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Translating Knowledge into Practice

Meta-ethnography of healthcare professionals' experiences of treating aduls with chronic musculosketal pain to improve the experience and quality of healthcare

Funder: NIHR HS&DR Research Programme

Start date: 1 Nov 2015 for 18 months

PI: Fran Toye (Nuffield Orthopaedic Centre (NOC), Oxford Hospitals NHS Trust

Collaborators: Kate Seers University of Warwick, Karen Barker (NOC).

Description: This qualitative systematic review aims to increase understanding of what it is like for health care professional to work with people who have chronic pain. This will complement our completed meta ethnography what it is like to have chronic pain. It will bringing together published qualitative research which explores health care professionals’ experiences of working with people who have chronic non-malignant pain. It will do this using the methods of meta-ethnography, which is an interpretative process which aims to develop new conceptual understandings.

Fri 16 October 2015, 11:05 | Tags: NOC

Meta ethnography for chronic pain

(Using a meta-synthesis to combine qualitative research in a systematic review)

Start Date: November 2010. End date: October 2012

Funder: NIHR Health Services Research Board. £167,000

PI: Francine Toye (Nuffield Orthopaedic Centre)

Collaborators: Seers, Carr (University of Bournemouth) Allcock (University of Nottingham, Briggs (University of Leeds) Barker (NOC).

Description: This qualitative systematic review aims to increase understanding of what it is like to have chronic pain, using existing research to improve knowledge and inform best practice. It has brought together 77 published qualitative research papers which explore patients’ experiences of chronic non-malignant pain. It did this using meta-ethnography, which is an interpretative process which develops new conceptual understandings.

Progress: Completed on time on 31st October 2012. 

Dissemination: Poster presented at European Federation of IASP Chapters, Florence, October 2013.

Film of findings on U-tube had 5,675 views as of 21st October 2014.

Also written a paper about using film to challenge how health professionals view people with chronic pain, based on research undertaken at a Higher Education Institution. Been submitted to Social Science and Medicine (under review).


Toye F, Seers K, Allcock N, Briggs MI, Carr EC, Barker, K. A synthesis of qualitative research exploring the barriers to staying in work with chronic musculoskeletal pain. Disability and Rehabilitation. DOI:10.3109/09638288.2015.1049377. Published online: 28 May 2015

Seers K & Toye F (2011) What is quality in qualitative research (editorial). Evidence Based Nursing.15(1) doi: 10.1136/EBN.2011.100268.

Seers, K (2014) Qualitative systematic reviews: their relevance to our understanding of research relevant to pain. British Journal of Pain. DOI: 10.1177/2049463714549777

Toye, F., Seers, K., Barker, K. (2014) A meta-ethnography of patients’ experiences of chronic pelvic pain: struggling to construct chronic pelvic pain as ‘real’ Journal of Advanced Nursing. Published online 1st August 2014. Early View DOI: 10.1111/jan.12485

Toye, F, Seers K, Allcock, N, Briggs,M, Carr, E and Barker K. (2014) Meta-ethnography 25 years on: challenges and insights for synthesising a large number of qualitative studies BMC Medical Research Methodology 2014, 14:80 doi:10.1186/1471-2288-14-80 Published: 21 June 2014

Toye F, Seers K, Allcock N, Briggs M, Carr E, Andrews J, Barker, K (2013) A meta-ethnography of patients’ experience of chronic non-malignant musculoskeletal pain. Health Serv Deliv Res 2013:1(12). (Published 29th November 2013)

Toye F Seers K Allcock N Briggs M, Carr E, Andrews J, Barker K (2013) Patients' experiences of chronic non-malignant musculoskeletal pain: a qualitative systematic review. Br J Gen Pract. 63(617):e829-41. doi: 10.3399/bjgp13X675412.

Toye, FMA., Seers, K., Allcock, N., Briggs, M., Carr, E., Andrews, J., Barker, K. (2013) ‘Trying to pin down jelly' - exploring intuitive processes in quality assessment for meta-ethnography. BMC Medical Research Methodology 13:46. doi:10.1186/1471-2288-13-46

Further related work:

Toye, F., Seers, K., Barker, K. (2014) A meta-ethnography of patients’ experiences of chronic pelvic pain: struggling to construct chronic pelvic pain as ‘real’. Journal of Advanced Nursing. 70(12): 2713–2727 DOI: 10.1111/jan.12485

In addition, a related meta-ethnography has been funded by NIHR HS&DR £140,000 starting November 2015. This study will look at health care professionals’ experiences of working with people with chronic pain.

Fri 04 November 2011, 07:55 | Tags: NIHR

FIRE Study (Facilitating Implementation of Research Evidence)

Funder: European Commission.

Start date: January 2009 End date: June 2013.

PI: Kate Seers

Collaborating Institutions on bid: Karolinksa Institute, Sweden; University of Alberta, Canada; University of Bangor; University of Ulster; Fontys University, Netherlands; Manchester Business School, University College Cork.

Description: This a pragmatic randomised controlled trial, with embedded process and economic evaluation, taking place in four European countries. It aims to increase understanding about the role of different types of facilitation in implementing research evidence into practice. It is looking specifically at using continence recommendations in long term settings. Its objectives are to: 1) Extend current knowledge of facilitation as a process for translating research evidence into practice; 2) Evaluate the feasibility, effectiveness and cost-effectiveness of two different models of facilitation in promoting the uptake of research evidence on continence management; 3) Assess the impact of contextual factors on the processes and outcomes of implementation; 4) Implement a pro-active knowledge transfer and dissemination strategy to diffuse study findings to a wide policy and practice community.

Trial Registration: Current Controlled Trials ISRCTN11598502.

Progress: Study complete. Final report submitted. Main study paper currently being completed.

Dissemination: Symposium at RCN International Research Conference (March 2013)

Publications: Kitson AL, Rycroft-Malone J Harvey G McCormack B Seers K Titchen A (2008) Evaluating the successful implementation of evidence into practice using the PARiHS framework: theoretical and practical challenges. Implementation Science 7 3:1doi: 10.1186/1748-5908-3-1

Protocol for FIRE study published. Seers, K. et al (2012) FIRE (Facilitating Implementation of Research Evidence): a study protocol. Implementation Science 7: 25 doi:10.1186/1748-5908-7-25

Van der Zijpp TJ, Niessen T, Eldh A, Hawkes C, McMullan C, Mockford C, Wallin L, McCormack B, Rycroft-Malone J & Seers K. Using metaphors to illustrate the interaction between managerial leaders and facilitators when implementing research evidence. Worldviews on Evidence-Based Nursing.

Eldh AC, vanderzijpp, T., Mcmullan C, McCormack, B. Seers K Rycroft-Malone J. I have the world’s best job – staff experience of the advantages of caring for older people”. Scandinavian Journal of Caring Sciences Article first published online: 12 AUG 2015 DOI: 10.1111/scs.12256


Fri 04 November 2011, 07:54 | Tags: FIRE, European Commission