Complementing or conflicting? A qualitative study of osteopaths’ perceptions of NICE low back pain and sciatica guidelines in the UK
Inman, J and Thomson, O P (2019) Complementing or conflicting? A qualitative study of osteopaths’ perceptions of NICE low back pain and sciatica guidelines in the UK. International Journal of Osteopathic Medicine, 31. pp. 7-14. ISSN 1746-0689
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Abstract
Objectives: Clinical practice guidelines (CPGs) have been developed to improve standards of healthcare delivery and are associated with better clinical outcomes. In the UK, the National Institute for Health and Care Excellence (NICE) produced guidelines for the treatment of low back pain and sciatica. However, guideline resistant attitudes have been demonstrated by healthcare professionals, including osteopaths. Methods: A qualitative study design was chosen, utilising constructivist grounded theory method as a framework to explore osteopaths’ perceptions of NICE low back pain and sciatica guidelines in the UK. Seven participants were interviewed, with their interviews transcribed and coded. Results: Osteopaths’ perceptions of NICE Low Back Pain and Sciatica guidelines are influenced by their conception of uncertainty in the clinical environment, their views of knowledge, approach to clinical decision-making and their professional identity. Conclusions: Osteopaths' views of NICE low back pain and sciatica guidelines are varied. Some of these views of LBP guidelines may act as obstacles to their implementation. Pre- and post- osteopathy registration educational strategies should aim to facilitate positive attitudes towards the use of clinical guidance abd the utilisation CPGs in clinical practice. © 2019 Elsevier Ltd
| Item Type: | Article |
|---|---|
| Keywords: | Article,Clinical decision-making,Clinical guidance,Evidence-based practice,Low back pain,Osteopathic Medicine,Osteopathy,United Kingdom,clinical decision making,clinical outcome,female,health care delivery,health care personnel,human,knowledge,low back pa |
| Divisions: | Faculty of Medicine, Health and Life Sciences > School of Medicine |
| Depositing User: | Dr Hilary Abbey |
| Date Deposited: | 21 Dec 2020 13:01 |
| Last Modified: | 26 Sep 2023 13:16 |
| URI: | https://uco.repository.guildhe.ac.uk/id/eprint/86 |
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