ArticleAfrican journal of primary health care & family medicine2023
Primary health care nurses' knowledge, self-efficacy and performance of diabetes self-management support.
Article in African journal of primary health care & family medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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7 citing papers in PubMed, 8 citations in OpenAlex.
- Cultural Adaptation and Psychometric Properties of the Greek Version of the Diabetes Attitude Scale (DAS-3).Advances in experimental medicine and biology · 2026Article
- Penicillin G Benzathine management in Primary Health Care: nursing's perspective.Revista brasileira de enfermagem · 2026Article
- Article
- Effect of Digital Intervention on Nurses' Knowledge About Diabetic Foot Ulcer: A Quasi-Experimental Study.International journal of environmental research and public health · 2025Article
- Knowledge attitudes and practices of healthcare professionals regarding diabetes self management education and support.Scientific reports · 2025Article
- Development of an Evidence-Based and Theory-Informed Self-Management Intervention for People with Lipoedema: An Intervention Mapping Study.Journal of multidisciplinary healthcare · 2025Article
- Supported self-management in long-term conditions in an African context.The South African journal of physiotherapy · 2024Article
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2 authors at 2 institutions in 1 country.
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Abstract
backgroundPatients living with diabetes are primarily managed and supported by nurses in primary health care (PHC). Therefore, PHC nurses require knowledge of diabetes and confidence (self-efficacy) to perform diabetes self-management support (SMS).
aimThis study evaluated the diabetes knowledge, self-efficacy and performance of diabetes SMS by PHC nurses.
settingPrimary health care facilities in King Sabata Dalindyebo subdistrict, O.R. Tambo district, Eastern Cape.
methodsA quantitative cross-sectional and simple correlational design was used. Registered nurses (n = 100) completed a validated self-reporting questionnaire to measure diabetes knowledge, self-efficacy and performance of SMS.
resultsParticipants' diabetes knowledge mean scores were high (mean of 11.9, standard deviation [s.d.] 1.8, out of 14). Self-efficacy scores (mean 18.91, s.d. 3.2 out of 24) were higher than performance of SMS scores (mean 17.81, s.d. 3.3 out of 24). Knowledge was not associated with self-efficacy or performance, but self-efficacy was positively correlated with performance of SMS (r = 0.78, p 0.01). Nurses with a postgraduate qualification in primary care nursing had significantly higher diabetes knowledge scores (mean = 92.9 vs. 83.8; p = 0.03), and years of experience as a nurse were positively correlated with the performance of SMS (r = 0.21, p = 0.05).
conclusionDiabetes knowledge of PHC nurses in this study does not translate into self-efficacy and the performance of SMS in practice, indicating the need for specific SMS training, support by experienced mentors, appropriate guidelines and comprehensive integrated chronic care systems.Contribution: This is the first study to report on the SMS self-efficacy and performance of PHC nurses in South Africa.
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