VÅRDA OCH LÄRA

: en studie av sjuksköterskors erfarenheter av omvårdnad och undervisning av personer med svårläkta ben- och fotsår.

Abstract

The background: Caring about hard to heal leg- and foot ulcers comprise a considerable part of the trained nurse work in the homecare. Today we have a growing part of patients with complex in health problems and chronic diseases which makes patient education an essential part of the caring process. The aim of this study was to elucidate the trained nurse’s experiences of caring and education of patients with slow-healing leg- and foot ulcers. The method was hermeneutic qualitative with half structured interviews with thematic questions and content analysis. The sample was strategical and includes fifteen trained nurses in homecare, from seven districts in South Sweden. The result showed seven themes and underlying subthemes. The seven themes was knowledge about caring/education, relational presumption for caring/education, accomplishment of caring/education, education of closely, education of personal, organizational condition for caring/education and improvements. The conclusion of the study is that the trained nurses experiences of caring and education of patients with slow-healing leg- and foot ulcers is a foundation in reliance, care, respect, participation and collaboration, that needs time, space and organizational conditions. The trained nurse’s experiences of patient education can bee seen as deliberative pedagogic and a possible feeling of the sense of coherence (SOC) for the patients in their situation.