Health Research Institute, School of Allied Health, University of Limerick, Limerick, Ireland.
Ageing Research Centre, Health Research Institute, School of Allied Health, University of Limerick, Limerick, Ireland.
Disabil Rehabil. 2022 Jul;44(15):3772-3784. doi: 10.1080/09638288.2021.1897886. Epub 2021 Apr 13.
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: "." (2) Challenges to Changing Practice: It's "" (3) Getting "Buy in" to Treatment: "".
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.
综述和综合定性研究，探索医疗保健提供者（HCP）管理肩部疼痛的经验。
采用元民族志方法综述和综合合格研究。使用 Noblit 和 Hare 的七阶段过程将每个纳入研究的结果相互翻译。 2021 年 2 月，对 11 个电子数据库进行了系统搜索。使用 CASP 评估工具评估方法学质量。
元综合纳入了 10 项研究，均被认为具有较高的方法学质量。确定了三个主题;（1）缺乏共识：“.”（2）改变实践的挑战：“这是”（3）获得“治疗”的认可：“”。
与肩部疼痛患者合作的医疗保健提供者努力协调，往往相互冲突的研究建议与他们自己的临床经验，信念和患者期望。这些发现有助于解释为什么在临床实践中仍然缺乏关于如何最好地管理肩部疼痛的共识。
与肩部疼痛患者合作的医疗保健提供者（HCP）努力解决基于证据的建议，临床经验，自己的肩部疼痛信念和患者期望和偏好之间的冲突。需要加强专业学科之间的合作，以解决当前对肩部疼痛管理缺乏共识的问题。许多 HCP 发现很难让患有肩部疼痛的患者参与运动，他们努力通过教育，共同决策和治疗联盟等策略向患者“推销”这种方法。
