Abstract:Higher scores on self-reported pain did not guide selection to MMR and a negative trend was found among women. Studies of referral patterns and decision processes may contribute to a better understanding of the clinical practice that decides selection to MMR.
“…The theme ‘Access to rehab – not a given’ points to participants’ perceptions of rehabilitation as a resource that is not equally available to everyone. This result is congruent with our earlier findings from a register study in the same setting (19, 20, 36). …”
Section: Discussionsupporting
confidence: 93%
“…When identifying inequities in health care and rehabilitation, it is thus crucial to be aware of the intersection of social categories and constructions. Using a tool that addresses gender inequality, and intersecting social aspects, in daily clinical work may be one way of raising awareness (36). The tool can be included in clinical assessment of patients and as an instrument for critical reflection on gender bias during health professional team education.…”
Section: Discussionmentioning
confidence: 99%
“…This study was part of an overarching research project in northern Sweden named Equal care in rehabilitation, which combines quantitative (19, 20, 36) and qualitative methods (35, 37). In this substudy, we used a qualitative approach (38, 39) to focus on and deepen our understanding of patients’ perceptions and experiences.…”
BackgroundLong-term musculoskeletal pain is common, particularly among women. Pain conditions are a concern in primary health care, and people with severe and complex pain are referred to specialty health care. There is gender bias in access, counselling, assessment, and treatment of long-term pain.ObjectiveThis study explores patient accounts and perceptions about important (social) factors for accessing specialised pain rehabilitation from gender and intersectional equality perspectives. We aimed to identify potential biases and inequalities in accessing rehabilitation resources at a specialised rehabilitation clinic.DesignIndividual semi-structured interviews were conducted with 10 adults after an assessment or completion of a specialised rehabilitation programme in northern Sweden. Qualitative content analysis was used to explore patients’ perceptions of important factors for accessing rehabilitation.ResultsOne main theme was formulated as Access to rehab – not a given. Three categories of perceived inequality were demonstrated: power of gender, power of social status, and power of diagnosis. Participants perceived rehabilitation as a resource that is not equally available, but dependent on factors such as gender, socio-economic status, ability to work, ethnicity, or age, and more subtle aspects of social status and habitus (e.g. appearance, fitness, and weight). The character of diagnosis received (medical versus psychiatric or social) was also noted.ConclusionsIt is crucial that professionals are aware of how potential inequalities related to gender, social status, and diagnosis, and their intersections, can be created, perceived, and have influence on the processes of assessment and treatment. Reduction of social determinants of health and biases remain important within global, national, and local contexts.
“…The theme ‘Access to rehab – not a given’ points to participants’ perceptions of rehabilitation as a resource that is not equally available to everyone. This result is congruent with our earlier findings from a register study in the same setting (19, 20, 36). …”
Section: Discussionsupporting
confidence: 93%
“…When identifying inequities in health care and rehabilitation, it is thus crucial to be aware of the intersection of social categories and constructions. Using a tool that addresses gender inequality, and intersecting social aspects, in daily clinical work may be one way of raising awareness (36). The tool can be included in clinical assessment of patients and as an instrument for critical reflection on gender bias during health professional team education.…”
Section: Discussionmentioning
confidence: 99%
“…This study was part of an overarching research project in northern Sweden named Equal care in rehabilitation, which combines quantitative (19, 20, 36) and qualitative methods (35, 37). In this substudy, we used a qualitative approach (38, 39) to focus on and deepen our understanding of patients’ perceptions and experiences.…”
BackgroundLong-term musculoskeletal pain is common, particularly among women. Pain conditions are a concern in primary health care, and people with severe and complex pain are referred to specialty health care. There is gender bias in access, counselling, assessment, and treatment of long-term pain.ObjectiveThis study explores patient accounts and perceptions about important (social) factors for accessing specialised pain rehabilitation from gender and intersectional equality perspectives. We aimed to identify potential biases and inequalities in accessing rehabilitation resources at a specialised rehabilitation clinic.DesignIndividual semi-structured interviews were conducted with 10 adults after an assessment or completion of a specialised rehabilitation programme in northern Sweden. Qualitative content analysis was used to explore patients’ perceptions of important factors for accessing rehabilitation.ResultsOne main theme was formulated as Access to rehab – not a given. Three categories of perceived inequality were demonstrated: power of gender, power of social status, and power of diagnosis. Participants perceived rehabilitation as a resource that is not equally available, but dependent on factors such as gender, socio-economic status, ability to work, ethnicity, or age, and more subtle aspects of social status and habitus (e.g. appearance, fitness, and weight). The character of diagnosis received (medical versus psychiatric or social) was also noted.ConclusionsIt is crucial that professionals are aware of how potential inequalities related to gender, social status, and diagnosis, and their intersections, can be created, perceived, and have influence on the processes of assessment and treatment. Reduction of social determinants of health and biases remain important within global, national, and local contexts.
