Reducing Foot Complications for People with Diabetes - Registered ...

Reducing Foot Complications for People with Diabetes
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Level of Indicator
Objectives
Organization
Nurse
Patient
Financial
Structure
To evaluate the supports
available in the organization
that allow for nurses to
implement strategies to reduce
foot complications for people
with diabetes.
Availability of patient
education resources that
are consistent with guideline
recommendations.
Monofilaments for assessment
of feet are available and
accessible for use by nurses.
Review of guideline recommendations
by organizational
committee(s) responsible for
policies or procedures.
Availability of:
• a steering committee to lead
guideline implementation;
• unit based champions to
support implementation;
and
• staff educational resources
that are consistent with the
recommendations.
Percentage of nurses attending
best practice guideline
education sessions.
Provision of adequate financial
resources for the level of staffing
necessary to implement
guideline recommendations.
Process
To evaluate changes in
practice that lead towards
integration of strategies to
reduce foot complications for
people with diabetes.
Modification to policies and/or
procedures consistent with
guideline recommendations.
Documentation systems
available for recording risk
assessment results and referral.
Nurses self-assessed
knowledge of:
• use of monofilament;
• five risk factors for foot
ulcers; and
• good foot care practices.
Percentage of nurses
self-reporting:
• routine use of monofilaments;
• adequate knowledge of
community referral sources
for people with diabetes.
Percentage of patients with
diabetes who had their feet
assessed by a nurse.
Percentage of patients with
diabetes who have an
assessment of the five risk
factors recorded on their chart.
Cost for education, other interventions,
necessary supplies
(monofilaments) and supports.
Outcome
To evaluate the impact
of implementing the
recommendations.
Organizational policies exist
reflecting a commitment to
reducing foot complications for
people with diabetes.
Organization has a structured
process in place to support the
implementation of guideline
recommendations.
Percentage of patients
reporting regular assessment
of their feet.
Percentage of patients reporting
that a nurse taught them
about foot cate.
Nurse satisfaction with
implementation process and
management support.
Percentage of patients
accessing referral sources
in community.
Percentage of diabetic patients
who regularly examine their feet.
Patients self-assessed degree of
confidence about their ability
to prevent foot complications
Examples of evaluation tools that were used to collect data on some of the indicators identified above during the pilot implementation/
evaluation of this guideline are available for download at www.rnao.org/bestpractices.