Transforming Nursing Practice to Optimize Care of Patients with Tuberculosis and Associated Comorbidities in the Kilimanjaro Region, Tanzania

Simple item page
dc.contributor.authorShayo, Pendo Martha
dc.contributor.authorZewdie, Elyana
dc.contributor.authorByashalira, Kenneth
dc.contributor.authorChamb, Nyasatu
dc.contributor.authorMbelele, Peter
dc.contributor.authorBygbjerg, Ib
dc.contributor.authorLillebaek, Troels
dc.contributor.authorHeysell, Scott
dc.contributor.authorChristensen, Dirk
dc.contributor.authorMpagama, Stellah
dc.date.accessioned2025-09-20T12:34:28Z
dc.date.issued2025-01-31
dc.descriptionSDG - 3: Good Health and Well-being SDG -1: No Poverty SDG -10: Reduced Inequalities SDG -17: Partnerships for the Goals
dc.description.abstractBackground: Managing tuberculosis (TB) patients with comorbidities requires a holistic and patient-centered approach. This study evaluated patient-centered care (PCC) experiences among TB patients with multimorbidity under the Adaptive Diseases Control Expert Program in Tanzania (ADEPT), with a focus on the TB/diabetes mellitus (DM) co-epidemic targeted by the program. Methods: A quantitative cross-sectional study was conducted involving TB patients with associated comorbidities receiving care from nurses trained in PCC through the ADEPT program. Patients were assessed for their interpretation of how they received PCC across eight dimensions of care. Results: All 39 participants with TB had at least one comorbidity (100%). The most common multi-morbidities were TB/HIV (59.0%) and TB/DM (12.8%). Evaluation of needs, values, and preferences revealed that participants strongly felt healthcare workers considered these aspects (mean score = 4.53; scale 1 minimum- strongly disagree to 5 maximum- strongly agree). Subsequent analysis showed varying evaluations across dimensions. Patients reported robust endorsement for receiving care that involved family and friends, with mean scores of 4.04, and for access to care, with a mean score of 4.40. However, physical comfort, coordination, continuity of care, education and emotional support received comparatively lower rankings. Conclusion: TB patients with multimorbidity under the ADEPT program experienced PCC. However, certain systemic issues such as physical spaces, coordination, transition of care, and information education did not meet patient's needs in their own assessment, indicating opportunities for further quality improvement. Scaling up the ADEPT program within healthcare systems is likely to enhance care provision for TB patients with multimorbidity through a patient-centered approach.
dc.identifier.urihttp://dx.doi.org/10.2174/0118744346356368241218080300
dc.identifier.urihttps://dspace.nm-aist.ac.tz/handle/123456789/3283
dc.language.isoen
dc.publisherThe Open Nursing Journal
dc.subjectTuberculosis
dc.subjectComorbidities
dc.subjectNursing care
dc.subjectPatient-centered care
dc.subjectTB-DM
dc.subjectMultimorbidity
dc.titleTransforming Nursing Practice to Optimize Care of Patients with Tuberculosis and Associated Comorbidities in the Kilimanjaro Region, Tanzania
dc.typeArticle

Files

Original bundle

Now showing 1 - 1 of 1
Thumbnail Image
Name:
JA_LISBE_2025 (4).pdf
Size:
298.27 KB
Format:
Adobe Portable Document Format
Download

License bundle

Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
2 KB
Format:
Item-specific license agreed upon to submission
Description:
Download

Collections

Research Articles [LISBE]