The Role of Nurses in Caring for Tuberculosis Patients Receiving Video-Observed Therapy (VOT) in Urban Communities

Abstract

 Tuberculosis (TB) remains a major global public health challenge. Successful treatment of TB patients requires strict adherence to long-term medication regimens. Video-observed therapy (Video Observed Therapy: VOT) has emerged as a crucial tool in supporting TB treatment adherence. This academic article aims to review the existing literature on the role of nurses in the care of TB patients under VOT in urban community settings. A literature review was conducted by analyzing research studies, government reports, and standard practice guidelines from both domestic and international databases. Data were collected during April to May 2025. The findings revealed that the role of nurses in caring for TB patients using VOT in urban communities can be categorized into five key areas: 1) assessment of patients receiving VOT, 2) promotion of patient engagement in VOT use, 3) monitoring of medication adherence through VOT, 4) providing counseling and problem-solving, and 5) referring patients and reporting outcomes. Therefore, to improve TB care, it is essential to implement VOT for all eligible TB patients and to enhance the knowledge and skills of professional nurses in primary healthcare settings to effectively monitor and support patients through VOT. Additionally, there should be a national policy to support the integration of VOT, such as the development of government-based tracking applications, training for healthcare personnel, and collaboration with local administrative organizations to ensure continuous patient follow-up within the community.