Educational programmes are associated with significant improvements in nurses' diabetic foot care practice, measured in seven of the nine included studies¶

Claim · All claims
Evidence · 1 study · review r2 · q3
Currency · newest study 2026 · not yet checked against its sources · not reviewed by a person

Subclaims¶

q3 i? Studies measuring practice outcomes reported consistent, statistically significant improvements in foot inspection, neurovascular assessment and related domains. → Al‐Me'ani Mohammad 2026

Evidence¶

Al‐Me'ani Mohammad 2026¶

Al‐Me'ani Mohammad, Alqaisi Omar, Dibas Mohammed, Al‐Aaraj Heyam, Rubbai Yousef. (2026). Effectiveness of Educational Programmes on Knowledge and Practice Related to Diabetic Foot Care Among Nurses: A Systematic Review. Endocrinology, Diabetes & Metabolism. https://doi.org/10.1002/edm2.70324

q3 · i? · review · r2

Narrative synthesis of the seven studies measuring practice outcomes; the review reports practice moved from "unacceptable before training" to acceptable after a NICE-protocol-based intervention (Likert means from <2.5 to ≥2.5). No pooled effect size was calculated.

"Studies measuring practice outcomes also reported consistent and significant improvements. Buloala [17] showed that the practice of foot inspection, palpation, footwear assessment and evaluation of patients' capacity for self‐care was unacceptable before training"

Discussion¶

Related Claims¶

• Educational programmes are consistently associated with statistically significant improvements in nurses' knowledge of diabetic foot care across nine quasi-experimental studies, with very low certainty of evidence — related
• The overall certainty of evidence for educational programme effects on nurses' knowledge and practice is very low (GRADE), driven by bias, inconsistency and imprecision — related
• Post-intervention knowledge and practice scores are positively correlated, suggesting education should be designed to bridge the knowledge-practice gap — related
• No included comparative study assessed patient-based clinical outcomes, patient acceptability of care, or staff resource time — related
• Nurses begin with low baseline knowledge of diabetic foot care, and educational qualifications may moderate post-training knowledge gains — related
• An interactive workshop produced higher post-test knowledge scores than an e-learning course of equivalent content among nurses — related
• Many nurses in SSA have adequate knowledge of diabetes self-management support and care in some studies — related