Factors Associated with Non - Compliance Regarding Tuberculin Skin Test among Nurses in Tertiary Hospital, Songkhla, Thailand
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Abstract
BACKGROUND: The risk of tuberculosis infection in nurses is generally higher than those of the general population. Therefore, participation in a Tuberculosis (TB) screening program is necessary. However, participating rate of nurses for screening using the Tuberculin skin test (TST) in Songklanagarind Hospital was generally low.
OBJECTIVES: To assess the proportion and factors associated with non - compliance regarding TST screening among nurses in a tertiary hospital, Songkhla, Thailand.
METHODS: This cross - sectional study evaluated the factors associated with non - compliance to TST screening among nurses in a tertiary hospital in Songkhla using an online questionnaire.
RESULTS: Of the 165 nurses who participated in the questionnaire survey, 69% were non-compliant with the TST screening program. Factors associated with the non - compliance were younger age (p = 0.02), short work experience (p = 0.006), and active follow - up for missed any step of TST screening (p = 0.03). From multiple logistic regression, factors associated with non - compliance were age, perceiving that TST screening was an appropriate screening for TB, concerns of being in close contact to TB, having a history of contact with patients or co - workers with known pulmonary TB, active follow - up for missing TST screening, information about advantages and disadvantages of TST screening, long screening time, and supervisor support.
CONCLUSIONS: The proportion of non - compliance for the TST screening program was 69%, associated with young age, short work experience, concerns of being in closed contact with TB, having a history of contact with patients or co - workers with known pulmonary TB, active follow - up for missing TST screening, information about advantages and disadvantages of TST screening, long screening time, and supervisor support. Emphasizing TST screening for new young nurses, improving supervisor’s support, shortening the waiting time for screening test, and evaluating perception toward TST screening after giving information about TST screening will help improve compliance to TST screening.
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References
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