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Complementing or conflicting? A qualitative study of osteopaths’ perceptions of NICE low back pain and sciatica guidelines in the UK

Journal: International Journal of Osteopathic Medicine Date: 2019/03, 31Pages: 7-14. doi: Subito , type of study: qt

Free full text   (https://www.sciencedirect.com/science/article/abs/pii/S1746068918300798)

Keywords:

low back pain [413]
osteopathic manipulative treatment [2973]
osteopathic medicine [1540]
clinical guidance [2]
evidence-based practice [12]
clinical decision making [21]
UK [80]
qualitative study [209]

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 decisionmaking 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.


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