Knowledge on Pen-Plus Model, Barriers to Action, and Cultural Awareness: Their Influence on Nurses’ Utilization Towards Non-Communicable Disease Management

Aime Fidele Ndayiragije Mvuyekure; Joyosthie B Orbe; Berly Ben Mergal

Authors

Aime Fidele Ndayiragije Mvuyekure Adventist University of the Philippine
Joyosthie B Orbe Adventist University of the Philippines
Berly Ben Mergal

Keywords:

PEN-PLUS Model, Barriers to Action, Cultural Awareness, Knowledge

Abstract

Purpose: This study aimed to determine the predictors of nurses' utilization in the management of Non- Communicable Diseases (NCD’s) and the relationship between knowledge of the PEN-Plus model, barriers to action, and cultural awareness, as moderated by demographic variables. A total of 283 respondents were selected using stratified random sampling from 15 district hospitals across Rwanda. Methods: The study employed a descriptive evaluative, descriptive correlational, and descriptive comparative research design. The results indicated that respondents had high knowledge of the PEN-Plus model, low intrapersonal barriers to action, high interpersonal barriers to action, high structural barriers to action, and low cultural awareness. Despite these barriers, there was a high utilization of the PEN-Plus model in NCD management among the respondents. Findings: The study found that knowledge of the PEN-Plus model had a weak but significant positive correlation with nurses’ utilization of the model in NCD management. Conversely, interpersonal barriers to action, intrapersonal barriers to action, structural barriers to action, and cultural awareness exhibited moderate positive significant correlations with the utilization of the PEN-Plus model. Value: The findings suggested that higher knowledge of the PEN-Plus model, along with low interpersonal, intrapersonal, and structural barriers to action, as well as greater cultural awareness, were associated with better utilization of the PEN-Plus model in managing NCD’s. Structural barriers to action, interpersonal barriers to action, cultural awareness, and knowledge of the PEN-Plus model were identified as significant predictors of nurses' utilization of the PEN-Plus model in the management of NCD’s. Based on these findings, it is recommended to enhance nurses' education and training on the PEN-Plus model, provide robust policy and institutional support to address structural barriers and interpersonal barriers to action, foster team building, and conduct further research on additional factors influencing the PEN-Plus model's utilization.

Article Metrics

Downloads

Download data is not yet available.

References

Ahmed, S., Cao, Y., Wang, Z., Coates, M. M., Twea, P., Ma, M., Banda, J. C., Wroe, E., Bai, L., Watkins, D. A., & Su, Y. (2024). Service readiness for the management of non-communicable diseases in publicly financed facilities in Malawi: findings from the 2019 Harmonised Health Facility Assessment census survey. BMJ Open, 14(1), e072511. https://doi.org/10.1136/bmjopen-2023-072511

Baykan, A., Lafreniere, A. S., Fraulin, F. O., Hartley, R., Harrop, A. R., Love, S., Ronksley, P., & Donald, M. (2023). Strategies Addressing Barriers to the Implementation of a Pediatric Hand Fracture Care Pathway. Plastic and Reconstructive Surgery. Global Open, 11(3), e4896. Https://doi.org/10.1097/gox.0000000000004896

Castillo, Juana, "Implementation of a Peer Support Program to Increase Resilience in Nurse Managers in Acute Care Hospitals: A Pilot Study" (2023). Doctoral Projects. 155. DOI: https://doi.org/10.31979/etd.pn5d-mu3k https://scholarworks.sjsu.edu/etd_doctoral/155.

Davwar, P. P. (2023). Effective Health Care Plan for National Health Insurance Scheme Patients with Non-Communicable Diseases in Plateau North Senatorial District. American Journal of Applied Statistics and Economics, 2(1), 1–6. Https://doi.org/10.54536/ajase.v2i1.1333

Emerson, C., & Keen, D. (2023). Development of Cultural Competence: The Effects of a Virtual Exchange Between US and Omani Nursing Students. Nursing Education Perspectives, 45(1), 48–50. Https://doi.org/10.1097/01.nep.0000000000001107

Giordano, N. A., Phan, Q., Kimble, L. P., Chicas, R., Brasher, S., Nicely, K. W., Sheridan, T., Starks, S., Ferranti, E., Moore, E., Clement, D., Weston, J. B., Febres-Cordero, S., Chance-Revels, R., Woods, E., Baker, H., Muirhead, L., Stapel- Wax, J., Jones, K. D., & Swan, B. A. (2024). The nurse-led equitable learning framework for training programs: A framework to grow, bolster and diversify the nursing and public health workforce. Journal of Professional Nursing, 53, 25–34. https://doi.org/10.1016/j.profnurs.2024.04.006

Hakizimana, J., Renzaho, J. N., Michael, H., & Sani, N. (2023). Knowledge, Attitudes and Practices towards Problem Management Plus among Health Care Professionals in Burera District, Rwanda: A cross – sectional study. Https://doi.org/10.21203/rs.3.rs-3039190/v1

Halwiindi, H., Chooka, L., Phiri, M. M., Tapisha, B., Masenga, S. K., Mudenda, J., Chimfwembe, K., Mugode, M., & Hamooya, B. M. (2023). Reach and uptake of mass drug administration for worm infections through health facility-, school-, and community-based approaches in two districts of Zambia: a call for scale-up. Epidemiology and Infection, 151. Https://doi.org/10.1017/s0950268823000912

Health Promotion Interventions for Reducing Non-Communicable Diseases (NCD’s) in Developing Countries: a case study of India. (2023). Journal of Medicine, Nursing & Public Health. Https://doi.org/10.53819/81018102t5200

Walsh, S., Ryan, C., McCreary, L., Ocho, O. N., Potisopha, W., & Jeremiah, R. D. (2024). ‘Capacity building skills in the implementation of evidence-based practice for community health nurses: an exploratory descriptive cohort study.’ Contemporary Nurse, 60(2), 140–151. https://doi.org/10.1080/10376178.2024.2322982