Appendix 2.
The four themes (A: Self-perceived competencies, B: Self-perceived values, C: Self-perceived team-related skills and D: Self-perceived support/resources), the reported frequencies and percentages by the members of the diabetes management team for each of the 31 items of the survey in 26 centers in Muscat
| Physicians (n=91) | Nurses (n=80) | Dietitians (n=22) | Health Educators (n=19) | Total (n=212) | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Themes | A (%) | D (%) | DNK NA | A (%) | D (%) | DNK NA | A (%) | D (%) | DNK NA | A (%) | D (%) | DNK NA | A (%) | D (%) | DNK NA | |
| A | Self-perceived competencies | |||||||||||||||
| 1 | I have up to date knowledge to conduct diabetes management clinic | 84 (93) | 5 (5.6) | 1 (1.1) | 72 (90) | 6 (7.5) | 2 (2.5) | 19 (86) | 3 (14) | 0 (0) | 18 (95) | 1 (5.3) | 0 (0) | 193 (93) | 11 (5.3) | 3 (1.4) |
| 2 | I have up to date skills to conduct diabetes management clinic | 86 (96) | 3 (3.3) | 1 (1.1) | 74 (95) | 4 (5.1) | 0 (0) | 19 (86) | 3 (14) | 0 (0) | 19 (100) | 0 (0) | 0 (0) | 198 (95) | 10 (4.8) | 1 (0.5) |
| 4 | I consider myself a resource person for the diabetic patient | 80 (88) | 5 (5.5) | 6 (6.6) | 68 (85) | 12 (15) | 0 (0) | 20 (91) | 2 (9.1) | 0 (0) | 17 (89) | 2 (11) | 0 (0) | 185 (87) | 21 (10) | 6 (2.8) |
| B | Self-perceived values | |||||||||||||||
| 3 | I am responsible to provide up to date knowledge and skills for diabetic patient | 87 (96) | 3 (3.3) | 1 (1.1) | 75 (94) | 5 (6.3) | 0 (0) | 21 (95) | 1 (4.5) | 0 (0) | 17 (89) | 2 (11) | 0 (0) | 200 (94) | 11 (5.2) | 1 (0.5) |
| 5 | I perceive patient’s education as an important factor in diabetes management | 91 (100) | 0 (0) | 0 (0) | 77 (96) | 3 (3.8) | 0 (0) | 22 (100) | 0 (0) | 0 (0) | 19 (100) | 0 (0) | 0 (0) | 209 (99) | 3 (1.4) | 0 (0) |
| 6 | I consider patient’s self-management an important part in diabetes management | 88 (98) | 1 (1.1) | 1 (1.1) | 75 (94) | 5 (6.3) | 0 (0) | 22 (100) | 0 (0) | 0 (0) | 19 (100) | 0 (0) | 0 (0) | 204 (97) | 6 (2.8) | 1 (0.5) |
| 7 | I value communication with diabetic patients | 91 (100) | 0 (0) | 0 (0) | 79 (99) | 1 (1.3) | 0 (0) | 22 (100) | 0 (0) | 0 (0) | 19 (100) | 0 (0) | 0 (0) | 211 (100) | 1 (0.5) | 0 (0) |
| 8 | I respect diabetic patient’s beliefs in regards to her/his disease | 85 (94) | 4 (4.5) | 1 (1.1) | 77 (96) | 3 (3.8) | 0 (0) | 22 (100) | 0 (0) | 0 (0) | 14 (74) | 5 (26) | 0 (0) | 198 (94) | 12 (5.7) | 1 (0.5) |
| 14 | At my PHCC, we consider building PHCPs’ capacity very important to provide the recommended diabetes management | 85 (93) | 1 (1.1) | 5 (5.5) | 68 (87) | 9 (12) | 1 (1.3) | 20 (91) | 1 (4.5) | 1 (4.5) | 17 (89) | 2 (11) | 0 (0) | 190 (90) | 13 (6.2) | 7 (3.3) |
