Adoption of McKinsey 7s Model in Development of Strategies to Enhance the Utilisation of Digital Health in Early Detection and Treatment of Pre-Eclampsia by Gravid Women at the Rural Context: Mixed-Method Study.
Mxolisi Welcome Ngwenya, Livhuwani Muthelo, Tebogo Maria Mothiba
PMID 40055948WHAT IT FOUND
Midwives in rural South African primary care knew digital health could help detect pre-eclampsia, but women reported little guidance.
Poor devices, unreliable networks and no midwife training limited use. This describes access barriers, not evidence that digital health improves maternal outcomes.
Key findings
0182.4% of midwives said digital health helps detect early conditions such as pre-eclampsia, but 74.5% reported lack of knowledge of digital health initiatives and 61.8% said facilities lacked laptops, tablets or Wi-Fi.
0294.1% of midwives had not received digital health training in the previous 2 years, despite 81.4% having attended perinatal meetings and 86.3% having undergone in-service training on pre-eclampsia.
03Most women in the qualitative strand lacked knowledge about digital health and reported no support from midwives.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study reports perceptions and barriers, not measured digital health use or patient outcomes. It was done only in primary healthcare facilities in Emalahleni local municipality, Mpumalanga province, South Africa, so it may not apply elsewhere. The quantitative strand analysed 102 of a calculated 109 midwife sample because some did not participate or questionnaires were incomplete. The questionnaire was self-developed and had an overall Cronbach alpha of 0.624, which the paper calls moderately reliable. The qualitative strand interviewed 10 women until saturation, so it cannot be treated as a broad survey of women. The strategies were developed from these participants and were not validated.
The easy way to misread this
Do not read the proposed McKinsey 7s strategies as evidence that digital health improves early detection or treatment of pre-eclampsia. They were developed from perceptions of 102 midwives and 10 women, were not validated, and the study reports no clinical outcomes.