Profile of members of the Australian Osteopathic Association: Part 1 – The practitioners

Orrock, Paul J

doi:10.1016/j.ijosm.2008.04.002

Cited by 60 publications

(46 citation statements)

References 3 publications

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“…33,34 Practitioners employ a broad spectrum of therapeutic interventions, with manipulative techniques (such as spinal mobilisation and highvelocity thrust manipulation) as the preferred form of treatment modalities for practitioners in the UK 33e35 as well as internationally. 36,37 For example, a 2001 survey of the UK osteopathic profession conducted by the GOsC, 33 showed that almost 75% of responders regularly used joint mobilisation techniques, and almost 50% regularly used high-velocity thrust techniques, as part of their treatment, and similar statistics are supported by more recent research. 34,35 In view of the wide range of treatment interventions employed by practitioners and the diversity and complexity of problems that patients present with in clinical practice, well developed clinical reasoning skills are essential to osteopaths.…”

Section: Diagnostic Reasoning and Osteopathymentioning

confidence: 95%

Diagnostic reasoning in osteopathy – A qualitative study

Thomson

Petty

Moore

2014

International Journal of Osteopathic Medicine

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Background: The clinical reasoning processes which result in the forma-tion of a diagnosis, are fundamental for safe, effective and efficient clinical prac-tice and are central to professional autonomy and accountability. While research has identified the diagnostic reasoning approaches taken by a range of healthcare professions, there is limited understanding of how osteopaths formulate diagnoses in clinical practice. Objectives: The aim of this research was to explore the diagnostic reasoning of experienced osteopaths in the UK. Methods: A qualitative constructivist grounded theory approach was taken in this study, which was situated in the interpretive research paradigm. A total of seven-teen face-to-face semi-structured interviews were conducted with twelve experi-enced osteopaths. Participants were purposefully and theoretically sampled to take part in this study. Data collection methods involved semi-structured interviews with participants and observation and video-recording of clinical appointments, which were followed by video-prompted reflective interviews. The constant comparative method of analysis was used to code and analyse data. Results: The findings suggest that when formulating a diagnosis practitioners adopted two diagnostic reasoning approaches, namely hypothetico-deductive reasoning and pattern recognition. In this study, there was interplay of these reasoning approaches as a result of the perceived level of complexity and degree of familiarity of the patient presentation. Conclusions: Experienced osteopaths adopted diagnostic reasoning approaches which are akin to other healthcare professions including medicine and physio-therapy. Metacognitive and refl xivity skills were central for safe and effective diagnostic reasoning. Further work is required to explore the transferability of these findings with practitioners of different levels of clinical experience and who work in different clinical settings.

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Section: Diagnostic Reasoning and Osteopathymentioning

confidence: 95%

Diagnostic reasoning in osteopathy – A qualitative study

Thomson

Petty

Moore

2014

International Journal of Osteopathic Medicine

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“…1 Osteopaths in Australia are eligible for registration after five years of prescribed study 2 then predominantly work in privately owned clinics which may be sole operator, osteopathic group or multidisciplinary in nature. 3 Research suggests that when transitioning into their first year of health care practice, medical and allied health students and graduates:…”

Section: Introductionmentioning

confidence: 99%

Osteopathic graduates perceptions of stress and competence – A longitudinal study

Subramaniam

Eaton

Cranfield

et al. 2015

International Journal of Osteopathic Medicine

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Objective: The objective of this study was to explore osteopathy students' perceptions of occupational stress and clinical practice competence, and how these perceptions changed after six months of osteopathic practice. Participants: Students who graduated in 2010 from Victoria University's osteopathy program. Method: Participants completed one survey as final year osteopathy students in November 2010 and one survey as registered osteopaths in July 2011. The surveys were developed by drawing on previous work investigating health professional capabilities and also graduates transition to practice. Key areas of exploration were work related stressors and self-perceived clinical competence. Results: Job related stressors experienced were different from those expected by students, however, the overall level of stress as a new practitioner was accurately anticipated by students. New graduates were found to experience high levels of stress caused by: managing tricky patients; feeling like they should know everything; medico-legal issues; time management; and, overwork. Students in their final months of the osteopathy program felt more competent than after six months in practice. However, they perceived a lack of competence in: establishing a prognosis and using appropriate outcome measures; managing risks; maintaining * Corresponding author. College

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“…Practitioners employ an array of therapeutic interventions, with 'hands-on' manipulative techniques (e.g. spinal manipulation) preferred by practitioners in the UK (Fawkes et al, 2010) and internationally (Johnson and Kurtz, 2003;Orrock, 2009).…”

Section: Introductionmentioning

confidence: 99%

Clinical decision-making and therapeutic approaches in osteopathy – A qualitative grounded theory study

Thomson¹,

Petty²,

Moore³

2014

Manual Therapy

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a b s t r a c tThere is limited understanding of how osteopaths make decisions in relation to clinical practice. The aim of this research was to construct an explanatory theory of the clinical decision-making and therapeutic approaches of experienced osteopaths in the UK.Twelve UK registered osteopaths participated in this constructivist grounded theory qualitative study. Purposive and theoretical sampling was used to select participants. Data was collected using semistructured interviews which were audio-recorded and transcribed. As the study approached theoretical sufficiency, participants were observed and video-recorded during a patient appointment, which was followed by a video-prompted interview. Constant comparative analysis was used to analyse and code data.Data analysis resulted in the construction of three qualitatively different therapeutic approaches which characterised participants and their clinical practice, termed; Treater, Communicator and Educator. Participants' therapeutic approach influenced their approach to clinical decision-making, the level of patient involvement, their interaction with patients, and therapeutic goals. Participants' overall conception of practice lay on a continuum ranging from technical rationality to professional artistry, and contributed to their therapeutic approach. A range of factors were identified which influenced participants' conception of practice.The findings indicate that there is variation in osteopaths' therapeutic approaches to practice and clinical decision-making, which are influenced by their overall conception of practice. This study provides the first explanatory theory of the clinical decision-making and therapeutic approaches of osteopaths.

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Profile of members of the Australian Osteopathic Association: Part 1 – The practitioners

Cited by 60 publications

References 3 publications

Diagnostic reasoning in osteopathy – A qualitative study

Diagnostic reasoning in osteopathy – A qualitative study

Osteopathic graduates perceptions of stress and competence – A longitudinal study

Clinical decision-making and therapeutic approaches in osteopathy – A qualitative grounded theory study

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