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District nurses' experiences of caring for leg ulcers in accordance with clinical guidelines: a grounded theory study.
Karolinska institutet.
Karolinska institutet.
Karolinska institutet.
2017 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 12, no 1, article id 1355213Article in journal (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
2017. Vol. 12, no 1, article id 1355213
Keywords [en]
Clinical nursing research, District nurse, Grounded theory method, Guideline adherence, Primary health care
National Category
Nursing
Identifiers
URN: urn:nbn:se:esh:diva-6677DOI: 10.1080/17482631.2017.1355213PubMedID: 28747091OAI: oai:DiVA.org:esh-6677DiVA, id: diva2:1187002
Available from: 2018-03-02 Created: 2018-03-02 Last updated: 2018-03-02Bibliographically approved

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