Implementation of a diabetic foot management best practice guideline (BPG) in hemodialysis units.
The aim ofthis study was to examine the impact of introducing the Registered Nurses' Association of Ontario Best Practice Guideline (BPG), Assessment and management of foot ulcers for people with diabetes (2005), on foot ulcer incidence, recurrence, and amputation rate in adult diabetic clients who are undergoing chronic hemodialysis treatments. Fifty-seven individuals from three hemodialysis units participated in the study. Data were collected at three points in time over a 15-month period. A significant reduction in the number of wounds was noted (p < 0.05) from time one to time three, and the grade of wounds (p < 0.01). However, five new amputations were reported Although implementation of the BPG showed a positive patient outcome, further research needs to be conducted with a larger sample size.
Prentice
Dawn
D
Department of Nursing, Brock University, St. Catharines, Ontario. dprentice@brocku.ca
Ritchie
Linda
L
Crandall
Jackie
J
Harwood
Lori
L
McAuslan
Debra
D
Lawrence-Murphy
Julie Ann
JA
Ridley
Jane
J
Tigert
Judy
J
Wilson
Barbara
B
D003924:Diabetes Mellitus, Type 2 / Q000451:nursing; D017719:Diabetic Foot / Q000451:nursing / Q000517:prevention & control*; D005260:Female; D006284:Health Plan Implementation; D006801:Humans; D008297:Male; D008875:Middle Aged; D009730:Nursing Assessment; D009737:Nursing Records; D009864:Ontario; D010353:Patient Education as Topic; D010865:Pilot Projects; D011787:Quality of Health Care; D006435:Renal Dialysis / Q000451:nursing*