Nurses’ knowledge of contents of diabetes patient education in Ondo – state, Nigeria

Abstract

Background: Diabetes patient education is central to achieving active participation in management of diabetes. This participation is critical to quality and quantity of life among diabetic patients. However, observations show uncontrolled and complicated diabetes; noncompliance with the treatment regimen traceable to poor transfer of knowledge. The study was designed to assess nurses' knowledge of diabetes patient education in government hospitals in Ondo State. Method:The survey consisted of Four hundred and one registered randomly selected nurses working in various units of the selected hospitals. The instrument was a validated, self administered 44 -item questionnaire developed by the researchers using the professional prompter worksheet for diabetes education and content areas of diabetes education. The questionnaire focused on four content areas of diabetes education-nutrition, exercise and activity, glucose monitoring, and foot and skin care. Result:The result showed that the respondents were majorly females (82.3%). Seventy two percent of the respondents had between 1year and 5years of work experience. Only 8.2% had 1 st degree. Respondents demonstrated poor knowledge in the specified content areas of diabetes patients' education. Good knowledge of nutrition was only 29.2% while that of exercise/activity was 24.9% of respondents. For glucose monitoring, only 24.9% had good knowledge while that of hygiene/foot care was 34.4% of the respondents. The mean scores for the content areas were nutrition: 51 15; exercise/activity: 50 14; glucose monitoring: 50 14 and foot and skin care: 53 16 respectively. Respondents with one to five years work experience performed better than those with longer years of experience in the selected content areas. Conclusion:In view of this result, it is recommended that definitive modules for educating diabetes patient be developed for each health institution and more emphasis placed on continuing education of nurses to update their knowledge about current Diabetes management.

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“…Only 34% of the nurses reported to have special training in diabetic foot care. This is similar to the findings of Oyetunde and Famakinwa which reported a significantly low proportion (<40%) of nurses trained in specialized diabetic foot care in Ibadan, Nigeria (Oyetunde and Famakinwa, 2014). Specialized training on diabetic foot care among health care workers have been reportedly low (< 50%) in Sub-Saharan countries (Trepp et al, 2012;Mohammed, 2013) This is in contrast with the realities in developed countries, where specialized training of diabetic foot care among nurses in endocrinology and medical clinics of health institutions is more than 50% (Trepp et al, 2012).…”

“…Specialized foot care by nurses in developed countries have recorded considerable successes in the prevention of diabetic foot ulcers, prolonging the use of the feet of diabetic patients and prevention of amputation (Uba et al, 2015). However, it was reported in some developing countries that nurses demonstrated poor knowledge of diabetes, especially specialized diabetic foot care (Ali et al, 2013;Oyetunde and Famakinwa, 2014;Uba et al, 2015). There is a paucity of data on the knowledge and practice of diabetes foot care among nurses in resource-poor settings such as Nigeria.…”

Factors influencing nurses’ knowledge acquisition of diabetes care and its management: A qualitative study

“…These misconceptions about diabetes management among healthcare professionals need to be addressed. Many barriers to managing diabetes and educating patients with diabetes were determined from the perspectives of these nurses; many have also been identified in other studies from other nations (Kassean, 2005;Oyetunde & Famakinwa, 2014). Many issues can deter nurses from fulfilling their potential role in care of patients with diabetes, from lack of access to high-quality in-service education and training, through perceived limitations in managerial support, to the personal and professional issues of a largely multinational, expatriate workforce.…”

“…Factors such as lack of diabetes nursing experience was found to affect British and Nigerian nurses' knowledge of and confidence about diabetes care and its management (Nash, 2009;Oyetunde & Famakinwa, 2014). Some differences were noted in the barriers encountered by nurses in different countries: While poor attendance at continuing education programmes was identified as the main reason for poor diabetes knowledge by British nurses (Nash, 2009), nurses working in developing countries were less likely to have access to educational materials and resources and appropriate diabetes training programmes (Oyetunde & Famakinwa, 2014). The wider employment milieu was also an influence, with nursing shortages, high workloads and consequent low job morale identified as barriers to nurses' acquisition of adequate diabetes knowledge (Alotaibi, Al-Ganmi, Gholizadeh, & Perry, 2016;Mutea & Baker, 2008).…”

Knowledge of Diabetic Foot Care among Nursing Practitioners in Rivers State, Nigeria

“…More than 300 million people are affected with Diabetes Mellitus (DM) globally (Rashimi, 2017). In Nigeria the prevalence of diabetes is reported to range from 3 -11% in the different regions of the country (Oyetunde and Famakinwa, 2014;Oputa et al, 2015;Ejike et al, 2015). The rising incidence of diabetes corresponds with an increase in complications and morbidity with resultant mortality and increase in healthcare costs globally (ADA, 2013).…”