A Study to Assess the Knowledge and Practice Regarding Prevention of TB Among Staff Nurses Working in a Selected TB Hospital at Jodhpur

Year : 2026 | Volume : 04 | Issue : 01 | Page : 7 33
    By

    Shyam Sunder,

  1. Nursing Tutor, Department of Nursing, Govt. College of nursing, Barmer, Rajasthan, India

Abstract

Tuberculosis (TB) remains a major global public health concern, causing significant morbidity and mortality, particularly among healthcare workers. Staff nurses are at heightened risk due to repeated exposure to patients with active TB, making knowledge and adherence to preventive practices critical. The present study was conducted to evaluate the knowledge and practices of staff nurses concerning tuberculosis (TB) prevention at Kamla Nehru TB and Chest Hospital, Jodhpur. A descriptive and non-experimental research design was employed, involving 40 staff nurses who were chosen through a non-probability convenience sampling technique. Data collection was carried out using two tools: a structured knowledge questionnaire and an observational checklist. The questionnaire included 30 multiple-choice items to measure knowledge, while the checklist comprised 15 statements designed to assess nurses’ TB prevention practices. Scoring criteria categorize knowledge and practice levels as inadequate, moderate/average, or adequate/good. Content validity of the tools was established by nine experts in medical-surgical nursing, and reliability was confirmed using the split-half method, yielding coefficients of r = 0.84 for the knowledge questionnaire and r = 0.82 for the observational checklist. Data analysis involved descriptive statistics, t-tests to assess correlations, and Chi-square tests to determine associations between demographic variables and knowledge/practice levels. The study highlights the critical role of staff nurses in TB control and emphasizes the need for ongoing education, training, and adherence to infection control measures to prevent occupational TB. Findings from this research can guide healthcare institutions in developing strategies to enhance TB prevention among nursing staff, ensuring both workforce safety and improved patient outcomes.

Keywords: Infection control, knowledge, and practices, staff nurses, TB prevention, tuberculosis (TB)

[This article belongs to International Journal of Community Health Nursing And Practices ]

How to cite this article:
Shyam Sunder. A Study to Assess the Knowledge and Practice Regarding Prevention of TB Among Staff Nurses Working in a Selected TB Hospital at Jodhpur. International Journal of Community Health Nursing And Practices. 2026; 04(01):7-33.
How to cite this URL:
Shyam Sunder. A Study to Assess the Knowledge and Practice Regarding Prevention of TB Among Staff Nurses Working in a Selected TB Hospital at Jodhpur. International Journal of Community Health Nursing And Practices. 2026; 04(01):7-33. Available from: https://journals.stmjournals.com/ijchnp/article=2026/view=247424


