McLeod Gopi Anne, Annels Katerina, Cohen Jessica, Edwards Samuel, Hodgins Daniel, Vaughan Brett
School of Health & Human Sciences, Southern Cross University, Lismore, Australia.
School of Nursing & Midwifery, Central Queensland University, Noosa, Australia.
Chiropr Man Therap. 2017 Oct 3;25:26. doi: 10.1186/s12998-017-0158-7. eCollection 2017.
There is limited literature that explores the experiences of osteopaths injured while engaging in clinical practice. Evidence from other similar health professions has described the numerous effects of work-related musculoskeletal injuries (WRMI). Work-related musculoskeletal injury refers to trauma to joints, ligaments, muscles and tendons resulting from injury sustained while undertaking work duties. This research aimed to gain a contextualised understanding of the experiences of osteopaths who have sustained a work-related musculoskeletal injury while performing clinical practice.
This research used a descriptive qualitative design. Participants were recruited as part of a larger cross-sectional study. Thirteen Australian osteopaths who had sustained a work-related musculoskeletal injury consented to participate in semi-structured interviews during May and June 2016. Thematic analysis was used to elicit important themes from the interview transcripts that had been recorded and transcribed verbatim. The qualitative accounts provided by the participants were coded for the impacts of their injuries on work, home life and leisure activities.
The participants provided detailed, contextual information about their injuries, including the contributing factors and the experience of living with a WRMI. The findings indicate that injured osteopaths often continue working because of financial commitments and their dedication to patient care. The participants offered insights into the challenges they faced due to the injury and the management strategies they used to deal with the impact on their work and personal life. The injuries were mostly unreported, the burden being carried by the participants and their families.
This is the first research that explores the experiences of osteopaths who have sustained a WRMI. We anticipate that this research will encourage a broad and constructive discussion within the profession of the issues associated with WRMIs, including risk minimisation and injury prevention. Further research is warranted to understand the relationship between osteopaths training in ergonomics and injury prevention. This would lead to the development of guidelines and educational curricula addressing safe work for osteopaths.
探索整骨疗法医生在临床实践中受伤经历的文献有限。来自其他类似健康职业的证据描述了与工作相关的肌肉骨骼损伤（WRMI）的诸多影响。与工作相关的肌肉骨骼损伤是指在履行工作职责时遭受的损伤导致的关节、韧带、肌肉和肌腱创伤。本研究旨在深入了解在临床实践中遭受与工作相关肌肉骨骼损伤的整骨疗法医生的经历。
本研究采用描述性定性设计。参与者是作为一项更大的横断面研究的一部分招募的。13名遭受与工作相关肌肉骨骼损伤的澳大利亚整骨疗法医生同意在2016年5月和6月参加半结构化访谈。采用主题分析法从逐字记录和转录的访谈记录中提炼出重要主题。参与者提供的定性描述按照其损伤对工作、家庭生活和休闲活动的影响进行编码。
参与者提供了有关其损伤的详细背景信息，包括促成因素以及患有WRMI的经历。研究结果表明，受伤的整骨疗法医生常常因经济负担和对患者护理的投入而继续工作。参与者分享了他们因伤面临的挑战以及用于应对工作和个人生活影响的管理策略。这些损伤大多未上报，负担由参与者及其家人承担。
这是第一项探索遭受WRMI的整骨疗法医生经历的研究。我们预计这项研究将促使该行业就与WRMI相关的问题展开广泛而有建设性的讨论，包括风险最小化和损伤预防。有必要进一步开展研究以了解整骨疗法医生在人体工程学方面的培训与损伤预防之间的关系。这将促成制定针对整骨疗法医生安全工作的指南和教育课程。
