Drug-resistant tuberculosis: integrative review of nursing care in primary health care.
Sibele Naiara Ferreira Germano, Alacoque Lorenzini Erdmann, Camila Freire Albuquerque and 3 others
PMID 39045974WHAT IT FOUND
Direct observed treatment, home visits, HIV testing, education, and close handoff from hospital services were described as nursing care for drug-resistant TB in primary care.
This review maps care. It does not prove the care works.
Key findings
01The review included 11 studies; seven were conducted in Brazil and four in South Africa.
02Six included studies emphasized directly observed treatment, two emphasized integrated TB and HIV care, and two emphasized comprehensive nursing consultation using the Nursing Process.
03Only two articles were rated high methodological quality; nine failed to achieve this level because of missing or inadequate methodological description.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The review synthesizes care practices rather than testing them, so it cannot show cause and effect. Many included studies were qualitative or action research, and most did not meet the review's high-quality appraisal. Grey literature was not searched. Articles not freely available were excluded, which may have omitted relevant studies. The included studies were mainly from Brazil and South Africa, so they may not apply everywhere.
The easy way to misread this
Do not read the listed nursing practices as proven treatments for drug-resistant TB. The review synthesizes mostly qualitative and low-quality studies, so it cannot show cause and effect.