Date of Conferral

8-14-2025

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Dr. Jonas Nguh

Abstract

This doctoral project implemented a structured nurse education module on the Brief Diabetic Foot Ulceration Risk Checklist to improve knowledge and adherence to diabetic foot ulcer screening, supporting preventive care, clinical consistency, and equitable patient outcomes in primary care. The practice-focused question guiding the project was whether providing structured education on the BDFURC would improve nurses’ knowledge and adherence to DFU screening protocols within 12 weeks. The goal was to equip nurses with standardized screening tools to support the early identification of high-risk patients and reduce the burden of DFU-related outcomes. The project involved 12 nursing staff and used a structured training intervention supported by a PowerPoint presentation and workflow-integrated handout. A 15-item pre- and post-test was administered to assess knowledge gains. Analytical strategies included descriptive statistics, and a paired t test performed using Microsoft Excel. Postimplementation results demonstrated a statistically significant increase in mean scores from 8.92 (SD = 1.51) to 14.42 (SD = 0.79), t = 13.18, p < .001, with a 95% confidence interval of [4.58, 6.42]. Improved understanding is anticipated to enhance screening adherence, support early detection, and ultimately improve patient outcomes. Recommendations included integrating the BDFURC module into orientation and refresher programs, tailoring education to experience levels, and promoting interdisciplinary communication. The project reinforces the value of evidence-based nursing education and supports positive social change by reducing health disparities and promoting equitable access to preventive care through standardized practice.

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