Status Quo of Knowledge, Attitudes, and Practice of Tuberculosis Latent Infection Screening Techniques in Community Nurses and Analysis of Influencing Factors.
Xiaoling Liu, WenHui Wang, Rong Wang, Yan Song, Hui Sun
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引用次数: 0
Abstract
Objective: Tuberculosis (TB) remains a global health threat, with latent tuberculosis infection (LTBI) serving as a critical reservoir for active TB transmission. Community nurses play a pivotal role in LTBI screening, yet their knowledge, attitudes, and practices (KAP) remain insufficiently studied. This study aimed to assess the KAP levels regarding LTBI screening among community nurses.
Methods: A stratified random sampling study was conducted among 180 community nurses from eight districts in Nanjing between September 2023 and October 2023. Participants completed a digital questionnaire consisting of two sections: a general information section that collected demographic and occupational data (age, gender, educational level, work experience, TB screening experience, and training frequency) and a KAP assessment section that evaluated LTBI screening competencies through 25 knowledge items, 7 attitude items and 18 practice items. Observation indicators included knowledge scores (0-25; passing ≥ 20), attitude scores (7-35; passing ≥ 28), and practice scores (18-90; passing ≥ 72). Statistical associations between demographic variables and KAP scores were analyzed using independent t-tests, analysis of variance, and multivariate logistic regression.
Results: A total of 172 valid questionnaires were analyzed (response rate: 95.56%). Community nurses demonstrated moderate knowledge scores (median: 19/25, passing rate: 45.35%), strong positive attitudes (median: 34/35, passing rate: 90.69%), and excellent practical adherence (median: 90/90, passing rate: 97.09%). Univariate analysis revealed significant differences across age groups, educational levels, work experience, TB screening exposure, and training frequency (p < 0.05). Multivariate regression identified training frequency, age, TB screening experience, and education as key predictors of competency (p < 0.05).
Conclusion: Community nurses demonstrated strong adherence to LTBI screening practices but exhibited critical knowledge gaps, particularly regarding novel diagnostic tools, such as recombinant TB fusion protein. By aligning training with evolving clinical demands, this study contributes actionable insights to enhance community-level TB control and strengthen global efforts to eradicate TB.
期刊介绍：
Public Health Nursing publishes empirical research reports, program evaluations, and case reports focused on populations at risk across the lifespan. The journal also prints articles related to developments in practice, education of public health nurses, theory development, methodological innovations, legal, ethical, and public policy issues in public health, and the history of public health nursing throughout the world. While the primary readership of the Journal is North American, the journal is expanding its mission to address global public health concerns of interest to nurses.
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