2025 Volume 6 Issue 3 Pages 169-179
The rising prevalence of diabetes has been accompanied by an increase in the incidence of diabetic foot complications. In 2008, foot care became eligible for insurance reimbursement in Japan and many medical institutions have established foot care outpatient clinics. Certified nurses in diabetes care (CNs) and those in skin and excretion care (WOCNs) both play important roles in these settings; however, the specific differences in their expertise remain to be elucidated.
This review included 10 domestic articles（2008–2024）on foot care for diabetic patients. We aimed to identify the unique and common perspectives of diabetes CNs and WOCNs and propose a framework for standardizing nursing interventions. We found that diabetes CNs emphasize patient-centered care and aim to promote awareness of self-care, whereas WOCNs focus on advanced wound management, including offloading strategies. Despite their distinct emphases, both prioritize continuous self-care support and interdisciplinary collaboration. These shared and complementary perspectives likely reflect variations in educational backgrounds and expected roles. Building on these insights, we present a conceptual model anchored in Tanner’s clinical judgment model to illustrate how the expertise of both nursing specialties can be integrated.
