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Challenges in pain management and opioid prescribing practices following traumatic injury: a focus group study with orthopedic surgeons and general practitioners.

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Title: Challenges in pain management and opioid prescribing practices following traumatic injury: a focus group study with orthopedic surgeons and general practitioners.
Authors: Finstad, Jeanette (AUTHOR), Clausen, Thomas (AUTHOR), Røise, Olav (AUTHOR), Rosseland, Leiv Arne (AUTHOR), Havnes, Ingrid Amalia (AUTHOR)
Source: Scandinavian Journal of Primary Health Care. Dec2025, Vol. 43 Issue 4, p864-879. 16p.
Subjects: Wounds & injuries, Work, Qualitative research, Focus groups, Mental health, Interprofessional relations, Interviewing, Drug therapy, Severity of illness index, Physicians' attitudes, Judgment sampling, Continuum of care, Orthopedic surgery, Longitudinal method, Sound recordings, Thematic analysis, Subacute care, Professions, Physician practice patterns, Opioid analgesics, Pain management, Research methodology, Attitudes of medical personnel, Conceptual structures, Convalescence, Drug prescribing, Data analysis software, Experiential learning, Patient aftercare
Geographic Terms: Norway
Abstract: Objective: To explore the experiences of orthopedic surgeons and general practitioners (GPs) in providing pain management, focusing on opioid prescribing practices and follow-up care for trauma patients following orthopedic injuries. Methods: Four semi-structured focus group interviews were conducted among 18 physicians, two among GPs and two among orthopedic trauma surgeons. Each group consisted of either specialist candidates or experienced specialists. The interviews explored experiences with follow-up care for orthopedic trauma patients, pain management, including opioid use and tapering, and were thematically analyzed. Results: Four main themes were identified: (1) Navigating post-discharge pain management, where GPs experienced problematic transfer of treatment responsibility and lack of opioid taper plans from the specialist health service. (2) A knowledge gap in pain management, with GPs reporting insufficient knowledge about opioid treatment, and orthopedic residents describing lacking systematic training in this area during specialization. (3) Changes in opioid prescribing practices over time, which had led to a self-perceived shift from liberal to restrictive prescription attitudes. (4) Unrealistic expectations of pain relief among patients were perceived by GPs and orthopedic surgeons throughout recovery. Conclusions and implications: Our findings reveal a knowledge gap in pain management, suggesting a need for enhanced education and training for GPs, both in specialization and specialist, and for orthopedic residents. This is crucial to meet the needs of trauma patients with severe orthopedic injuries and long-term pain. GPs need access to advisory support from the specialist healthcare system. These resources, including follow-up during challenging recovery phases, must be accessible to enhance patients care. [ABSTRACT FROM AUTHOR]
Copyright of Scandinavian Journal of Primary Health Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Challenges in pain management and opioid prescribing practices following traumatic injury: a focus group study with orthopedic surgeons and general practitioners.
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  Data: <searchLink fieldCode="AR" term="%22Finstad%2C+Jeanette%22">Finstad, Jeanette</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Clausen%2C+Thomas%22">Clausen, Thomas</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Røise%2C+Olav%22">Røise, Olav</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Rosseland%2C+Leiv+Arne%22">Rosseland, Leiv Arne</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Havnes%2C+Ingrid+Amalia%22">Havnes, Ingrid Amalia</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Scandinavian+Journal+of+Primary+Health+Care%22">Scandinavian Journal of Primary Health Care</searchLink>. Dec2025, Vol. 43 Issue 4, p864-879. 16p.
