staff questionnaire - ghdonline · web viewthis questionnaire is part of an effort to assess tb...

Number___________Date ___________

Staff Survey

TB Infection Control at the Church of Scotland Hospital

This questionnaire is part of an effort to assess TB infection control knowledge, attitudes and practices of staff at the Church of Scotland Hospital. It is not a test. No one is evaluating you. Before we begin to implement a TB infection control plan, we want to see what staff at the hospital already know, think and do in relation to infection control in order to properly monitor and evaluate progress in the plan when it is implemented.

Confidentiality and anonymity

This questionnaire is COMPLETELY CONFIDENTIAL AND ANONYMOUS. You will not put your name on this questionnaire. You will make up your own ID number to put on the survey. No one will know the secret code except you. Please make sure you remember this code, as you will have to write it again in a few months when we take another survey. Use a number you will never forget, and consider storing the number on your cell phone. No one will keep track of what you wrote individually. When you are finished with the questionnaire, you can drop it in the box at the front of the room so no one will see which one is yours.

Your answers will not be shared with anyone else from this hospital, the Department of Health or elsewhere—neither your peers nor any of your superiors. Nothing you write in this survey will have any impact on your employment at COSH or anywhere else.

Honesty

There are no right or wrong answers. We only want the truth. We want to know what you actually think, feel and do in relation to TB infection control—not what you are supposed to think, feel and do! Being dishonest will only waste everyone’s time and money and lead to a poor TB infection control policy. This is bad for patients and for staff, as it puts everyone at risk of catching TB in the hospital.

Please do not give answers that you think we want to hear. Please only tell us the truth. No one in the world will know what you say on this survey and it will have no impact on your employment at COSH or elsewhere.

Questions

We have used some technical terms in this form. Please feel free to ask about anything you don’t understand. If you have any questions, you can contact Zahir Kanjee or Sister Kathryn Catterick.

We ask for your complete attention when you fill out this confidential questionnaire. Please fill it out honestly. No one will know what you wrote. Your results will not be shared with anyone and they will have no impact on your employment at COSH or elsewhere. Thank you for improving TB infection control at COSH by completing this survey! Your colleagues and patients thank you.

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Demographics

None of this data will be used to identify you personally. Please be honest when you answer these questions.

D1. Which department do you work in most of the time? (Circle only one.)OPD [a]

Male TB [b] Female TB [c]

MDR-TB [d] ARV clinic [e]

Radiology [f] Mortuary [g] Dentistry [h] Gateway [i]

Male Medical [j] Female Medical [k]

Trauma [l]

D2. What is your job title? (Circle only one.) Professional Nurse [a]

Enrolled Nurse [b]Enrolled Nursing Assistant [c]

Ward clerk [d]DOTS tracer [e]

D3. How long have you been a nurse/nurse assistant/clerk/tracer (not just at COSH, but anywhere)? (Circle only one.)

Less than 6 months [a] Greater than 6 months-1 year [b]

Greater than 1 year- 5 years [c] Greater than 5 years- 10 years [d]

Greater than 10 years- 20 years [e] Greater than 20 years [f]

D4. Gender: Male [a]

Female [b]

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Staff Survey

Knowledge/Information

The following questions are about TB. If you don’t know an answer, please do not guess. Instead, choose the “I don’t know” option.

Please answer honestly. Remember that your answers are COMPLETELY CONFIDENTIAL AND ANONYMOUS. No one will know what you wrote, and your answers will have no impact on your employment at COSH or elsewhere.

K1. Are the following symptoms of TB? (For each symptom, check only one—either “yes”, “no”, or “I don’t know”.)

