Browsing by Author "Landu, Zandile K."
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- ItemPrimary health care nurses’ knowledge, self-efficacy and performance of diabetes self-management support in the OR Tambo District, Eastern Cape(Stellenbosch : Stellenbosch University, 2022-04) Landu, Zandile K.; Crowley, Talitha; Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Nursing & Midwifery.ENGLISH SUMMARY: Background: Diabetes cases are increasing in the Eastern Cape Province. In 2019, approximately 16 430 people were living with diabetes in the province. This province has the third highest diabetes-related deaths in South Africa. People living with diabetes are at high risk of developing respiratory infections. Well-structured, effective self-management programmes may assist persons living with diabetes to take control of their illness and improve their health outcomes. Patients living with diabetes are primarily managed and supported by nurses in primary health care settings; therefore, primary health care nurses require adequate diabetes knowledge and self-efficacy to provide self-management support. However, nurses’ knowledge, self-efficacy and performance of self-management support have not yet been investigated in this context. Aim: This study aimed to evaluate the knowledge, self-efficacy, and performance of primary health care nurses of diabetes self-management support. Methods: A quantitative descriptive and correlational design was used. Data was collected over two months in primary health care facilities and community health centres in King Sabatha Dalindyebo sub-district, OR Tambo District. A self-reporting questionnaire containing three sections to measure primary care nurses’ diabetes knowledge, self-efficacy and performance of self-management support, was used to collect data. A total of 100 registered nurses participated in the study. Data was entered in the Statistical Programme for the Social Sciences (SPSS) version 27, analysed with the assistance of a statistician and reported by descriptive and inferential statistics. Ethical approval was obtained from the Health Research Ethics Committee of Stellenbosch University. Permission was obtained from the Eastern Cape Department of Health Ethics committee and the OR Tambo District manager. Participants provided individual informed consent. Results: Participants’ diabetes knowledge mean scores were high (mean of 11.9, SD 1.8, out of 14). Participants had the highest frequency of correct responses in the items related to normal fasting blood glucose levels (95%; n=95) and management of an unresponsive patient (96%, n=96). Items related to the causes of hyperglycaemia (45%, n=45) and the action to take if a needle is contaminated (77%, n=77) had the lowest frequency of correct responses. Participants had higher scores for the self-management support self-efficacy scale (mean 18.91, SD 3.2 out of 24), compared to the performance of self-management support scale (mean 17.81, SD 3.3 out of 24). Knowledge was not associated with self-efficacy or performance, but self-efficacy was positively correlated with performance (r = 0.78, p < 0.01). Nurses with a qualification in primary care nursing had significantly higher diabetes knowledge scores (p=0.03), and experience as a nurse was positively correlated with the performance of self-management support (r = 0.21, p = 0.05). Conclusion: Nurses in OR Tambo District had generally high levels of knowledge, self- efficacy and performance of diabetes self-management support. Although scores were high, diabetes knowledge and self-efficacy did not translate into the performance of self- management support in practice, indicating that nurses need training and supportive chronic care systems to implement self-management support. Implementation of a structured self- management programme is recommended.