Nurses' knowledge of foot care

NewsBot · Jul 18, 2015

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Nurses' knowledge of foot care in the context of home care: a cross-sectional correlational survey study.
Stolt M, Suhonen R, Puukka P, Viitanen M, Voutilainen P, Leino-Kilpi H
J Clin Nurs. 2015 Jul 14. doi: 10.1111/jocn.12922

AIMS AND OBJECTIVES:
This study aimed to explore nurses' knowledge of foot care and related factors in home care nursing.
BACKGROUND:
Nurses caring for older people are increasingly confronted with clients who have multiple foot problems and need support with their foot health. The role of nurses in promoting foot health, caring for existing foot problems and supporting older people in foot self-care is especially important in the home care context. However, this entails up-to-date foot care knowledge and practices.
DESIGN:
A cross-sectional correlational survey study design.
METHODS:
Nurses' knowledge of foot care was evaluated using the Nurses' Foot Care Knowledge Test developed for this study. The data were analysed with descriptive and inferential statistics.
RESULTS:
Nurses (registered nurses, public health nurses and licensed practical nurses) from public home care (n = 322, response rate 50%) participated the study. Nurses' knowledge in foot care varied. The knowledge scores were highest for skin and nail care and lowest for the identification and care of foot structural deformities. Longer working experience in the current work place and participation in continuing education explained higher Nurses' Foot Care Knowledge Test scores.
CONCLUSIONS:
Nurses need more knowledge, and hence continuing education, in the foot care of older people to effectively prevent, recognise and care for foot problems and promote independent living in the community.
RELEVANCE TO CLINICAL PRACTICE:
Nurses' have clinically relevant knowledge gaps. Therefore, foot care knowledge of nurses needs to be improved by continuing education in clinical settings. Adequate foot care knowledge among nurses is important to identify, prevent and care foot problems especially in older people.
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Admin2 · Jul 18, 2015

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NewsBot · Feb 15, 2022

Effects of Nurse and Care Worker-led Foot-Care Program on Older People's Foot Conditions: Before and After Intervention Study
Kashiko Fujii et al
SAGE Open Nurs. 2021 Nov 29

Introduction: An increasing number of older people with frailty in Japan use geriatric day care centers. Older people who have been certified as requiring long-term care attend centers during the day and receive nursing care help with bathing, excretion, meals, and functional training services. Many older people have foot problems with need foot care by nurses and care workers (NCWs) at geriatric day care centers.

Objective: This study explored the effects of NCWs' foot-care programs on the foot conditions of older people attending daytime services.

Methods: A before-after intervention study was conducted at geriatric day care centers for older people, where the foot-care program was presented by NCWs for two months. The foot conditions of 23 clients (8 men, 15 women, mean age = 78.6 years, standard deviation = 9.2) were assessed before and after the program. Changes in foot condition and clients' perceptions after the study were analyzed through descriptive statistics, McNemar, and paired t-tests.

Results: Although dramatic changes in foot conditions were not observed, some conditions were improved or maintained. Changes were observed in mean dry skin scores (p < .01; right foot: 1.6→1.1, left foot: 1.6→1.1), skin lesions and long nails (skin lesions R: 0.2→0.1; long nail R: 1.4→1.0, L: 1.1→0.8), and edema (R: 43.5%→39.1%, L: 52.2%→47.8%). Further, clients started perceiving that foot health is important and discussed their feet with staff more often.

Conclusion: The NCWs' foot-care program was effective in maintaining and improving foot health in older people and positively affected their perception of foot care.
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NewsBot The Admin that posts the news.

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