Journal Cover   British Journal of Pain
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   Hybrid Journal Hybrid journal (It can contain Open Access articles)
   ISSN (Print) 2049-4637 - ISSN (Online) 2049-4645
   Published by Sage Publications Homepage  [759 journals]
  • 'Not everything that can be counted counts and not everything that counts
           can be counted' (attributed to Albert Einstein)
    • Authors: Toye; F.
      Pages: 7 - 7
      PubDate: 2015-02-03T05:23:39-08:00
      DOI: 10.1177/2049463714565569
      Issue No: Vol. 9, No. 1 (2015)
  • Editorial
    • Authors: Cox; F.
      Pages: 8 - 8
      PubDate: 2015-02-03T05:23:39-08:00
      DOI: 10.1177/2049463714565570
      Issue No: Vol. 9, No. 1 (2015)
  • Using qualitative methods to access the pain experience
    • Authors: Morse; J. M.
      Pages: 26 - 31
      Abstract: Qualitative methods provide us with techniques to access the pain experience of patients in ways that provide explanation for apparent contradictions and idiosyncrasies that are difficult to access. In this article, I review three such strategies and the application of qualitative research to practice: (1) the analysis of the ways participants speak about agonizing pain using narrative inquiry, (2) comparisons of childbirth pain in two cultural groups using ethnography and (3) present a qualitative theory, the Praxis Theory of Suffering. This theory provides a theoretical explanation for behaviours that presently confound the understanding of distress using the Distress Thermometer. An alternative approach, ‘reading’ patients’ behavioural manifestations of distress, is recommended.
      PubDate: 2015-02-03T05:23:39-08:00
      DOI: 10.1177/2049463714550507
      Issue No: Vol. 9, No. 1 (2015)
  • Ethnographies of pain: culture, context and complexity
    • Authors: Gooberman-Hill; R.
      Pages: 32 - 35
      Abstract: This article briefly introduces and discusses the value of ethnographic research, particularly research hailing from the discipline of social and cultural anthropology. After an introduction to ethnography in general, key ethnographic studies of pain are described. These show that ethnography provides a set of techniques for data collection and analysis, as well as a way of thinking about pain as socially and culturally embedded. Modern ethnographic writing is far removed from the literature of the past that sometimes described stereotypes rather than process and complexity. Ethnography provides the chance to describe the complexity and nuance of culture, which serves to counter stereotypes. The article concludes with an example from pain research conducted in a clinical setting. Through the use of ethnographic techniques, the research study provided greater insight than other methods alone might have achieved. The article includes references for further reading should readers be interested in developing their engagement with ethnographic method and interpretation.
      PubDate: 2015-02-03T05:23:39-08:00
      DOI: 10.1177/2049463714555439
      Issue No: Vol. 9, No. 1 (2015)
  • Qualitative systematic reviews: their importance for our understanding of
           research relevant to pain
    • Authors: Seers; K.
      Pages: 36 - 40
      Abstract: This article outlines what a qualitative systematic review is and explores what it can contribute to our understanding of pain. Many of us use evidence of effectiveness for various interventions when working with people in pain. A good systematic review can be invaluable in bringing together research evidence to help inform our practice and help us understand what works. In addition to evidence of effectiveness, understanding how people with pain experience both their pain and their care can help us when we are working with them to provide care that meets their needs. A rigorous qualitative systematic review can also uncover new understandings, often helping illuminate ‘why’ and can help build theory. Such a review can answer the question ‘What is it like to have chronic pain'’ This article presents the different stages of meta-ethnography, which is the most common methodology used for qualitative systematic reviews. It presents evidence from four meta-ethnographies relevant to pain to illustrate the types of findings that can emerge from this approach. It shows how new understandings may emerge and gives an example of chronic musculoskeletal pain being experienced as ‘an adversarial struggle’ across many aspects of the person’s life. This article concludes that evidence from qualitative systematic reviews has its place alongside or integrated with evidence from more quantitative approaches.
      PubDate: 2015-02-03T05:23:39-08:00
      DOI: 10.1177/2049463714549777
      Issue No: Vol. 9, No. 1 (2015)
  • Interpretative phenomenological analysis as a useful methodology for
           research on the lived experience of pain
    • Authors: Smith, J. A; Osborn, M.
      Pages: 41 - 42
      Abstract: Interpretative phenomenological analysis (IPA) is a qualitative approach which aims to provide detailed examinations of personal lived experience. It produces an account of lived experience in its own terms rather than one prescribed by pre-existing theoretical preconceptions and it recognises that this is an interpretative endeavour as humans are sense-making organisms. It is explicitly idiographic in its commitment to examining the detailed experience of each case in turn, prior to the move to more general claims. IPA is a particularly useful methodology for examining topics which are complex, ambiguous and emotionally laden. Pain is a prime exemplar of such a phenomenon: elusive, involving complex psycho-somatic interactions and difficult to articulate. In addition to the 1998 article, published in this Special Issue, two further papers are suggested that the interested reader might wish to look out for.
      PubDate: 2015-02-03T05:23:39-08:00
      DOI: 10.1177/2049463714541642
      Issue No: Vol. 9, No. 1 (2015)
  • The role of the Internet for people with chronic pain: examples from the
           DIPEx International Project
    • Authors: Ziebland, S; Lavie-Ajayi, M, Lucius-Hoene, G.
