Nurses' experiences of caring for patients with chronic wounds : A literature review

Background: Chronic wounds, defined as wounds that do not heal within six weeks, pose a significant burden on patients and healthcare systems, particularly among the elderly. Common types include venous leg ulcers, diabetic foot ulcers, and pressure sores, often caused by underlying conditions such as venous insufficiency and diabetes. Wound care requires careful assessment and treatment to avoid complications and improve healing. Self-care is essential for promoting patient involvement and responsibility, but many patients face physical and mental challenges that impact their quality of life. Nurses play a central role in wound care by identifying causes, planning, and implementing treatments, which are crucial for optimizing the healing process and enhancing patients' quality of life. Aim: The purpose of this study is to describe nurses' experiences in caring for patients with chronic wounds. Method: A general literature review where qualitative research articles were systematically collected from the databases PubMed and CINAHL. The articles were carefully selected based on clear inclusion and exclusion criteria and analyzed using thematic analysis as described by Braun and Clarke. Results: The study resulted in two themes and eight subthemes: Challenges in care, including Time constraints and workload, Resource and competence shortages, Lack of patient insight, and Emotional burden. Factors that facilitate wound care include the Importance of knowledge and education, Collaboration and support, Patient involvement and continuous follow-ups, as well as the Importance of using digital tools. Conclusion: The care of individuals with chronic wounds is perceived as both challenging and complex, placing high demands on nurses' knowledge and availability. Time constraints, insufficient knowledge, and low patient insight present direct barriers to nurses' ability to provide person-centered and optimal care to patients.Keywords: Chronic wounds, Experience, Nurses, Care