| 15 | I am committed to MOH and PHCCs in terms of providing the recommended diabetes management | 85 (94) | 4 (4.4) | 1 (1.1) | 67 (86) | 8 (10) | 3 (3.8) | 20 (91) | 1 (4.5) | 1 (4.5) | 15 (79) | 3 (16) | 1 (5.3) | 187 (89) | 16 (7.7) | 6 (2.9) |
| 17 | The culture of PHCCs in Oman helps me in providing the recommended diabetes management | 66 (73) | 23 (25) | 2 (2.2) | 61 (77) | 15 (19) | 3 (3.8) | 12 (55) | 10 (45) | 0 (0) | 14 (74) | 5 (26) | 0 (0) | 153 (73) | 53 (25) | 5 (2.4) |
| 27 | As a professional provider, I have a good effect on patient’s decision related to diabetes management | 84 (95) | 3 (3.4) | 1 (1.1) | 72 (91) | 5 (6.3) | 2 (2.5) | 20 (91) | 1 (4.5) | 1 (4.5) | 19 (100) | 0 (0) | 0 (0) | 195 (94) | 9 (4.3) | 4 (1.9) |
| 28 | My nationality can effect patient’s decision related to diabetes management | 44 (50) | 39 (44) | 5 (5.7) | 55 (70) | 19 (24) | 5 (6.3) | 20 (91) | 2 (9.1) | 0 (0) | 14 (74) | 4 (22) | 1 (5.3) | 133 (64) | 64 (31) | 11 (5.3) |
| C | Self-perceived team-related skills | |||||||||||||||
| 18 | At my PHCC, we provide team-based diabetes management | 80 (88) | 10 (11) | 1 (1.1) | 67 (85) | 12 (15) | 0 (0) | 18 (90) | 1 (5.0) | 1 (5.0) | 15 (79) | 4 (21) | 0 (0) | 180 (86) | 27 (13) | 2 (1.0) |
| 19 | I consider myself part of a team when providing the recommended diabetes management | 86 (95) | 3 (3.3) | 2 (2.2) | 69 (88) | 8 (10) | 1 (1.3) | 22 (100) | 0 (0) | 0 (0) | 19 (100) | 0 (0) | 0 (0) | 196 (93) | 11 (5.2) | 3 (1.4) |
| 20 | I consider myself a leader in the diabetes management team | 66 (73) | 20 (22) | 5 (5.5) | 50 (64) | 27 (35) | 1 (1.3) | 9 (41) | 13 (59) | 0 (0) | 11 (61) | 7 (39) | 0 (0) | 136 (65) | 67 (32) | 6 (2.9) |
| 21 | I accept inter-professional relationship in the diabetes management team | 88 (97) | 0 (0) | 3 (3.3) | 73 (94) | 5 (6.4) | 0 (0) | 20 (95) | 1 (4.8) | 0 (0) | 18 (95) | 1 (5.3) | 0 (0) | 199 (95) | 7 (3.2) | 3 (1.4) |
| 22 | I have a chance with my colleagues to reflect on patient’s decision related to diabetes management | 82 (90) | 8 (8.8) | 1 (1.1) | 63 (81) | 14 (18) | 1 (1.3) | 20 (91) | 1 (4.5) | 1 (4.5) | 17 (89) | 2 (11) | 0 (0) | 182 (87) | 25 (12) | 3 (1.4) |
| 23 | I encourage teamwork related to diabetes management | 90 (99) | 0 (0) | 1 (1.1) | 75 (95) | 4 (5.1) | 0 (0) | 22 (100) | 0 (0) | 0 (0) | 18 (95) | 1 (5.3) | 0 (0) | 205 (97) | 5 (2.4) | 1 (0.5) |
| 24 | I have the ability to deliver teamwork related to diabetes management | 87 (96) | 3 (3.3) | 1 (1.1) | 71 (90) | 8 (10) | 0 (0) | 21 (95) | 0 (0) | 1 (4.5) | 18 (95) | 1 (5.3) | 0 (0) | 197 (93) | 12 (5.7) | 2 (0.9) |
| 25 | I value teamwork related to diabetes management | 87 (96) | 3 (3.3) | 1 (1.1) | 71 (90) | 6 (7.6) | 2 (2.5) | 21 (95) | 0 (0) | 1 (4.5) | 18 (95) | 1 (5.3) | 0 (0) | 197 (93) | 10 (5.7) | 4 (1.9) |