References

  1. World Health Organization. Global Tuberculosis Report. 2021. Geneva (CH): World Health Organization; 2021.
  2. Central TB Division, Directorate General of Health Services, Ministry of Health and Family Welfare. TB India 2005: RNTCP Status Report – Frontline TB Care Providers Working Towards Freedom from TB. New Delhi (IN): Ministry of Health and Family Welfare; 2005.
  3. Centers for Disease Control and Prevention. Clinical testing and diagnosis for tuberculosis. Atlanta (GA): Centers for Disease Control and Prevention; 2023.
  4. Wani MR, Amin N, Yasmin B, Wani D. A descriptive study to assess the knowledge and practice of self-care regarding transmission, prevention and management of pulmonary tuberculosis among staff nurses working at SMHS Hospital Srinagar with a view to develop an information booklet. Indian J Holist Nurs. 2022;13(1):1–6. doi:10.24321/2348.2133.202201.
  5. Chavan YB, Shenoy PS. Tuberculosis among resident doctors and nurses in a tertiary care hospital: A case-control study. J Fam Med Prim Care. 2022;11(5):1771–1775. doi:10.4103/jfmpc.jfmpc_1089_21. PubMed PMID: 35800525.
  6. Dwivedi R, Goswami D, Singh P, Singh K. Assessment of knowledge, attitude, practice (KAP) regarding directly observed therapy (DOT) in tuberculosis among ASHA workers from tribal subpopulation zone of Rajasthan. J Fam Med Prim Care. 2022;11(11):6783–6788. doi:10.4103/jfmpc.jfmpc_2258_21. PubMed PMID: 36993051.
  7. Baral MA, Koirala S. Knowledge and practice on prevention and control of tuberculosis among nurses working in a regional hospital, Nepal. Front Med. 2022;8:788833. doi:10.3389/fmed.2021.788833. PubMed PMID: 35223880.
  8. Erawati M, Andriany M. Determinants of latent tuberculosis infection among nurses at public health centers in Indonesia. Belitung Nurs J. 2022;8(1):28–34. doi:10.33546/bnj.1846. PubMed PMID: 37521074.
  9. Sharma SK, Mandal A, Mishra M. Effectiveness of m-learning on knowledge and attitude of nurses about the prevention and control of MDR TB: A quasi-randomized study. Indian J Tuberc. 2021;68(1):3–8. doi:10.1016/j.ijtb.2020.10.013. PubMed PMID: 33641848.
  10. Qader GQ, Seddiq MK, Rashidi KM, Manzoor L, Hamim A, Akhgar MH, et al. Prevalence of latent tuberculosis infection among health workers in Afghanistan: A cross-sectional study. PLoS One. 2021;16(6):e0252307. doi:10.1371/journal.pone.0252307. PubMed PMID: 34061873.
  11. Krishnamoorthy Y, Ezhumalai K, Murali S, Rajaa S, Jose M, Sathishkumar A, et al. Prevalence and risk factors associated with latent tuberculosis infection among household contacts of smear positive pulmonary tuberculosis patients in South India. Trop Med Int Health. 2021;26(12):1645–1651. doi:10.1111/tmi.13693. PubMed PMID: 34654061.
  12. ‌Akande PA. Knowledge and practices regarding tuberculosis infection control among nurses in Ibadan, south-west Nigeria: A cross-sectional study. BMC Health Serv Res. 2020;20:280. doi:10.1186/s12913-020-05156-y. PubMed PMID: 32252759.
  13. Sukartini T, Wibowo AE, Bakar A. The relationship of nurse characteristics with prevention behavior and control of pulmonary tuberculosis infection. Eurasian J Biosci. 2020;14(2):
    2663–2668.
  14. Nautiyal RG, Mittal S, Awasthi S, Singh RK. Knowledge about tuberculosis among pulmonary tuberculosis patients: A cross-sectional study from Uttarakhand. J Fam Med Prim Care. 2019;8(5):1735–1740. doi:10.4103/jfmpc.jfmpc_51_19. PubMed PMID: 31198746.
  15. Dhaked S, Sharma N, Chopra KK, Khanna A, Kumar R. Treatment seeking pathways in pediatric tuberculosis patients attending DOTS centers in urban areas of Delhi. Indian J Tuberc. 2018;65(4):308–314. doi:10.1016/j.ijtb.2018.06.007. PubMed PMID: 30522618.
  16. Kumar MG, Joseph B, Goud BR, Joseph M, Rajitha M. Risk of tuberculosis infection among healthcare workers in a tertiary care hospital in Bengaluru City. Indian J Occup Environ Med. 2019;23:83–89. doi:10.4103/ijoem.IJOEM_269_18. PubMed PMID: 31619881.
  17. Singh K, Pabla H, Chawla S, A A, Pabla H, Chawla S. Awareness about tuberculosis among nurses working in a tertiary care hospital in Solan, Himachal Pradesh. Int J Community Med Public Health. 2019;6:3081–3086. doi:10.18203/2394-6040.ijcmph20192855.
  18. Alotaibi B, Yassin Y, Mushi A, Maashi F, Thomas A, Mohamed G, et al. Tuberculosis knowledge, attitude and practice among healthcare workers during the 2016 Hajj. PLoS One. 2019;14(1):e0210913. doi:10.1371/journal.pone.0210913. PubMed PMID: 30682065.
  19. Krithika SA, Jayanthi NN, Subramanian S. Awareness of tuberculosis among nurses. Int Arch Integr Med. 2018;5(4):153–160.
  20. Hng SH, Siti Nabihah S, Siti Nabilah S. Knowledge and practice among nurses on management of tuberculosis in a teaching hospital. Med Health. 2018 Jun;13(1):153–164. doi:10.17576/MH.

2018.1301.15.

