Navigating Challenges in the Delivery of Diabetic Foot Self-care Education: Perspectives of Nurses in Rural Southwest China.

Background: Several prior studies have investigated determinants linked to the insufficient delivery of diabetic foot self-care education (DFSE), with some specifically concentrating on rural environments. Individuals with diabetes, especially those at risk of foot ulcers, should acquire the skills necessary for daily foot inspection, proper toenail-trimming techniques, consistent use of appropriate footwear, and a thorough understanding of preventive measures against ulcers.

Objective: To explore the challenges associated with delivering DFSE among nurses in rural areas.

Methods: The authors used a qualitative descriptive design. Fourteen participants were purposively selected from two township health centers. Data were collected through focus group discussions. All interviews were analyzed using thematic analysis.

Results: The primary challenges to delivering DFSE in rural areas were identified and categorized into four key themes: limited human resources, excessive patient visits, high patient turnover rate, and understanding gaps in collaborative medical care.

Conclusions: Limited diabetic nursing resources hinder patient education, affecting those with high admissions and extensive care needs. Excessive patient visits pose a challenge, overshadowing education efforts, especially during peak times after festival celebrations. Swift patient turnover and communication gaps among healthcare providers are significant barriers to timely health education. Nurses must enhance interdisciplinary communication for quality teaching and patient care. Integrating technology into nursing education can improve flexibility and accessibility. For the reform of China's national primary healthcare system, attracting and retaining skilled healthcare professionals in primary care should involve incentives and professional development.