The purpose of the study was to elaborate a contextualized comprehensive model for the assessment approach for diabetic patients by nurses in the regional hospital of Limbe in the Southwest region of Cameroon. The study was guided by the Orlando’s theory of The Deliberative Nursing Process, the Abdellah’s 21 Nursing Problems Theory, and the Self-Determination Theory by Ryan and Deci. A concurrent mixed method combining a survey and quasi-experimental designs was used. The study’s population was made of nurses supported by observation. Convenience sampling method was used to select nurses. A total of 110 nurses were involved in the study following sample size determination considering one-population proportion with the support of Epi Info 6.04d and Power Sampling using G Power 3.1. Data were collected using a semi-structured questionnaire and observational checklist. The questionnaire equally served as evaluation tool for the interventional study. The training of nurses on the assessment of diabetic patients was done using a standardized training protocol contextualized following the results of the baseline survey. An application to carry out the research was sent to the ethical review board of the University of Bamenda. Upon approval, data were collected while abiding to the necessary ethical requirements. Data were digitalized with the support of EpiData version 3.1, and analyzed descriptively and inferentially using SPSS 21.0. As for the textual data (qualitative data), their abstraction was reduced following the process of thematic analysis. The most highlighted patient-related challenge faced during the assessment of diabetic patients was lack of patient education with respect management plan 54.1% (49); the most highlighted assessment-related challenge being patient giving inaccurate or incomplete information leading to incorrect assessments and diagnoses 80.9% (76); the most highlighted nurse-related challenge being lack of knowledge or experience in assessing diabetic patients 60.4% (55) while the most highlighted environmental-related challenge was limited resources (lack of glucometers or laboratory tests) 63.8% (60). Cumulatively, practice was poor (poor or very poor) for 75.5% of them. It was recommended that these challenges be taken into consideration by policy-makers and medical administrators and practitioners in their endeavours towards improving the well-being of diabetic patients.
Assessment, Diabetes, Patients, Hospital, Model.
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