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dc.contributor.authorRanuve, M.S.
dc.contributor.authorMohammadnezhad, Masoud
dc.date.accessioned2022-08-05T10:15:33Z
dc.date.accessioned2022-08-16T09:17:26Z
dc.date.available2022-08-05T10:15:33Z
dc.date.available2022-08-16T09:17:26Z
dc.date.issued2022-08
dc.identifier.citationRanuve MS and Mohammadnezhad M (2022) Healthcare workers' perceptions on diabetic foot ulcers (DFU) and foot care in Fiji: a qualitative study. BMJ Open. 12(8): e060896.en_US
dc.identifier.urihttp://hdl.handle.net/10454/19093
dc.descriptionYesen_US
dc.description.abstractTo explore the perception of healthcare workers (HCWs) on diabetic foot ulcers (DFU) and foot care in Rotuma, Fiji. Using a qualitative study design, two focus group discussions (FGDs) were conducted among HCWs. A semistructured open-ended questionnaire was used to guide the discussion session. Each FGD was audiorecorded and was transcribed. The transcriptions were then manually analysed using thematic analysis. Rotuma hospital, Fiji. HCWs who were working in Rotuma hospital for at least a year and were involved in clinical foot care of type 2 diabetes mellitus patients were included. There were five main themes, namely, depth of knowledge, quality of care in practice, factors of influence on practice, lack of resources and capacity building. Participants had superficial knowledge that showed lack of in-depth scientific knowledge. A lack of staffing in the clinics affected the delivery of service. Additionally, patients defaulting clinics, late presentations with DFU and traditional medicine also affected the quality of healthcare service in clinics. There was also a need for a multidisciplinary team to prevent and manage DFU. HCWs mostly advised on glycaemic control and ignored offering foot care advice in clinics due mainly to the lack of sound knowledge on foot care. There was also a lack of resources, infrastructure, space and professional development opportunities, which negatively impacted how HCWs deliver foot care services to patients. HCWs lack significant in-depth knowledge on DFU and foot care. In addition, these are the availability of traditional medicine that delays presentations to hospital, further reducing the quality of services. HCWs need to keep their knowledge and skills updated through regular in-service training on foot care. Resources, infrastructure and supply chains need to be maintained by those in power to ensure HCWs deliver quality foot care services.en_US
dc.language.isoenen_US
dc.rights© Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/ This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.en_US
dc.subjectHealthcare workersen_US
dc.subjectDiabetic foot ulcersen_US
dc.subjectFoot careen_US
dc.subjectType 2 diabetes mellitusen_US
dc.subjectFijien_US
dc.titleHealthcare workers' perceptions on diabetic foot ulcers (DFU) and foot care in Fiji: a qualitative studyen_US
dc.status.refereedYesen_US
dc.date.Accepted2022-07-19
dc.date.application2022-08-02
dc.typeArticleen_US
dc.type.versionPublished versionen_US
dc.identifier.doihttps://doi.org/10.1136/bmjopen-2022-060896
dc.rights.licenseCC-BY-NCen_US
dc.date.updated2022-08-05T10:15:35Z
refterms.dateFOA2022-08-16T09:18:01Z
dc.openaccess.statusopenAccessen_US


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