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Wendy A Gifford*1, Barbara Davies1, Ian D Graham3, Nancy Lefebre2, Ann Tourangeau4 and Kirsten Woodend1 Address: 1University of Ottawa, Faculty of Health Sciences, School of Nursing, 451 Smyth Road, Ottawa, ON, K1H 8M5, Canada, 2Saint Elizabeth Health Care, 90 Allstate Parkway, Toronto, ON, Canada, 3Canadian Institute of Health Research, 160 Elgin Street, 9th Floor, Ottawa, ON, Canada and 4University of Toronto, Faculty of Nursing, 155 College Street, Toronto, ON, Canada Email: Wendy A Gifford* - wgifford@rogers.com; Barbara Davies - bdavies@uottawa.ca; Ian D Graham - IGraham@cihr-irsc.gc.ca; Nancy Lefebre - knowledge@saintelizabeth.com; Ann Tourangeau - ann.tourangeau@utoronto.ca; Kirsten Woodend - kwoodend@uottawa.ca * Corresponding author Published:. | Implementation Science BioMed Central Open Access Study protocol A mixed methods pilot study with a cluster randomized control trial to evaluate the impact of a leadership intervention on guideline implementation in home care nursing Wendy A Gifford 1 Barbara Davies1 Ian D Graham3 Nancy Lefebre2 Ann Tourangeau4 and Kirsten Woodend1 Address University of Ottawa Faculty of Health Sciences School of Nursing 451 Smyth Road Ottawa ON K1H 8M5 Canada 2Saint Elizabeth Health Care 90 Allstate Parkway Toronto ON Canada 3Canadian Institute of Health Research 160 Elgin Street 9th Floor Ottawa ON Canada and 4University of Toronto Faculty of Nursing 155 College Street Toronto ON Canada Email Wendy A Gifford - wgifford@rogers.com Barbara Davies - bdavies@uottawa.ca Ian D Graham - IGraham@cihr-irsc.gc.ca Nancy Lefebre - knowledge@saintelizabeth.com Ann Tourangeau - ann.tourangeau@utoronto.ca Kirsten Woodend - kwoodend@uottawa.ca Corresponding author Published 10 December 2008 Received 8 October 2008 . r Accepted 10 December 2008 Implementation Science 2008 3 51 doi l0.ll86 l748-5908-3-5l This article is available from http www.implementationscience.cOm content 3 l 5l 2008 Gifford et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Background Foot ulcers are a significant problem for people with diabetes. Comprehensive assessments of risk factors associated with diabetic foot ulcer are recommended in clinical guidelines to decrease complications such as prolonged healing gangrene and amputations and to promote effective management. However the translation of clinical guidelines into nursing practice remains fragmented and inconsistent and a recent homecare chart audit showed less than half the recommended risk factors for .
