Francine Toye1, Kate Seers2, Nick Allcock3, Michelle Briggs4, Eloise Carr5, JoyAnn Andrews1, Karen Barker1. 1. Nuffield Orthopaedic Centre, Oxford University Hospitals NHS Trust, Oxford, UK. 2. Royal College of Nursing Research Institute, School of Health and Social Studies, University of Warwick, Coventry, UK. 3. School of Health and Life Sciences, Glasgow Caledonian University, Glasgow, UK. 4. Institute of Health and Wellbeing, Leeds Metropolitan University, Leeds, UK. 5. Faculty of Nursing, University of Calgary, Calgary, Alberta, Canada.
Abstract
BACKGROUND: Musculoskeletal (MSK) pain is one of the most predominant types of pain and accounts for a large portion of the primary care workload. AIM: To systematically review and integrate the findings of qualitative research to increase understanding of patients' experiences of chronic non-malignant MSK pain. DESIGN AND SETTING: Synthesis of qualitative research using meta-ethnography using six electronic databases up until February 2012 (Medline, Embase, Cinahl, Psychinfo, Amed and HMIC). METHOD: Databases were searched from their inception until February 2012, supplemented by hand-searching contents lists of specific journals for 2001-2011 and citation tracking. Full published reports of qualitative studies exploring adults' own experience of chronic non-malignant MSK pain were eligible for inclusion. RESULTS: Out of 24 992 titles, 676 abstracts, and 321 full texts were screened, 77 papers reporting 60 individual studies were included. A new concept of pain as an adversarial struggle emerged. This adversarial struggle was to: 1) affirm self; 2) reconstruct self in time; 3) construct an explanation for suffering; 4) negotiate the healthcare system; and 5) prove legitimacy. However, despite this struggle there is also a sense for some patients of 6) moving forward alongside pain. CONCLUSIONS: This review provides a theoretical underpinning for improving patient experience and facilitating a therapeutic collaborative partnership. A conceptual model is presented, which offers opportunities for improvement by involving patients, showing them their pain is understood, and forming the basis to help patients move forward alongside their pain.
BACKGROUND: Musculoskeletal (MSK) pain is one of the most predominant types of pain and accounts for a large portion of the primary care workload. AIM: To systematically review and integrate the findings of qualitative research to increase understanding of patients' experiences of chronic non-malignant MSK pain. DESIGN AND SETTING: Synthesis of qualitative research using meta-ethnography using six electronic databases up until February 2012 (Medline, Embase, Cinahl, Psychinfo, Amed and HMIC). METHOD: Databases were searched from their inception until February 2012, supplemented by hand-searching contents lists of specific journals for 2001-2011 and citation tracking. Full published reports of qualitative studies exploring adults' own experience of chronic non-malignant MSK pain were eligible for inclusion. RESULTS: Out of 24 992 titles, 676 abstracts, and 321 full texts were screened, 77 papers reporting 60 individual studies were included. A new concept of pain as an adversarial struggle emerged. This adversarial struggle was to: 1) affirm self; 2) reconstruct self in time; 3) construct an explanation for suffering; 4) negotiate the healthcare system; and 5) prove legitimacy. However, despite this struggle there is also a sense for some patients of 6) moving forward alongside pain. CONCLUSIONS: This review provides a theoretical underpinning for improving patient experience and facilitating a therapeutic collaborative partnership. A conceptual model is presented, which offers opportunities for improvement by involving patients, showing them their pain is understood, and forming the basis to help patients move forward alongside their pain.
Authors: Matthew J Bair; Marianne S Matthias; Kathryn A Nyland; Monica A Huffman; Dawana L Stubbs; Kurt Kroenke; Teresa M Damush Journal: Pain Med Date: 2009-10 Impact factor: 3.750
Authors: Jagjit Mankelow; Cormac G Ryan; Paul C Taylor; Maire-Brid Casey; Jenni Naisby; Kate Thompson; Joseph G McVeigh; Chris Seenan; Kay Cooper; Paul Hendrick; Donna Brown; William Gibson; Mervyn Travers; Norelee Kennedy; Cliona O'Riordan; Denis Martin Journal: BMC Med Educ Date: 2022-07-15 Impact factor: 3.263
Authors: Joanna Leaviss; Sarah Davis; Shijie Ren; Jean Hamilton; Alison Scope; Andrew Booth; Anthea Sutton; Glenys Parry; Marta Buszewicz; Rona Moss-Morris; Peter White Journal: Health Technol Assess Date: 2020-09 Impact factor: 4.014