A1 Alkuperäisartikkeli tieteellisessä aikakauslehdessä
“Selling” chronic pain : physiotherapists’ lived experiences of communicating the diagnosis of chronic nonspecific lower back pain to their patients (2021)
Sullivan, N., Hebron, C., & Vuoskoski, P. (2021). “Selling” chronic pain : physiotherapists’ lived experiences of communicating the diagnosis of chronic nonspecific lower back pain to their patients. Physiotherapy Theory and Practice, 37(9), 973-992. https://doi.org/10.1080/09593985.2019.1672227
JYU-tekijät tai -toimittajat
Julkaisun tiedot
Julkaisun kaikki tekijät tai toimittajat: Sullivan, Nick; Hebron, Clair; Vuoskoski, Pirjo
Lehti tai sarja: Physiotherapy Theory and Practice
ISSN: 0959-3985
eISSN: 1532-5040
Julkaisuvuosi: 2021
Volyymi: 37
Lehden numero: 9
Artikkelin sivunumerot: 973-992
Kustantaja: Taylor & Francis Inc.
Julkaisumaa: Yhdysvallat (USA)
Julkaisun kieli: englanti
DOI: https://doi.org/10.1080/09593985.2019.1672227
Julkaisun avoin saatavuus: Ei avoin
Julkaisukanavan avoin saatavuus:
Julkaisu on rinnakkaistallennettu (JYX): https://jyx.jyu.fi/handle/123456789/67556
Tiivistelmä
Methods: A qualitative research design, using hermeneutic phenomenological methodology, was employed. Five participants were purposively recruited for the research and data collected via semi-structured interviews. Interpretative phenomenological analysis (IPA) methods were used to analyze the data. Emergent, super-ordinate and master themes were developed to help convey the qualitative significant meanings of the lived-through experiences.
Findings: Three master themes were identified, with each comprising two sub-themes. These were: 1) Patient-centeredness (1a. Understanding the patient; and 1b. emotional awareness and adaptability); 2) Getting patients “on board” (2a. the “selling” process; and 2b. paternalism and the clinician’s perspective); and 3) Dealing with conflict and uncertainty (3a. fear of interpersonal conflict; and 3b. personal doubts and uncertainty).
Conclusions: Personal conflicts were identified between clinicians’ descriptions of their wishes to “sell” their own perspectives to patients while simultaneously wanting to demonstrate a patient-focused approach and avoid the interpersonal conflicts which arose from clashes with patients’ beliefs. Building a good initial rapport, showing empathy and adapting approaches in response to perceptions of patients’ reactions were perceived as strategies to help mitigate the risks of failed communication, but this was something for which participants felt unprepared by their prior training.
YSO-asiasanat: fysioterapia; fysioterapeutit; hoitosuhde; krooninen kipu; diagnoosi; keskinäisviestintä; kokemukset
Vapaat asiasanat: communication; chronic nonspecific lower back pain; interpretative phenomenological analysis; lived experience; phenomenology; physiotherapy
Liittyvät organisaatiot
OKM-raportointi: Kyllä
Raportointivuosi: 2021
JUFO-taso: 1