A Clinical Mentorship and Quality Improvement Program to Support Health Center Nurses Manage Type 2 Diabetes in Rural Rwanda

Table 4

Adherence of nurse mentees to the diabetes management protocol (January 1, 2013–December 31, 2015).

Asked only at first patient visit
	N	%
Patient history
Mentee asked for family history of diabetes
Yes	10	55.5
No	5	27.8
Missing	3	16.7
Mentee asked about smoking history
Yes	11	61.1
No	1	5.6
Missing	4	22.2
Question not applicable (patient < 15 years)	2	11.1
Mentee asked about alcohol use
Yes	14	77.8
No	1	5.5
Missing	3	16.7
Mentee asked for HIV status
Yes	13	72.2
No	2	11.1
Missing	3	16.7
Mentee documented HIV status
Yes	2	11.1
No	16	88.9
Mentee asked about current medication use
Yes	11	61.1
No	4	22.2
Missing	3	16.7
Mentee asked for age at first diagnosis
Yes	14	77.8
No	2	14.3
Missing	2	14.3
Mentee asked for phone number
Yes	15	83.3
No	0	0.0
Missing	3	16.7
Mentee documented phone number
Yes	2	11.1
No	16	88.9
Mentee asked for address
Yes	15	83.3
No	0	0.0
Missing	3	16.7
Mentee documented address
Yes	2	11.1
No	16	88.9
Mentee asked for national identification number
Yes	6	33.3
No	6	33.3
Missing	6	33.3
Mentee documented national identification number
Yes	3	16.7
No	1	5.5
Missing	14	77.8
Asked at all patient visits
	N	%
Patient history
Mentee asked about new symptoms
Yes	228	86.7
No	26	9.9
Missing	9	3.4
Mentee asked about hypoglycemia symptoms
Yes	215	81.8
No	38	14.4
Missing	10	3.8
Mentee asked about peripheral neuropathy
Yes	203	77.2
No	48	18.2
Missing	12	4.6
Mentee asked about missed medications
Yes	218	82.9
No	23	8.7
Missing	15	5.7
Not applicable (patient not on regularly scheduled medications)	7	2.7
Mentee asked about recent hospitalizations
Yes	206	78.3
No	43	16.3
Missing	14	5.3
Mentee asked about pregnancy (for female patients only; )
Yes	93	81.6
No	13	11.4
Missing	8	7.0
Physical exam
Mentee checked blood pressure
Yes	252	95.8
No	1	0.4
Missing	10	3.8
Mentee documented blood pressure
Yes	252	95.8
No	2	0.8
Missing	9	3.4
Mentee checked height
Yes	35	13.3
No	2	0.8
Missing	22	8.4
Not applicable (patient > 18 years)	204	77.5
Mentee documented height
Yes	30	11.4
No	2	0.8
Missing	21	8.0
Not applicable (patient > 18 years)	210	79.8
Mentee checked weight
Yes	246	93.5
No	6	2.3
Missing	11	4.2
Mentee documented weight
Yes	30	11.4
No	2	0.8
Missing	231	87.8
Mentee calculated patient’s body mass index
Yes	38	14.4
No	225	85.6
Mentee checked for foot sores
Yes	189	71.9
No	59	22.4
Missing	15	5.7
Mentee checked blood sugar
Yes	245	93.2
No	8	3.0
Missing	10	3.8
Mentee checked patient’s heart and lungs with stethoscope
Yes	52	19.8
No	14	5.3
Missing	34	12.9
Not applicable (no dyspnea, chest pain, or leg edema)	163	62.0
Mentee documented patient’s heart and lungs with stethoscope
Yes	56	21.3
No	8	3.0
Missing	35	13.3
Not applicable (no dyspnea, chest pain, or leg edema)	164	62.4
Counseling and teaching
Mentee provided disease counseling
Yes	228	86.7
No	30	11.4
Missing	5	1.9
Mentee provided danger sign counseling
Yes	208	79.1
No	46	17.5
Missing	9	3.4
Mentee provided medication counseling
Yes	117	44.5
No	18	6.8
Missing	128	48.7