Evaluation of the effect of nurse education on patient-reported foot checks and foot care behaviour of people with diabetes receiving haemodialysis

AIMS: To assess whether a programme of nurse education increased the frequency with which nurses conducted foot checks on people with diabetes undergoing haemodialysis and to evaluate whether this influenced self-reported foot care behaviour. METHODS:A non-randomized stepped-wedge design was used t...

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Main Authors: Brand, Sarah L., Musgrove, A., Jeffcoate, W.J., Lincoln, Nadina B.
Format: Article
Published: Wiley Online Library 2016
Online Access:https://eprints.nottingham.ac.uk/41267/
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author Brand, Sarah L.
Musgrove, A.
Jeffcoate, W.J.
Lincoln, Nadina B.
author_facet Brand, Sarah L.
Musgrove, A.
Jeffcoate, W.J.
Lincoln, Nadina B.
author_sort Brand, Sarah L.
building Nottingham Research Data Repository
collection Online Access
description AIMS: To assess whether a programme of nurse education increased the frequency with which nurses conducted foot checks on people with diabetes undergoing haemodialysis and to evaluate whether this influenced self-reported foot care behaviour. METHODS:A non-randomized stepped-wedge design was used to evaluate a nurse education programme implemented in four UK National Health Service dialysis units. People with diabetes undergoing haemodialysis were invited to complete a questionnaire on the frequency of foot examination by health professionals, on the presence of foot problems and on their own foot care behaviour, using the Nottingham Assessment of Functional Foot-care (NAFF). An education session for nurses, including procedures for foot examination, was conducted sequentially in each of four haemodialysis units. The questionnaire was repeated at 2-monthly intervals. RESULTS:The education session resulted in a significant increase in the reported number of foot examinations by nurses (P = 0.007). There was also a significant improvement in reported foot care behaviour (P < 0.001), but this occurred between the first and second 2-monthly assessments and was unrelated to the timing of the intervention. CONCLUSIONS: A single education session can improve the routine checking of the feet of people with diabetes undergoing haemodialysis. The administration of the Nottingham Assessment of Functional Foot-care questionnaire was associated with improved self-reported foot care behaviour, reflecting greater awareness of risk in this population.
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spelling nottingham-412672020-05-04T17:28:30Z https://eprints.nottingham.ac.uk/41267/ Evaluation of the effect of nurse education on patient-reported foot checks and foot care behaviour of people with diabetes receiving haemodialysis Brand, Sarah L. Musgrove, A. Jeffcoate, W.J. Lincoln, Nadina B. AIMS: To assess whether a programme of nurse education increased the frequency with which nurses conducted foot checks on people with diabetes undergoing haemodialysis and to evaluate whether this influenced self-reported foot care behaviour. METHODS:A non-randomized stepped-wedge design was used to evaluate a nurse education programme implemented in four UK National Health Service dialysis units. People with diabetes undergoing haemodialysis were invited to complete a questionnaire on the frequency of foot examination by health professionals, on the presence of foot problems and on their own foot care behaviour, using the Nottingham Assessment of Functional Foot-care (NAFF). An education session for nurses, including procedures for foot examination, was conducted sequentially in each of four haemodialysis units. The questionnaire was repeated at 2-monthly intervals. RESULTS:The education session resulted in a significant increase in the reported number of foot examinations by nurses (P = 0.007). There was also a significant improvement in reported foot care behaviour (P < 0.001), but this occurred between the first and second 2-monthly assessments and was unrelated to the timing of the intervention. CONCLUSIONS: A single education session can improve the routine checking of the feet of people with diabetes undergoing haemodialysis. The administration of the Nottingham Assessment of Functional Foot-care questionnaire was associated with improved self-reported foot care behaviour, reflecting greater awareness of risk in this population. Wiley Online Library 2016-02-01 Article PeerReviewed Brand, Sarah L., Musgrove, A., Jeffcoate, W.J. and Lincoln, Nadina B. (2016) Evaluation of the effect of nurse education on patient-reported foot checks and foot care behaviour of people with diabetes receiving haemodialysis. Diabetic Medicine, 33 (2). pp. 204-207. ISSN 0742-3071 http://onlinelibrary.wiley.com/doi/10.1111/dme.12831/abstract doi:10.1111/dme.12831 doi:10.1111/dme.12831
spellingShingle Brand, Sarah L.
Musgrove, A.
Jeffcoate, W.J.
Lincoln, Nadina B.
Evaluation of the effect of nurse education on patient-reported foot checks and foot care behaviour of people with diabetes receiving haemodialysis
title Evaluation of the effect of nurse education on patient-reported foot checks and foot care behaviour of people with diabetes receiving haemodialysis
title_full Evaluation of the effect of nurse education on patient-reported foot checks and foot care behaviour of people with diabetes receiving haemodialysis
title_fullStr Evaluation of the effect of nurse education on patient-reported foot checks and foot care behaviour of people with diabetes receiving haemodialysis
title_full_unstemmed Evaluation of the effect of nurse education on patient-reported foot checks and foot care behaviour of people with diabetes receiving haemodialysis
title_short Evaluation of the effect of nurse education on patient-reported foot checks and foot care behaviour of people with diabetes receiving haemodialysis
title_sort evaluation of the effect of nurse education on patient-reported foot checks and foot care behaviour of people with diabetes receiving haemodialysis
url https://eprints.nottingham.ac.uk/41267/
https://eprints.nottingham.ac.uk/41267/
https://eprints.nottingham.ac.uk/41267/