Date of Award


Document Type

Open Access Thesis

Degree Name

Master of Arts in Nursing (MAN)



First Advisor

Joyce P. Miller RN DNP

Second Advisor

Cheryl Leuning


The development of culturally congruent visual resources on self-care in type 2 diabetes is a culturally appropriate method to provide education to the Native American patients. In particular, the creation of a series of illustrations on foot care is needed. Guided by Leininger's Culture Care Theory and the Sunrise Enabler, materials on foot care are developed through the convergence of emic (generic) and etic (professional) knowledge. Orem's Theory of Self-Care and the Native American perspectives are used to integrate concepts pertaining to self-care. This project supports the enhancement of health literacy as a component of health communication - a goal congruent with the objectives of the national public agenda Healthy People for 2020. The aim of the materials is to increase cultural competence among health care providers, to improve the understanding of nurses who teach Native American patients about type 2 diabetes. The illustrations on foot care are intended to teach patients how to responsibly participate in the prevention of the foot ulcers and potentially lower extremity amputations through self-care. Patients may use the illustrations even without the supervision of the provider.


SC 11.MAN.2013.Wosiek.M