{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T12:17:05Z","timestamp":1780661825483,"version":"3.54.1"},"reference-count":65,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2024,10,28]],"date-time":"2024-10-28T00:00:00Z","timestamp":1730073600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,10,28]],"date-time":"2024-10-28T00:00:00Z","timestamp":1730073600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100001711","name":"Schweizerischer Nationalfonds zur F\u00f6rderung der Wissenschaftlichen Forschung","doi-asserted-by":"publisher","award":["10531C_185332"],"award-info":[{"award-number":["10531C_185332"]}],"id":[{"id":"10.13039\/501100001711","id-type":"DOI","asserted-by":"publisher"}]},{"name":"HES-SO University of Applied Sciences and Arts Western Switzerland, Geneva, Switzerland"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Qual Health Res"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:p>Venous leg ulcers (VLUs) provoke multiple symptoms and impact individuals and society as a whole. Their treatment and prevention strategies require individual\u2019s involvement in self-management strategies. Insufficient knowledge with regard to prevention, management, and treatment has been identified as a critical factor related to VLUs and their recurrence. Therapeutic patient education (TPE) proposed as part of a management strategy for this population provides unclear benefits regarding wounds healing or prevention of recurrence. The aim of the study was to develop a theory explaining how individuals with a VLU experience an individualized nurse-led TPE program regarding self-management strategies. The constructivist approach of Charmaz to the grounded theory method was used to develop the theory. A total of 26 individuals contributed to the co-construction of the theory through face-to-face or telephone semi-structured interviews. Data analysis and data collection occurs simultaneously with a comparative process to reveal the conceptual categories, apply theoretical sampling, and define theoretical saturation. The theory of \u201cConscientiously Engaging in Self-Management\u201d was co-constructed with the participants encapsulating four categories: \u201cBeing influenced by my own story,\u201d \u201cBeing personally informed,\u201d \u201cMaking conscientious decisions to engage in self-adapted management strategies,\u201d and \u201cIntegrating a conscientious way of living.\u201d This theory highlights individuals\u2019 voices and stories toward their journey of VLU self-management taking contextual factors into consideration. This new theory offers new knowledge about implementation of self-management strategies for individuals living with a VLU and will inform clinical practice and contribute to the development of targeted interventions.<\/jats:p>","DOI":"10.1177\/10497323241285692","type":"journal-article","created":{"date-parts":[[2024,10,28]],"date-time":"2024-10-28T08:42:23Z","timestamp":1730104943000},"page":"901-915","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Making Conscientious Decisions: Engaging in Venous Leg Ulcer Self-Management Following Nurse-Led Patient Education"],"prefix":"10.1177","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6407-455X","authenticated-orcid":false,"given":"Paul","family":"Bobbink","sequence":"first","affiliation":[{"name":"HES-SO"},{"name":"University of Lausanne"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G\u00e9raldine","family":"Gschwind","sequence":"additional","affiliation":[{"name":"H\u00f4pital du Jura"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philip","family":"Larkin","sequence":"additional","affiliation":[{"name":"Lausanne University Hospital and University of Lausanne"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sebastian","family":"Probst","sequence":"additional","affiliation":[{"name":"HES-SO"},{"name":"University Hospital Geneva"},{"name":"University of Galway"},{"name":"Monash University"},{"name":"University of Geneva"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,10,28]]},"reference":[{"key":"e_1_3_6_2_1","doi-asserted-by":"publisher","DOI":"10.1037\/0033-295X.84.2.191"},{"key":"e_1_3_6_3_1","volume-title":"Self-efficacy: The exercise of control","author":"Bandura A.","year":"1997","unstructured":"Bandura A. 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