Enhancing Diabetic Foot Complication Detection: A Process Improvement Study for Implementing a Self-Assessment Tool among Healthcare Professionals


This paper presents a process improvement project aimed at developing and implementing a diabetic foot self-assessment tool to aid in the early diagnosis and treatment of potential foot complications related to diabetes. The project focuses on gathering feedback from nurses and doctors who will be disseminating the tool to patients. The purpose of this study is to assess the effectiveness and utilization of the self-assessment tool through a survey administered to healthcare professionals. This paper discusses the instrumentation, data collection methods, data analysis plan, ethical considerations, and validity of the research design, all of which are crucial in ensuring the success of the project.


Diabetes is a chronic health condition that can lead to severe foot complications if not managed effectively. Early detection of foot problems is vital for preventing long-term consequences. To address this issue, a process improvement project has been initiated to develop a simplistic yet effective self-assessment tool. This paper outlines the objectives and methodology of the project, focusing on surveying nurses and doctors who will use the tool with patients. The findings from this study aim to improve patient outcomes and provide valuable insights for healthcare professionals. Thesis Statement: The implementation of a diabetic foot self-assessment tool among healthcare professionals is a critical process improvement initiative aimed at enhancing the early detection and treatment of potential foot complications related to diabetes, ultimately leading to better patient outcomes.


To conduct this process improvement project, a mixed-methods approach will be used, combining both quantitative and qualitative data. The participants in this study will be nurses and doctors who are actively involved in patient care and have experience in managing diabetic foot complications (Jones & Williams, 2019). A diverse sample of participants will be recruited from various healthcare facilities to ensure a representative representation of different healthcare settings.

Survey Design

The survey will be designed to address specific aspects related to the diabetic foot self-assessment tool. It will include items to evaluate the ease of use, effectiveness in recognizing early warning signs, relevance in clinical practice, and overall satisfaction with the tool (Smith et al., 2017). The Likert scale will be used to quantify responses, allowing for the assessment of participants’ perceptions on a continuum.

Additionally, the survey will include open-ended questions to encourage healthcare professionals to provide in-depth insights, suggestions, and real-world examples related to their experiences with the self-assessment tool (Anderson & Lee, 2020). This qualitative data will enrich the findings and provide a more comprehensive understanding of the tool’s impact.

Data Collection Procedure

The data collection procedure will be conducted in a systematic and ethical manner to ensure the reliability and validity of the data obtained. After receiving institutional approval and obtaining informed consent from all participating healthcare professionals, the survey will be distributed to the identified nurses and doctors via email or in-person, based on their preferences.

To increase the response rate and data completeness, participants will be provided with clear instructions on how to access and complete the survey. Additionally, follow-up reminders will be sent to encourage timely responses and to ensure a representative sample of participants.

The survey administration will take place over a defined period to allow sufficient time for the healthcare professionals to utilize the diabetic foot self-assessment tool with their patients. By conducting data collection over an extended duration, potential variations in tool utilization and feedback across different patient cases and healthcare settings can be captured.

Furthermore, the data collection process will be designed to protect the privacy and confidentiality of the participants. No personally identifiable information will be collected, and data will be anonymized using unique identifiers to maintain confidentiality (Smith et al., 2023). The collected data will be securely stored on password-protected computers or servers, with limited access granted only to authorized research personnel.

Integrity and data quality will be ensured through periodic data checks and verification. Any missing or inconsistent data will be addressed through follow-up communications with the participants to clarify responses and enhance data accuracy.

The researchers will also be vigilant to potential sources of bias during data collection. Efforts will be made to minimize response bias by emphasizing the voluntary nature of participation and emphasizing the importance of honest and candid responses. Moreover, the researchers will take steps to minimize selection bias by attempting to include a diverse sample of healthcare professionals from various healthcare facilities to enhance the generalizability of the findings.

Upon completion of the data collection period, the collected data will be processed for analysis. The quantitative and qualitative data will be integrated to provide a comprehensive understanding of the healthcare professionals’ perceptions and experiences with the diabetic foot self-assessment tool.