      Pages: 62 - 64
      Abstract: In this article we consider how people with chronic illness are using the internet, drawing on examples from published qualitative interview studies of experiences of chronic pain in the UK, Germany and Israel. Extracts from the interviews can be seen on the websites from the collaboration which publishes analyses and many thousands of video and audio interview clips on country specific web platforms. The UK branch of the collaboration has been operating for over a decade and currently includes broad based samples of qualitative interviews with patients about their experiences of over 80 health problems. The research has demonstrated that people living with chronic pain are increasingly using the web to find information, support and practical advice for self-management and also for reassurance, encouragement, to compare experiences of treatment and to offer advice and support to others. The internet is changing the way that people are experiencing illness, although access to relevant and reliable online material is not equally distributed. Those who do not speak one of the handful of dominant languages are less likely to find online experiences that resonate with their own.
      PubDate: 2015-02-03T05:23:39-08:00
      DOI: 10.1177/2049463714555438
      Issue No: Vol. 9, No. 1 (2015)
  • 'It makes you think' - exploring the impact of qualitative films on pain
    • Authors: Toye, F; Jenkins, S.
      Pages: 65 - 69
      Abstract: Background: Researchers need to consider the impact and utility of their findings. Film is an accessible medium for qualitative research findings and can facilitate learning through emotional engagement. Aim: We aimed to explore the usefulness of a short film presenting findings from a published qualitative synthesis of adults’ experience of chronic musculoskeletal pain for pain education. In particular, we were interested in the impact of the film on clinician’s understanding of patients’ experience of chronic pain and how this knowledge might be used for improved healthcare for people with pain. Methods: Focus groups with healthcare professionals enrolled in a pain management foundation course explored healthcare professionals’ experience of watching the film. A constructivist grounded theory approach was adopted by the researchers. Findings: This article presents one thematic exemplar from a wider study. Participants reflected upon the pitfalls of judging by appearances and the value of seeing the person beneath his or her performance. Conclusion: There is a danger that the impact of qualitative findings is under-valued in clinical education. We present one exemplar from a study exploring knowledge mobilisation, which demonstrates that qualitative research, specifically qualitative films, can make us think about the care that we provide to people with chronic pain.
      PubDate: 2015-02-03T05:23:39-08:00
      DOI: 10.1177/2049463714549776
      Issue No: Vol. 9, No. 1 (2015)
  • The Personal Experience of Chronic Benign Lower Back Pain: An
           Interpretative Phenomenological Analysis
    • Authors: Osborn, M; Smith, J. A.
      Pages: 65 - 83
      Abstract: Objectives. Chronic low back pain is a major health problem and one where pain, physical impairment and biological pathology are only very loosely correlated). It is considered that the experience of pain, its distress and disability is mediated by its meaning to the sufferer. The intention of this study was to explore the sufferers' personal experience of their pain. Design. Qualitative research is often recommended to complement the quantitative work on chronic pain that has been published to date. Interpretative phenomenological analysis was employed in an in-depth study of a small sample of chronic pain patients. Method. Semi-structured interviews were carried out with nine women pain patients. The verbatim transcripts of those interviews served as the data for an interpretative phenomenological analysis. Results. Four themes emerged which are described under the broad headings: searching for an explanation; comparing this self with other selves; not being believed; and withdrawing from others. Conclusions. The participants shared an inability to explain the persistent presence of their pain or to reconstruct any contemporary self-regard. While they used social comparisons to try and help them make sense of their situation, these comparisons proved equivocal in their outcome. Participants were unable to establish the legitimacy of the chronic nature of their pain and in certain situations felt obliged to appear ill to conform to the expectations of others. By default, participants treated their own pain as a stigma and tended to withdraw from social contact. They felt confused, afraid for their future and vulnerable to shame.
      PubDate: 2015-02-03T05:23:39-08:00
      DOI: 10.1111/j.2044-8287.1998.tb00556.x
      Issue No: Vol. 9, No. 1 (2015)
  • How can qualitative research be utilised in the NHS when re-designing and
           commissioning services'
    • Authors: Barker; K. L.
      Pages: 70 - 72
      Abstract: Patient experience is acknowledged as a key quality metric of healthcare quality and can be used to identify problems with healthcare delivery, to drive quality improvements and to inform commissioning of services that promote patient choice. In this article, the contribution of qualitative research studies to inform the redesign and patient-focussed commissioning of services is considered, illustrated with particular reference to elective orthopaedic surgical services. To fully embrace the concept of patient and public involvement (PPI) and to embed it in service delivery, health service design and informing commissioners to purchase healthcare that truly meets patient need and expectations, qualitative research has an increasingly important role to play. Through well-conducted qualitative research exploring patients’ experiences, their knowledge and experiences of conditions can be utilised for the benefit of others and the impact of the patient voice truly heard when designing and commissioning healthcare services.
      PubDate: 2015-02-03T05:23:39-08:00
      DOI: 10.1177/2049463714544553
      Issue No: Vol. 9, No. 1 (2015)
  • Asking the Right Question about Pain: Narrative and Phronesis
    • Authors: Frank; A. W.
      Pages: 209 - 225
      PubDate: 2015-02-03T05:23:39-08:00
      DOI: 10.1353/lm.2005.0003
      Issue No: Vol. 9, No. 1 (2015)
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