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The knowledge and perceptions of provincial and national Health Portfolio Committee members of South Africa regarding the chiropractic professionMaharaj, Praveena January 2009 (has links)
Mini-dissertation in partial compliance with the requirements for the Masters Degree in Technology: Chiropractic, Durban University of Technology, 2009. / Aim: The aim of this study was to establish the relationship between demographics of
honourable members, their level of knowledge of and the perceptions of the chiropractic
profession.
Methods: A questionnaire-based survey was administered to 84 Health Portfolio
Committee (HPC) members at their meetings as requested through the respective
committee secretaries. The questionnaire was administered in a semi supervised
fashion at the set meetings.
Results: A response rate of 64% revealed that the mean knowledge score of 31.4%
was relatively low. The mean perceptions score was 38.2%, indicating an overall
negative perception of chiropractic amongst this population. Experience did indeed
influence perceptions significantly (p=0.035) with those having consulted a chiropractor
before having higher perceptions scores.
No significant correlations existed between knowledge and perception and the
demographic variables with the exception of ethnicity. This was enhanced by a weak
statistically significant positive correlation between knowledge and perceptions score
(r=0.394, p=0.004). The weak strength of the correlation shows that in general, as
knowledge increased so did perceptions.
Conclusion: Generally knowledge and perception of chiropractic was low in this
population and seems to be influenced principally by the ethnicity / culture within which
the honourable members operate (whether it is within the medical paradigm or their
individual cultural orientation). Thus increasing the awareness and knowledge of
chiropractic in this group may lead to more positive knowledge scores and perception
levels.
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The knowledge, attitudes, perceptions and perceived barriers of chiropractors within the eThekwini Municipality towards evidence-based practiceNaidoo, Divashni January 2018 (has links)
Submitted in partial compliance with the requirements for the Master’s Degree in Technology: Chiropractic, Durban University of Technology, Durban, South Africa, 2018. / Background
ABSTRACT
In the chiropractic profession, it has been an established goal to utilise evidence-based practice (EBP) in clinical practice in order to empower chiropractors to develop effective treatment protocols. However, the extent to which chiropractors are utilising EBP, and the factors associated with its implementation in practice is unknown. The lack of research in this regard suggests that further studies need to be undertaken within the chiropractic profession in South Africa in order to fully understand the relationship of factors which contribute to the adoption and application of EBP by chiropractors in clinical practice. Therefore, the aim of this study was to investigate the knowledge of, attitudes towards, perceptions of and perceived barriers towards EBP by chiropractors within the eThekwini municipality.
Method
A pre-validated cross sectional descriptive survey was administered to chiropractors practicing within the eThekwini municipality (n = 101) by hand delivery. The questionnaire was validated by means of a focus group and pilot testing. Participants gave informed consent prior to participation. Data were analysed using using SPSS Statistics 24.0 and Statgraphics Centurion 15.1 (2006) to determine the descriptive and inferential statistics while the open- ended questions were analysed qualitatively using manifest coding.
Results
A response rate of 51% (n=51) was obtained. The majority of respondents were male (51%), mean age of 37.8 years, practicing for less than 19 years, working in full time practice (76.5%) between 40 and 49 hours per week (45.1%). The majority of the respondents had a positive attitude and perception towards EBP with respondents showing a willingness to improve skills (72.6%) and utilisation (52.9%) of EBP. Respondent 15 explained that “it is very important to have the skills in order to utilise EBP. Once you have the skills, utilising EBP becomes easy”. Responses highlighted that respondents are engaging with scientific literature when necessary and possess the skills necessary to utilise EBP. The majority of respondents believe that they had a strong academic foundation in their knowledge and skills related to accessing and interpreting information, yet 47.1% reported not having received formal training in search strategies to access literature. However, most felt confident about their knowledge and skills to utilise EBP. Insufficient time (66.7%), lack of generalisability of the literature findings to their patient population (49.0%) and the inability to apply research findings to individual patients with unique characteristics (45.1%) were the three top barriers identified. Respondent 12 described: “most articles are vague or time consuming and searching for
relevant, up to date and reliable articles is a difficult process that can take a lot of time” as a possible barrier to utilising EBP.
Conclusion
The respondents in this study had a favourable attitude towards, and perception of, EBP and its usefulness to chiropractic practice. However, like other healthcare professionals they felt that they had insufficient time to utilise EBP. This study also highlighted the importance of academic institutions providing the necessary skills required to utilise EBP. It is recommended that workshops focusing on EBP principles and training are arranged to assist practitioners in integrating EBP into practice / M
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"Methodological and epistemological challenges for the chiropractic profession in health care - a study of the history, status quo and future of research and clinical practices."Myburgh, Corrie 10 1900 (has links)
Thesis (DPhil)--University of Stellenbosch, 2005. / ENGLISH ABSTRACT: Although a legitimate provider of manipulative therapy, chiropractic largely functions
outside mainstream health care in South Africa. A narrow research focus, poor
institutional representation and inadequate professional integration all contribute to
its undetermined role in health care.
This study exploratory, qualitative study sought to investigate the state of the art of
chiropractic with respect to beliefs, philosophy, research methods and clinical
practices.
