Journal of Diabetes Research / 2017 / Article / Tab 4

Research Article

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
 Yes1055.5
 No527.8
 Missing316.7
Mentee asked about smoking history
 Yes1161.1
 No15.6
 Missing422.2
 Question not applicable (patient < 15 years)211.1
Mentee asked about alcohol use
 Yes1477.8
 No15.5
 Missing316.7
Mentee asked for HIV status
 Yes1372.2
 No211.1
 Missing316.7
Mentee documented HIV status
 Yes211.1
 No1688.9
Mentee asked about current medication use
 Yes1161.1
 No422.2
 Missing316.7
Mentee asked for age at first diagnosis
 Yes1477.8
 No214.3
 Missing214.3
Mentee asked for phone number
 Yes1583.3
 No00.0
 Missing316.7
Mentee documented phone number
 Yes211.1
 No1688.9
Mentee asked for address
 Yes1583.3
 No00.0
 Missing316.7
Mentee documented address
 Yes211.1
 No1688.9
Mentee asked for national identification number
 Yes633.3
 No633.3
 Missing633.3
Mentee documented national identification number
 Yes316.7
 No15.5
 Missing1477.8

Asked at all patient visits
N%

Patient history
Mentee asked about new symptoms
 Yes22886.7
 No269.9
 Missing93.4
Mentee asked about hypoglycemia symptoms
 Yes21581.8
 No3814.4
 Missing103.8
Mentee asked about peripheral neuropathy
 Yes20377.2
 No4818.2
 Missing124.6
Mentee asked about missed medications
 Yes21882.9
 No238.7
 Missing155.7
 Not applicable (patient not on regularly scheduled medications)72.7
Mentee asked about recent hospitalizations
 Yes20678.3
 No4316.3
 Missing145.3
Mentee asked about pregnancy (for female patients only; )
 Yes9381.6
 No1311.4
 Missing87.0
Physical exam
 Mentee checked blood pressure
 Yes25295.8
 No10.4
 Missing103.8
Mentee documented blood pressure
 Yes25295.8
 No20.8
 Missing93.4
Mentee checked height
 Yes3513.3
 No20.8
 Missing228.4
 Not applicable (patient > 18 years)20477.5
Mentee documented height
 Yes3011.4
 No20.8
 Missing218.0
 Not applicable (patient > 18 years)21079.8
Mentee checked weight
 Yes24693.5
 No62.3
 Missing114.2
Mentee documented weight
 Yes3011.4
 No20.8
 Missing23187.8
Mentee calculated patient’s body mass index
 Yes3814.4
 No22585.6
Mentee checked for foot sores
 Yes18971.9
 No5922.4
 Missing155.7
Mentee checked blood sugar
 Yes24593.2
 No83.0
 Missing103.8
Mentee checked patient’s heart and lungs with stethoscope
 Yes5219.8
 No145.3
 Missing3412.9
 Not applicable (no dyspnea, chest pain, or leg edema)16362.0
Mentee documented patient’s heart and lungs with stethoscope
 Yes5621.3
 No83.0
 Missing3513.3
 Not applicable (no dyspnea, chest pain, or leg edema)16462.4
Counseling and teaching
Mentee provided disease counseling
 Yes22886.7
 No3011.4
 Missing51.9
Mentee provided danger sign counseling
 Yes20879.1
 No4617.5
 Missing93.4
Mentee provided medication counseling
 Yes11744.5
 No186.8
 Missing12848.7

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