The role of nurses in TB control - World Health … role of nurses in TB control ... Health education: patient, family and community Treatment observation Sputum collection

The role of nurses The role of nurses in TB controlin TB controlDEWG meetingDEWG meeting2828thth October 2004October 2004Gini Williams, UnionGini Williams, Union

IntroductionIntroduction

““Nurses are undervalued and Nurses are undervalued and underunder--utilisedutilised””

““If I want to know about If I want to know about the programme I ask a the programme I ask a nursenurse””

““Nurses are the Nurses are the backbone of TB controlbackbone of TB control””

ChallengesChallenges

Lack of nursing guidelines Lack of nursing guidelines Lack of research evidenceLack of research evidenceLack of an international voiceLack of an international voiceLarge variety of circumstancesLarge variety of circumstances

Resources Resources EnvironmentsEnvironmentsQualificationQualification

ButBut……

DOTS is a global strategy promoting a DOTS is a global strategy promoting a standardised approach to TB controlstandardised approach to TB control

Nurses exist globally and share common Nurses exist globally and share common ideas and valuesideas and values

Building a clearer pictureBuilding a clearer picture

Asking nursesAsking nursesWorkshop discussionsWorkshop discussionsRole surveyRole surveyConsultationConsultation

ObservationObservationTechnical assistance visitsTechnical assistance visitsResearch studiesResearch studies

Summary of key activities Summary of key activities (variety of nurses)(variety of nurses)

Patient carePatient careHealth education: patient, family and Health education: patient, family and communitycommunityTreatment observationTreatment observationSputum collectionSputum collectionManagement/CoManagement/Co--ordinationordinationContact tracing/ScreeningContact tracing/ScreeningResearchResearchTeachingTeaching

DOTS expansion planDOTS expansion plan

Emphasis on improving case detection Emphasis on improving case detection and treatment success in 22 high burden and treatment success in 22 high burden countries with 80% of global TB burdencountries with 80% of global TB burden

Nurses and case Nurses and case detectiondetection

70% Case detection70% Case detection

First point of call in primary care servicesFirst point of call in primary care servicesHealth education Health education Holding patient from presentation to Holding patient from presentation to registrationregistrationRecording and reportingRecording and reporting

Nurses and treatment Nurses and treatment successsuccess

85%Treatment success85%Treatment success

Patient care Patient care -- physical, psychological, socialphysical, psychological, socialHealth education Health education –– patient, family, patient, family, communitycommunityTreatment monitoring Treatment monitoring Recording and reportingRecording and reporting

Why are nurses not reaching Why are nurses not reaching their potential?their potential?

Lack of strategic level representationLack of strategic level representation

Lack of research evidenceLack of research evidence

Lack of consistent training and materialsLack of consistent training and materials

Make the most of nursesMake the most of nursesIdentify leaders in the fieldIdentify leaders in the field

Local, national, regional and globalLocal, national, regional and global

Develop research opportunitiesDevelop research opportunitiesClinical audit (best practice standards)Clinical audit (best practice standards)More funding for operational researchMore funding for operational research

Develop training opportunitiesDevelop training opportunitiesIdentifying the nursesIdentifying the nurses’’ roleroleInvolving nurses in trainingInvolving nurses in trainingTraining nursing studentsTraining nursing students