Diminishing pain stigma: patient perceptions of encounters with interprofessional teams in biopsychosocial pain rehabilitation

Purpose To explore how patients in biopsychosocial pain rehabilitation perceive encounters with interprofessional teams. The focus of this article is to explore how interactions can perpetuate or diminish chronic pain stigma.Material and methods An ethnographic approach was applied to the study. Par...

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Main Authors: Gudrun S. Battin, Grace I. Romsland, Bjørg Christiansen
Format: Article
Language:English
Published: Taylor & Francis Group 2022-12-01
Series:Annals of Medicine
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/07853890.2022.2124447
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author Gudrun S. Battin
Grace I. Romsland
Bjørg Christiansen
author_facet Gudrun S. Battin
Grace I. Romsland
Bjørg Christiansen
author_sort Gudrun S. Battin
collection DOAJ
description Purpose To explore how patients in biopsychosocial pain rehabilitation perceive encounters with interprofessional teams. The focus of this article is to explore how interactions can perpetuate or diminish chronic pain stigma.Material and methods An ethnographic approach was applied to the study. Participant observation of interprofessional encounters and clinical encounters in a pain rehabilitation ward was undertaken in 2016 (19 weeks). Interviews with 12 professionals and seven patients were conducted. Data were analysed in an abductive process using thematic analysis.Results The patients perceived their encounters with interprofessional teams as supportive, with implications for pain stigma. This is presented as two themes: (1) being seen as credible, involving patients being believed in and a concept of being overactive at the expense of their own health, and (2) being helped to see their situation in a new light, which involves enthusiasm about changing and challenging views in a process with professionals who were supportive and united across professions.Conclusion Interprofessional biopsychosocial pain rehabilitation may be an intervention that can diminish internalised stigma in patients suffering from chronic pain. The study contributes to increased understanding of patient perceptions of positive encounters with professionals during a learning process in rehabilitation and of the imbued influence on power relations. This appears to be fundamental to diminishing pain stigma, as the occurrence of stigma is dependent on differences in power.KEY MESSAGESInterprofessional biopsychosocial pain rehabilitation can be an intervention for diminishing internalised pain stigma in patients.Knowledge on how encounters with professionals induce personal learning processes among people with chronic pain.
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spelling doaj.art-d71681fd5b474fd6b10fd5fe82c4e25a2022-12-22T04:05:25ZengTaylor & Francis GroupAnnals of Medicine0785-38901365-20602022-12-015412562257310.1080/07853890.2022.2124447Diminishing pain stigma: patient perceptions of encounters with interprofessional teams in biopsychosocial pain rehabilitationGudrun S. Battin0Grace I. Romsland1Bjørg Christiansen2Department of Nursing and Health Promotion, Oslo Metropolitan University, Oslo, NorwaySunnaas Rehabilitation Hospital, Nesodden, NorwayDepartment of Nursing and Health Promotion, Oslo Metropolitan University, Oslo, NorwayPurpose To explore how patients in biopsychosocial pain rehabilitation perceive encounters with interprofessional teams. The focus of this article is to explore how interactions can perpetuate or diminish chronic pain stigma.Material and methods An ethnographic approach was applied to the study. Participant observation of interprofessional encounters and clinical encounters in a pain rehabilitation ward was undertaken in 2016 (19 weeks). Interviews with 12 professionals and seven patients were conducted. Data were analysed in an abductive process using thematic analysis.Results The patients perceived their encounters with interprofessional teams as supportive, with implications for pain stigma. This is presented as two themes: (1) being seen as credible, involving patients being believed in and a concept of being overactive at the expense of their own health, and (2) being helped to see their situation in a new light, which involves enthusiasm about changing and challenging views in a process with professionals who were supportive and united across professions.Conclusion Interprofessional biopsychosocial pain rehabilitation may be an intervention that can diminish internalised stigma in patients suffering from chronic pain. The study contributes to increased understanding of patient perceptions of positive encounters with professionals during a learning process in rehabilitation and of the imbued influence on power relations. This appears to be fundamental to diminishing pain stigma, as the occurrence of stigma is dependent on differences in power.KEY MESSAGESInterprofessional biopsychosocial pain rehabilitation can be an intervention for diminishing internalised pain stigma in patients.Knowledge on how encounters with professionals induce personal learning processes among people with chronic pain.https://www.tandfonline.com/doi/10.1080/07853890.2022.2124447Rehabilitationchronic painstigmainterprofessional collaborationteamworkbiopsychosocial
spellingShingle Gudrun S. Battin
Grace I. Romsland
Bjørg Christiansen
Diminishing pain stigma: patient perceptions of encounters with interprofessional teams in biopsychosocial pain rehabilitation
Annals of Medicine
Rehabilitation
chronic pain
stigma
interprofessional collaboration
teamwork
biopsychosocial
title Diminishing pain stigma: patient perceptions of encounters with interprofessional teams in biopsychosocial pain rehabilitation
title_full Diminishing pain stigma: patient perceptions of encounters with interprofessional teams in biopsychosocial pain rehabilitation
title_fullStr Diminishing pain stigma: patient perceptions of encounters with interprofessional teams in biopsychosocial pain rehabilitation
title_full_unstemmed Diminishing pain stigma: patient perceptions of encounters with interprofessional teams in biopsychosocial pain rehabilitation
title_short Diminishing pain stigma: patient perceptions of encounters with interprofessional teams in biopsychosocial pain rehabilitation
title_sort diminishing pain stigma patient perceptions of encounters with interprofessional teams in biopsychosocial pain rehabilitation
topic Rehabilitation
chronic pain
stigma
interprofessional collaboration
teamwork
biopsychosocial
url https://www.tandfonline.com/doi/10.1080/07853890.2022.2124447
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