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.

Abstract

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.

Citation

Brand, S. L., Musgrove, A., Jeffcoate, W., & Lincoln, N. 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), https://doi.org/10.1111/dme.12831

• Journal Article Type: Article
• Acceptance Date: May 1, 2015
• Online Publication Date: Jul 2, 2015
• Publication Date: Feb 1, 2016
• Deposit Date: Oct 13, 2017
• Publicly Available Date: Oct 13, 2017
• Journal: Diabetic Medicine
• Print ISSN: 0742-3071
• Electronic ISSN: 0742-3071
• Publisher: Wiley
• Peer Reviewed: Peer Reviewed
• Volume: 33
• Issue: 2
• DOI: https://doi.org/10.1111/dme.12831
• Public URL: https://nottingham-repository.worktribe.com/output/770520
• Publisher URL: http://onlinelibrary.wiley.com/doi/10.1111/dme.12831/abstract
• Additional Information: This is the peer reviewed version of the following article: Brand, Sarah L. and Musgrove, A. and 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, which has been published in final form at http://onlinelibrary.wiley.com/doi/10.1111/dme.12831/abstract. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving