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Meta-ethnography to understand healthcare professionals’ experience of treating adults with chronic non-malignant pain
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Toye, Francine, Seers, Kate and Barker, Karen L. (2017) Meta-ethnography to understand healthcare professionals’ experience of treating adults with chronic non-malignant pain. BMJ Open, 7 (12). e018411. doi:10.1136/bmjopen-2017-018411 ISSN 2044-6055.
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WRAP-meta-ethnography-understand-healthcare-chronic-non-malignant-pain-Seers-2017.pdf - Published Version - Requires a PDF viewer. Available under License Creative Commons Attribution 4.0. Download (1342Kb) | Preview |
Official URL: http://dx.doi.org/10.1136/bmjopen-2017-018411
Abstract
Objectives
We aimed to explore healthcare professionals’ experience of treating chronic non-malignant pain by conducting a qualitative evidence synthesis. Understanding this experience from the perspective of healthcare professionals will contribute to improvements in the provision of care.
Design
Qualitative evidence synthesis using meta-ethnography. We searched five electronic bibliographic databases from inception to November 2016. We included studies that explore healthcare professionals’ experience of treating adults with chronic non-malignant pain. We used the GRADE-CERQual framework to rate confidence in review findings.
Results
We screened the 954 abstracts and 184 full texts and included 77 published studies reporting the experiences of over 1551 international healthcare professionals including doctors, nurses and other health professionals. We abstracted six themes: (1) a sceptical cultural lens, (2) navigating juxtaposed models of medicine, (3) navigating the geography between patient and clinician, (4) challenge of dual advocacy, (5) personal costs and (6) the craft of pain management. We rated confidence in review findings as moderate to high.
Conclusions
This is the first qualitative evidence synthesis of healthcare professionals’ experiences of treating people with chronic non-malignant pain. We have presented a model that we developed to help healthcare professionals to understand, think about and modify their experiences of treating patients with chronic pain. Our findings highlight scepticism about chronic pain that might explain why patients feel they are not believed. Findings also indicate a dualism in the biopsychosocial model and the complexity of navigating therapeutic relationships. Our model may be transferable to other patient groups or situations.
| Item Type: | Journal Article | ||||||||
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| Subjects: | R Medicine > R Medicine (General) | ||||||||
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Warwick Research in Nursing |
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| Library of Congress Subject Headings (LCSH): | Chronic pain -- Treatment, Evidence-based medicine, Medical personnel and patient, Medical personnel -- Attitudes | ||||||||
| Journal or Publication Title: | BMJ Open | ||||||||
| Publisher: | BMJ | ||||||||
| ISSN: | 2044-6055 | ||||||||
| Official Date: | 1 December 2017 | ||||||||
| Dates: |
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| Volume: | 7 | ||||||||
| Number: | 12 | ||||||||
| Article Number: | e018411 | ||||||||
| DOI: | 10.1136/bmjopen-2017-018411 | ||||||||
| Status: | Peer Reviewed | ||||||||
| Publication Status: | Published | ||||||||
| Access rights to Published version: | Open Access (Creative Commons) | ||||||||
| Date of first compliant deposit: | 17 January 2018 | ||||||||
| Date of first compliant Open Access: | 17 January 2018 | ||||||||
| RIOXX Funder/Project Grant: |
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