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dc.contributor.authorSullivan, Nick
dc.contributor.authorHebron, Clair
dc.contributor.authorVuoskoski, Pirjo
dc.date.accessioned2020-01-28T07:37:53Z
dc.date.available2020-01-28T07:37:53Z
dc.date.issued2021
dc.identifier.citationSullivan, 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. <i>Physiotherapy Theory and Practice</i>, <i>37</i>(9), 973-992. <a href="https://doi.org/10.1080/09593985.2019.1672227" target="_blank">https://doi.org/10.1080/09593985.2019.1672227</a>
dc.identifier.otherCONVID_33603582
dc.identifier.urihttps://jyx.jyu.fi/handle/123456789/67556
dc.description.abstractIntroduction: Chronic nonspecific lower back pain (CNSLBP) is a common musculoskeletal condition which can be a source of significant distress and disability for patients. Approaches to managing CNSLBP have been explored in healthcare literature, as has the importance of communication in physiotherapy practice. However, no previous studies have explored clinicians’ experiences of communicating their understanding of this diagnosis to their patients. 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.en
dc.format.mimetypeapplication/pdf
dc.languageeng
dc.language.isoeng
dc.publisherTaylor & Francis Inc.
dc.relation.ispartofseriesPhysiotherapy Theory and Practice
dc.rightsIn Copyright
dc.subject.othercommunication
dc.subject.otherchronic nonspecific lower back pain
dc.subject.otherinterpretative phenomenological analysis
dc.subject.otherlived experience
dc.subject.otherphenomenology
dc.subject.otherphysiotherapy
dc.title“Selling” chronic pain : physiotherapists’ lived experiences of communicating the diagnosis of chronic nonspecific lower back pain to their patients
dc.typearticle
dc.identifier.urnURN:NBN:fi:jyu-202001281805
dc.contributor.laitosLiikuntatieteellinen tiedekuntafi
dc.contributor.laitosFaculty of Sport and Health Sciencesen
dc.type.urihttp://purl.org/eprint/type/JournalArticle
dc.description.reviewstatuspeerReviewed
dc.format.pagerange973-992
dc.relation.issn0959-3985
dc.relation.numberinseries9
dc.relation.volume37
dc.type.versionacceptedVersion
dc.rights.copyright© 2019 Informa UK Limited, trading as Taylor & Francis Group
dc.rights.accesslevelopenAccessfi
dc.subject.ysofysioterapeutit
dc.subject.ysokeskinäisviestintä
dc.subject.ysokrooninen kipu
dc.subject.ysofysioterapia
dc.subject.ysodiagnoosi
dc.subject.ysohoitosuhde
dc.subject.ysokokemukset
dc.format.contentfulltext
jyx.subject.urihttp://www.yso.fi/onto/yso/p2469
jyx.subject.urihttp://www.yso.fi/onto/yso/p15217
jyx.subject.urihttp://www.yso.fi/onto/yso/p16952
jyx.subject.urihttp://www.yso.fi/onto/yso/p10515
jyx.subject.urihttp://www.yso.fi/onto/yso/p14134
jyx.subject.urihttp://www.yso.fi/onto/yso/p17230
jyx.subject.urihttp://www.yso.fi/onto/yso/p3209
dc.rights.urlhttp://rightsstatements.org/page/InC/1.0/?language=en
dc.relation.doi10.1080/09593985.2019.1672227


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