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Research, nursing care and cultural diversity




REF.: 139
Country: United Kingdom

Tuberculosis and marginalised groups: Skilling the health and social care workforce
Gill Craig, Celia Goreham, Ros Bryar
City University Institute of Health Sciences, London (UK)

Mail delivery: City University Institute of Health Sciences 20, Bartholomew Close, London EC1A 7QN (UK)

Rev Paraninfo digital, 2007: 2

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Craig, Gill; Goreham, Celia; Bryar, Ros. Tuberculosis and marginalised groups: Skilling the health and social care workforce. Rev Paraninfo Digital, 2007; 2. In: <http://www.index-f.com/para/n2/139.php> Consulted 17 de Agosto del 2022



Background: Rates of tuberculosis are increasing in marginalised urban communities in London, UK and other parts of Europe and the capital now accounts for 43% of cases nationally.1 The reasons are likely to be multifactoral including migration, homelessness, the HIV pandemic, poverty and social exclusion.2 The concentration of the disease in marginalised groups present new challenges to the care and management of at risk groups. National policy and practice guidelines recognise the need to work across professional boundaries adopting a whole system multi-agency approach. This has implications for the training and educational needs of health and social care professionals.
Objectives: To describe the development and evaluation of an educational initiative designed to skill up health and social care workers to provide interprofessional, collaborative care to patients with tuberculosis.
Design: A mixed methods evaluation involving three phases. Phase 1 was a scoping exercise involving interviews and focus groups with relevant stakeholders to identify training needs and commitment to interprofessional practice and TB. Phase II involved the development of educational materials, including e-learning resources. Phase III was the delivery of the course including workplace shadowing and collaborative care planning. A pre and post course evaluation tool was designed to measure change in perceived confidence in effective inter-professional practice.
Results: Course participants (n=14) included: nurses (50%); housing /social care staff (28%); and those involved in project and policy work (21%). The mean difference in confidence ratings pre (mean 39.50) and post ( mean 55.25) course evaluation was 15.75;SD7.79. (t=7.000, p=0.000, df [11,1], n=12).
Conclusion: Interprofessional education improves participants� confidence in developing collaborative practice. We discuss some of the theoretical and policy issues arising when attempting to bridge health and social care education and practice.

1. Health Protection Agency (2006) Focus on Tuberculosis:Annual surveillance report 2006 - England, Wales and Northern Ireland. London, Health Protection Agency Centre For Infections. WHO (2007) Global tuberculosis control. Surveillance, Planning, Financing. Geneva:WHO.
2. Sumartojo, E. (1993), "When tuberculosis treatment fails. A social behavioral account of patient adherence", Am.Rev.Respir.Dis., vol. 147, no. 5, pp. 1311-1320.
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