Evaluation of the development process and effects of a foot care program with educational tools for nurses and care work
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RESEARCH NOTE
Evaluation of the development process and effects of a foot care program with educational tools for nurses and care workers as in‑home service providers Kashiko Fujii1* and Minna Stolt2,3
Abstract Objective: Nurses and care workers who provide in-home services play important roles in assessing and providing care for older people who lack foot self-care abilities. We aimed to evaluate the development process and effects of a foot care program with educational tools for nurses and care workers as in-home service providers. This is a process evaluation with a descriptive mixed-methods study of quantitative and qualitative data conducted from July to October 2019 in Japan. Results: Foot care education tools were developed to address the issues faced by participants with various work patterns and insufficient foot care education in Japan. The contents of these tools were discussed by a panel and reviewed by experts. Three outcomes were analyzed using descriptive statistics and Pearson’s correlation. Changes in foot care practice scores were significantly correlated with performance scores. The evaluations of five of the eight field nurses suggested that excess information was included in the foot care booklet. Overall, 29 nurses and care workers showed higher than average evaluation scores [3.8–4.1 (standard deviation, 0.62–0.91)] for the motion pictures and PowerPoint presentation. A program according to this conceptual framework must be established and periodically evaluated for refinement. Trial Registration The trial registration number for the University Hospital Medical Information Network is UMIN000036307. Registration Date—2019/07/25 Keywords: In-home service providers, Foot care education, Nurses and care workers Introduction Nurses and care workers (NCWs) working in-home settings or communities face serious challenges because of the markedly increasing aging population worldwide [1]. Demographic changes are a serious national issue in Japan. Therefore, the Japanese government has urgently called for a community-based integrated system to allow *Correspondence: [email protected]‑u.ac.jp 1 Graduate School of Medicine, School of Health Sciences, Nagoya University, 1‑1‑20 Daiko‑Minami, Higasi‑ku, Nagoya, Aichi, Japan Full list of author information is available at the end of the article
older people to live the rest of their lives in their own ways in the familiar environments by using this system [2]. Community-dwelling older people in Japan experience various health conditions, with some requiring assistance for medical treatment or activities of daily living and some using long-term care insurance [3]. Older people may request foot care from NCWs or may refuse to seek active care [4] despite the high prevalence of foot problems in this population. However, studies on this topic are limited [3, 5].
© The Author(s) 2020. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution a
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