1 Department of Public Health - Department of Science in Nursing, Department of Public Health, Health, Aarhus University2 Department of Clinical Medicine - Center for Planlagt Kirurgi, Silkeborg, Department of Clinical Medicine, Health, Aarhus University3 Institute of Science in Nursing, Faculty of Health Sciences, Aarhus University, Aarhus University4 Department of Clinical Medicine - Regional Hospital Central Jutland, Department of Clinical Medicine, Health, Aarhus University5 Institute of Education, University of London6 Department of Public Health - Department of Science in Nursing, Department of Public Health, Health, Aarhus University7 Department of Clinical Medicine - Regional Hospital Central Jutland, Department of Clinical Medicine, Health, Aarhus University
A systematic review based on thematic synthesisEt systematisk review baseret på tematisk syntese
Rationale and aims: Research shows that back patients’ illness experiences affect their interaction with the healthcare system. It is important to examine the exact nature of these experiences in order to shed valuable light on how back patients perceive their illness and hospitalisation. The aim of this literature review is to gain a better understanding of back patients’ illness experiences and to identify, systematise and integrate the findings of different qualitative studies that may elucidate barriers, consequences or focal points in connection with the care and treatment. Methods: The methodology is based on the thematic synthesis used by James Thomas and Angela Harden. The literature review also draws on the sociological theories and arguments of Ulla Harriet Jensen and Trine Dalsgaard in which health professionals biological perception of the individual dominates the healthcare system and translates into a certain way of perceiving and explaining illnesses and symptoms. Results: The thematic analysis shows that it is through experiences and memories that we create our identity and consciousness. Ignoring the illness experiences can therefore be seen as disregarding, the patient as a human being. With this in mind, it is easier to understand why back patients often feel marginalised and mistrusted in their interactions with the healthcare system. Respectfully including the patients’ experiences is fundamentally about acknowledging the back patient as a human being. Conclusion: A synthesis of the included studies demonstrates the need for healthcare professionals to pay attention to back patients’ narratives in order to acknowledge them as human beings. This acknowledgement involves an ethical dimension and a sense of responsibility, manifested as respectful inclusion of the patient’s experiences. The body can never be understood merely as a biological entity, and therefore illness is far more than having symptoms, diagnoses, and treatment. The synthesis thus proposes an acknowledgment of this and a more holistic approach.
European Journal for Person Centered Healthcare, 2015, Vol 3, Issue 1, p. 37-47