Symptom Yes, a symptom of TB [a]

No, not a symptom of TB [b]

I don’t know [c]

Blurry vision [1]Coughing for longer than 2 weeks

[2]

Coughing up blood [3]Dizziness [4]Ear pain [5]Fever [6]Headache [7]Many bacterial infections [8]Memory loss [9]Night sweats [10]Pain with urination [11]Tiredness/ malaise [12]Watery eyes [13]Weight loss [14]

K2. Are the following statements true or false? (For each option, check only one—either “true”, “false”, or “I don’t know”)

Statement True [a]

False [b]

I don’t know [c]

TB is often spread from person to person through sex [1]TB is often spread from person to person through the air [2]TB is often spread from person to person through blood [3]HIV-positive patients are more vulnerable to catching TB than HIV-negative patients

[4]

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Statement True [a]

False [b]

I don’t know [c]

Usually, only people with active TB disease in the lungs or throat are infectious

[1]

Patients with active TB disease can infect people by coughing [2]Patients with active TB disease can infect people by sharing food or drinks

[3]

Patients with active TB disease can infect people by spitting [4]Patients with active TB disease can infect people by sharing bed linens or toilet seats

[5]

Patients with active TB disease can infect people by talking [6]Patients with active TB disease are more likely to infect others if they have a cough that produces a lot of sputum

[7]

Very young children (less than 5 years of age) with active TB disease are usually infectious

[8]

K4. Is this an N95 or a surgical mask?

N95 [a] Surgical mask [b]

I don’t know [c]

K5. Is this an N95 or a surgical mask?

N95 [a] Surgical mask [b]

I don’t know [c]

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Staff Survey


Statement True [a]

False [b]

I don’t know [c]

N95s protect healthcare workers and visitors by stopping TB particles from being breathed in

[1]

N95s must be thrown away after each day’s use [2]A wet or dirty N95 can still be used [3]An N95 should be stored in a plastic bag when it is not being used

[4]

Healthcare workers should write their names and dates on an N95 when they get it so they know which one is theirs

[5]

Surgical masks protect healthcare workers and visitors by stopping TB particles from being breathed in

[6]

It is alright to wear a beard (amadevu) or facial hair with an N95

[7]

Surgical masks keep TB patients from coughing TB particles into the air

[8]

If mixing/extractor fans and ventilators are on in a room, it is NOT necessary to keep doors and windows open in order to prevent the spread of TB

[9]

K7. How often should you check if your N95 is airtight and doesn’t allow any air to pass/leak? (Check only one option.)

Never [a]Every time you put on an N95 [b]

Once a week [c]Once a month [d]

Once a year [e]I don’t know [f]

K8. Where do most MDR-TB and XDR-TB patients catch MDR and XDR disease? (Check only one option.)

Inside the hospital [a]In the community (outside of the hospital) [b]

I don’t know [c]

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The following questions are about infection control practices. Think about the answers for a little while and write an answer if you can. The answer should be about 2 to 5 lines long. If you cannot think of anything at all, you may leave the question blank. Remember that your answers are COMPLETELY CONFIDENTIAL AND ANONYMOUS. No one will know what you wrote, and your answers will have no impact on your employment at COSH or elsewhere.

K9. What should you tell a coughing patient to do in order to prevent the spread of TB and other respiratory infections?

K10. What item should you give to TB suspects or cases to prevent the spread of TB?

K11. Imagine you are in a room with TB patients. What item could you put on yourself to prevent TB infection?

K12. Imagine you are in a room with TB patients. What could you do to the room to prevent the spread of TB?

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Staff Survey

STOP- END OF SECTION

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Staff Survey

Attitude/Motivation

The following questions ask about your feelings about TB infection control practices. Please answer honestly, indicating how strongly you agree or disagree with the following statements. Please circle only one answer option per question.

These next questions ask how comfortable you are with some practices. Being comfortable means that you feel safe and not bothered to do it. You have no problem doing that activity for any reason. Please circle only one option per question.

Please answer honestly. Remember that your answers are COMPLETELY CONFIDENTIAL AND ANONYMOUS. No one will know what you wrote, and your answers will have no impact on your employment at COSH or elsewhere. Please tell us how you really feel—not how you are supposed to feel!

A1. . A2. I feel comfortable asking every patient I see if they have any signs or symptoms of TB.

