {"first_name"=>"Laura", "last_name"=>"Winterton", "scopus_author_id"=>"55758574400"}, {"first_name"=>"Frank", "last_name"=>"Van Leth", "scopus_author_id"=>"55906136900"}], "year"=>2014, "source"=>"PLoS ONE", "identifiers"=>{"scopus"=>"2-s2.0-84919362568", "doi"=>"10.1371/journal.pone.0114364", "sgr"=>"84919362568", "pmid"=>"25501847", "issn"=>"19326203", "pui"=>"600783813"}, "id"=>"fbe294f5-be0e-3904-a3ab-b234c062105e", "abstract"=>"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.\\n\\nMETHODS: Focus group discussion. Analysis according content method.\\n\\nPARTICIPANTS: Four categories of HCWs: auxiliary workers, medical (doctors and clinical officers), nurses and TB program staff.\\n\\nRESULTS: 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.\\n\\nCONCLUSION: 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.", "link"=>"http://www.mendeley.com/research/healthcare-workers-challenges-implementation-tuberculosis-infection-prevention-control-measures-moza", "reader_count"=>46, "reader_count_by_academic_status"=>{"Unspecified"=>2, "Professor > Associate Professor"=>2, "Researcher"=>3, "Student > Doctoral Student"=>4, "Student > Ph. D. Student"=>2, "Student > Postgraduate"=>5, "Student > Master"=>22, "Other"=>1, "Student > Bachelor"=>2, "Lecturer"=>1, "Lecturer > Senior Lecturer"=>1, "Professor"=>1}, "reader_count_by_user_role"=>{"Unspecified"=>2, "Professor > Associate Professor"=>2, "Researcher"=>3, "Student > Doctoral Student"=>4, "Student > Ph. D. Student"=>2, "Student > Postgraduate"=>5, "Student > Master"=>22, "Other"=>1, "Student > Bachelor"=>2, "Lecturer"=>1, "Lecturer > Senior Lecturer"=>1, "Professor"=>1}, "reader_count_by_subject_area"=>{"Unspecified"=>4, "Biochemistry, Genetics and Molecular Biology"=>2, "Nursing and Health Professions"=>8, "Medicine and Dentistry"=>23, "Agricultural and Biological Sciences"=>3, "Psychology"=>1, "Social Sciences"=>4, "Decision Sciences"=>1}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>23}, "Social Sciences"=>{"Social Sciences"=>4}, "Decision Sciences"=>{"Decision Sciences"=>1}, "Psychology"=>{"Psychology"=>1}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>3}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>8}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>2}, "Unspecified"=>{"Unspecified"=>4}}, "reader_count_by_country"=>{"Belgium"=>2, "United States"=>1, "Brazil"=>1, "South Africa"=>2}, "group_count"=>1}

Scopus | Further Information

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  • {"files"=>["https://ndownloader.figshare.com/files/1843268"], "description"=>"<div><p>Objective</p><p>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.</p><p>Methods</p><p>Focus group discussion. Analysis according content method.</p><p>Participants</p><p>Four categories of HCWs: auxiliary workers, medical (doctors and clinical officers), nurses and TB program staff.</p><p>Results</p><p>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.</p><p>Conclusion</p><p>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.</p></div>", "links"=>[], "tags"=>["TB program staff.ResultsHCWs", "TBIPC measures.MethodsFocus group discussion", "TB risk", "challenges HCWs encounter", "Tuberculosis Infection Prevention", "Mozambique ObjectiveHealthcare Workers", "content method.ParticipantsFour categories"], "article_id"=>1270956, "categories"=>["Biological Sciences"], "users"=>["Miranda Brouwer", "Eliana Coelho", "Carla das Dores Mosse", "Luciana Brondi", "Laura Winterton", "Frank van Leth"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0114364", "stats"=>{"downloads"=>3, "page_views"=>10, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Healthcare_Workers_Challenges_in_the_Implementation_of_Tuberculosis_Infection_Prevention_and_Control_Measures_in_Mozambique_/1270956", "title"=>"Healthcare Workers' Challenges in the Implementation of Tuberculosis Infection Prevention and Control Measures in Mozambique", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-12-15 02:42:35"}
  • {"files"=>["https://ndownloader.figshare.com/files/1843265"], "description"=>"<p>Framework for TB Infection and Prevention Control measures in Mozambique.</p>", "links"=>[], "tags"=>["TB program staff.ResultsHCWs", "TBIPC measures.MethodsFocus group discussion", "TB risk", "challenges HCWs encounter", "Tuberculosis Infection Prevention", "Mozambique ObjectiveHealthcare Workers", "content method.ParticipantsFour categories"], "article_id"=>1270953, "categories"=>["Biological Sciences"], "users"=>["Miranda Brouwer", "Eliana Coelho", "Carla das Dores Mosse", "Luciana Brondi", "Laura Winterton", "Frank van Leth"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0114364.g001", "stats"=>{"downloads"=>1, "page_views"=>11, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Framework_for_TB_Infection_and_Prevention_Control_measures_in_Mozambique_/1270953", "title"=>"Framework for TB Infection and Prevention Control measures in Mozambique.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2014-12-15 02:42:35"}
  • {"files"=>["https://ndownloader.figshare.com/files/1843266"], "description"=>"<p>*Missing data on formal training for 1 medical staff.</p><p><sup>§</sup> TBIPC = Tuberculosis Infection Prevention and Control.</p><p>Characteristics of participants of the focus group discussions.</p>", "links"=>[], "tags"=>["TB program staff.ResultsHCWs", "TBIPC measures.MethodsFocus group discussion", "TB risk", "challenges HCWs encounter", "Tuberculosis Infection Prevention", "Mozambique ObjectiveHealthcare Workers", "content method.ParticipantsFour categories"], "article_id"=>1270954, "categories"=>["Biological Sciences"], "users"=>["Miranda Brouwer", "Eliana Coelho", "Carla das Dores Mosse", "Luciana Brondi", "Laura Winterton", "Frank van Leth"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0114364.t001", "stats"=>{"downloads"=>0, "page_views"=>12, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Characteristics_of_participants_of_the_focus_group_discussions_/1270954", "title"=>"Characteristics of participants of the focus group discussions.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-12-15 02:42:35"}

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