Immediate patient perceptions following lumbar spinal fusion surgery: semi-structured multi-centre interviews exploring the patient journey and experiences of lumbar fusion surgery (FuJourn)

Alison Rushton; Bini Elena; Feroz Jadhakhan; Annabel Masson; J. Bart Staal; Martin L. Verra; Andrew Emms; Michael Reddington; Ashley Cole; Paul C. Willems; Lorin Benneker; Nicola R. Heneghan; Andrew Soundy

doi:10.1007/s00586-022-07381-x

Immediate patient perceptions following lumbar spinal fusion surgery: semi-structured multi-centre interviews exploring the patient journey and experiences of lumbar fusion surgery (FuJourn)

Alison Rushton, Bini Elena, Feroz Jadhakhan, Annabel Masson, J. Bart Staal, Martin L. Verra, Andrew Emms, Michael Reddington, Ashley Cole, Paul C. Willems, Lorin Benneker, Nicola R. Heneghan, Andrew Soundy

Research output: Contribution to journal › Article › peer-review

Abstract

Purpose: To understand the patient journey to Lumbar Spinal Fusion Surgery (LSFS) and patients’ experiences of surgery. Methods: Qualitative study using interpretive phenomenological analysis. Adult participants following LSFS were recruited from 4 UK clinical sites using purposive sampling to ensure representation of key features (e.g. age). Semi-structured interviews informed by a piloted topic guide developed from the literature were audio-recorded and transcribed verbatim. Framework analysis for individual interviews and then across participants (deductive and inductive) identified emerging themes. Trustworthiness of data analyses was enhanced using multiple strategies (e.g. attention to negative cases). Results: Four emerging themes from n = 31 patients’ narratives were identified: decision for surgery, coping strategies, barriers to recovery and recovery after surgery. Decision for surgery and recovery after surgery themes are distinguished by the point of surgery. However, barriers to recovery and coping strategies are key to the whole patient journey encompassing long journeys to surgery and their initial journey after surgery. The themes of coping strategies and barriers to recovery were inter-related and perceived by participants as parallel concepts. The 4 multifactorial themes interacted with each other and shaped the process of an individual patient’s recovery. Factors such as sporadic interventions prior to surgery, time-consuming wait for diagnosis and surgery and lack of information regarding recovery strongly influenced perceptions of outcome. Conclusion: Patient driven data enables insights to inform research regarding surgery/rehabilitation through depth of understanding of the patient journey. Awareness of factors important to patients is important; ensuring that patient-driven data informs research and patient care.

Original language	English
Pages (from-to)	3590-3602
Number of pages	13
Journal	European Spine Journal
Volume	31
Issue number	12
DOIs	https://doi.org/10.1007/s00586-022-07381-x
Publication status	Published (VoR) - Jan 2022

Keywords

Interpretive phenomenological analysis
Interviews
Lived experience
Lumbar spinal fusion surgery
Patient journey
Recovery

Access to Document

10.1007/s00586-022-07381-x

Cite this

Rushton, A., Elena, B., Jadhakhan, F., Masson, A., Staal, J. B., Verra, M. L., Emms, A., Reddington, M., Cole, A., Willems, P. C., Benneker, L., Heneghan, N. R., & Soundy, A. (2022). Immediate patient perceptions following lumbar spinal fusion surgery: semi-structured multi-centre interviews exploring the patient journey and experiences of lumbar fusion surgery (FuJourn). European Spine Journal, 31(12), 3590-3602. https://doi.org/10.1007/s00586-022-07381-x

@article{d186ba05ffb64dd5beda5f99c0adfa1e,

title = "Immediate patient perceptions following lumbar spinal fusion surgery: semi-structured multi-centre interviews exploring the patient journey and experiences of lumbar fusion surgery (FuJourn)",

abstract = "Purpose: To understand the patient journey to Lumbar Spinal Fusion Surgery (LSFS) and patients{\textquoteright} experiences of surgery. Methods: Qualitative study using interpretive phenomenological analysis. Adult participants following LSFS were recruited from 4 UK clinical sites using purposive sampling to ensure representation of key features (e.g. age). Semi-structured interviews informed by a piloted topic guide developed from the literature were audio-recorded and transcribed verbatim. Framework analysis for individual interviews and then across participants (deductive and inductive) identified emerging themes. Trustworthiness of data analyses was enhanced using multiple strategies (e.g. attention to negative cases). Results: Four emerging themes from n = 31 patients{\textquoteright} narratives were identified: decision for surgery, coping strategies, barriers to recovery and recovery after surgery. Decision for surgery and recovery after surgery themes are distinguished by the point of surgery. However, barriers to recovery and coping strategies are key to the whole patient journey encompassing long journeys to surgery and their initial journey after surgery. The themes of coping strategies and barriers to recovery were inter-related and perceived by participants as parallel concepts. The 4 multifactorial themes interacted with each other and shaped the process of an individual patient{\textquoteright}s recovery. Factors such as sporadic interventions prior to surgery, time-consuming wait for diagnosis and surgery and lack of information regarding recovery strongly influenced perceptions of outcome. Conclusion: Patient driven data enables insights to inform research regarding surgery/rehabilitation through depth of understanding of the patient journey. Awareness of factors important to patients is important; ensuring that patient-driven data informs research and patient care.",

keywords = "Interpretive phenomenological analysis, Interviews, Lived experience, Lumbar spinal fusion surgery, Patient journey, Recovery",

author = "Alison Rushton and Bini Elena and Feroz Jadhakhan and Annabel Masson and Staal, {J. Bart} and Verra, {Martin L.} and Andrew Emms and Michael Reddington and Ashley Cole and Willems, {Paul C.} and Lorin Benneker and Heneghan, {Nicola R.} and Andrew Soundy",

year = "2022",

month = jan,

doi = "10.1007/s00586-022-07381-x",

language = "English",

volume = "31",

pages = "3590--3602",

journal = "European Spine Journal",

number = "12",

}

Rushton, A, Elena, B, Jadhakhan, F, Masson, A, Staal, JB, Verra, ML, Emms, A, Reddington, M, Cole, A, Willems, PC, Benneker, L, Heneghan, NR & Soundy, A 2022, 'Immediate patient perceptions following lumbar spinal fusion surgery: semi-structured multi-centre interviews exploring the patient journey and experiences of lumbar fusion surgery (FuJourn)', European Spine Journal, vol. 31, no. 12, pp. 3590-3602. https://doi.org/10.1007/s00586-022-07381-x

