Evaluating Leadership Impact on Nursing Guidelines for Diabetic Foot Ulcers
Author Information
Author(s): Wendy A Gifford, Barbara Davies, Ian D Graham, Nancy Lefebre, Ann Tourangeau, Kirsten Woodend
Primary Institution: University of Ottawa
Hypothesis
Nurses working in centers that receive the intervention will obtain significantly higher scores for practicing in accordance with guideline recommendations than control group.
Conclusion
The study aims to identify effective leadership strategies to improve the implementation of clinical guidelines for managing diabetic foot ulcers in community nursing.
Supporting Evidence
- Foot ulcers affect 15% of people with diabetes at some point in their lives.
- Strong leadership is crucial for the successful implementation of clinical guidelines.
- Less than half of the recommended risk factors for diabetic foot ulcers were assessed in a recent audit.
Takeaway
This study is trying to find out if better leadership can help nurses follow guidelines to treat foot problems in people with diabetes.
Methodology
A two-phase mixed methods design including qualitative interviews and a cluster randomized controlled trial.
Potential Biases
Potential bias in chart audits due to the accuracy and consistency of data extraction.
Limitations
The study is a pilot and not sufficiently powered to account for the effect of clustering.
Participant Demographics
Approximately 30-40% of clients receiving nursing services are diabetic.
Statistical Information
P-Value
p<0.001
Confidence Interval
95% CI 10–36%
Statistical Significance
p<0.001
Digital Object Identifier (DOI)
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