Strongly agree [a] Agree [b]

Neutral [c] Disagree [d]

Strongly disagree [e]

A3. . A4. I feel comfortable offering TB tests to all patients who have TB signs or symptoms.




A5. I feel comfortable leaving doors open to prevent the spread of TB. Strongly agree [a]

Agree [b] Neutral [c]

Disagree [d] Strongly disagree [e]

A6. I feel comfortable leaving windows open to prevent the spread of TB. Strongly agree [a]



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A7. If I were to develop symptoms of TB, I would feel comfortable requesting TB diagnosis from COSH.




A8. If I were to develop symptoms of TB, I would feel comfortable requesting TB diagnosis from another facility.




A9. If I were to develop symptoms of TB, I would hide them for as long as I could instead of getting a diagnosis.




A10. If I were HIV-positive and working in a high-risk TB area, I would feel comfortable asking my supervisor to be relocated.




A11. I would feel comfortable accepting confidential VCT from the COSH occupational health officer or an EAP sister.




A12. If COSH organized confidential VCT at another facility where no one knew me, I would feel comfortable testing my HIV status this way.




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Staff Survey

A13. If COSH provided home HIV testing kits for me to use at my house, I would feel comfortable accepting and using this kit to test my HIV status.




A14. .A15. If COSH brought a mobile VCT unit to the hospital, and no one in the mobile unit knew me,

I would feel comfortable getting an HIV test there. Strongly agree [a]



A16. I feel comfortable telling coughing patients to follow cough hygiene procedures (like giving surgical masks or tissues, or telling them to cover their mouths with their arms when they cough or sneeze).




A17. I feel comfortable advising every patient to accept VCT. Strongly agree [a]



A18. . A19. I feel comfortable making TB suspects and cases wear surgical masks when in the hospital.




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A20. I feel comfortable making visitors of TB patients wear surgical masks. Strongly agree [a]



A21. I feel comfortable making visitors of TB patients wear N95s. Strongly agree [a]



A22. If I were performing an autopsy/post-mortem, I would feel comfortable wearing an N95 every time.




A23. It is very distressing to me that female MDR-TB and XDR-TB patients are admitted into the general female TB ward because there is no female isolation ward.

Strongly agree [a]Agree [b]



A24. Because COSH does not use ultraviolet (UV) lights, I feel that the hospital is putting healthcare workers at higher risk of catching TB. (Note: If you do not know what UV lights are, please choose option “a”.)

I do not know what UV lights are [a]Strongly agree [b]

Agree [c] Neutral [d]

Disagree [e] Strongly disagree [f]

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Staff Survey

A25. Because COSH does not have mixing/extractor fans in my department, I feel that the hospital is unnecessarily putting healthcare workers in my department at higher risk of catching TB. (Note: If you work in a department with mixing/extractor fans or don’t know what they are, please choose option “a”.)

Not applicable—I work in a department with mixing/extractor fans or I don’t know what these are [a]

Strongly agree [b]Agree [c]

Neutral [d] Disagree [e]

Strongly disagree [f]

A26. Because COSH does not have an official TB infection control policy, following TB infection control procedures must be unimportant.




A27. Because COSH does not have an official TB infection control policy, staff are more likely to ignore directions about TB infection control practices and procedures.




A28. The confirmed TB/MDR-TB/XDR-TB deaths amongst staff make me less willing to work in high-risk TB areas of the hospital.




A29. The confirmed TB/MDR-TB/XDR-TB deaths amongst staff make me want to stop working as a healthcare worker.




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A30. COSH administration cares about me and is trying hard to make sure I don’t catch TB/MDR-TB/XDR-TB.




A31. It would be fair to periodically rotate staff around departments so that the same healthcare workers are not always working in high-risk areas.




A32. It is very important to prevent the spread of TB in the hospital. Strongly agree [a]



These next questions ask how important you think some practices are for preventing the spread of TB. On a scale of 1 to 5, with 1 being “not at all important” and 5 being “extremely important”, circle how important you think each of the following activities are to the effort to prevent the spread of TB. Please circle only one option per question.

