The Experiences of Nursing Undergraduates Caring for Chronic Wounded Patients in Sri Lanka: A Qualitative Study

Abstract

Background: Chronic wounds present a significant healthcare challenge, where the burden of non-communicable diseases such as diabetes and obesity is rising. These wounds often require prolonged care, posing physical, emotional, and psychological challenges for both patients and caregivers. Nursing undergraduates are increasingly exposed to managing chronic wounds, often without prior experience or adequate preparation. Understanding their experiences is essential to improving education, training, and emotional support, ultimately enhancing the quality of chronic wound care in clinical settings. Objectives: To explore the experience of chronic wound care among nursing undergraduates in the University of Ruhuna and the University of Colombo Methods: An exploratory descriptive qualitative study was conducted among 13 final-year nursing undergraduates at two-state universities in Southern province and Western province in Sri Lanka using a purposive sampling method. face-to-face interviews were conducted using a semi- structured interview guide. Data were transcribed, examined, and organised, then subjected to thematic analysis using an inductive approach. Results: Analysis identified six key themes; (1) Initial reactions and first-time experiences, characterized by fear, discomfort, and lack of confidence; (2) Challenges in chronic wound care, such as emotional burden, fear of infection, unpleasant wound characteristics, and inadequate supervision; (3) Skill development and learning progression, marked by improved clinical judgment and technical abilities through practical exposure; (4) Positive outcomes and patient success stories, which fostered motivation and professional satisfaction; (5) Enhancing preparedness and future readiness, highlighting the importance of early exposure, simulation training, and stronger theoretical grounding; and (6) Emotional and psychological impact, involving empathy-driven emotional strain and the need for mental health support. These findings illustrate the complex clinical, emotional, and educational dimensions of undergraduate nursing students’ experiences in managing chronic wounds. Conclusions: Nursing undergraduates face significant emotional and clinical challenges when caring for chronic wounds, but demonstrate notable skill development and resilience. Enhancing training through early exposure, simulation, and psychological support is essential to improve preparedness and well-being. Addressing these needs will better equip students to provide effective, compassionate chronic wound care in the future.