Semi-structured, interviews were used to extract responses from ten chiropractors,
six patients and four researchers.
The results were interpreted on three levels; thematically, in relation to chiropractic’s
discipline and profession and as a function of the ‘3 worlds’ framework.
The thematic analysis revealed that:
1. Beliefs and philosophical traditions play an active role in the practice and
science of chiropractic.
2. The chiropractic investigative paradigm has started to mature.
3. The contextual role of research methods is being clarified.
4. Contemporary chiropractic practice is not as evidence-based as it should be.
5. The chiropractic model of practice is significantly different to the perceived
standard medical model.
6. Chiropractic clinical practice has a fuzzy identity.
7. Chiropractic’s professional status is unclear.
8. The professional and disciplinary components of chiropractic are still
institutionally immature.
9. Chiropractic’s legitimacy is questionable.
Themes 1-3 indicated that beliefs and philosophical traditions affect the way in which
chiropractors conduct themselves clinically, the way patients view the world of health
care and the manner in which researchers study clinical phenomena. Themes 4-6
suggest that the state of the art of chiropractic clinical practice is different from
medicine, however the exact nature of its model of practice seems quite fluid.
Themes 7, 8 and 9 suggest that the degree of professional and institutional maturity
provide chiropractic with only partial legitimization.With regards to the discipline it seems that science and education have an important
buffering role to play between the patient and the practitioner, in order to curb
metaphysically motivated practices. Furthermore, chiropractic’s investigative
paradigm is progressing atypically and hence the view of it conforming to a standard
view of science is questioned.
With regards to professional matters, our study indicates that chiropractors function
on a spectrum which runs between “technicians” and “physicians”. Whilst patients
have holistic health care beliefs it seems they are pushed toward chiropractic,
through negative allopathic health care experiences and are drawn to the profession
by its integrated model of practice. However, the lack of mainstream healthcare
integration counter balances this worth and reduces chiropractic’s professional
legitimacy.
Two cross over themes were revealed. Firstly, chiropractic’s investigative paradigm
has started to narrow the gap between applied science and clinical practice and
secondly chiropractic’s legitimacy cannot lie in the opinion of medicine.
The ‘three worlds’ framework indicated that the first three themes are meta-scientific
(W3) reflections on beliefs, philosophical traditions and research methodology. The
fourth theme reflects the relationship of research and practice (W2 and W1), and the
remaining five themes are reflections clinical practice (W1 activities).
Our study contends that chiropractic has the potential to develop into a mainstream
health care provider through the implementation of a multi-leveled development
strategy. / AFRIKAANSE OPSOMMING: Alhoewel chiropraktyk ’n geoorloofde verskaffer van manipulasieterapie is,
funksioneer dit grootliks buite hoofstroomgesondheidsorg in Suid-Afrika. ’n Eng
navorsingsfokus, swak institusionele verteenwoordiging en ontoereikende
professionele integrasie het tot die onbepaalde rol van chiropraktyk in
gesondheidsorg bygedra.
Hierdie verkennende kwalitatiewe studie het gepoog om chiropraktiese praktyk ten
opsigte van oortuiginge, filosofie, navorsingsmetodes en kliniese praktyke te
ondersoek. Semi-gestruktureerde onderhoude is gebruik om response van tien
chiropraktisyns, ses pasiënte en vier navorsers te verkry. Die uitslae is op drie vlakke
geïnterpreteer: (i) tematies; (ii) met betrekking tot die chiropraktiese dissipline en
beroep; en (iii) as ’n funksie van die “drie wêrelde”-raamwerk.
Die tematiese analise het die volgende blootgelê:
1. Oortuiginge en filosofiese tradisies speel ’n aktiewe rol in die praktyk en
wetenskap van chiropraktyk.
2. Die chiropraktiese ondersoekende paradigma is besig om verder te ontwikkel.
3. Die kontekstuele rol van navorsingsmetodes word duideliker gemaak.
4. Hedendaagse chiropraktiese praktyk is nie soveel op bewyse gegrond as wat
dit behoort te wees nie.
5. Die chiropraktiese model van praktyk verskil aansienlik van die aanvaarde
standaard- mediese model.
6. Die identiteit van chiropraktiese kliniese praktyk is vaag.
7. Chiropraktyk se professionele status is onduidelik.
8. Die professionele en dissiplinêre komponente van chiropraktyk is steeds
institusioneel onderontwikkel.
9. Die legitimiteit van chiropraktyk is betwisbaar.
Temas 1 tot 3 het daarop gedui dat oortuiginge en filosofiese tradisies die wyses
beïnvloed waarop chiropraktisyns klinies handel, waarop pasiënte die wêreld van
gesondheidsorg sien, en waarop navorsers kliniese verskynsels bestudeer. Uit temas
4 tot 6 kan afgelei word dat chiropraktiese kliniese praktyk van geneeskunde verskil;
die presiese aard van die praktykmodel kom egter heel onbestendig voor. Uit temas
7, 8 en 9 kan afgelei word dat die graad van professionele en institusionele
ontwikkeling chiropraktyk slegs gedeeltelik legitimeer.
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