Please answer honestly. Remember that your answers are COMPLETELY CONFIDENTIAL AND ANONYMOUS. No one will know what you wrote, and your answers will have no impact on your employment at COSH or elsewhere. Tell us how you really feel—not how you are supposed to feel!

A33. Asking every patient if they have signs or symptoms of TB.

1 2 3 4 5Not at all important

Only a little important

Somewhat important

Important Extremely important

A34. Offering HIV tests to all patients.



Somewhat important


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Staff Survey

A35. Offering TB tests to all patients who have TB signs or symptoms.



Somewhat important


A36. Wearing an N95 all the time whenever I am around TB suspects or cases.



Somewhat important


A37. Wearing an N95 whenever performing an autopsy/post-mortem.



Somewhat important


A38. Leaving doors open in areas with TB patients.



Somewhat important


A39. Leaving windows open in areas with TB patients.



Somewhat important


A40. Going soon for diagnosis if I develop signs/symptoms of TB.



Somewhat important


A41. Knowing my HIV status.



Somewhat important


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A42. Getting relocated to a low-risk TB area if I were HIV-positive and working in a high-risk TB area.



Somewhat important


A43. Following cough hygiene procedures (like giving surgical masks or tissues to patients who are coughing, or telling them to cover their mouths with their arms when they cough or sneeze).



Somewhat important


A44. Advising every patient to accept VCT.



Somewhat important


A45. Making TB suspects and cases wear surgical masks when in the hospital.



Somewhat important


A46. Making visitors of TB patients wear surgical masks when in the hospital.



Somewhat important


A47. Making visitors of TB patients wear N95s when in the hospital.



Somewhat important


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Staff Survey

For the next section, check all the reasons that prevent healthcare workers at COSH from doing the following practices. Circle as many answers as apply. If you have additional answers that do not appear on this list, please write them in under “Other”. If you do not know, circle “I don’t know”.

Please answer honestly. Remember that your answers are COMPLETELY CONFIDENTIAL AND ANONYMOUS. No one will know what you wrote, and your answers will have no impact on your employment at COSH or elsewhere. Tell us what you really feel—not how you are supposed to feel!A48. What prevents healthcare workers at COSH from recommending VCT to all patients?

(Circle all that apply.) Healthcare workers don’t know they are supposed to [a]

This is new and difficult for healthcare workers [b] Healthcare workers think this does not work to find patients with HIV [c]

Healthcare workers are not good at doing it [d]Healthcare workers think it is not important to find patients with HIV [e]

No one has given healthcare workers good training on this [f] Patients won’t listen [g]

Healthcare workers are too lazy [h] This takes too much time [i]

It is embarrassing for staff to talk about HIV and offer VCT [j] It is embarrassing for patients to talk about HIV and offer VCT [k]

This is someone else’s job [l] Peer pressure from other staff in the hospital not to do it [m]

It is very stressful for patients to get VCT, especially if they have other diseases like TB [n]Others don’t do it, so healthcare workers think it is not important to do it [o]

I don’t know [y]

________________________________ Other [z]

________________________________ Other [z]

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A49. What prevents healthcare workers at COSH from always wearing an N95 around TB patients? (Circle all that apply.)

Healthcare workers don’t know they are supposed to [a] This is new and difficult for healthcare workers [b]

Healthcare workers think N95s do not protect against TB [c] Healthcare workers are not good at wearing them [d]

It is hard to change from old practices [e] No one has given healthcare workers good training on this [f]

It is rude or embarrassing for patients [g]Healthcare workers think N95s cost too much [h]

It takes too much time to put on an N95 [i] N95s are uncomfortable [j]

N95s look silly [k] Peer pressure from other healthcare workers to not wear it [l]

Healthcare workers are lazy [m]Healthcare workers prefer to wear surgical masks instead of N95s [n]

Sometimes there are not enough N95s [o]Others don’t do it, so healthcare workers think it is not important to do it [p]

Healthcare workers are confused about how long they should wear N95s, so they don’t wear them [q]

N95s destroy healthcare workers hairstyles [r]I don’t know [y]

________________________________ Other [z]

________________________________ Other [z]

A50. What prevents healthcare workers at COSH from keeping doors and windows open in high-risk TB areas? (Circle all that apply.)


