Green J, Jester R, McKinley R, Pooler A. Patient perspectives of their leg ulcer journey. J Wound Care. 2013; 22:(2)58-66

Green J, Jester R, McKinley R, Pooler A. Nurse-patient consultations in primary care: do patients disclose their concerns?. J Wound Care. 2013; 22:(10)534-539

Rotter JB. Social learning and clinical psychology.: Prentice-Hall; 1954

Antonovsky A. Unraveling the mystery of health - how people manage stress and stay well.: Jossey-Bass; 1987

Seligman MEP. Helplessness.: WH Freeman; 1975

Stewart M, Meredith L, Brown JB, Galajda J. The influence of older patient-physician communication on health and health-related outcomes. Clin Geriatri Med. 2000; 16:(1)25-36

Mead N, Bower P. Patient-centredness: a conceptual framework and review of empirical literature. Soc Sci Med. 2000; 51:(7)1087-1110

Stewart M. Towards a global definition of patient centred care. BMJ. 2001; 322:(7284)444-445

de Haes H. Dilemmas in patient centredness and shared decision making: a case for vulnerability. Patient Educ Couns. 2006; 62:291-298

Bugge C, Entwistle VA, Watt IS. The significance for decision-making of information that is not exchanged by patients and health professionals during consultations. Soc Sci Med. 2006; 63:2065-2078

Swenson SL, Buell S, Zettier P Patient-centred communication. J Gen Intern Med. 2004; 19:(11)1069-1079

Thorne S. Conceptualising in nursing: what's the point?. J Adv Nurs. 2005; 51:(2)

Department of Health. The National Service Framework for Long Term Conditions. 2005. (accessed 24 February 2015)

Brown D, McWilliam C, Ward-Griffin C. Client-centred empowering partnering in nursing. J Adv Nurs. 2006; 53:(2)160-168

Lazarus RS. Coping theory and research: Past, present, and future. Psychosomatic Medicine. 1993; 55:234-247

Morden AW, Jinks C, Ong BN. Rethinking ‘risk’ and self-management for chronic illness. Soc Theory Health. 2012; 10:(1)78-99

Carney O, McIntosh J, Worth A. The use of the nominal group technique in research with community nurses. J Adv Nurs. 1996; 23:(5)1024-1029

Vella K, Goldfrad C, Rowan K Use of consensus development to establish national research priorities in critical care. BMJ. 2000; 320:(7240)976-980

Potter M, Gordon S, Hamer P. The nominal group technique: A useful consensus methodology in physiotherapy research. NZ Journal of Physiotherapy. 2004; 32:(3)126-130

Lancaster T, Hart R, Gardner S. Literature and medicine: evaluating a special study module using the nominal group technique. Med Educ. 2002; 36:(11)1071-1076

Kadam U, Jordan K, Croft P. A comparison of 2 consensus methods in a single professional group showed same outcomes. J Clin Epidemiol. 2006; 59:1169-1173

Meadows KA. So you want to do research? 2: developing the research question. Br J Community Nurs. 2003; 8:(9)397-403

Krueger RA. Focus groups: a practical guide for applied research.: Sage; 1994

Roper N, Logan WW, Tierney AJ. (The Roper-Logan-Tierney Model of nursing: based on activities of living.: Elsevier Health Sciences; 2000

Beresford MJ. Medical reductionism: lessons from the great philosophers. QJM. 2010; 103:(9)721-714

Ley P. Communicating with Patients.: Chapman and Hall; 1998

Hewison A. Nurses' power in interactions with patients. J Adv Nurs. 1995; 21:(1)75-82

The Patient's Charter.: The Stationery Office; 1991

Lewin SA, Skea ZC, Entwistle VA Interventions for providers to promote a patient-centred approach to clinical consultations. Cochrane Database Syst Rev. 2001; 4

McCormack B, Karlsson B, Dewing J, Lerdal A. Exploring person-centredness: a qualitative meta-synthesis of four studies. Scand J Caring Sci. 2010; 24:(3)620-634

Fischer M, Ereaut G. Can changing clinician-patient interactions improve healthcare quality? A scoping report for the Health Foundation.: The Health Foundation; 2011

Scottish Intercollegiate Guidelines Network (SIGN)120. Management of chronic venous leg ulcers. A national clinical guideline. (accessed 24 February 2015)

Persoon A, Heinen M, van der Vleuten C Leg ulcers: a review of their impact on daily life. J Clin Nurs. 2004; 13:(3)341-354

Beck CT. Humor in nursing practice: a phenomenological study. Int J Nurs Stud. 1997; 34:(5)346-352

Henderson S. Power imbalance between nurses and patients: a potential inhibitor of partnership in care. J Clin Nurs. 2003; 12:(4)501-508

Kinnersley P, Edwards A, Hood K Interventions before consultations for helping patients address their information needs [review]. Cochrane Database Syst Rev. 2007; 3

EPOC. Cochrane Effective Practice and Organisation of Care Review Group. Data collection checklist. 2008. (accessed 23 January 2013)

O'Connor SJ. Building the knowledge base for patient-centred care: improving the use of qualitative study findings through meta-analysis and systematic reviews. Eur J Cancer Care. 2009; 18:(5)433-436

Balint M. The doctor, his patient and the illness.: Pitman Medical; 1957

Pendleton D, Schofield T, Tate P, Havelock P. The New Consultation.: Oxford University Press; 2003

Department of Health. NHS future forum calls on healthcare professionals to lead the way on patient-centred care. 2012. http// (accessed 22 July 2013)

Wounds International. Optimising wellbeing in people living with a wound. International Consensus. 2012. (accessed 24 February 2015)

A new quality of life consultation template for patients with venous leg ulceration

02 July 2022
Volume 6 · Issue 2



Chronic venous leg ulcers (CVLUs) are common and recurrent, however, care for patients predominantly has a focus which overlooks the impact of the condition on quality of life. The aim of this study was to develop a simple, evidence-based consultation template, with patients and practitioners, which focuses consultations on quality of life themes.


A nominal group was undertaken to develop a new consultation template for patients with CVLUs based on the findings of earlier qualitative study phases.


A user-friendly two-sided A4 template was designed to focus nurse-patient consultations on the quality of life challenges posed by CVLUs.


CVLUs impact negatively on the quality of life of the patient but this receives inadequate attention during current consultations. This new template will help to ensure that key concerns are effectively raised, explored and addressed during each consultation.

Chronic venous leg ulcers (CVLUs) impact significantly on every area of patient functioning (Fig 1);1 and yet, despite these wide-ranging effects, patients are reluctant to disclose the extent of their difficulties to their district nurse (DN).2 Theories relating to the personal characteristics of patients attempt to explain their responses to chronic conditions which include a reluctance to disclose key factors, an unwillingness to relinquish control to the nurse and, for some, a lack of coping with the perceived consequences of the condition.3,4,5

Thematic map of interview themes1

Research that explores patient-centred care (PCC), although limited, purports positive benefits for patients who engage with care including optimised participation, enhanced satisfaction, positive clinical outcomes and improvements in quality of life (QoL).6,7,8,9 Healthcare professionals (HCPs) are also shown to benefit from a PCC approach to care with reports of enhanced personal empowerment and increased job satisfaction.10,11 Despite such benefits, research suggests that practitioners continue to fail to elicit patients' main concerns during consultations and many patients remain reluctant to disclose key factors relating to their condition and/or care.2,9,10,11 Thorne12 highlights that HCP and patient communication is an important opportunity within the consultation, with effective dialogue having the potential to optimise autonomy and maintain independence.13,14

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