{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,5]],"date-time":"2026-03-05T18:46:12Z","timestamp":1772736372982,"version":"3.50.1"},"reference-count":37,"publisher":"Wiley","issue":"5-6","license":[{"start":{"date-parts":[[2018,1,15]],"date-time":"2018-01-15T00:00:00Z","timestamp":1515974400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100002014","name":"Chesapeake Research Consortium","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100002014","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2018,3]]},"abstract":"<jats:sec><jats:title>Aims and objectives<\/jats:title><jats:p>To gain insight into the experience of recurrent venous leg ulcers from the individual's perspective and provide knowledge on potential risks of recurrence not previously investigated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Venous leg ulcers are a consequence of chronic venous disease and frequently recur. They are costly and can impact on physical and psychological health. Despite research suggesting the risk can be reduced through compression and lifestyle changes, recurrence rates are often high. This study provides an insight into individual's perceptions of the cause of their ulcers and how they try to avoid them.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A qualitative design guided by the Chronic Illness Trajectory Model and Social Cognitive Theory.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A purposive sample of three males and four females were recruited from a community nursing clinic. Participants were ulcer free, had experienced at least two previous venous leg ulcers and could speak and comprehend English. An interpretive descriptive approach was taken using semi\u2010structured interviews and thematic analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Three themes each containing three categories emerged: The Increasing Influence of the Recurring Wound on Mind and Body, Reflection on Past Experiences and Optimism in the Face of Adversity. Most participants reported traumatic injury and lower leg surgery triggered ulcer recurrence. Failure to replace compression stockings was also deemed a cause. Compression was reported essential, but some participants were unaware of the level they were wearing and how often it should be replaced. Other preventive activities included avoiding injury and securing immediate assistance if wounding occurred.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Clinicians need to be aware that lower leg surgery may trigger recurrent venous ulceration and that individuals require ongoing emotional, physical and financial support throughout the trajectory of venous disease. The continued use of old compression stockings should be avoided and recurrence prevented by adoption of evidence\u2010based practice rather than reflection on past experiences.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to clinical practice<\/jats:title><jats:p>This research raises the awareness of factors from the individual\u2019s perspective which can influence the recurrence of venous leg ulcers.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.13994","type":"journal-article","created":{"date-parts":[[2017,8,9]],"date-time":"2017-08-09T21:32:37Z","timestamp":1502314357000},"source":"Crossref","is-referenced-by-count":19,"title":["Reflection on the cause and avoidance of recurrent venous leg ulcers: An interpretive descriptive approach"],"prefix":"10.1111","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9241-8516","authenticated-orcid":false,"given":"Ann","family":"Stewart","sequence":"first","affiliation":[{"name":"The Sutherland Hospital, Sydney, NSW, Australia Wound Management Innovation Cooperative Research Centre Queensland University of Technology Kelvin Grove QLD Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Helen","family":"Edwards","sequence":"additional","affiliation":[{"name":"Faculty of Health Deans Office Institute of Health and Biomedical Innovation Queensland University of Technology Kelvin Grove QLD Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathleen","family":"Finlayson","sequence":"additional","affiliation":[{"name":"Faculty of Health School of Nursing Institute of Health and Biomedical Innovation Queensland University of Technology Kelvin Grove QLD Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,1,15]]},"reference":[{"key":"e_1_2_12_2_1","volume-title":"Social foundations of thought and action: A social cognitive theory","author":"Bandura A","year":"1986"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/1090198104263660"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1369-7625.2012.00768.x"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1258\/phleb.2010.010s01"},{"key":"e_1_2_12_6_1","volume-title":"Psychological Research as the Phenomenologist Views it","author":"Colaizzi P.","year":"1978"},{"issue":"1","key":"e_1_2_12_7_1","first-page":"33","article-title":"The Corbin and Strauss Chronic Illness Trajectory\u00a0model: An update","volume":"12","author":"Corbin J. 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