“…Is looks as if the needs of the males and female in general are different. Further research is needed in order to investigate to what extent the differences we found are due to disparities in assessment modalities, practitioners’ attitude or referral patterns, knowledge and/or stigmatization that the patient has met before [78] or after referral [4]. …”
PurposeThe aim of this study is to explore differences between male and female patients entering a rehabilitation program at a pain clinic in order to gain a greater understanding of different approaches to be used in rehabilitation.Method1371 patients referred to a specialty pain rehabilitation clinic, completed sociodemographic and pain related questionnaires. They rated their pain acceptance (CPAQ-8), their kinesiophobia (TSK), the impact of pain in their life (MPI), anxiety and depression levels (HAD) and quality of life scales: the SF-36, LiSat-11, and the EQ-5D. Because of the large sample size of the study, the significance level was set at the p ≤.01.ResultsAnalysis by t-test showed that when both sexes experience the same pain severity, women report significantly higher activity level, pain acceptance and social support while men report higher kinesiophobia, mood disturbances and lower activity level.ConclusionPain acceptance (CPAQ-8) and kinesiophobia (TSK) showed the clearest differences between men and women. Pain acceptance and kinesiophobia are behaviorally defined and have the potential to be changed.
“…The main questions evolved from the discussions, enabling both the moderator and the participants, the flexibility to probe for details. The discussion outline was based on the international literature pertinent to pain management, nurses, and patients' characteristics (Dijk et al, ; Etherton, Lawson, & Graham, ; Haukenes, Hensing, Stålnacke, & Hammarström, ). The discussion outline included four broad questions: Do you think that patients' characteristics affect your decision in pain management?…”
Background: Despite a growing body of literature investigating the impact of patients' age and sex differences on pain, there is little research on how patients' characteristics and behaviours affect nurses' pain management decisions. Aim: This study examined surgical nurses' views and experiences toward pain management in relation to the patients' characteristics and behaviours in a Jordanian university hospital. Methods: Focus group discussions (n = 4) were used with a convenience sample of 27 female Registered Nurses.
Results:The study revealed differences in postoperative pain management related to patients' characteristics. Male patients were seen as more tolerant of postoperative pain than female patients and thus required less nursing attention. As a consequence, nurses might assess female surgical patients inaccurately or judgementally. Nurses label female patients as "demanding" or "over-sensitive" without intending to be judgemental. Nurses also reported that patients accompanied by relatives received quicker nursing responses and closer monitoring than unaccompanied patients.
Conclusions:If patients' pain following surgery is to be treated effectively, health care policymakers and educators should work together to eliminate and prevent potential biases that might lead to disparities in pain management.
KEYWORDS
nurses, pain management, patients, qualitative, surgery
SUMMARY STATEMENTWhat is already known about this topic?• Postsurgical pain is still the most common complaint verbalized by patients and remains a largely unrecognized clinical problem. • Registered Nurses in the postoperative setting play a vital role in the planning, implementation, and evaluation of pain management interventions.• Experimental evidence has revealed some contradictions in whether pain perceptions among patients are related to age and
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