‘It makes you think’ – exploring the impact of qualitative films on pain clinicians

Toye, Francine; Jenkins, Sue

doi:10.1177/2049463714549776

Cited by 23 publications

(20 citation statements)

References 15 publications

(24 reference statements)

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“…Furthermore, previous research found presentation of qualitative findings of pain research through film had useful learning potential for clinicians. 42 Qualitative research has the potential to incorporate the patient voice into the design of healthcare services. 43 The study was undertaken in the context of an increasing emphasis on self-management of long-term conditions from the Scottish Government.…”

Section: Implications For Research and Practicementioning

confidence: 99%

Barriers to self-management of chronic pain in primary care: a qualitative focus group study

Gordon

Rice²,

Allcock

et al. 2016

Br J Gen Pract

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Section: Implications For Research and Practicementioning

confidence: 99%

Barriers to self-management of chronic pain in primary care: a qualitative focus group study

Gordon

Rice²,

Allcock

et al. 2016

Br J Gen Pract

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“…Each year over five million people in the UK develop chronic non-malignant pain [ 7 ], and healthcare professionals (HCPs) can find it a challenge to effectively treat this pain. For example, they can find it difficult if they are unable to offer the patient a solution [ 8 ], or if they have to refuse patients’ requests for a particular test or treatment [ 9 , 10 ]. Despite recent USA [ 11 ] and UK guidelines [ 12 ] suggesting that patients with chronic non-malignant pain might not gain benefits, opioids are commonly prescribed for uncontrolled persistent pain, and there has been a significant rise in opioid prescription [ 13 – 18 ].…”

Section: Introductionmentioning

confidence: 99%

A qualitative evidence synthesis to explore healthcare professionals’ experience of prescribing opioids to adults with chronic non-malignant pain

et al. 2017

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BackgroundDespite recent guidelines suggesting that patients with chronic non-malignant pain might not benefit, there has been a significant rise in opioid prescription for chronic non-malignant pain. This topic is important because an increasing number of HCPs are prescribing opioids despite very limited evidence for long-term opioid therapy for chronic non-malignant pain outside of end-of-life care. To better understand the challenges of providing effective treatment, we conducted the first qualitative evidence synthesis to explore healthcare professionals’ experience of treating people with chronic non-malignant pain. We report findings that explore healthcare professionals’ experience of prescribing opioids to this group of patients.MethodsWe searched five electronic bibliographic databases (Medline, Embase, CINAHL, PsychINFO, AMED) from inception to November 2015 and screened titles, abstracts and full texts of potential studies. We included studies in English that explored healthcare professionals’ experience of treating adults with chronic non-malignant pain. Two reviewers quality appraised each paper. We used the methods of meta-ethnography developed and refined for large reviews, and the GRADE-CERQual framework to rate confidence in review findings.ResultsWe screened 954 abstracts and 184 full texts, and included 77 studies in the full review. 17 of these 77 studies included concepts that explored the experience of prescribing opioids. We abstracted these concepts into 6 overarching themes: (1) Should I, shouldn’t I? (2) Pain is Pain; (3) Walking a fine line; (4) Social guardianship; (5) Moral boundary work; (6) Regulations and guidelines. We used the GRADE-CERQual framework to evaluate confidence in findings. A new overarching concept of ‘ambiguity’ explains the balancing required around the factors taken into account when prescribing opioids. Managing this ambiguity is challenging and these findings can inform healthcare professionals dealing with these decisions.ConclusionsThis conceptual model demonstrates the complexity of making a decision to prescribe opioids to someone with chronic non-malignant pain. Although opioid prescription is underpinned by the therapeutic aim of alleviating pain, this aim may be misplaced. This has implications for education in light of the new regulations for opioid prescription. Findings also demonstrate that the decision is influenced by intra- and interpersonal factors and broader external concerns.

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“…The data were then entered into NVivo 8 qualitative analysis software package. Results are organised around themes that emerged from the transcripts [ 35 ]. Quotes presented in Table 2 and discussed in the following section represent examples of the identified themes with narrative accounts provided to show the participants’ shared experience [ 36 ].…”

Section: Methodsmentioning

confidence: 99%

The double-edged sword of ovarian cancer information for women at increased risk who have previously taken part in screening

Smits

Boivin

Menon

et al. 2016

ecancer

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BackgroundWomen at increased risk who decide not to have, or to delay, risk-reducing salpingo-oophorectomy have to rely on early diagnosis through symptom awareness and presenting to primary care as soon as possible in the absence of screening. However, little is known about the acceptability to women of this strategy. We aimed to gain an in-depth understanding of women’s perceptions and previous experiences of ovarian cancer symptom management, and the influences on ovarian cancer awareness and anticipated symptom presentation.MethodQualitative interviews were conducted with eight women at increased risk of ovarian cancer who had previously taken part in ovarian cancer screening and analysed using interpretative phenomenological analysis (IPA).ResultsFamilial experience of ovarian cancer and perceived personal risk shaped women’s perceptions and behavioural responses to disease threat. Ovarian cancer information was perceived to be a double-edged sword, regarded as either useful for increasing knowledge and confidence in discussing symptom concerns with health professionals or to be avoided due to fears about cancer.ConclusionWomen may be cautious about searching for information independently and in the absence of routine ovarian screening.Practice implicationsThought needs to be given to how best to create and disseminate credible ovarian cancer symptom information materials.

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‘It makes you think’ – exploring the impact of qualitative films on pain clinicians

Cited by 23 publications

References 15 publications

Barriers to self-management of chronic pain in primary care: a qualitative focus group study

Barriers to self-management of chronic pain in primary care: a qualitative focus group study

A qualitative evidence synthesis to explore healthcare professionals’ experience of prescribing opioids to adults with chronic non-malignant pain

The double-edged sword of ovarian cancer information for women at increased risk who have previously taken part in screening

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