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  Data: <searchLink fieldCode="DE" term="%22Wounds+%26+injuries%22">Wounds & injuries</searchLink><br /><searchLink fieldCode="DE" term="%22Work%22">Work</searchLink><br /><searchLink fieldCode="DE" term="%22Qualitative+research%22">Qualitative research</searchLink><br /><searchLink fieldCode="DE" term="%22Focus+groups%22">Focus groups</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+health%22">Mental health</searchLink><br /><searchLink fieldCode="DE" term="%22Interprofessional+relations%22">Interprofessional relations</searchLink><br /><searchLink fieldCode="DE" term="%22Interviewing%22">Interviewing</searchLink><br /><searchLink fieldCode="DE" term="%22Drug+therapy%22">Drug therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Severity+of+illness+index%22">Severity of illness index</searchLink><br /><searchLink fieldCode="DE" term="%22Physicians'+attitudes%22">Physicians' attitudes</searchLink><br /><searchLink fieldCode="DE" term="%22Judgment+sampling%22">Judgment sampling</searchLink><br /><searchLink fieldCode="DE" term="%22Continuum+of+care%22">Continuum of care</searchLink><br /><searchLink fieldCode="DE" term="%22Orthopedic+surgery%22">Orthopedic surgery</searchLink><br /><searchLink fieldCode="DE" term="%22Longitudinal+method%22">Longitudinal method</searchLink><br /><searchLink fieldCode="DE" term="%22Sound+recordings%22">Sound recordings</searchLink><br /><searchLink fieldCode="DE" term="%22Thematic+analysis%22">Thematic analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Subacute+care%22">Subacute care</searchLink><br /><searchLink fieldCode="DE" term="%22Professions%22">Professions</searchLink><br /><searchLink fieldCode="DE" term="%22Physician+practice+patterns%22">Physician practice patterns</searchLink><br /><searchLink fieldCode="DE" term="%22Opioid+analgesics%22">Opioid analgesics</searchLink><br /><searchLink fieldCode="DE" term="%22Pain+management%22">Pain management</searchLink><br /><searchLink fieldCode="DE" term="%22Research+methodology%22">Research methodology</searchLink><br /><searchLink fieldCode="DE" term="%22Attitudes+of+medical+personnel%22">Attitudes of medical personnel</searchLink><br /><searchLink fieldCode="DE" term="%22Conceptual+structures%22">Conceptual structures</searchLink><br /><searchLink fieldCode="DE" term="%22Convalescence%22">Convalescence</searchLink><br /><searchLink fieldCode="DE" term="%22Drug+prescribing%22">Drug prescribing</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Experiential+learning%22">Experiential learning</searchLink><br /><searchLink fieldCode="DE" term="%22Patient+aftercare%22">Patient aftercare</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22Norway%22">Norway</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Objective: To explore the experiences of orthopedic surgeons and general practitioners (GPs) in providing pain management, focusing on opioid prescribing practices and follow-up care for trauma patients following orthopedic injuries. Methods: Four semi-structured focus group interviews were conducted among 18 physicians, two among GPs and two among orthopedic trauma surgeons. Each group consisted of either specialist candidates or experienced specialists. The interviews explored experiences with follow-up care for orthopedic trauma patients, pain management, including opioid use and tapering, and were thematically analyzed. Results: Four main themes were identified: (1) Navigating post-discharge pain management, where GPs experienced problematic transfer of treatment responsibility and lack of opioid taper plans from the specialist health service. (2) A knowledge gap in pain management, with GPs reporting insufficient knowledge about opioid treatment, and orthopedic residents describing lacking systematic training in this area during specialization. (3) Changes in opioid prescribing practices over time, which had led to a self-perceived shift from liberal to restrictive prescription attitudes. (4) Unrealistic expectations of pain relief among patients were perceived by GPs and orthopedic surgeons throughout recovery. Conclusions and implications: Our findings reveal a knowledge gap in pain management, suggesting a need for enhanced education and training for GPs, both in specialization and specialist, and for orthopedic residents. This is crucial to meet the needs of trauma patients with severe orthopedic injuries and long-term pain. GPs need access to advisory support from the specialist healthcare system. These resources, including follow-up during challenging recovery phases, must be accessible to enhance patients care. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Scandinavian Journal of Primary Health Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=189410526
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/02813432.2025.2517769
    Languages:
      – Code: eng
        Text: English
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        PageCount: 16
        StartPage: 864
    Subjects:
      – SubjectFull: Wounds & injuries
        Type: general
      – SubjectFull: Work
        Type: general
      – SubjectFull: Qualitative research
        Type: general
      – SubjectFull: Focus groups
        Type: general
      – SubjectFull: Mental health
        Type: general
      – SubjectFull: Interprofessional relations
        Type: general
      – SubjectFull: Interviewing
        Type: general
      – SubjectFull: Drug therapy
        Type: general
      – SubjectFull: Severity of illness index
        Type: general
      – SubjectFull: Physicians' attitudes
        Type: general
      – SubjectFull: Judgment sampling
        Type: general
      – SubjectFull: Continuum of care
        Type: general
      – SubjectFull: Orthopedic surgery
        Type: general
      – SubjectFull: Longitudinal method
        Type: general
      – SubjectFull: Sound recordings
        Type: general
      – SubjectFull: Thematic analysis
        Type: general
      – SubjectFull: Subacute care
        Type: general
      – SubjectFull: Professions
        Type: general
      – SubjectFull: Physician practice patterns
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      – SubjectFull: Opioid analgesics
        Type: general
      – SubjectFull: Pain management
        Type: general
      – SubjectFull: Research methodology
        Type: general
      – SubjectFull: Attitudes of medical personnel
        Type: general
      – SubjectFull: Conceptual structures
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      – SubjectFull: Convalescence
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      – SubjectFull: Drug prescribing
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      – SubjectFull: Data analysis software
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      – SubjectFull: Experiential learning
        Type: general
      – SubjectFull: Patient aftercare
        Type: general
      – SubjectFull: Norway
        Type: general
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      – TitleFull: Challenges in pain management and opioid prescribing practices following traumatic injury: a focus group study with orthopedic surgeons and general practitioners.
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              M: 12
              Text: Dec2025
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