Implementation of a multidisciplinary rehabilitation program for patients with chronic low back pain—experiences and perspectives of rehabilitation team members
Autor: | Lisa Faymonville, Charlotte Handberg, Anne Mette Schmidt |
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Rok vydání: | 2020 |
Předmět: |
rehabilitation team
medicine.medical_treatment Psychological intervention Participant observation rehabilitation 03 medical and health sciences Nursing medicine Humans implementation Qualitative Research organizations Rehabilitation 030503 health policy & services Health Policy Public Health Environmental and Occupational Health Focus Groups Low back pain Focus group Checklist Chronic low back pain experiences medicine.symptom 0305 other medical science Psychology Low Back Pain interpretive description qualitative research Qualitative research |
Zdroj: | Faymonville, L, Schmidt, A M & Handberg, C 2021, ' Implementation of a multidisciplinary rehabilitation program for patients with chronic low back pain—experiences and perspectives of rehabilitation team members ', Journal of Evaluation in Clinical Practice, vol. 27, no. 2, pp. 377-384 . https://doi.org/10.1111/jep.13441 |
ISSN: | 1365-2753 1356-1294 |
Popis: | Study rationale: Low back pain is a common condition and one of the leading reasons for years of chronic disability. Rehabilitation has been shown to be effective on low back pain, because it is based on the complex and multifactorial mechanisms that low back pain entails. Aim: The aim of this study was to describe and interpret rehabilitation team members' experiences and perspectives regarding an integrated rehabilitation program for patients with chronic low back pain. Methods and Materials: This qualitative study used the Interpretive Description methodology. Data consisted of participant observation of 28 rehabilitation team members and four semi-structured focus group interviews with 20 of the 28 participants. The COREQ checklist was used to consolidate the findings in the study. Results: The results represented an insight into rehabilitation team members' experiences and perspectives regarding the implementation of an integrated rehabilitation program for patients with chronic low back pain. The significance of the rehabilitation team members' expectations was underlined as they initially had positive expectations but along the implementing of the program found their expectations challenged. The challenges they experienced were related to their professional competence, the incongruity of the two programs being compared, and to their utilization of quick fixes. Conclusion: This Interpretive Description study provides insight into the complexity and challenges related to implementation practice. It identifies important elements when implementing a new rehabilitation intervention in clinical practice and emphasizes the importance of expectations among rehabilitation team members in the implementation process. There should be a specific focus on the importance of involving rehabilitation team members when new interventions are to be implemented, as participation contributes to increased positivity in relation to new initiatives. |
Databáze: | OpenAIRE |
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