南非一所大学的刚毕业的脊椎治疗师在孕妇临床管理方面的经验与看法。
Experiences and perceptions of newly graduated chiropractors from a South African university in their clinical management of pregnant women.
作者信息
Strydom Talita, Sibiya Maureen Nokuthula, Varatharajullu Desiree
机构信息
Talita Strydom (corresponding author) is in private practice (12 Nahoon St, Sherwood, 6025, Gqeberha, South Africa;
Maureen Nokuthula Sibiya is an adjunct professor, faculty of health sciences, Durban University of Technology (PO Box 1334, Durban, 4000, South Africa;
出版信息
J Chiropr Educ. 2025 May 31;39. doi: 10.7899/JCE-24-13.
OBJECTIVE
The study aimed to explore the experiences and perceptions of newly graduated chiropractors in the musculoskeletal management of pregnant women from our university in KwaZulu-Natal, South Africa.
METHODS
A qualitative, explorative, descriptive research design was used. A purposive sample of 12 newly graduated chiropractors participated in semistructured interviews. The data were electronically stored, transcribed verbatim, and analyzed using thematic analysis.
RESULTS
The participants expressed a lack of self-perceived confidence and knowledge, particularly regarding patients in their 3rd trimester. However, many graduates demonstrated an interest in treating pregnant patients and sought guidance from more experienced chiropractors. There was a notable desire for post-qualification enhancement with participants expressing the use of external resources, such as webinars and consultations, to refine their management strategies for pregnant women. Challenges with patient positioning, contraindications for spinal manipulation, and the need to develop trimester-specific treatment plans were key obstacles noted. New graduates emphasized the need for more comprehensive training on pregnancy-related issues within the chiropractic program. Overall, these findings highlight the need for enhanced educational chiropractic frameworks to better prepare chiropractors for the complexities of managing pregnant patients effectively.
CONCLUSION
Newly graduated chiropractors from our program felt underprepared due to limited practical training and exposure. Participants expressed a desire for enhanced practical experiences and specialized courses, emphasizing the need for curriculum improvements that bridge the gap between theoretical knowledge and practical application. The findings can assist in the development of a chiropractic program that better prepare graduates for managing pregnant patients.
目的
本研究旨在探讨南非夸祖鲁 - 纳塔尔省我校新毕业的脊椎按摩师在孕妇肌肉骨骼管理方面的经验和看法。
方法
采用定性、探索性、描述性研究设计。目的抽样选取12名新毕业的脊椎按摩师参与半结构化访谈。数据以电子方式存储，逐字转录，并采用主题分析法进行分析。
结果
参与者表示缺乏自我认知的信心和知识，尤其是在处理孕晚期患者方面。然而，许多毕业生表现出治疗孕妇的兴趣，并向经验更丰富的脊椎按摩师寻求指导。参与者明显希望在获得资格后得到提升，他们表示会利用网络研讨会和咨询等外部资源来完善对孕妇的管理策略。患者体位摆放的挑战、脊柱推拿的禁忌症以及制定特定孕期治疗计划的必要性是所指出的关键障碍。新毕业生强调在脊椎按摩课程中需要进行更全面的与怀孕相关问题的培训。总体而言，这些发现凸显了加强脊椎按摩教育框架的必要性，以便更好地让脊椎按摩师为有效管理孕妇的复杂性做好准备。
结论
我们项目新毕业的脊椎按摩师因实践培训和接触有限而感到准备不足。参与者表示希望获得更多实践经验和专业课程，强调需要改进课程，弥合理论知识与实际应用之间的差距。这些发现有助于制定一个能让毕业生更好地管理孕妇的脊椎按摩课程。
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