| 26 | I encourage collaboration action in related to diabetes management | 86 (98) | 0 (0) | 2 (2.3) | 71 (90) | 6 (7.6) | 2 (2.5) | 21 (100) | 0 (0) | 0 (0) | 19 (100) | 0 (0) | 0 (0) | 197 (95) | 6 (2.9) | 4 (1.9) |
| D | Self-perceived support/resources | |||||||||||||||
| 9 | I ensure that I have time to update my diabetes knowledge and skills | 83 (91) | 6 (6.6) | 2 (2.2) | 63 (79) | 17 (27) | 0 (0) | 19 (86) | 3 (14) | 0 (0) | 16 (84) | 3 (16) | 0 (0) | 181 (85) | 29 (14) | 2 (0.9) |
| 10 | I have an easy access to the INTERNET to update my diabetes knowledge | 76 (84) | 12 (13) | 3 (3.3) | 52 (66) | 26 (33) | 1 (1.3) | 9 (41) | 12 (55) | 1 (4.5) | 12 (63) | 7 (37) | 0 (0) | 149 (71) | 57 (27) | 5 (2.4) |
| 11 | I have been supported financially to update my diabetes knowledge (attending courses in diabetes) | 39 (43) | 44 (48) | 8 (8.8) | 27 (35) | 45 (58) | 6 (7.7) | 7 (33) | 13 (62) | 1 (4.8) | 7 (37) | 12 (63) | 0 (0) | 80 (38) | 114 (55) | 15 (7.2) |
| 12 | My manager (MOIC) supports my diabetes knowledge update | 84 (92) | 5 (5.5) | 2 (2.2) | 71 (90) | 8 (10) | 0 (0) | 19 (86) | 1 (4.5) | 2 (9.1) | 17 (89) | 2 (11) | 0 (0) | 191 (91) | 16 (7.6) | 4 (1.9) |
| 13 | My colleagues support my diabetes knowledge update | 81 (89) | 4 (4.4) | 6 (6.6) | 71 (90) | 7 (8.9) | 1 (1.3) | 20 (91) | 0 (0) | 2 (9.1) | 17 (89) | 2 (11) | 0 (0) | 189 (90) | 13 (6.2) | 9 (4.3) |
| 16 | According to me, the infrastructure of PHCCs in Oman helps in providing the recommended diabetes management | 65 (71) | 26 (29) | 0 (0) | 63 (80) | 13 (16) | 3 (3.8) | 10 (45) | 12 (55) | 0 (0) | 14 (74) | 5 (26) | 0 (0) | 152 (72) | 56 (27) | 3 (1.4) |
| 29 | At my PHCC, work environment is helpful in delivering the recommended diabetes management | 73 (83) | 14 (16) | 1 (1.1) | 64 (81) | 14 (18) | 1 (1.3) | 16 (73) | 6 (27) | 0 (0) | 12 (63) | 7 (37) | 0 (0) | 165 (79) | 41 (20) | 2 (1.0) |
| 30 | At my PHCC, we have the appropriate human resources to conduct the recommended diabetes management clinic | 59 (67) | 28 (32) | 1 (1.1) | 54 (68) | 25 (32) | 0 (0) | 17 (77) | 3 (14) | 2 (9.1) | 15 (79) | 3 (16) | 1 (5.3) | 145 (70) | 59 (28) | 4 (1.9) |
| 31 | At my PHCC, we have the appropriate technical resources to conduct the recommended diabetes management clinic | 55 (63) | 32 (36) | 1 (1.1) | 42 (53) | 34 (43) | 3 (3.8) | 15 (68) | 6 (27) | 1 (4.5) | 13 (68) | 5 (26) | 1 (5.3) | 125 (60) | 77 (37) | 6 (2.9) |
Denominator of each item is equal to the total number of respondents to that item.
PHCC/s=primary health care center/s; A=agree=(agree+completely agree); D=disagree=(disagree+completely disagree); PHCP/s=primary health care provider/s; DNK=don’t know; MOIC=medical officer in charge; NA=not applicable; MOH=Ministry of Health.