Making Conscientious Decisions: Engaging in Venous Leg Ulcer Self-Management Following Nurse-Led Patient Education

被引:1
作者
Bobbink, Paul [1 ,2 ]
Gschwind, Geraldine [3 ]
Larkin, Philip [4 ,5 ,6 ]
Probst, Sebastian [1 ,7 ,8 ,9 ,10 ]
机构
[1] Univ Appl Sci & Arts Western Switzerland, Geneva Sch Hlth Sci, HES SO, 47 Ave Champel, CH-1206 Geneva, Switzerland
[2] Univ Lausanne, Univ Inst Higher Educ & Res Healthcare, Fac Biol & Med, Lausanne, Switzerland
[3] Hop Jura, Wound Care Outpatient Surg Unit, Delemont, Switzerland
[4] Lausanne Univ Hosp, Hop Nestle, Dept Palliat & Support Care, Palliat & Support Care Serv, Lausanne, Switzerland
[5] Lausanne Univ Hosp, Hop Nestle, Inst Higher Educ & Res Healthcare, Dept Palliat & Support Care, Lausanne, Switzerland
[6] Univ Lausanne, Lausanne, Switzerland
[7] Univ Hosp Geneva, Care Directorate, Geneva, Switzerland
[8] Univ Galway, Coll Med Nursing & Hlth Sci, Galway, Ireland
[9] Monash Univ, Fac Med Nursing & Hlth Sci, Clayton, Vic, Australia
[10] Univ Geneva, Fac Med, Geneva, Switzerland
基金
瑞士国家科学基金会;
关键词
therapeutic patient education; venous leg ulcer; grounded theory; self-management; RECURRENCE; ADHERENCE; LIFE;
D O I
10.1177/10497323241285692
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Venous leg ulcers (VLUs) provoke multiple symptoms and impact individuals and society as a whole. Their treatment and prevention strategies require individual's involvement in self-management strategies. Insufficient knowledge with regard to prevention, management, and treatment has been identified as a critical factor related to VLUs and their recurrence. Therapeutic patient education (TPE) proposed as part of a management strategy for this population provides unclear benefits regarding wounds healing or prevention of recurrence. The aim of the study was to develop a theory explaining how individuals with a VLU experience an individualized nurse-led TPE program regarding self-management strategies. The constructivist approach of Charmaz to the grounded theory method was used to develop the theory. A total of 26 individuals contributed to the co-construction of the theory through face-to-face or telephone semi-structured interviews. Data analysis and data collection occurs simultaneously with a comparative process to reveal the conceptual categories, apply theoretical sampling, and define theoretical saturation. The theory of "Conscientiously Engaging in Self-Management" was co-constructed with the participants encapsulating four categories: "Being influenced by my own story," "Being personally informed," "Making conscientious decisions to engage in self-adapted management strategies," and "Integrating a conscientious way of living." This theory highlights individuals' voices and stories toward their journey of VLU self-management taking contextual factors into consideration. This new theory offers new knowledge about implementation of self-management strategies for individuals living with a VLU and will inform clinical practice and contribute to the development of targeted interventions.
引用
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页数:15
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