Development of a Pulmonary Tuberculosis Screening Model at Nadun Hospital
Keywords:
Pulmonary tuberculosis, Screening, Model developmentAbstract
Objective: This action research aimed to develop a screening model for pulmonary tuberculosis patients and evaluate the outcomes of implementing the developed screening model at Nadoon Hospital.
Methods: The study was conducted from October 2023 to July 2024 using a four-phase action research approach: planning, implementation, monitoring and evaluation, and reflection. The sample consisted of 17 multidisciplinary healthcare personnel and 68 suspected pulmonary tuberculosis patients. Research instruments included a knowledge assessment form, in-depth interview guidelines, and a satisfaction evaluation form. Quantitative data were analyzed using descriptive statistics and Wilcoxon Signed-Rank Test, while qualitative data were analyzed using content analysis.
Results: The developed screening model comprised six approaches: (1) assigning nurses to manage screening points, (2) assigning nurses to manage respiratory disease clinics, (3) managing patients with fever, cough, and sneezing by having them wait separately at the respiratory disease clinic, (4) using pulmonary tuberculosis screening forms, (5) establishing fast-track referral channels for suspected pulmonary tuberculosis patients, (6) enhancing communication systems. The post-development model demonstrated greater comprehensiveness, improved patient risk stratification, reduced overcrowding in tuberculosis clinics, and increased COVID-19 testing. Healthcare personnel's mean knowledge scores significantly increased from 12.53 to 15.71 (P < 0.001). Healthcare personnel expressed high satisfaction with the screening system ( = 3.97).
Conclusion: The development of a pulmonary tuberculosis screening model through action research significantly improved screening efficiency, enhanced healthcare personnel's knowledge and understanding, and generated high satisfaction among both healthcare providers and patients. The developed model can be adapted for implementation in similar healthcare facilities.
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