title: "Let's stick together"--a grounded theory exploration of interprofessional working used to provide person centered chronic back pain services.
abstract: Chronic back pain is a global phenomenon and a common reason why patients seek help from health professionals. Person-centered interprofessional working is acknowledged as the main strategy for chronic back pain management; however, the complexity of chronic pain can present significant challenges for teams. Although methods used by interprofessional teams to collaborate have been previously explored, how they work together to deliver person-centered chronic back pain care has received limited attention. The aim of this study was to explore person-centered care from the perspectives of people with chronic back pain and the interprofessional teams who cared for them. A grounded theory methodology was used to capture the interprofessional team's perspectives of person-centered working. A purposive sample of four chronic back pain management teams participated in semi-structured face-to-face interviews and focus groups. Data were thematically analyzed using a constant comparative method. Three categories emerged, collective efficacy, negotiated space and team maturity, which illustrated the attributes of interprofessional teams that influenced person-centered working. The findings suggest that collective efficacy matures over time within a negotiated coalesced space and re-enforces the need for teams to stick together to ensure effective person-centered care.
authors.affiliation: School of Nursing, Midwifery and Social Work, University of Salford, Manchester, UK. m.l.howarth2@salford.ac.uk
authors.forename: Michelle
authors.initials: M
authors.lastname: Howarth
authors.forename: Tony
authors.initials: T
authors.lastname: Warne
authors.forename: Carol
authors.initials: C
authors.lastname: Haigh
mesh_terms: D001416:Back Pain / Q000628:therapy*; D002908:Chronic Disease; D004739:England; D017144:Focus Groups; D006801:Humans; D033183:Interdisciplinary Communication; D008962:Models, Theoretical; D018802:Patient-Centered Care; D036301:Qualitative Research