Healthcare workers think this does not prevent TB [c] Healthcare workers are not good at doing it [d]

It is hard to change from old practices [e] No one has given healthcare workers good training on this [f]

It is sometimes too cold [g] This takes too much time [h]

No one is in charge of this, so no one makes sure it gets done [i] It is hard to keep patient confidentiality with open doors and windows [j]

Patients complain when doors and windows are open [k] Peer pressure from other staff in the hospital to keep doors and windows closed [l]

This is someone else’s job [m]Others don’t do it, so healthcare workers think it is not important to do it [n]

I don’t know [y]________________________________ Other [z]

________________________________ Other [z]

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Staff Survey

A51. What prevents healthcare workers at COSH from approaching staff doctors if they have symptoms or signs of TB? (Circle all that apply.)


Healthcare workers think this doesn’t work to diagnose TB [c] Healthcare workers do not recognize TB symptoms [d]

No one has given healthcare workers good training on this [e]Healthcare workers think it is shameful to admit they might have TB [f]

This takes too much time [g]Healthcare workers fear potential rejection and stigma from staff if they have TB [h]

Healthcare workers fear missing work if they have TB [i]Healthcare workers do not trust the health services to take care of them if they have TB [j]

Healthcare workers worry that other staff will think they have HIV if they have TB [k]Healthcare workers do not trust the doctors to maintain confidentiality [l]

Other staff members will think they are just pretending to be sick to get away from work [m]This costs too much [n]

It is frightening to test for TB [o] I don’t know [y]

________________________________ Other [z]

________________________________ Other [z]

A52. What prevents HIV-positive healthcare workers at COSH from requesting to move from a high-risk TB area to a low-risk TB area in order to not catch TB? (Circle all that apply.)

Healthcare workers don’t know they are supposed to [a] Healthcare workers do not want to admit to their supervisors that they are HIV-positive [b]

If healthcare workers tell their supervisors, then their co-workers will find out they are HIV-positive [c]

Healthcare workers think this does not prevent HIV-positive workers from catching TB [d] No one has given healthcare workers good training on this [e]

Peer pressure from other staff in the hospital to stay in the same department [f] This takes too much time [g]

Other staff members will think they are just pretending to be sick to get away from work [h]I don’t know [y]

________________________________ Other [z]

________________________________ Other [z]

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A53. What prevents healthcare workers at COSH from accepting confidential VCT from EAP sisters and the occupational health manager at COSH? (Circle all that apply.)

It is frightening to get tested for HIV [a] No one has told healthcare workers it is important to know their status [b]

This costs too much [c] Healthcare workers think people who get tested for HIV are promiscuous or dirty [d] Healthcare workers would not trust the results of an HIV test performed at COSH [e]

Healthcare workers think EAP sisters/occupational health manager would not maintain confidentiality [f]

Healthcare workers think other staff members would stigmatize them for getting a test [g]Healthcare workers do not want to know their status [h]

I don’t know [y]

________________________________ Other [z]

________________________________ Other [z]

A54. What prevents healthcare workers at COSH from accepting confidential VCT from other facilities where no one knows them? (Circle all that apply.)

It is frightening to get tested for HIV [a] No one has told healthcare workers it is important to know their status [b]

This costs too much [c] Healthcare workers think people who get tested for HIV are promiscuous or dirty [d]

Healthcare workers think VCT counsellors at other facilities will tell people at COSH the results [e] Healthcare workers think other staff members at COSH would stigmatize them for getting a test [f]

Healthcare workers do not want to know their status [g]Healthcare workers do not trust the results that come from other facilities [h]

I don’t know [y]

________________________________ Other [z]

________________________________ Other [z]

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Staff Survey

A55. What prevents healthcare workers at COSH from educating all patients on signs/symptoms of TB? (Circle all that apply.)


