Nurses` Perception Regarding Diabetic Wound Care at Primary Health Care Level

Authors

  • Siham Ahmed Balla Department of Community Medicine, Faculty of Medicine, University of Khartoum. Khartoum , Sudan. Postcode: 11111
  • Sulaf Ibrahim Abdelaziz Department of Medicine, Faculty of Medicine, University of Khartoum, Khartoum, Sudan. Postcode: 11111
  • Kamil Mirghani Ali Shaaban Department of Community Medicine, Faculty of Medicine, University of Khartoum. Khartoum , Sudan. Postcode: 11111
  • Haiedr Abu Ahmed Mohamed Department of Community Medicine, Faculty of Medicine, University of Khartoum. Khartoum , Sudan. Postcode: 11111
  • Mohamed Ali Awadelkareem Department of Community Medicine, Faculty of Medicine, University of Khartoum. Khartoum , Sudan. Postcode: 11111
  • Asia Abdullah Belal Department of Community Medicine, Faculty of Medicine, University of Khartoum. Khartoum , Sudan. Postcode: 11111

Keywords:

diabetic wound, nurses, health centers, training.

Abstract

One of the challenges regarding quality of care at primary care level is diabetic wound services; where the nurses are the pillar in wound care. The study objective was to determine the perception of nurses regarding the diabetic wound services in the health centers.  A descriptive qualitative study carried in Khartoum State Sudan targeted nurses at the health centers. Focus Group Discussion (FGD) was carried out using semi-structured open ended questions. Saturation of information was obtained after four FGD sessions resulted in 26 nurses. Informed consent was signed and obtained from each nurse. Two independent qualified researchers carried out content analysis of the recorded information. The results show that female to male ratio was 2:1. Most of nurses were holders of Technical Nursing Certificate. Almost all nurses have not received in-service training about diabetes and diabetic wound care. Factors affecting diabetic wound services were lack of guidelines for services and follow-up registry, insufficient consumables and dressing materials and negative patients` attitudes. In-service training on diabetic wound care was absent. Guidelines and follow up registry for diabetic wound care were not available at the health centers.  Health centers were lacking sufficient dressing and surgical materials. Strengthening the capacity of nurses and availing adequate resources and services` guidelines are recommended. 

References

[1]. Bakker K., Apelqvist J., Schaper N. C. Practical guidelines on the management and prevention of the diabetic foot 2011. Diabetes Metab Res Rev, 28(1): 225–231. 2012 DOI: 10.1002/dmrr.2253
[2]. Cowman S, Gethin G, Clarke E, Moore Z, Craig G, Jordan O’Brien J, et al. An international e Delphi study identifying the research and education priorities in wound management and tissue repair. Journal of clinical nursing, 21(3-4):344-53. 2012
[3]. El-Sayed ZM., Hassanein S. Diabetic Foot Screening for Ulcer Detection: Suggested Customized Nursing Guideline at a University Hospital-Egypt. Egyptian Journal of Nursing, 10(1). 2015 Available from URL: file:///C:/Users/Toshiba/Downloads/4322-8472-1-SM%20(2).pdf.
[4]. Chalya PL., Mabula JB., Dass RM, Kabangila R., Jaka H, Mchembe MD., et al. Surgical management of Diabetic foot ulcers: A Tanzanian university teaching hospital experience. BMC Research Notes, 4(1):365. 2011 Available from URL: http://bmcresnotes.biomedcentral.com/articles/10.1186/1756-0500-4-365.
[5]. Kurniawan T., Petpichetchian W. Case Study: Evidence-Based Interventions Enhancing Diabetic Foot Care Behaviors among Hospitalized DM Patients. Nurse Media Journal of Nursing, 1(1):43-59. 2011
[6]. Aalaa M, Malazy OT, Sanjari M, Peimani M, Mohajeri-Tehrani M. Nurses’ role in diabetic foot prevention and care; a review. Journal of Diabetes & Metabolic Disorders, 11(24):1-6. 2012. Available from URL: http://www.jdmdonline.com/content/11/1/24
[7]. Barshes NR, Sigireddi M, Wrobel JS, Mahankali A, Robbins JM, Kougias P, et al. The system of care for the diabetic foot: objectives, outcomes, and opportunities. Diabetic foot & ankle, 4: 21847. 2013. Available from URL: http://dx.doi.org/10.3402/dfa.v4i0.21847
[8]. Weck M, Slesaczeck T, Paetzold H, Muench D, Nanning T, Von Gagern G, et al. Structured health care for subjects with diabetic foot ulcers results in a reduction of major amputation rates. Cardiovascular diabetology, 12 :45. 2013. DOI: 10.1186/1475-2840-12-45
[9]. Martínez-De Jesús FR. A checklist system to score healing progress of diabetic foot ulcers. The international journal of lower extremity wounds, 9(2):74-83. 2010
[10] Cavanagh P., Attinger C., Abbas Z., Bal A., Rojas N., Rong Xu Z. Cost of treating diabetic foot ulcers in five different countries. Diabetes Metab Res Rev, 28(1): 107–111. 2012
[11] Green J, Jester R, McKinley R, Pooler A. Patient perspectives of their leg ulcer journey. J Wound care, 22(2):58-66. 2013
[12] Edwards H, Finlayson K, Courtney M, Graves N, Gibb M, Parker C. Health service pathways for patients with chronic leg ulcers: identifying effective pathways for facilitation of evidence based wound care. BMC Health Services Research, 13:86. 2013. DOI: 10.1186/1472-6963-13-86

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Published

2017-02-16

How to Cite

Balla, S. A., Abdelaziz, S. I., Shaaban, K. M. A., Mohamed, H. A. A., Awadelkareem, M. A., & Belal, A. A. (2017). Nurses` Perception Regarding Diabetic Wound Care at Primary Health Care Level. American Scientific Research Journal for Engineering, Technology, and Sciences, 28(1), 137–143. Retrieved from https://asrjetsjournal.org/index.php/American_Scientific_Journal/article/view/2602

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Articles