District nurses' experiences of caring for leg ulcers in accordance with clinical guidelines: a grounded theory study

This qualitative study used the grounded theory method to investigate district nurses' experiences of caring for leg ulcers in accordance with clinical guidelines at seven primary health care centres in Stockholm, Sweden. Group interviews were conducted with 30 nurses. The results describe how...

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Bibliographic Details
Published in:International journal of qualitative studies on health and well-being 2017, Vol.12 (1), p.1355213-12
Main Authors: Lagerin, Annica, Hylander, Ingrid, Törnkvist, Lena
Format: Article
Language:English
Subjects:
Attitude of Health Personnel
Caregiving
Chronic illnesses
Clinical medicine
Clinical nursing research
Clinical practice guidelines
Collaboration
Delivery of Health Care
District nurse
District nurses
Empathy
Family physicians
Grounded Theory
Grounded theory method
Guideline Adherence
Handbooks
Health care
Hope
Hopelessness
Humans
Leg Ulcer - therapy
Leg ulcers
Medicin och hälsovetenskap
Methods
Motivation
Nurses
Nurses - psychology
Nursing care
Older people
Original
Patient Care - psychology
Patients
Primary care
Primary Health Care
Qualitative Research
Sweden
Ulcers
Wound Healing
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Summary:This qualitative study used the grounded theory method to investigate district nurses' experiences of caring for leg ulcers in accordance with clinical guidelines at seven primary health care centres in Stockholm, Sweden. Group interviews were conducted with 30 nurses. The results describe how district nurses strive to stay on track in order to follow clinical guidelines and remain motivated despite prolonged wound treatment and feelings of hopelessness. Three main obstacles to following the guidelines were found. District nurses used compensating strategies so the obstacles would not lead to negative consequences. If the compensating strategies were insufficient, perceived prolonged wound treatment and feelings of hopelessness could result. District nurses then used motivating strategies to overcome these feelings of hopelessness. Sometimes, despite the motivating strategies, treatment in accordance with guidelines could not be achieved. With some patients, district nurses had to compromise and follow the guidelines as far as possible.
ISSN:1748-2631
1748-2623
1748-2631
DOI:10.1080/17482631.2017.1355213