Knowledge, attitude, practice statusand influencing factors on tuberculosis infectionprevention and control among nurses at Outpatient and Emergency Departments in Class IIIgeneral hospitals

Objective To understand the knowledge, attitude and practice status of tuberculosis (TB) infection prevention and control among nurses from Outpatient and Emergency Departments of Class Ⅲ general hospitals, analyze the influencing factors and the relationship among them, andprovide a scientific basis for preventing and controlling TB scientifically. Methods Totally 491 nurses from 8 ClassⅢ general hospitals in 4 cities of Shanxi Province were selected as the subjects by cluster sampling from February to March 2019, and a self-designed Questionnaire on Knowledge, Attitude and Practice of Tuberculosis Prevention and Control Among Nurses in Outpatient and Emergency Departments of Tertiary General Hospitals was used to conduct the survey. Results The scores of knowledge, attitude, practice dimensions of Outpatient and Emergency nurses in Class Ⅲ general hospitals were (60.13±6.848) , (86.73±7.453) , and (101.47±13.394) respectively. There was statistical difference between the TB prevention and control knowledge scores of nurses who were hospital infection monitor nurse or not and who had received different times of training about TB prevention and control within the recent 3 years (P<0.05) ; there was statistical difference between the TB prevention and control attitude scores of nurses with different genders, departments, working length, number of training received about TB prevention and control within the recent 3 years (P<0.05) ; there was statistical difference between the TB prevention and control practice scores of nurses with different genders, departments, working length, human resource status, number of training received about TB prevention and control within the recent 3 years (P<0.05) . Pearson correlation analysis showed that there was a negative correlation between knowledge , attitude and practice (r= - 0.181, - 0.367, P< 0.01) .There was a positive correlation between attitude and behavior (r=0.276, P<0.01) . Conclusions Nurses in Class Ⅲ general hospitals have poor knowledge of TB prevention and control, and need to be improved urgently. Their attitude and practice level are good. Hospitals should take measures to raise their awareness, promote positive attitudes and standardize TB prevention and control behavior. Key words: Nurses; Tuberculosis; Preventionand control; ClassⅢ general hospitals; Knowledge; Attitude; Practice