ArticleSAGE open medicine2025
Perceptions and experiences of pain management and opioid use among orthopaedic patients and health professionals: Insights from a qualitative study in a metropolitan tertiary hospital.
Article in SAGE open medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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9 authors.
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Abstract
Introduction: Orthopaedic procedures are associated with the highest rates of opioid use among surgical specialties. Factors such as time constraints, communication barriers, and variable patient preferences are recognised challenges. There is limited research explicitly addressing the drivers for opioid prescribing in surgical patients or seeking to understand how health professionals engage patients in decision-making. This study aimed to explore patient and healthcare professional perceptions of the role of opioids in pain management in the orthopaedic context. Methods: This research adopted a qualitative study design underpinned by critical realism. Interviews were conducted with patients and healthcare professionals involved in the care of patients with pain in an orthopaedic setting at a metropolitan tertiary hospital in South Australia. Analysis of the interviews was informed by a reflexive thematic analysis approach. Findings: Forty participants (20 patients and 20 healthcare professionals) participated in this study between June and October 2020. A total of three themes, with sub-themes were identified (1) The patient as an individual; (2) the acute care setting; and (3) patient engagement and education. It was clear from both patient and healthcare professional participants that individual patient factors influence patients' understandings of opioids and pain management as well as the acute care setting. Additionally, all participants described the importance of patient engagement and education for improvement in pain management and opioid use. Conclusions: This study demonstrates the complex factors that influence pain management and opioid perceptions within the orthopaedic context. We recommend that patient engagement and education is the critical factor to navigating individual patients and the acute care setting when it comes to pain and pain management.
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