Managing shoulder pain: a meta-ethnography exploring healthcare providers’ experiences
13
Citation
70
Reference
10
Related Paper
Citation Trend
Abstract:
To review and synthesize qualitative research studies exploring the experiences of Healthcare Providers (HCPs) of managing shoulder pain.A meta-ethnographic approach was adopted to review and synthesize eligible studies. The findings from each included study were translated into one another using Noblit and Hares' seven-stage process. A systematic search of eleven electronic databases was conducted in February 2021. Methodological quality was assessed using the CASP Appraisal Tool.Ten studies were included in the meta-synthesis, all deemed of high methodological quality. Three themes were identified; (1) Lack of consensus: "we all have different approaches." (2) Challenges to Changing Practice: It's "really hard to change and switch to a different approach," (3) Getting "Buy in" to Treatment: "…so you have to really sell it early".Healthcare providers working with people with shoulder pain struggle to reconcile, often conflicting, research recommendations with their own clinical experience, beliefs and patient expectations. These findings help explain the continued lack of consensus on how best to manage shoulder pain in clinical practice.IMPLICATIONS FOR REHABILITATIONHealthcare providers (HCPs) working with people with shoulder pain struggle to resolve conflicts between evidence-based recommendations, clinical experience, their own shoulder pain beliefs and patient expectations and preferences.Stronger collaboration across professional disciplines is needed to address the current lack of consensus on the management of shoulder pain.Many HCP's find it difficult to engage patients with shoulder pain in exercise and they work hard to "sell" this approach to patients using strategies such as education, shared decision making and therapeutic alliance.Keywords:
Critical appraisal
Abstract Background Evidence‐based decision‐making and practice recommendations are commonly based on findings from quantitative studies or reviews. In the present study, we provide an overview of how to incorporate findings from qualitative research into the evidence‐based decision‐making process. Methods To illustrate how qualitative evidence can be integrated into the decision‐making process, we have outlined a clinical nutrition scenario and the process for sourcing credible evidence to inform decision‐making. A qualitative health research study was selected and appraised using the Critical Appraisal Skill Programme (CASP) appraisal tool for qualitative research. Based on the results of the critical appraisal, the study quality is considered, and we discuss whether the qualitative evidence can be applied to practice. Results A detailed description of how the qualitative findings can be used conceptually and instrumentally in practice to address the clinical nutrition scenario is provided. Conclusions Developing skills in critically appraising findings from qualitative studies will increase awareness and utilisation of this type of evidence in practice and policy, with a goal to ensure that patient/client perceptions are considered, leading to enhanced person‐centred care or systems.
Critical appraisal
Evidence-Based Medicine
Evidence-Based Practice
Cite
Citations (2)
Over the past years, unprecedented attention has been paid to alliance management in the academic and management literature. However, failure rates of alliances have remained very high. Nonetheless, research efforts have shown that alliance management can be significantly enhanced by prior alliance experience. Consequently, it has become important for firms to understand how to make use of their alliance experience and how to develop alliance capabilities. On the basis of a global survey among alliance managers, this study aims to reveal recent trends in alliance capability building and tries to uncover novel ways in which firms try to enhance their alliance performance.
Cite
Citations (5)
In this paper, we examine how the past alliance behavior of nations affects the likelihood that these states will be involved in alliance formation. We contend that nations evaluate the reputations of potential allies when searching for alliance partners. Reputation information is processed by governments along with other immediate concerns. By introducing a model and developing subsequent measures of reputational alliance histories, we improve upon our current understanding of the factors that drive alliance formation. Using alliance reputation data derived from the ATOP project (1816–2000), we find support for the hypothesis that a reputation for upholding one's agreements significantly improves the likelihood of membership in future alliances.
Cite
Citations (149)
Cite
Citations (2)
Over the past years, unprecedented attention has been paid to alliance management in the academic and management literature. However, failure rates of alliances have remained very high. Nonetheless, research efforts have shown that alliance management can be significantly enhanced by prior alliance experience. Consequently, it has become important for firms to understand how to make use of their alliance experience and how to develop alliance capabilities. On the basis of a global survey among alliance managers, this study aims to reveal recent trends in alliance capability building and tries to uncover novel ways in which firms try to enhance their alliance performance.
Cite
Citations (8)
The authors explored the strength of the alliance and the depth of meaningful experiences in counseling. Interviews of participants were conducted to elicit experiences, whereas the alliance was measured using the Working Alliance Inventory. Results indicate the stronger the alliance, the greater depth of meaningful experiences. Implications for counselors are given.
Cite
Citations (1)
Foreword by Richard L. Armitage Preface 1. Alliance Rationale Theory 2. Historical Review 3. The US-Japan Alliance Rationale for Japan 4. The US-Japan Alliance Rationale for the US 5. The US-Japan Alliance Rationale for Asian Countries 6. Current Issues 7. Future Case Studies 8. Negative Factors for the Alliance Conclusion Bibliography Index
Cite
Citations (1)
In the post-cold war,the collapse of the bipolarstructure and literalism of the US tremendously damaged the EU-US alliance,As far as interest,identity and institutions are concerned,however,the three pillars still remain functioning.In addition,both EU and the US have strong willingness to keep their alliance.Thus,Atlantic Alliance does not and will not end, but it takes on new features of an alliance of global governance.
Cite
Citations (0)
Abstract During the Cold War, it was “convergent interest” that supported the ROK-US alliance. However, in the new circumstances, in which the former USSR collapsed, and with it the major external enemy to challenge US supremacy, the ROK-US alliance formed in the Cold War had to be redefined in accordance with the strategic environment of the 21st century. After the Cold War, there were largely three directions as to how the alliance should proceed. However, the only realistic format is the “redefinition” scenario, based on maintenance of the ROK-US alliance. There can be three aspects to the scenario redefinition. The first is “strengthening the alliance,” the second is “flexibility of the alliance,” and the third is “political alliance without US forces.” The first scenario is more of “reassurance of the alliance” than of “redefinition of the alliance,” in the sense that its purpose is to maintain the Cold War alliance in the post-Cold War era. The second and third scenarios can herald “transformation of the ROK-US alliance,” in that it seeks to transform the nature of the existing alliance. Considering the new military strategy being pursued by the United States, it is believed to be not easy to present a clear direction for revising the ROK- US alliance. Whereas the United States is strengthening its alliances worldwide, the new Korean administration is maintaining a policy of moving toward a pliable alliance. So, at some point in time a clash between two opposing streams of thought on this issue is inevitable. But, if advantage is taken of the fact that the new US military strategy is developed into reduction of armed forces in the frontline, it will be possible with better efforts to develop the alliance relationship in a pliable way without damaging the traditional friendly relationship.
Cite
Citations (2)
By using the method of combining the score of allies and alliance,this paper has carried out an investigation of the performance of the allies in related wars during 1816—2003.Based on the study of the particularity of the alliance treaties,the paper has analyzed the reliability of military alliance aids,and examined three related assumptions.
Cite
Citations (0)