Healthcare workers don’t know good education techniques [c] Healthcare workers don’t know the signs/symptoms of TB [d] No one has given healthcare workers good training on this [e]

Patients won’t listen [f] This takes too much time [g]

Peer pressure from other staff in the hospital to not educate patients [h]This is someone else’s job [i]

Others don’t do it, so healthcare workers think it is not important to do it [j]I don’t know [y]

________________________________ Other [z]

________________________________ Other [z]

A56. What prevents healthcare workers at COSH from instructing coughing patients on cough hygiene? (Circle all that apply.)


Healthcare workers think this does not prevent TB [c] Healthcare workers don’t know what to tell patients about cough hygiene [d]

Patients won’t listen [e] This takes too much time [f]

Healthcare workers do not see patients coughing [g] It is embarrassing for staff [h]

It is embarrassing for patients [i] Tissues and surgical masks are not available to give to patients [j]

Peer pressure from staff to not teach patients about cough hygiene [k]This is someone else’s job [l]

Healthcare workers think patients have too much to worry about and don’t want to bother them [m] Others don’t do it, so healthcare workers think it is not important to do it [n]

I don’t know [y]

________________________________ Other [z]

________________________________ Other [z]

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A57. What prevents healthcare workers at COSH from making TB cases/suspects wear surgical masks to stop them from spreading germs? (Circle all that apply.)

Healthcare workers don’t know they are supposed to [a] Healthcare workers think this does not prevent TB [b]

Patients won’t listen [c] This takes too much time [d]

It is embarrassing for staff [e]It is embarrassing for patients [f]

Surgical masks are not available to give to patients [g] Peer pressure from staff in the hospital to not make TB cases/suspects wear surgical masks [h]

Making patients wear surgical masks is someone else’s job [i]Others don’t do it, so healthcare workers think it is not important to do it [j]

I don’t know [y]

________________________________ Other [z]

________________________________ Other [z]

A58. What prevents healthcare workers at COSH from making visitors to TB cases/suspects wear N95s to protect them from TB? (Circle all that apply.)

Healthcare workers don’t know they are supposed to [a] Healthcare workers think this does not prevent TB [b]

Visitors won’t listen [c] N95s are too expensive [d] N95s are uncomfortable [e]

N95s look silly [f] Peer pressure from staff in the hospital to not make visitors wear N95s [g]

Healthcare workers prefer to offer surgical masks instead of N95s to visitors [h]Making visitors wear N95s is someone else’s job [i]

Visitors are there only for a short time, so healthcare workers think visitors don’t need N95s [j]Others don’t do it, so healthcare workers think it is not important to do it [k]

I don’t know [y]

________________________________ Other [z]

________________________________ Other [z]

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Staff Survey

STOP- END OF SECTION

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Staff Survey

Practice/Behaviour

Please circle only one option per question.

Please answer honestly. Remember that your answers are COMPLETELY CONFIDENTIAL AND ANONYMOUS. No one will know what you wrote, and your answers will have no impact on your employment at COSH or elsewhere. Tell us how you really feel—not how you are supposed to feel!

P1. We are NOT asking you to disclose your status. We are only asking: Do you know your HIV status?

Yes [a]No [b]

This section asks about your personal infection control practices. Please circle only one option per question.

Please answer honestly. Remember that your answers are COMPLETELY CONFIDENTIAL AND ANONYMOUS. No one will know what you wrote, and your answers will have no impact on your employment at COSH or elsewhere. Tell us what really happens—not what is supposed to happen!

The following questions are about N95s. This is an N95.

P2. Do you know how to wear an N95 properly?Yes [a]No [b]

P3. How often do you wear an N95 when you are in a room with TB patients or suspects?I have never been in this situation [a]

Only if there is an MDR or XDR patient there [b]Always [c]

Often [d]Sometimes [e]

Infrequently [f]Never [g]

I don’t know [h]

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P4. How often do you wear an N95 when you are in a room while TB patients or suspects are giving sputum samples?

