TB Notes Newsletter
No. 2, 2006
HIGHLIGHTS FROM STATE AND LOCAL PROGRAMS
“Update: Tuberculosis Nursing” Workshop
The Public Health Nursing Branch of the State of Hawaii Department
of Health convened a workshop entitled “Update: Tuberculosis
Nursing” on November 8, 2005, at the Pagoda Hotel and Restaurant.
Partners in convening this workshop were Cathy Wasam, R.N., U.S.
Public Health Service, and Jessie Wing, M.D., Chief, Tuberculosis
Branch of the State of Hawaii Department of Health.
Dr. Linda Rosen, Deputy Director of the Health Resources Administration,
welcomed the 91 public health nurses from throughout the state of
Hawaii to a full day of enriching presentations on the prevention
and control of TB. This included a lively interactive group dialogue
and problem solving on a case study focusing on clinic management,
case management, and investigation.
The keynote speaker, Judy Gibson, R.N., M.S.N, Nurse Consultant,
Field Services and Evaluation Branch, DTBE, succinctly presented
the national prioritized strategies for TB prevention and control
and public health function of TB treatment including the clinical,
care, and support aspects. The participants were much interested
in the introduction of the case management model based on CDC’s
framework of evaluation to structure the role of the Public Health
Nurse in the management and coordination of medical and social-behavioral
activities integrated with standardized nursing interventions. Ms.
Gibson emphasized the importance of focusing on behavioral and other
concerns of patients and determining appropriate nursing interventions
leading to short- and long-term outcomes. Provider competencies
and systems responses are critical in addressing patient issues
and concerns and in the control of tuberculosis. Finally, self-evaluation
to determine program effectiveness and best practice nursing interventions
must be tied in to the role of the Public Health Nurse in the care
and supportive aspects of case management.
Lastly, Ms. Gibson applied the information presented to testing
and treatment of persons with latent TB Infection (LTBI) in other
high-risk populations. She reiterated the prioritized strategies
pertaining to testing and screening including risk identification
and health screening steps. The PHN best practice model for case
management and the professional standard Goals Matrix tool (draft)
for measuring uniform clinical performance were discussed.
Dr. Jessie Wing, Chief of the Tuberculosis Branch, Hawaii State
Department of Health, spoke informatively about the treatment regimens
in the control of TB. She included transmission, probability of
transmission, pathogenesis, conditions that increase risk, disease
sites, and the classification system of TB. Dr. Wing spent time
sharing data related to TB testing and screening, cases, and completion
of therapy. She shared information on state-of-the-art LTBI testing
methods such as the whole-blood interferon gamma release assay (IGRA),
which may help ensure accurate identification of individuals with
In summary, the conference achieved its objectives of providing
current information as well as best practices in nursing in the
prevention and control of TB.
—Ruth K. Ota, RN, MPH
Chief Public Health Nursing Branch
Hawaii State Department of Health
Released October 2008
Centers for Disease Control and Prevention
National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention
Division of Tuberculosis Elimination - http://www.cdc.gov/tb
Please send comments/suggestions/requests
CDC/Division of Tuberculosis Elimination
Communications, Education, and Behavioral Studies Branch
1600 Clifton Rd., NE - Mailstop E-10, Atlanta, GA 30333