- Title
- The knowledge of registered nurses regarding the management of patients with diabetes mellitus in the primary health care clinics in Nelson Mandela Bay Health District
- Creator
- Mbadu, Simnikiwe
- Subject
- Diabetes -- Treatment
- Subject
- Nursing services -- South Africa
- Subject
- Primary health care -- South Africa
- Date Issued
- 2023-04
- Date
- 2023-04
- Type
- Master's theses
- Type
- text
- Identifier
- http://hdl.handle.net/10948/69625
- Identifier
- vital:77996
- Description
- Diabetes mellitus (DM) is a chronic condition caused by inherited and/or acquired deficiency in the production of insulin or the ineffectiveness of the pancreas to produce insulin. DM is classified into general categories: type 1, type 2, gestational and non-specific types of diabetes mellitus and is considered a manageable disease, requiring lifestyle modification and medicinal treatment. DM is a global challenge, and its incidence is expected to increase in the next decades in both developed and developing countries. However, in the context of the study, as 90% of patients with DM are managed at public health care (PHC) clinics by registered nurses (RNs) with minimal or without help from doctors, RNs are expected to use their knowledge for diagnosis, treatment, review, referral and health education of patients with DM in the PHC clinics in the Nelson Mandela Bay Health District (NMBHD). Therefore, if RNs have inadequate knowledge about the management of patients with the disease in comparison with guideline recommendations, the results will be poor management and often complications. These complications have financial and social repercussions on the patient, health systems and the economy of developing countries. In the study, the researcher explored the knowledge of RNs regarding the management of patients with DM in PHC clinics located in NMBHD. The study identified inconsistencies and gaps in knowledge and recommended strategies to improve the quality of care for diabetic patients in the long run. A quantitative, explorative, descriptive design was utilised to determine the knowledge of RNs about the management of patients with DM in the PHC clinics in NMBHD. The researcher utilised Slovin’s formula to draw a sample for the study. Initially, the study aimed to recruit a sample size of 199 participants, as determined by Slovin's formula. However, due to unforeseen complications related to the COVID-19 pandemic, only 144 RNs were able to participate. After consulting with a statistician, it was determined that the sample size was still representative of the entire population of 398 RNs working in PHC clinics in Subdistricts B and C of NMBHD in the Eastern Cape. Data collection was conducted using a self-administered questionnaire. Prior to the main study, a pilot study was conducted using RNs from two clinics in Subdistricts A v to test the questionnaire. No changes were made and none of the data was included in the final data of the study. A descriptive, statistical method using Microsoft (MS) Excel was followed to analyse the data gathered through the questionnaire. The following ethical principles based on the Belmont report were adhered to throughout the study: respect for persons, beneficence and justice. The results of the data analysis revealed that RNs in the PHC clinics in NMBHD have inadequate knowledge about the most critical aspects of DM management, such as making the diagnosis, the correct drug management, as well as the review and referral of patients with DM. Therefore, the study recommended addressing the inconsistencies and gaps identified in PHC nursing policy, practice, education, and research to improve the knowledge of RNs in managing patients with diabetes mellitus (DM) in the PHC clinics of the NMBHD. This would ultimately lead to better patient care outcomes.
- Description
- Thesis (MCur) -- Faculty of Health Sciences, School of Clinical Care & Medicinal Sciences, 2023
- Format
- computer
- Format
- online resource
- Format
- application/pdf
- Format
- 1 online resource (109 pages)
- Format
- Publisher
- Nelson Mandela University
- Publisher
- Faculty of Health Sciences
- Language
- English
- Rights
- Nelson Mandela University
- Rights
- All Rights Reserved
- Rights
- Open Access
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NMU School of Medicinal Sciences
| Thumbnail | File | Description | Size | Format | |||
|---|---|---|---|---|---|---|---|
| View Details Download | SOURCE1 | MBADU S.pdf | 1 MB | Adobe Acrobat PDF | View Details Download |