Literature Search Paper
Chamberlain College of Nursing
Information Systems in Healthcare
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 3 and gangrene are leading causes of hospitalization at an annual cost of $1 billion. Patients are more likely to comply with a treatment regimen when they have sufficient knowledge about their medical condition. Neil, J. (1999). This study is useful for assessing behaviors regarding foot care based on standard guidelines in foot care management. It is also useful for obtaining current information on foot care practices at points in time and can indicate a need for foot care education or reinforcement, especially in those with insensate feet who are at high risk for developing a foot ulcer. The research was conducted in three databases; Medline, Google scholar and CINAHL. CINAHL Search
The first search conducted in the CINAHL database, initially the search was done using the P-Diabetic patients with foot ulcers. This search proved it did not cover the information I wanted. I revised my P to Patients with diabetic foot ulcers, and received 255974 hits. I added education into the title and received 10647 hits. I narrowed to articles with AB (abstract) and I received nine hits. When systematic review was added to the search, the results were zero. Systemic review was removed and time limit 2008-2010 was added and results were four (see appendix table A). The article chosen ”The nurse's role in the prevention of diabetic foot ulcers” [Greek], (Rerkasem, K; Kosachunhanun, N; Tongpraser, S Khwanngern, K; Matanasarawoot, A; Thongchai, C; Chimplee, K Buranapin, S; Chaisrisawadisuk, S; Mangklabruks, A. et al., 2008) .is a research supported journal article. The report compares the amputation rate in patients who received protocol care from August 2005 to March 2007 with those who received standard care from August 2003 to July 2005. Seventy-three and 110 diabetic-foot
Literature Search Paper 4
ulcer patients received...