Department of Chiropractic, Macquarie University, Balaclava Rd, Sydney, NSW, 2109, Australia.
Chiropractic Academy of Research Leadership (CARL), Odense, Denmark.
Chiropr Man Therap. 2021 Feb 2;29(1):5. doi: 10.1186/s12998-021-00365-6.
Chiropractic students demonstrate philosophically opposing views about the chiropractic profession. The primary aim was to describe chiropractic students' responses to statements about chiropractic identity, role, setting, and future direction. A secondary aim was to describe the frequency of internally conflicting responses.
Three datasets from Europe, North America, and Australia/New Zealand were pooled in a secondary data analysis. Chiropractic students from 25 chiropractic training institutions completed interrelating surveys (combined response rate 21.9%) between 2013 and 2018. The survey instrument investigated student viewpoints about chiropractic professional identity, role, practice setting and future direction of chiropractic practice. Student attitudes about chiropractic were described using weighted proportions to adjust for unequal population sampling across the three geographical regions. The frequency of concordant and discordant student responses was described by combining identity items with items that explored responses about practice role, setting and future direction. The relationship between student characteristics (age, sex, education, association membership and geographical region) and ideologically conflicting responses were assessed using the Chi-squared test and Cramér's V.
Data from 2396 student chiropractors (50.8% female; from Europe 36.2%, North America 49.6% and Australia/New Zealand 14.5%) were analysed. For identity, nearly half of the chiropractic students (weighted 45.1%) agreed that it is important for chiropractors to hold strongly to the traditional chiropractic theory that adjusting the spine corrects "dis-ease" and agreed (weighted 55.5%) that contemporary and evolving scientific evidence is more important than traditional chiropractic principles. The frequency of discordant (ideologically conflicting) student responses ranged from 32.5% for statements about identity versus role, to 51.4% for statements about identity versus future. There was no association between student age, sex and internally conflicting responses. Chiropractic students' professional association membership status, pre-chiropractic education and geographical region were associated with ideologically conflicting responses.
Chiropractic students in this analysis show traditional and progressive attitudes towards the chiropractic profession. Individual student responses frequently contradict in terms of professional ideology, but most (approximately half) students demonstrate concordant progressive and mainstream attitudes. Ideological conflict may raise concerns about some students' ability to learn and make clinical judgements, and potential for disharmony in the chiropractic fraternity.
整脊学生对整脊专业表现出哲学上的对立观点。主要目的是描述整脊学生对整脊专业身份、角色、环境和未来方向的陈述的反应。次要目的是描述内部冲突反应的频率。
对来自欧洲、北美和澳大拉西亚/新西兰的三个数据集进行二次数据分析。2013 年至 2018 年间，来自 25 所整脊培训机构的整脊学生完成了相互关联的调查（综合应答率为 21.9%）。调查工具调查了学生对整脊专业身份、角色、实践环境和整脊实践未来方向的观点。使用加权比例来描述学生对整脊的态度，以调整三个地理区域的人口抽样不均衡。通过将身份项目与探索实践角色、环境和未来方向的项目相结合，描述了一致和不一致的学生反应的频率。使用卡方检验和 Cramér's V 评估学生特征（年龄、性别、教育、协会成员和地理位置）与意识形态冲突反应之间的关系。
分析了来自 2396 名学生整脊医生的数据（50.8%为女性；欧洲占 36.2%，北美占 49.6%，澳大拉西亚/新西兰占 14.5%）。在身份方面，近一半的整脊学生（加权 45.1%）认为整脊医生坚持传统的整脊理论，即调整脊柱可以纠正“疾病”很重要，同时（加权 55.5%）认为当代和不断发展的科学证据比传统的整脊原则更重要。不一致（意识形态冲突）学生反应的频率范围从身份与角色的陈述的 32.5%到身份与未来的陈述的 51.4%。学生年龄、性别与内部冲突反应之间没有关联。学生的专业协会会员身份、整脊前教育和地理位置与意识形态冲突反应有关。
在这项分析中，整脊学生对整脊专业表现出传统和进步的态度。个别学生的反应在专业意识形态方面经常相互矛盾，但大多数（约一半）学生表现出一致的进步和主流态度。意识形态冲突可能会引起人们对一些学生学习和做出临床判断的能力以及整脊行业内部不和谐的担忧。
