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Dietetics, Nutrition and Biological Sciences

Permanent URI for this collectionhttps://eresearch.qmu.ac.uk/handle/20.500.12289/23

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Author: search.filters.author.Waterfield, JackieHas files: No

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    A mixed methods exploration of physiotherapist’s approaches to analgesic use among patients with hip osteoarthritis
    (Elsevier, 2018-08-17) Holden, Melanie Ann; Whittle, Rebecca; Waterfield, Jackie; Chesterton, Linda; Cottrell, Elizabeth; Quicke, Jonathan George; Mallen, Christian David
    Objective To explore how physiotherapists currently address analgesic use among patients with hip osteoarthritis, and their beliefs about the acceptability of prescribing for these patients.
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    How do UK physiotherapists address weight loss among individuals with hip osteoarthritis? A mixed‐methods study
    (Wiley, 2019-01-21) Holden, Melanie Ann; Waterfield, Jackie; Whittle, Rebecca; Bennell, Kim; Quicke, Jonathan George; Chesterton, Linda; Mallen, Christian David
    Background Weight loss is recommended as a core treatment for individuals with hip osteoarthritis who are overweight or obese. Physiotherapists play an important role in managing patients with hip osteoarthritis, but little is known about how they address weight. We aimed to explore how UK‐based physiotherapists currently address weight loss among individuals with hip OA.
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    Physical Therapists' Views and Experiences of Pregnancy-Related Low Back Pain and the Role of Acupuncture: Qualitative Exploration
    (Oxford, 2015-09-01) Waterfield, Jackie; Bartlam, Bernadette; Bishop, Annette; Holden, Melanie A.; Barlas, Panos; Foster, Nadine E.
    Background Low back pain is often accepted as a normal- part of pregnancy. Despite research suggesting that quality of life for women who are pregnant is adversely affected, most are advised to self-manage. Although the use of acupuncture for the management of persistent nonspecific low back pain has been recommended in recent UK national guidelines, its use in the management of pregnancy-related low back pain remains limited. Objectives This study aimed to explore the perceptions and experiences of physical therapists involved in treating women who are pregnant and have low back pain with the objective of informing the pretrial training program for a pilot randomized trial (Evaluating Acupuncture and Standard care for pregnant womEn with Back pain [EASE Back]). Design A qualitative phenomenological method with purposive sampling was used in the study. Methods Three focus groups and 3 individual semistructured interviews were undertaken, and an iterative exploratory thematic analysis was performed. To ensure transparency of the research process and the decisions made, an audit trail was created. Results Twenty-one physical therapists participated, and emergent issues included: a lack of experience in treating pregnancy-related complaints, mixed messages from previous acupuncture education, a mistrust of the current evidence for acupuncture safety and effectiveness, and personal and professional fear of causing harm. Conclusions The findings suggest that UK physical therapists are reluctant to use acupuncture in the management of pregnancy-related low back pain. The explanations for these findings include perceived lack of knowledge and confidence, as well as a pervasive professional culture of caution, particularly fears of inducing early labor and of litigation. These findings have been key to informing the content of the training program for physical therapists delivering acupuncture within the pilot EASE Back trial.
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    The Understanding of Pain by Older Adults Who Consider Themselves to Have Aged Successfully
    (2014-12-03) Collis, David; Waterfield, Jackie
    Objectives: Despite an ageing population and an increased prevalence of chronic pain, the relationship between chronic pain and the concept of successful ageing is unclear. The aim of the present research was to explore older people's views on past and present experiences of pain, and its management, and how these experiences relate to their perceptions of successful ageing. Methods: Semi-structured interviews with six participants, aged 75 years or older, who considered themselves to have aged successfully, explored what this concept meant to them and their experiences of pain. Data analysis used methods drawn from grounded theory. The themes reported in this article are 'understanding of pain' and 'perceptions of ageing'. Results: None of the participants recalled painful experiences that were not attributable to physical trauma. They believed that pain is part of life and a natural consequence of the ageing process. While some accepted this with little resistance, others felt frustration at what they considered a dismissive attitude towards older people experiencing pain from healthcare practitioners. The concept of successful ageing was previously unfamiliar to participants, and their conceptualization of ageing derived from comparing themselves with their peers. Conclusions: The findings of the present study suggest that predictable experiences of pain as one ages may contribute to an acceptance of pain as a biomedical certainty, a belief reinforced both by health professionals and society. However, one may have chronic pain and yet consider oneself to have aged successfully, and it should therefore be recognized that there is a distinction between having pain and having a problem with pain.
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    Preparing to manage patients in pain. The student perspective: a pilot
    (Ingenta, 2015-12-01) Etherton, Jo; Waterfield, Jackie
    Objectives: This pilot study aims to explore the experience of preparing to manage patients in pain, from a student perceptive. Specifically: Do physiotherapy students consider themselves 'prepared' for practice with patients in pain and what has contributed to this sense of 'preparedness'? Design: A phenomenological approach was taken to provide a rich description of the student experience. Data was collected via semi structured, one to one interviews with the researcher. Setting: Data collection occurred in a neutral room on the University of East Anglia (UEA) campus. Participants: Inclusion criteria were: final year about to qualify and consented to participate. Three UEA BSc Physiotherapy students were interviewed. Results: Six themes were identified within the data: time, confidence, relationships, professionalism, theory - practice gap and team working. Key findings included: student's personal experiences with patients informed their perceptions of preparedness; students have greater confidence in working with a bio-medical compared to a bio-psychosocial model; preparing to manage patients in pain includes developing understanding of professional responsibility, which equated to reducing a patients pain; students have theoretical understanding of patient-centered and bio-psychosocial care, but experiences in application of these principles are varied and clinical educators actively 'gate keep' opportunities for students to work with patients in pain. Conclusions: Findings from the three themes presented here suggest physiotherapy students did not always perceive themselves prepared to manage patients in pain. However, comments were made without awareness that the shared examples indicated a lack preparedness. This perception is primarily informed by situated learning and experiences with patients in relatively acute pain. Opportunities for contextualisation of theoretical knowledge for managing persistent and chronic pain states during placement could be limited, perhaps by clinical educators actively 'gate-keeping' opportunities for students to work with certain 'types' of patients with pain.