Immediate patient perceptions following lumbar spinal fusion surgery: semi-structured multi-centre interviews exploring the patient journey and experiences of lumbar fusion surgery (FuJourn). / Rushton, Alison; Elena, Bini; Jadhakhan, Feroz et al.
In: European Spine Journal, Vol. 31, No. 12, 01.2022, p. 3590-3602.

Research output: Contribution to journal › Article › peer-review

TY - JOUR

T1 - Immediate patient perceptions following lumbar spinal fusion surgery: semi-structured multi-centre interviews exploring the patient journey and experiences of lumbar fusion surgery (FuJourn)

AU - Rushton, Alison

AU - Elena, Bini

AU - Jadhakhan, Feroz

AU - Masson, Annabel

AU - Staal, J. Bart

AU - Verra, Martin L.

AU - Emms, Andrew

AU - Reddington, Michael

AU - Cole, Ashley

AU - Willems, Paul C.

AU - Benneker, Lorin

AU - Heneghan, Nicola R.

AU - Soundy, Andrew

PY - 2022/1

Y1 - 2022/1

N2 - Purpose: To understand the patient journey to Lumbar Spinal Fusion Surgery (LSFS) and patients’ experiences of surgery. Methods: Qualitative study using interpretive phenomenological analysis. Adult participants following LSFS were recruited from 4 UK clinical sites using purposive sampling to ensure representation of key features (e.g. age). Semi-structured interviews informed by a piloted topic guide developed from the literature were audio-recorded and transcribed verbatim. Framework analysis for individual interviews and then across participants (deductive and inductive) identified emerging themes. Trustworthiness of data analyses was enhanced using multiple strategies (e.g. attention to negative cases). Results: Four emerging themes from n = 31 patients’ narratives were identified: decision for surgery, coping strategies, barriers to recovery and recovery after surgery. Decision for surgery and recovery after surgery themes are distinguished by the point of surgery. However, barriers to recovery and coping strategies are key to the whole patient journey encompassing long journeys to surgery and their initial journey after surgery. The themes of coping strategies and barriers to recovery were inter-related and perceived by participants as parallel concepts. The 4 multifactorial themes interacted with each other and shaped the process of an individual patient’s recovery. Factors such as sporadic interventions prior to surgery, time-consuming wait for diagnosis and surgery and lack of information regarding recovery strongly influenced perceptions of outcome. Conclusion: Patient driven data enables insights to inform research regarding surgery/rehabilitation through depth of understanding of the patient journey. Awareness of factors important to patients is important; ensuring that patient-driven data informs research and patient care.

AB - Purpose: To understand the patient journey to Lumbar Spinal Fusion Surgery (LSFS) and patients’ experiences of surgery. Methods: Qualitative study using interpretive phenomenological analysis. Adult participants following LSFS were recruited from 4 UK clinical sites using purposive sampling to ensure representation of key features (e.g. age). Semi-structured interviews informed by a piloted topic guide developed from the literature were audio-recorded and transcribed verbatim. Framework analysis for individual interviews and then across participants (deductive and inductive) identified emerging themes. Trustworthiness of data analyses was enhanced using multiple strategies (e.g. attention to negative cases). Results: Four emerging themes from n = 31 patients’ narratives were identified: decision for surgery, coping strategies, barriers to recovery and recovery after surgery. Decision for surgery and recovery after surgery themes are distinguished by the point of surgery. However, barriers to recovery and coping strategies are key to the whole patient journey encompassing long journeys to surgery and their initial journey after surgery. The themes of coping strategies and barriers to recovery were inter-related and perceived by participants as parallel concepts. The 4 multifactorial themes interacted with each other and shaped the process of an individual patient’s recovery. Factors such as sporadic interventions prior to surgery, time-consuming wait for diagnosis and surgery and lack of information regarding recovery strongly influenced perceptions of outcome. Conclusion: Patient driven data enables insights to inform research regarding surgery/rehabilitation through depth of understanding of the patient journey. Awareness of factors important to patients is important; ensuring that patient-driven data informs research and patient care.

KW - Interpretive phenomenological analysis

KW - Interviews

KW - Lived experience

KW - Lumbar spinal fusion surgery

KW - Patient journey

KW - Recovery

UR - https://www.mendeley.com/catalogue/8d5fc6dd-f0f7-3a0a-bd69-8cf049e0a15d/

U2 - 10.1007/s00586-022-07381-x

DO - 10.1007/s00586-022-07381-x

M3 - Article

C2 - 36114890

VL - 31

SP - 3590

EP - 3602

JO - European Spine Journal

JF - European Spine Journal

IS - 12

ER -

Immediate patient perceptions following lumbar spinal fusion surgery: semi-structured multi-centre interviews exploring the patient journey and experiences of lumbar fusion surgery (FuJourn)

Abstract

Keywords

Access to Document

Other files and links

Fingerprint

Cite this