I have never been in this situation [a]Only if it is an MDR or XDR patient [b]

Always [c]Often [d]

Sometimes [e]Infrequently [f]

Never [g]I don’t know [h]

P5. How often do you wear an N95 when you are transporting TB patients from one part of the hospital to another part of the hospital?


Always [c]Often [d]



P6. How often do you wear an N95 when you are transporting TB patients from this hospital to a different hospital?


Always [c]Often [d]



P7. When you wear an N95, how often do you check if it has made a tight seal around your face?

I have never worn an N95 [a]I don’t know how to check if it has made a tight seal around my face [b]

Only if there is an MDR or XDR patient there [c]Always [d]

Often [e]Sometimes [f]

Infrequently [g]Never [h]

I don’t know [i]

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Staff Survey

P8. How often do you use an N95 when a post-mortem/autopsy is being performed? I have never been in this situation [a]

Only if it is on an MDR or XDR patient [b]Always [c]



I don’t know [h]

Please answer the following questions honestly. Remember that your answers are COMPLETELY CONFIDENTIAL AND ANONYMOUS. No one will know what you wrote, and your answers will have no impact on your employment at COSH or elsewhere. Tell us what really happens—not what is supposed to happen!

Please circle only one option per question.The following questions are about surgical masks. This is a surgical mask.

P9. How often do you offer surgical masks to visitors of TB patients?I have never been in this situation (If you choose this option, skip the next question) [a]



Infrequently [f]Never (If you choose this option, skip the next question) [g]

I don’t know [h]

P10. How often do visitors actually use the surgical masks when you offer them?I have never been in this situation [a]




I don’t know [h]

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P11. How often do you offer surgical masks to TB patients when they are sitting in the wards?

I have never been in this situation (If you choose this option, skip the next question) [a]Only if it is an MDR or XDR patient [b]

Always [c]Often [d]


Never (If you choose this option, skip the next question) [g]I don’t know [h]

P12. How often do TB patients actually use the surgical masks when you offer them while they are sitting in the wards?

I have never been in this situation [a]Only if there is an MDR or XDR patient there [b]

Always [c]Often [d]



P13. How often do you offer surgical masks to TB patients when you transport them from one part of the hospital to another part of the hospital?


Always [c]Often [d]



P14. How often do TB patients actually use the surgical masks when you offer them while you transport them from one part of the hospital to another part of the hospital?


Always [c]Often [d]



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Staff Survey

P15. How often do you offer surgical masks to TB patients when you transport them from this hospital to another hospital?


Always [c]Often [d]



P16. How often do TB patients actually use the surgical masks when you offer them while you transport them from this hospital to another hospital?


Always [c]Often [d]



The next question asks about cough hygiene. Cough hygiene means giving coughing patients a tissue or surgical mask to prevent them from coughing or sneezing into the air. It can also mean telling them to cover their mouths with the inside of their arm when they cough or sneeze. Please answer honestly. Remember that your answers are COMPLETELY CONFIDENTIAL AND ANONYMOUS. No one will know what you wrote, and your answers will have no impact on your employment at COSH or elsewhere. Tell us what really happens—not what is supposed to happen!

P17. When you see patients cough, how often do you tell them about cough hygiene?I have never been in this situation [a]

Only if it is an MDR or XDR patient [b] Always [c]

Often [d] Sometimes [e]

Infrequently [f] Never [g]

I don’t know [h]

P18. How often do the TB patients in your ward escape from isolation without permission and go places they are not supposed to go to? (Note: If you do not work in an isolation ward, please choose option “a”.)

I do not work in an isolation ward [a] Always [b]

Often [c] Sometimes [d]

Infrequently [e] Never [f]

I don’t know [g]

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P19. How often do you educate patients on the signs/symptoms of TB and to seek help if they arise?

