Osteopaths' professional views, identities and conceptions – A qualitative grounded theory study

Thomson, Oliver P.; Petty, Nicola J.; Moore, Ann

doi:10.1016/j.ijosm.2013.12.002

Cited by 55 publications

(33 citation statements)

References 42 publications

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“…Despite the passing of time, most of these osteopathic models have not been updated in response to the evidence, yielding to an uncritical development of the profession [23]. The lack of integration of EBP in osteopathic professional development has been explored across the world, with the subject receiving significant attention in the UK [24][25][26][27].…”

Section: Introductionmentioning

confidence: 99%

A national cross-sectional survey of the attitudes, skills and use of evidence-based practice amongst Spanish osteopaths

Alvarez

Justribo

Sundberg

et al. 2021

BMC Health Serv Res

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Background Although evidence-based practice (EBP) is largely supported across healthcare professions, its implementation in manual therapy professions such as osteopathy remains limited and debated. There is currently little knowledge of how Spanish osteopaths relate to EBP. Objectives The main aim of this study was to investigate the attitudes, skills and use of EBP among Spanish osteopaths. A secondary aim was to identify barriers and facilitators for the adoption of EBP in the Spanish osteopathic context. Methods National cross-sectional survey of Spanish osteopaths registered and non-registered to an osteopathic association in Spain. Eligible participants were invited by a range of recruitment strategies including email and social media campaigns to complete the Spanish-translated Evidence-Based practice Attitude and utilization Survey (EBASE) anonymously online. Results A total of 567 osteopaths completed the survey which represents an approximate response rate of 9%. Participant’s attitudes toward EBP were largely positive. Most respondents agreed or strongly agreed that EBP was necessary in the practice of osteopathy (89.6%) and that professional literature and research findings were useful to their day-to-day practice (88.9%). Levels of perceived skill in EBP were reported as low to moderate with lowest levels for items related to ‘research conduct’. Except reading/reviewing professional literature and using online search engines to find practice-related literature, participant engagement in all other EBP-related activities was generally infrequent. The perceived proportion of clinical practice that was based on clinical research evidence was reported to be very small. Main barriers to EBP uptake included a lack of clinical evidence in osteopathy and insufficient skills for applying research findings. Main facilitators of EBP uptake included access to full-text articles, internet at the workplace and online databases. Conclusions Spanish osteopaths were largely supportive of evidence-based practice, had low to moderate skills in EBP and engaged in EBP activities infrequently. Formal regulation of the profession in Spain and the inclusion of osteopathic programs into the university sector would potentially improve EBP skills and use.

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Section: Introductionmentioning

confidence: 99%

A national cross-sectional survey of the attitudes, skills and use of evidence-based practice amongst Spanish osteopaths

Alvarez

Justribo

Sundberg

et al. 2021

BMC Health Serv Res

Self Cite

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“…By contrast, osteopaths, practicing outside of the USA, focus on the diagnosis, treatment, prevention and rehabilitation of musculoskeletal disorders, and the effects of these conditions on a patients’ general health, using predominantly hands-on manual therapy skills [6–8]. It is worth noting that a range of professional views and identities reside within osteopathy [9–11], and there is continued debate across the profession globally as to the particular theoretical, philosophical, and evidential underpinnings that define osteopathy and guide clinical practice and reasoning [12–14].…”

Section: Introductionmentioning

confidence: 99%

An investigation of Australian osteopaths’ attitudes, skills and utilisation of evidence-based practice: a national cross-sectional survey

