Increasing podiatry referrals for patients with inflammatory arthritis at a tertiary hospital in Singapore: A quality improvement project

Carter, K.; Cheung, Peter; Rome, Keith; Santosa, Amelia; Lahiri, Manjari

doi:10.1016/j.foot.2016.12.002

Cited by 9 publications

(8 citation statements)

References 29 publications

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“…Accordingly, Japan does not provide a national license for foot care specialists or foot care doctors equivalent to a podiatrist or pomologist. Moreover, the present study suggested that the current consultation system is lacking due to an absence of podiatry referral system in Japan compared to other countries [51][52][53]. While the incorporation of referral recommendations may be in uenced by many factors [53], communication channels represent the strength of an organization.…”

Section: Discussionmentioning

confidence: 75%

Foot care knowledge and practices among Japanese nurses and care workers in home care and adult service center: a cross- sectional study

Fujii

Komoda

Maekawa³

et al. 2020

Preprint

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Background: Foot care knowledge and practices among nurses and care workers in the community greatly impact foot health maintenance and prevention of foot-related problems among older people. This study aimed to explore and examine the current foot care knowledge, practices, and perceptions among nurses and care workers at home care and adult day service center, along with their demographic characteristics and daily care for clients.Methods: This study analyzed 232 randomly selected front-line nurses and care workers working at home care or adult day service center in one of the selected cities, Aichi Prefecture, Japan. Data were obtained using questionnaires and subsequently analyzed using descriptive statistics, t-tests, Chi-square tests, Wilcoxon rank-sum tests, and Spearman’s rank correlation tests.Results: Among the 305 surveyed, 232 (62 nurses; 170 care workers) provided data. Although 57 nurses (91.9%) and 142 care workers (83.5%) showed interest in foot care, 33 nurses (53.2%) and 133 care workers (78.2%) stated that foot care education was insufficient. Knowledge and practice scores were associated with working status.Higher accuracy differences in the early detection of foot problems and skin tears on lower limbs in knowledge category were observed between nurses and care workers. The nurses as well as the care workers had low accuracy rates of knowledge questions regarding the use of shoes and socks subscale.For practice, both nurses and care workers had low mean scores for checking client’s shoes (2.0/5.0 and 2.1/5.0, respectively), method for reducing ingrown nail pain (2.6/5.0 and 1.9/5.0, respectively), and opportunity for discussing foot care with others (2.7/5.0 and 2.2/5.0, respectively). A significant correlation between knowledge and practice scores was observed among nurses (0.331, p < 0.05) and care workers (0.339, p < 0.001).Conclusions: Despite the presence of several barriers toward enhanced care delivery to clients needing it most, nurses and care workers clearly understood the importance of foot care. These findings indicate that foot care should be focused by nurses and care workers to improve the knowledge and practice of foot care and to suggest future implications that efficient and understandable tools are needed considering their current working situation.

show abstract

Section: Discussionmentioning

confidence: 75%

Foot care knowledge and practices among Japanese nurses and care workers in home care and adult service center: a cross- sectional study

Fujii

Komoda

Maekawa³

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…Accordingly, Japan does not provide a national license for foot care specialists or foot care doctors equivalent to a podiatrist or pomologist. Moreover, the present study suggested that the current consultation system is lacking due to an absence of podiatry referral system in Japan compared to other countries [52,53]. While the incorporation of referral recommendations may be influenced by many factors [54], communication channels represent the strength of an organization.…”

