The ubiquity of uncertainty in low back pain care*

Costa, N (通讯作者),Univ Queensland, Sch Hlth & Rehabil Sci, Brisbane, Qld, Australia.
2022-11
Despite clinicians being important actors in the context of uncertainty, their experiences navigating uncertainty remain largely unexplored. Drawing on a theory-driven post-qualitative approach, we used Mol's logic of choice/ care as a lens through which we made sense of interviews with 22 clinicians who work with patients who experience low back pain (LBP). Our analysis suggests that uncertainty is ubiquitous in LBP care and not limited to particular domains. Clinicians navigated uncertainty when considering patients' personal and social contexts; making therapeutic decisions; navigating emotions and mental health; communicating with, and educating, patients, among others. These uncertainties are intertwined with clinical aspects such as treatment choices and evidence-based education about LBP. At times, clinicians resolved these uncertainties by producing certainty at the cost of attending to human aspects of care. We argue that epistemic shifts, theorisation and practical engagement with theory in training, research and clinical practice may prompt clinicians to embrace uncertainty and enact the logic of care.
SOCIAL SCIENCE & MEDICINE
卷号:313
ISSN:0277-9536|收录类别:SCIE
语种
英语
来源机构
University of Queensland; University of Queensland; University of Sydney; Royal Brisbane & Women's Hospital
资助信息
NC is supported by The University of Queensland (University of Queensland Stimulus Fellowship) . JS is supported by the National Health and Medical Research of Australia (NHMRC: APP1157199) .
被引频次(WOS)
0
被引频次(其他)
0
180天使用计数
1
2013以来使用计数
1
EISSN
1873-5347
出版年
2022-11
DOI
10.1016/j.socscimed.2022.115422
关键词
Low back pain Clinical practice Uncertainty Logic of care Post-qualitative research
资助机构
University of Queensland (University of Queensland Stimulus Fellowship) National Health and Medical Research of Australia
WOS学科分类
Public, Environmental & Occupational Health Social Sciences, Biomedical
学科领域
循证公共卫生 循证社会科学-综合