Department of Kinesiology, University of Connecticut, Storrs.
Department of Athletic Training, University of Lynchburg, VA. Dr Pike Lacy is now at A.T. Still University, Mesa, AZ.
J Athl Train. 2020 Mar;55(3):303-311. doi: 10.4085/1062-6050-84-19. Epub 2020 Jan 27.
Organizational conflict, particularly between coaches and medical professionals, has been reported in collegiate athletics. Different values create room for conflict between coaches and athletic trainers (ATs); however, ATs' experiences when making medical decisions are not fully understood.
To investigate the presence of organizational conflict regarding medical decision making and determine if differences exist across athletic affiliations.
Cross-sectional study.
Collegiate athletics (National Collegiate Athletic Association [NCAA], National Association of Intercollegiate Athletics [NAIA], National Junior College Athletic Association [NJCAA]).
A total of 434 ATs responded (age = 27.7 ± 3.2 years, years certified = 5.2 ± 2.7), representing the NCAA Division I (DI; n = 199), Division II (DII; n = 67), Division III (DIII; n = 108); NAIA (n = 37); and NJCAA (n = 23) settings.
MAIN OUTCOME MEASURE(S): The survey instrument contained quantitative measures and open-ended questions, with affiliation as our primary independent variable. Responses to Likert-scale questions (1 = , 5 = ) regarding organizational pressures within athletics served as the dependent variables. Kruskal-Wallis analysis-of-variance and Mann-Whitney post hoc tests assessed differences in organizational conflict across affiliations. Open-ended questions were analyzed inductively.
We obtained a 14.47% (434 of 3000) response rate. National Collegiate Athletic Association DI ATs disagreed less than NCAA DII and DIII and NJCAA ATs that they would worry about job security if turnover in the head coaching position occurred ( < .05). Regarding the influence of coaches on job performance, differences were found between NCAA DI and DIII and between DI and NJCAA ATs ( < .01). Visibility of the injury and situational factors influenced the level of perceived pressure.
Athletic trainers perceived pressure from coaches regarding medical decision making. Division I ATs placed greater emphasis on the role that coaches played in their job performance and job security. Athletic departments should consider transitioning to patient-centered models of care to better align values and reduce the external pressures placed on ATs.
在大学生体育项目中，教练和医务人员之间存在组织冲突，特别是在高校。不同的价值观为教练和运动训练师（ATs）之间的冲突创造了空间；然而，ATs 在做出医疗决策时的经验尚不完全清楚。
调查与医疗决策相关的组织冲突的存在，并确定在不同的运动联系中是否存在差异。
横断面研究。
高校体育（全国大学体育协会[NCAA]，全国大学体育协会[NAIA]，全国初级学院体育协会[NJCAA]）。
共有 434 名 ATs 回应（年龄=27.7±3.2 岁，认证年限=5.2±2.7），代表 NCAA 一级（DI；n=199），二级（DII；n=67），三级（DIII；n=108）；NAIA（n=37）；和 NJCAA（n=23）的设置。
调查工具包含定量测量和开放式问题，以隶属关系作为我们的主要独立变量。对体育组织内的组织压力的李克特量表问题（1=，5=）的回答作为因变量。使用 Kruskal-Wallis 方差分析和 Mann-Whitney U 事后检验评估隶属关系之间的组织冲突差异。对开放式问题进行归纳性分析。
我们获得了 14.47%（434 人中有 3000 人）的回复率。与 NCAA DII 和 DIII 以及 NJCAA ATs 相比，NCAA DI ATs 认为如果主教练职位发生变动，他们不会担心工作安全（<.05）。关于教练对工作表现的影响，NCAA DI 和 DIII 以及 DI 和 NJCAA ATs 之间存在差异（<.01）。受伤的可见性和情境因素影响了感知压力的水平。
运动训练师对教练在医疗决策方面的压力感到压力。一级 ATs 更加重视教练在工作表现和工作安全方面的作用。体育部门应考虑过渡到以患者为中心的护理模式，以更好地调整价值观并减少对 ATs 的外部压力。
