Competency level assessment of healthcare practitioners in managing diabetes and diabetic eye disease in the district health system of Limpopo province, South Africa

African Vision and Eye Health


 
 
Field Value
 
Title Competency level assessment of healthcare practitioners in managing diabetes and diabetic eye disease in the district health system of Limpopo province, South Africa
 
Creator Abdool, Zaheera Naidoo, Kovin Visser, Linda
 
Subject — healthcare practitioners; diabetes mellitus; diabetic eye disease; diabetic retinopathy; district health system
Description Background: There are many gaps in the management of diabetes mellitus (DM) and diabetic eye disease in the district health system (DHS) of South Africa (SA). National guidelines recommend annual eye examinations for patients with DM.Aim: The purpose of this study was to describe the self-reported skill levels of healthcare practitioners (HCPs) to conduct eye examination procedures required for a proposed diabetic retinopathy (DR) screening model.Setting: The study was conducted in public health institutions of Waterberg district and Mankweng Hospital complex (Capricorn district) in Limpopo province, SA.Methods: A cross-sectional design using purposive sampling was conducted, and questionnaires were distributed to a total of 74 HCPs. The questionnaires distributed included questions relating to the competency levels of primary healthcare nurses (PHC nurses), optometrists, ophthalmic nurses and medical officers (MOs) regarding examination procedures in the management of patients with DM and whether they agreed with the developed DR screening model.Results: All the PHC nurses had knowledge about all the examination procedures required in the proposed DR screening model, whilst 94.1% of MOs exhibited knowledge regarding the procedures required from them. Optometrists lacked knowledge of grading DR, and ophthalmic nurses were least knowledgeable about conducting internal and external eye examinations and in detecting and grading DR.Conclusion: The proposed DR screening model did not need modification. The involvement of dieticians and more ophthalmic nurses could be beneficial to the DR screening model.
 
Publisher AOSIS
 
Contributor
Date 2020-12-14
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — —
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/aveh.v79i1.569
 
Source African Vision and Eye Health; Vol 79, No 1 (2020); 6 pages 2410-1516 2413-3183
 
Language eng
 
Relation https://avehjournal.org/index.php/aveh/article/view/569/1343 https://avehjournal.org/index.php/aveh/article/view/569/1342 https://avehjournal.org/index.php/aveh/article/view/569/1344 https://avehjournal.org/index.php/aveh/article/view/569/1341
 
Coverage — — —
Rights Copyright (c) 2020 Zaheera Abdool https://creativecommons.org/licenses/by/4.0