Section: Discussionmentioning

confidence: 75%

Foot care knowledge and practices among Japanese nurses and care workers in home care and adult service center: a cross- sectional study

et al. 2020

View full text Add to dashboard Cite

Background: Foot care knowledge and practices among nurses and care workers in the community greatly impact foot health maintenance and prevention of foot-related problems among older people. This study aimed to explore and examine the current foot care knowledge, practices, and perceptions among nurses and care workers at home care and adult day service center, along with their demographic characteristics and daily care for clients. Methods: This study analyzed 232 randomly selected front-line nurses and care workers working at home care or adult day service center in one of the selected cities, Aichi Prefecture, Japan. Data were obtained using questionnaires and subsequently analyzed using descriptive statistics, t-tests, Chi-square tests, Wilcoxon rank-sum tests, and Spearman's rank correlation tests. Results: Among the 305 surveyed, 232 (62 nurses; 170 care workers) provided data. Although 57 nurses (91.9%) and 142 care workers (83.5%) showed interest in foot care, 33 nurses (53.2%) and 133 care workers (78.2%) stated that foot care education was insufficient. Knowledge and practice scores were associated with working status. Higher accuracy differences in the early detection of foot problems and skin tears on lower limbs in knowledge category were observed between nurses and care workers. The nurses as well as the care workers had low accuracy rates of knowledge questions regarding the use of shoes and socks subscale. For practice, both nurses and care workers had low mean scores for checking client's shoes (2.0/5.0 and 2.1/5.0, respectively), method for reducing ingrown nail pain (2.6/5.0 and 1.9/5.0, respectively), and opportunity for discussing foot care with others (2.7/5.0 and 2.2/5.0, respectively). A significant correlation between knowledge and practice scores was observed among nurses (0.331, p < 0.05) and care workers (0.339, p < 0.001). Conclusions: Despite the presence of several barriers toward enhanced care delivery to clients needing it most, nurses and care workers clearly understood the importance of foot care. These findings indicate that foot care should be focused by nurses and care workers to improve the knowledge and practice of foot care and to suggest future implications that efficient and understandable tools are needed considering their current working situation.

show abstract

“…Accordingly, Japan does not provide a national license for foot care specialists or foot care doctors equivalent to a podiatrist or pomologist. Moreover, the present study suggested that the current consultation system is lacking due to an absence of podiatry referral system in Japan compared to other countries [51][52][53]. While the incorporation of referral recommendations may be influenced by many factors [53], communication channels represent the strength of an organization.…”

Section: Discussionmentioning

confidence: 76%

Foot Care Knowledge and Practices Among Japanese Nurses and Care Workers in Home Care and Adult Service Center: A Cross Sectional Study

Fujii

Komoda

Maekawa³

et al. 2020

Preprint

View full text Add to dashboard Cite

Background Foot care knowledge and practices among nurses and care workers in the community greatly impact foot health maintenance and prevention of foot-related problems among older people. This study aimed to explore and examine the current foot care knowledge, practices, and perceptions among nurses and care workers at home care and adult day service center, along with their demographic characteristics and daily care for clients.Methods This study analyzed 232 randomly selected front-line nurses and care workers working at home care or adult day service center in N City, A Prefecture, Japan. Data were obtained using questionnaires and subsequently analyzed using descriptive statistics, t-tests, Chi-square tests, Wilcoxon rank-sum tests, and Spearman’s rank correlation tests.Results Among the 305 surveyed, 232 (63 nurses; 170 care workers) provided data. Although 57 nurses (91.9%) and 142 care workers (83.5%) showed interest in foot care, 33 nurses (53.2%) and 133 care workers (78.2%) stated that foot care education was insufficient. Knowledge and practice scores were associated with working status.

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Increasing podiatry referrals for patients with inflammatory arthritis at a tertiary hospital in Singapore: A quality improvement project

Abstract: Through a structured quality improvement program, referrals to podiatry increased and improved the uptake and acceptance of rheumatology-podiatry services.

Cited by 9 publications

References 29 publications

Foot care knowledge and practices among Japanese nurses and care workers in home care and adult service center: a cross- sectional study

Foot care knowledge and practices among Japanese nurses and care workers in home care and adult service center: a cross- sectional study

Foot care knowledge and practices among Japanese nurses and care workers in home care and adult service center: a cross- sectional study

Foot Care Knowledge and Practices Among Japanese Nurses and Care Workers in Home Care and Adult Service Center: A Cross Sectional Study

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