The Prioritized Research Agenda for the Athletic Training Profession: A Report From the Strategic Alliance Research Agenda Task Force

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Context: The core competencies of health care indicate that all medical professionals should provide patient-centered care (PCC), or care that is respectful and responsive to one's values and preferences, during each encounter. Objective: To identify collegiate student-athletes' definition of PCC and measure their perceived level of PCC from an athletic trainer (AT). Design: Cross-sectional study. Setting: Mixed-method survey. Patients or Participants: A total of 610 (age = 19 ± 1 year) NCAA student-athletes completed the survey. Main Outcome Measure(s): The survey consisted of one open-ended question prompting the participant to define PCC in their own words. The quantitative data was gathered through the Global Perceptions of Athletic Trainer PCC tool which explored the overall agreement about the ATs use of PCC constructs. Finally, those participants who had received care from an AT completed the validated Patient Perception of Patient-Centeredness (PPPC) instrument. Qualitative analysis was completed through Text IQ™ technology from Qualtrics® with a mean sentiment score (MSS) attributed to each of the coded statements. We performed descriptive statistics for all quantitative data. Results: The qualitative analysis revealed 13 topics in which the most used were individualized, priority, and best. Other topics were inconsistent with how the medical community has defined PCC. On the global agreement scale of PCC tool, the participants expressed a strong agreement (mode = 4) with 12 of the 15 statements. On the patient perception instrument, participants expressed that the AT was completely (mode = 4) patient-centered for all dimensions during their most recent encounter. However, the behaviors of PCC, defined by the medical community, may not be directly expressed from the viewpoint of a collegiate student-athlete. Conclusions: Student-athletes defined PCC as individualized and prioritized health care. Additionally, student-athletes perceived that ATs provided care that kept their best interest in mind and practiced PCC during their encounters.

Section: Introductionmentioning

confidence: 99%

Collegiate Student-Athletes' Perceptions of Patient-Centered Care Delivered by Athletic Trainers

Redinger

Winkelmann

Eberman

2020

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“…3,8,9 Knowing that ATs are using a variety of modes and systems for documentation, it is necessary to understand their documentation practices. Additionally, the recently released ''Prioritized Research Agenda for the Athletic Training Profession'' 10 identified gaining more insight into the documentation practices of ATs as an important goal. Therefore, the purpose of our study was to determine ATs' perceived strategies for and challenges in documenting patient care.…”

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confidence: 99%

Aspects of Technology That Influence Athletic Trainers' Current Patient Care Documentation Strategies in the Secondary School

Nottingham

Kasamatsu

Eberman

et al. 2020

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Context Previous research on athletic trainers' (ATs) documentation practices in the secondary school setting has focused on users of 1 electronic medical record (EMR) platform. These studies have identified that ATs use multiple platforms for documentation, including paper, even when an EMR is available. Objective To examine the documentation practices of ATs who use various forms of patient care documentation, including paper, EMRs, or both. Design Qualitative study. Setting Individual telephone interviews. Patients or Other Participants Twenty ATs participated in this study: 12 women and 8 men who averaged 38 ± 14 years of age, 15 ± 13 years of clinical experience, and 11 ± 11 years of employment at their current secondary school. Data Collection and Analysis Semistructured telephone interviews were conducted to gain insight into ATs' documentation practices. Three researchers and 2 auditors inductively coded the transcripts using a consensual qualitative research process that consisted of 4 rounds of consensus coding and determination of data saturation. Trustworthiness was addressed with member checking, multiple-analyst triangulation, and peer review. Results The ATs' documentation practices were largely influenced by technology, organized in 3 themes. Participants' current documentation strategies included the use of both paper and EMRs, as they found different benefits to using each platform. Oftentimes documentation practices were shaped by technological challenges, including unreliable networks, software design problems, and the lack of a streamlined approach. Lastly, participants identified future strategies for improving documentation, including the need for better EMR options and streamlining their individual documentation behaviors. Conclusions Many ATs wanted to incorporate EMRs in their clinical practice but faced challenges when attempting to do so. In turn, clinicians often duplicated documentation or used 2 platforms. Athletic trainers should communicate with administrators to select an EMR that fits their documentation needs and seek resources, such as network access and educational opportunities, to learn how to use EMRs.

“…25 Standard operating procedures and standardized reporting methods may provide strategies for improving documentation habits. 17,56 In addition, comprehensive and continuous EMR training preserves data quality, 56,57 and documentation peer reviews can hold clinicians accountable for their documentation practices. 57 Thus, these strategies should be used before and during EMR-based research efforts to optimize data quality.…”

Section: Considerationsmentioning

confidence: 99%

“…On a global health care level, electronic records have been used to better understand disease diagnoses and prognoses, 10,11 improve disease treatment and management strategies, 12,13 reduce health care costs, 14,15 and improve patient outcomes. 16 Because of these benefits, members of the Athletic Training Strategic Alliance 17 have encouraged the use of HIT in athletic training, including electronic records. Although the terms electronic medical record (EMR) and electronic health record (EHR) are often used interchangeably, they are different.…”

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confidence: 99%

Research at the Point of Care: Using Electronic Medical Record Systems to Generate Clinically Meaningful Evidence

Marshall

Lam

2020

Context: Health care leaders have recommended the use of health information technology to improve the quality of patient care. In athletic training, using informatics, such as electronic medical records (EMRs), would support practice-based decisions about patient care. However, athletic trainers (ATs) may lack the knowledge to effectively participate in point-of-care clinical research using EMRs.Objectives: To discuss the role of EMRs in athletic training and identify methodologic approaches to conducting clinical research at the point of care.