Background: In Sweden, just as in many other countries, the healthcare system is changing, leading to more specialized care occurring in the primary- and community care, in the patient’s home and with a stronger emphasis for patient involvement and self-care. Venous leg ulcers is a common condition, which creates suffering for patients and high economic burden. Often, new ulcers appear after healing, but these can be prevented if the patient is prepared for and uses self-care strategies after healing.Aim: The aim of this study was to describe healthcare staff’s experiences of planning for self-care together with patients suffering from venous leg ulcers.Method: The study used a phenomenological approach, Reflective Lifeworld Research (RLR), to describe the essence of healthcare staff’s experiences. In total, 22 healthcare staff participated (registered nurses, specialized district nurses, nurse assistants) from both primary and community care. The lifeworld interviews were analyzed following the RLR approach.Results: Preliminary results suggests that the healthcare staff’s experiences of planning self-care is complicated by factors related to the organization and ulcer management. Self-care planning starts with the patient’s need for information and learning. For the planning to be co-designed, staff need experience, knowledge and the ability to create caring relationships characterized with safety, encouragement, and active involvement. Creating learning conversations with the patients was experienced as supporting for self-care and patient involvement.Conclusion: Healthcare staff has an important role in involving patients in self-care and in the subsequent process of it. It is essential that both healthcare staff and patients work together to prevent recurrence of venous leg ulcers.Implication in a changing world: In a world characterized by change, health care staff need enhanced possibilities to provide care that emphasize learning and patient involvement, to support active self-care and to prevent the recurrence of venous leg ulcers.
Ej belagd 250417