  1. Van Rensburg AJ, Engelbrecht M, Kigozi G, Van Rensburg D. Tuberculosis prevention knowledge, attitudes, and practices of primary health care nurses. Int J Nurs Pract. 2018;24(6):e12681. doi:10.1111/ijn.12681. PubMed PMID: 30066350.
  2. Janagond AB, Ganesan V, Vijay Kumar GS, Ramesh A, Anand P, Mariappan M. Screening of health-care workers for latent tuberculosis infection in a tertiary care hospital. Int J Mycobacteriol. 2017;6(3):253–257. doi:10.4103/ijmy.ijmy_82_17. PubMed PMID: 28776523.
  3. Pardeshi GS, Kadam D, Chandanwale A, Deluca A, Khobragade P, Parande M, et al. TB risk perceptions among medical residents at a tertiary care center in India. Tuberc Res Treat. 2017;2017:7514817. doi:10.1155/2017/7514817. PubMed PMID: 29359043.
  4. Gupta R, Sood A, Kaistha M, Bhardwaj A, Sharma T. Comparative study of knowledge and practices regarding tuberculosis amongst the nursing staff of medical college and peripheral health care unit. Int J Community Med Public Health. 2017;4(10):3625–3629. doi:10.18203/2394-6040.ijcmph20174222.
  5. Bhandari SR, Bande R. Knowledge, attitude, and practice against tuberculosis infection control among medical students and nursing staff. J Contemp Med Dent. 2016;4(2):29–32.
  6. Mirtskhulava V, Whitaker JA, Kipiani M, Harris DA, Tabagari N, Owen-Smith AA, et al. Determinants of tuberculosis infection control-related behaviors among healthcare workers in the country of Georgia. Infect Control Hosp Epidemiol. 2015;36(5):522–528. doi:10.1017/ice.2015.5. PubMed PMID: 25648218.
  7. Kansal AR, Mahal R, Behera D, Sarin R. A study to assess learning need, knowledge, and attitude of nurses regarding tuberculosis care under RNTCP in two tertiary care tuberculosis institutions of Delhi, India. Asian J Nurs Educ Res. 2014;4(1):30–34.
  8. Mathew A, David T, Thomas K, Kuruvilla PJ, Balaji V, Jesudason MV, et al. Risk factors for tuberculosis among health care workers in South India: A nested case-control study. J Clin Epidemiol. 2013;66(1):67–74. doi:10.1016/j.jclinepi.2011.12.010. PubMed PMID: 22521578.
  9. Raviglione MC, Uplekar MW. WHO’s new Stop TB Strategy. Lancet. 2006;367(9514):952–955. doi:10.1016/S0140-6736(06)68392-X. PubMed PMID: 16546550.
  10. Richeldi L. An update on the diagnosis of tuberculosis infection. Am J Respir Crit Care Med. 2006;174(7):736–742. doi:10.1164/rccm.200509-1516PP. PubMed PMID: 16799073.
  11. Rodriguez-Takeuchi SY, Renjifo ME, Medina FJ. Extrapulmonary tuberculosis: Pathophysiology and imaging findings. RadioGraphics. 2019;39:2023–2037. doi:10.1148/rg.2019190109. PubMed PMID: 31697616.
  12. Sepkowitz KA. Tuberculosis and the health care worker: A historical perspective. Ann Intern Med. 1994;120(1):71–79. doi:10.7326/0003-4819-120-1-199401010-00012. PubMed PMID: 8250459.
  13. Sia IG, Wieland ML. Current concepts in the management of tuberculosis. Mayo Clin Proc. 2011;86(4):348–361. doi:10.4065/mcp.2010.0820. PubMed PMID: 21454737.
  14. Shaban D. (2017). Tuberculosis (TB): Causes, Symptoms, Treatment. [online] WebMD. Available from: https://www.webmd.com/lung/understanding-tuberculosis-basics
  15. ‌World Health Organization. Global Tuberculosis Report. Geneva (CH): World Health Organization; 2017.
  16. World Health Organization. WHO Consolidated Guidelines on Tuberculosis: Module 2: Screening – Systematic Screening for Tuberculosis Disease. Geneva (CH): World Health Organization; 2021.
  17. World Health Organization. (2026). Tuberculosis. [online] World Health Organization, Geneva (CH). Available from: https://www.who.int/news-room/fact-sheets/detail/tuberculosis
  18. Azeredo ACV, Holler SR, de Almeida EGC, Cionek OAGD, Loureiro MM, Freitas AA, et al. Tuberculosis in health care workers and the impact of implementation of hospital infection-control measures. Workplace Health Saf. 2020;68(11):519–525. doi:10.1177/2165079920919133. PubMed PMID: 32502371.
  19. Lacerda TC, Souza FM, Prado TND, Locatelli RL, Fregona G, Lima RCD, et al. Tuberculosis infection among primary health care workers. J Bras Pneumol. 2017;43:416–423. doi:10.1590/s1806-37562016000000211. PubMed PMID: 29340489.
  20. Masuku S, Olorunju S, Mooa RS, van der Walt M, Peu MD. Association of knowledge and practice of tuberculosis infection prevention and control policies among health care personnel at a regional hospital, in Gauteng Province of South Africa. Int J Afr Nurs Sci. 2023;19:100588. doi:10.1016/j.ijans.2023.100588.
  21. Vigenschow A, Edoa JR, Adegbite BR, Agbo PA, Adegnika AA, Alabi A, Massinga-Loembe M, Grobusch MP. Knowledge, attitudes and practices regarding tuberculosis amongst healthcare workers in Moyen-Ogooué Province, Gabon. BMC Infect Dis. 2021 May 27;21(1):486. doi: 10.1186/s12879-021-06225-1. PMID: 34039304; PMCID: PMC8157668.
  22. Wang XN, He TL, Geng MJ, Song YD, Wang JC, Liu M, Hoosdally SJ, Cruz ALG, Zhao F, Pang Y, Zhao YL, He GX. Prevalence of and risk factors for tuberculosis among healthcare workers in Chinese tuberculosis facilities. Infect Dis Poverty. 2018 Mar 24;7(1):26. doi: 10.1186/s40249-018-0407-6. PMID: 29592797; PMCID: PMC5872547.
Regular Issue Subscription Original Research
Volume 04
Issue 01
Received 25/12/2025
Accepted 10/01/2026
Published 20/01/2026
Publication Time 26 Days
12

Login


My IP

PlumX Metrics