Development and validation of a pocket guide for the prevention of diabetic foot ulcers.

OBJECTIVE: Diabetic foot ulcers can have serious consequences, including amputation. This project aimed to develop and validate a diabetes care management model-a pocket guide on the prevention of foot ulceration to assist health professionals and scientific societies. METHODS: An adaptation of the Iowa method of evidence-based practice to promote high-quality care was employed. After problems are identified, the Iowa method supports the development of an action plan for addressing them. An evidence-based protocol based on the five cornerstones of the 2015 guidance on the diabetic foot by the International Working Group on the Diabetic Foot was developed in two phases and validated using the Delphi technique. RESULTS: A model was developed to promote these five cornerstones, which are the main recommendations for managing the diabetic foot. These are: foot examination; risk assessment for ulceration; education in diabetes; appropriate footwear; and treatment of pre-ulcerative lesions. To adapt this into a health information document, the management model was synthesised and designed as a pocket guide. The model's individual and global content validity indices surpass 0.78 and 0.90 respectively. CONCLUSION: A management model was created and validated, and produced as a pocket guide to deliver instructions on the care and prevention of diabetic foot problems in people with diabetes.

Percepção de docentes e discentes de nutrição sobre o profissional enfermeiro / Percepción de los profesores y estudiantes de la nutrición acerca del enfermero / Perception of Nutrition teachers and students about nurses

Objetivo: Conhecer percepcóes de docentes e discentes de Nutricáo sobre o enfermeiro. Métodos: Estudo qualitativo a luz da Teoría das Representacóes Sociais. Populaqáo: quatro docentes, cinco discentes ingressantes e cinco concluintes do curso de nutriqáo de urna Universidade do Vale do Paraiba Paulista. Dados coletados setembro/ 2008, entrevistas semi estruturadas. Questáo norteadora: ¿Qual sua percepcáo do enfermeiro no contexto de saúde? Resultados: Análise de conteúdo originou tres Unidades Temáticas: área de atuaqáo do enfermeiro, cuidado humanizado, papel do enfermeiro na equipe de saúde. Conclusáo: Enfermeiros percebidos como importantes e atuantes diretamente com paciente, destacando-se cuidado humanizado. Por outro lado tam-bém percebido como profissional que tem aqóes atreladas especialmente ao médico. Suas acóes náo foram claramente delimitadas, demonstrando falta de clareza do seu papel no contexto de saúde.

Objetivo: conocer las percepciones de profesores y estudiantes de Nutrición sobre el enfermero. Método: estudio cualitativo basado en la Teoría de las Representaciones Sociales. Muestra: cuatro profesores del grado, cinco estudiantes principiantes y cinco concluyentes del Curso de Grado en Nutrición de la Universidad del Vale do Paraiba Paulista, el instrumento utilizado para la recolección de la información fue la entrevista semi-estructurada basada en la pregunta general: ¿Cuál es su percepción acerca del enfermero en el contexto de la salud? Los datos obtenidos fueron analizados de manera integral en sus contenidos. Resultados: a partir del análisis de contenido se generaron tres categorías Temáticas: área de operación del enfermero, atención humanizada, papel del enfermero en el equipo de salud. Conclusión: los enfermeros fueron percibidos por los profesores y estudiantes de nutrición como actores importantes en el cuidado puesto que trabajan directamente con el paciente, especialmente bajo una atención humanizada. Por otra parte, se percibió como un profesional que ha vinculado sus acciones, en el trabajo conjunto con el profesional médico. Sin embargo, los participantes del estudio perciben poca claridad de su rol y campos de acción en el contexto de la salud.

Objective: To know the perceptions of teachers and students of Nutrition about the nurse. Method: A qualitative study based on the Theory of Social Representations. Sample: four teachers from the level, five beginner students and five students near graduation from the Course Degree in Nutrition at the University of Vale do Paraiba Paulista. The instrument used for data collection was the semi -structured interview based on the general question: What is your perception of nurses in the context of health? The data obtained was holistically analyzed. Results: from the analysis of the contení, three categories emerged: nurse's area of operation, humanized care, role of nurses in the health team. Conclusión: The nurses were perceived by teachers and students of nutrition as important actors in care since they work directly with the patient, especially under a humanized attention. Moreover, they were perceived as professionals who link their actions in working together with the doctor. However, the study participants perceived lack of clarity of their role and ñelds of action in the context of health.