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.
Materials and Methods: 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.
Results: 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.
Conclusion: According to nurse’s opinion, implementation of recommended guideline has effective role
in prevention and reduction of complication in DFU