The Knowledge of Nurses on the Management of Multidrug Resistant Tuberculosis at Primary Health Care Facilities: A Pilot Study

Abstract

The decentralisation of the multidrug-resistant tuberculosis (MDR TB) programme to primary healthcare (PH) facilities in an Eastern Cape health district was implemented to improve the effectiveness of MDR TB services. Nurses working in TB units play a key role in M DR TB management; therefore, they should be equipped with updated knowledge. This study assessed the knowledge of PH nurses working in TB units regarding MDR TB management. A quantitative, cross-sectional descriptive study was conducted: data were collected using a structured questionnaire. Non-probability sampling was applied in this study. A convenience sampling technique was used and 25 of the 42 facilities were selected. Two nurses from each facility were recruited, resulting in 50 questionnaires being distributed. A total of 32 respondents completed the questionnaires. Descriptive statistics were used to describe the data. The overall scores were high with a mean knowledge score of 61%. Thirty eight percent of the nurses had been trained in MDR TB and only 28% did not know how to use an N95 mask. However, knowledge gaps were identified in respect of the management of side effects of MDR TB medication. Although most respondents demonstrated an efficient level of knowledge of MDR TB management, knowledge gaps were identified and recommendations were offered to address these gaps.