Leach

Sundberg

Fryer

et al. 2019

BMC Health Serv Res

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Background Osteopaths are an integral member of the health care team, playing a pivotal role in the provision of care for patients with musculoskeletal disorders. Osteopaths, like other health care providers, are under increasing pressure to deliver evidence-based health care and to improve patient outcomes. However, the extent to which osteopaths engage in evidence-based practice (EBP), particularly in Australia, is not well understood. This study therefore set out to investigate the attitudes, skills and use of EBP, and perceived barriers and enablers of EBP uptake, among osteopaths practicing in Australia. Methods National cross-sectional survey of Australian registered osteopaths. Eligible participants were invited by email and other digital media recruitment strategies to complete the online Evidence-Based Practice Attitude and Utilisation Survey (EBASE). Results A total of 332 osteopaths completed the survey. The demographic characteristics of respondents were generally consistent with the characteristics of the Australian osteopathy workforce. The respondents were mostly favourable of EBP, with the majority agreeing or strongly agreeing that EBP assists in making decisions about patient care (86.7%) and improves the quality of patient care (75.6%). While most respondents (88.3%) had some training in EBP, most reported a moderate level of perceived skill in EBP. The majority of respondents engaged infrequently (0–5 times) in EBP activities within the last month, and most indicated that a very small or small proportion of their clinical practice was based on clinical research evidence. Leading barriers to the uptake of EBP were lack of time and lack of clinical evidence in osteopathy. Key enablers of EBP uptake were access to the internet and online databases at work, and access to full-text articles and EBP education materials. Conclusions Osteopaths participating in the survey were largely supportive of evidence-based practice, yet engaged infrequently in EBP activities. An important next step in this research is to identify suitable strategies that effectively improve EBP uptake in osteopathy, and perchance, improve patient outcomes.

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“…Indeed, there was some indication in our study that participating osteopaths had a misconstrued understanding of the EBP paradigm, with a large proportion of participants believing that EBP did not take into consideration the patient's perspective. Other studies have also indicated that osteopaths view EBP as a threat to the professional identity of the profession [24,25,48]. This suggests that Spanish osteopaths might bene t from revisiting the fundamental purposes of contemporary EBP which seeks to prioritise ethical care, is relationship-based, advocates shared decision-making and relates the evidence to the individual patient's context and situation [7].…”

Section: Ebp Attitudesmentioning

confidence: 99%

“…The lack of integration of EBP in osteopathic professional development has been explored across the world, with the subject receiving signi cant attention in the UK [24][25][26][27].…”

Section: Introductionmentioning

confidence: 99%

Attitudes, Skills and Use of Evidence-Based Practice Amongst Spanish Osteopaths: A Cross-Sectional Survey

Alvarez¹,

Justribo²,

Sundberg³

et al. 2020

Preprint

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Background: Although evidence-based practice (EBP) is largely supported across healthcare professions, its implementation in manual therapy professions such as osteopathy remains limited and debated. There is currently little knowledge of how EBP relates to osteopathy in Spain, and the attitudes, skills and utilisation of osteopaths.Objectives: The main aim of this study was to investigate the attitudes, skills and use of EBP among Spanish osteopaths. A secondary aim was to identify barriers and facilitators for the adoption of EBP in the Spanish osteopathic context.Methods: National cross-sectional survey of Spanish osteopaths registered and non-registered to an osteopathic association in Spain. Eligible participants were invited by a range of recruitment strategies including email and social media campaigns to complete the Spanish-translated Evidence-Based practice Attitude and utilization Survey (EBASE) anonymously online. Results: A total of 567 osteopaths completed the survey which represents an estimated response rate of approximately 9%. Participant’s attitudes toward EBP were largely positive. Most respondents agreed or strongly agreed that EBP was necessary in the practice of osteopathy (89.6%) and professional literature and research findings were useful to their day-to-day practice (88.9%). Levels of perceived skill in EBP were reported as low to moderate with lowest levels for items related to ‘research conduct’. Except reading/reviewing professional literature and using online search engines to find practice-related literature, participant engagement in all other EBP-related activities was generally infrequent. The perceived proportion of clinical practice that was based on clinical research evidence was reported to be very small. Main barriers to EBP uptake included a lack of clinical evidence in osteopathy and insufficient skills for applying research findings. Main facilitators of EBP uptake included access to full-text articles, internet at the workplace and online databases.Conclusions: Spanish osteopaths were largely supportive of evidence-based practice, had low to moderate skills in EBP and engaged in EBP activities infrequently. Formal regulation of the profession in Spain and the inclusion of osteopathic programs into the university sector would potentially improve EBP adhesion.

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Osteopaths' professional views, identities and conceptions – A qualitative grounded theory study

Cited by 55 publications

References 42 publications

A national cross-sectional survey of the attitudes, skills and use of evidence-based practice amongst Spanish osteopaths

A national cross-sectional survey of the attitudes, skills and use of evidence-based practice amongst Spanish osteopaths

An investigation of Australian osteopaths’ attitudes, skills and utilisation of evidence-based practice: a national cross-sectional survey

Attitudes, Skills and Use of Evidence-Based Practice Amongst Spanish Osteopaths: A Cross-Sectional Survey

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