KNOWLEDGE, PRACTICES, AND CHALLENGES OF NURSES IN EARLY DETECTION AND PREVENTION OF DIABETIC FOOT ULCER COMPLICATIONS: A CROSS-SECTIONAL STUDY

Abstract

Diabetic foot complications are among the most serious outcomes of diabetes mellitus, often leading to infections, amputations, and life-threatening conditions. Early detection and prevention largely depend on the knowledge, practices, and interventions of nurses. This study aimed to assess the awareness, practices, and challenges faced by nurses in the early identification, prevention, and management of diabetic foot complications. Data were collected using structured questionnaires administered to nurses working in diabetic clinics, general wards, and wound care units. The findings revealed that while Kenyan nurses demonstrated a basic understanding of diabetic foot care, significant barriers—including limited education, time constraints, and inadequate resources—hinder the implementation of effective preventive measures. The study underscores the urgent need for comprehensive training programs, enhanced educational resources, and stronger institutional and policy support to improve nurses’ capacity in diabetic foot management. Strengthening these areas is essential to reducing severe complications, minimizing amputations, and improving patient outcomes in diabetic care.