Literature Search Paper
Shawnee Sloan
Chamberlain College of Nursing
Information Systems in Healthcare
T. Lane
Spring B 2010
Literature Search Paper 2
Nurses make clinical decisions using the best available evidence by a process called evidenced based practice. This process is combined with their clinical knowledge and patient preference. The goal of that process will hopefully result in an achievable outcome for the patient and improved practice for the nurse in the healthcare field.
Evidence based practice was the focus on educating people with diabetes about foot care in order to help reduce the risk of foot ulcers and amputations? When knowledge is increased, the result should be a reduction of foot infections. According to the Center for Disease Control (CDC) in 2008 the number of People with Diabetes Increased to 24 Million. Approximately 15% of these patients have foot ulcers. The clinical question for this search focuses on this patient population and formulated to center providing education regarding increased knowledge.
Does increased knowledge about diabetic foot care help prevent diabetic foot ulcer infections? The PICO format includes; P- Patients with diabetic foot ulcers,
I -Education about diabetic foot care, C-No education about diabetic foot care, and
O-Decreased incident of diabetic ulcers. The population of subjects, patients with diabetic foot ulcers is a growing group.
People with diabetes are at high risk for foot and leg ulcers. As the disease progresses, peripheral vascular disease, and peripheral neuropathy may develop, with loss of Achilles and patellar reflexes and decreased vibratory sensation. Ulceration, infection,
Literature Search Paper
References: Center for Disease Control 2008, June 24, 2008 retrieved from: http://www.cdc.gov/media/pressrel/2008/r080624.htm Leung, P.C. Diabetic Foot Ulcers-----A Comprehensive Review 5- 4 , Ppgs 219-231 (August 2007) Neil, J. (1999) Assessing Foot Care Knowledge in a Rural Population with Diabetes : 48 – 1 Rerkasem, K; Kosachunhanun, N; Tongpraser, S Khwanngern, K; Matanasarawoot, A; Thongchai, C; Chimplee, K Buranapin, S; Chaisrisawadisuk, S; Mangklabruks, A. et al chosen ”The nurse 's role in the prevention of diabetic foot ulcers” [Greek], retrieved from: www.cinahl.com/cgibin/refsvc?jid=3817&accno=2010055657 Valk GD; Kriegsman DM; Assendelft WJ. (2005). “Patient education for preventing diabetic foot ulceration” . Cochrane Database of Systematic Reviews (Online) Cochrane Database Syst Rev 2005 (1). Cochrane AN CD001488. Date of Electronic Publication: 2005 Jan 25.