Data Analysis

Quantitative data from the survey will be analyzed using appropriate statistical methods. Descriptive statistics, such as mean, standard deviation, and frequency distributions, will be used to summarize the quantitative responses (Brown et al., 2022). The quantitative findings will provide an overview of the overall perceptions of the healthcare professionals regarding the self-assessment tool.

Qualitative data from the open-ended questions will be subjected to thematic analysis. Common themes and patterns will be identified to gain deeper insights into the strengths and weaknesses of the self-assessment tool. The integration of both quantitative and qualitative data will provide a comprehensive understanding of the tool’s impact.

Ethical Considerations

The ethical aspects of this process improvement project are of utmost importance to ensure the protection and well-being of human participants. The study will be conducted in compliance with ethical guidelines and regulations to safeguard the rights and privacy of healthcare professionals who voluntarily participate in the survey.

Informed consent will be obtained from all participating nurses and doctors before their involvement in the study. A detailed information sheet will be provided, explaining the purpose of the study, the procedures involved, potential risks and benefits, confidentiality measures, and their right to withdraw from the study at any time without consequences (Smith et al., 2023). By obtaining informed consent, participants will be fully aware of their roles and responsibilities, as well as the potential implications of their involvement.


Some potential limitations of this process improvement project should be acknowledged to provide a balanced assessment of the study’s scope and generalizability. One notable limitation is the relatively small sample size of healthcare professionals from specific healthcare facilities (Jones & Williams, 2019). While efforts will be made to include diverse participants from various healthcare settings, the limited sample size may restrict the extent to which the findings can be applied to a broader population of healthcare professionals.

Additionally, the self-reported nature of the survey responses may introduce response bias. Participants may tend to provide socially desirable answers or may not accurately recall their experiences with the self-assessment tool (Brown et al., 2022). To mitigate this limitation, the survey will include clear instructions and assurances of anonymity to encourage honest and candid responses.

Another potential limitation lies in the voluntary nature of participation, which could lead to a self-selection bias. Healthcare professionals who are particularly interested or invested in diabetic foot management may be more inclined to participate, potentially skewing the responses towards more positive feedback (Smith et al., 2017). To address this limitation, the research team will make efforts to reach out to a wide range of healthcare professionals and emphasize the importance of diverse perspectives.

The process improvement project’s duration may also pose a limitation. The data collection period will be defined to allow sufficient time for healthcare professionals to utilize the diabetic foot self-assessment tool with their patients. However, a more extended period might be required to observe any long-term effects or changes in practice patterns resulting from the tool’s implementation (Smith et al., 2023).

Furthermore, while the project focuses on healthcare professionals’ perceptions and experiences, the study does not directly assess patient outcomes. Evaluating patient outcomes and the actual impact of the self-assessment tool on early detection and treatment of foot complications would require a separate study involving patient interactions and follow-ups (Brown et al., 2022). Such a study would provide a more comprehensive understanding of the tool’s effectiveness in improving patient outcomes and inform further refinements of the tool’s implementation in clinical practice.


This process improvement project aims to develop and implement a diabetic foot self-assessment tool to aid healthcare professionals in detecting potential foot complications related to diabetes. By gathering feedback from nurses and doctors, this study seeks to enhance patient outcomes and improve the tool’s efficacy. The mixed-methods approach, combining quantitative and qualitative data, will provide valuable insights into the strengths and weaknesses of the self-assessment tool, contributing to the advancement of diabetic foot management and patient care. The results of this project will be disseminated to healthcare professionals and relevant stakeholders, encouraging the adoption of this tool for early detection and better management of foot complications in diabetic patients.

Reference List

Anderson, J. K., & Lee, S. M. (2020). Qualitative methods in nursing research. Oxford University Press.

Brown, R. S., Johnson, K., & Carter, S. (2022). Survey design and analysis. Wiley.

Jones, M. P., & Williams, R. J. (2019). Mixed methods research for nursing and the health sciences. Wiley.

Smith, A., Davies, S., & Wilson, J. (2018). Diabetes and foot complications: A comprehensive guide. John Wiley & Sons.

Smith, E., Johnson, P., & Lee, M. (2023). Informed consent in healthcare research. Health Research Ethics.