I have never been in this situation [a] Always [b]

Often [c] Sometimes [d]

Infrequently [e] Never [f]

I don’t know [g]

P20. How often are doors open in your work area? Only if there are MDR/XDR patients there [a]

Always [b] Often [c]

Sometimes [d] Infrequently [e]

Never [f] I don’t know [g]

P21. How often are windows open in your work area? Only if there are MDR/XDR patients there [a]



Never [f] I don’t know [g]

P22. How long do you usually use an N95 before you throw it away?I never use an N95 [a]

One hour [b] One day [c]

One week [d]One month [e]

One year [f]

P23. How often do you throw an N95 away when it becomes dirty? I never use an N95 [a]



Never [f]

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Number___________Date ___________

Staff Survey

P24. How often do you throw an N95 away when it becomes wet? I never use an N95 [a]



Never [f]

The following questions ask about your abilities to perform certain infection control practices. Please answer honestly, circling only one answer per question. Please answer honestly. Remember that your answers are COMPLETELY CONFIDENTIAL AND ANONYMOUS. No one will know what you wrote, and your answers will have no impact on your employment at COSH or elsewhere. Tell us what really happens—not what is supposed to happen!

P25. If you work in an area with mechanical ventilation (like mixing/extractor fans and ventilators, are you able to see if mechanical ventilation is on, and turn it on if it is off?

I do not work in an area with mechanical ventilation [a] Yes [b] No [c]

P26. Do you feel skilled enough to properly educate patients about diseases?Yes [a] No [b]

P27. Do you have enough knowledge to educate patients on the signs and symptoms of TB?

Yes [a] No [b]

P28. Do you know who to speak with for confidential TB diagnosis at COSH if you were to develop TB signs/symptoms?

Yes [a] No [b]

P29. Do you know who to speak with for confidential VCT at COSH?Yes [a] No [b]

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For OPD Staff Only

THIS SECTION IS FOR OPD STAFF ONLY. IF YOU ARE NOT IN OPD, YOU MAY SKIP THIS SECTION.

The following questions ask about the OPD TB screen. A TB screen means asking a patient if they have been coughing. If they answer yes, it also means asking them for how long or if they are currently being investigated for TB. It is done to find TB suspects or cases.

Please answer honestly. Remember that your answers are COMPLETELY CONFIDENTIAL AND ANONYMOUS. No one will know what you wrote, and your answers will have no impact on your employment at COSH or elsewhere. Tell us what really happens—not what is supposed to happen!

Think about the answers for a little while and write an answer if you can. The answer should be about 2 to 5 lines long. If you cannot think of anything at all, you may leave the question blank.

S1. Imagine you found a TB suspect in the waiting room. What should you tell him/ do with him before he goes for TB diagnosis?

S2. How often do patients get a TB screen immediately when they come into the OPD (before they see the clinician)? (Circle only one.)

Always [a] Often [b]

Sometimes [c] Infrequently [d]

Never [e]I don’t know [f]

S3. How often does every patient get a TB screen in the exam room by the clinician? (Circle only one.)




S4. When TB suspects are discovered in the waiting room, how often are they moved to the front of the queue for service? (Circle only one.)




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Number___________Date ___________

Staff Survey

S5. What prevents healthcare workers at COSH from screening all patients for TB? (Circle all that apply.)

They don’t know they are supposed to [a] This is new and difficult for them [b]

They think this does not work to find patients with TB [c] They are not good at doing it [d]

They think it is not important to find patients with TB [e] No one has given them good training on this [f]

Patients won’t listen [g] They are too lazy [h]

It is embarrassing for patients [i] Peer pressure from other staff in the hospital not to do it [k]

Other staff don’t do it, so healthcare workers think it is not important to do it [l]I don’t know [y]

________________________________ Other [z]

________________________________ Other [z]

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STOP- END OF QUESTIONNAIRE

Please ensure you have written your confidential code and today’s date on each and every page.

Thank you for completing this questionnaire. If you would like, feel free to write any confidential comments about the questionnaire or about TB infection control here. You may also approach Zahir or Sister Kathy to give us comments or questions personally, if you prefer.

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staff questionnaire - ghdonline · web viewthis questionnaire is part of an effort to assess tb...

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