DESGIN AND VALIDATION OF EVIDENCE BASED ON NURSING CARE GUIDELINE AMONG THE PATIENTS WITH DIABETIC FOOT ULCER

Clinical practice guidelines (CPGs) are brief principles in health care providing and Implementation of CPGs which can improve patient safety and patient outcomes. According to effective role of nurses in caring patients, this study aims to design and validate the evidence based on the nursing care guideline among the patients with diabetic foot ulcer (DFU) based on Stetler model in 2015.
This study was a methodological study based on Stetler Evidence based Model. Studies for 5years with related keywords in Pub Med, Scopus, Web of Science and Google Scholar, SID, Magiran were selected. According to nursing diagnosis and evidence levels were designed as a guideline, related evidences about nursing care in DFU were extracted as well. Quality appraisal of guideline was done by AGREEII instrument in 6 domains of Scope and Purpose, Stakeholder Involvement, Rigor of Development, Clarity of Presentation, Applicability and Editorial Independence by an expert panel. Furthermore, applicability of the guideline in clinical state was assessed with a checklist by nursing group.
From 114 studies in this field, 19 studies were chosen. In the AGREEII domains, Scope and Purpose (92%) and Applicability (76%) were the highest and the lowest scores respectively. 92.9% of nurses reported that implementation of guideline recommended on caring of DFU were effective and lack of needed equipment for its implementation was a barrier.
According to nurse’s opinion, implementation of recommended guideline has effective role in prevention and reduction of complication in DFU.