scholarly journals Work-Related Injury and Management Strategies Among Certified Athletic Trainers

2018 ◽  
Vol 53 (6) ◽  
pp. 606-618
Author(s):  
Kristen L. Kucera ◽  
Hester J. Lipscomb ◽  
Karen G. Roos ◽  
John M. Dement ◽  
Jennifer M. Hootman
Keyword(s):  
Confidence Interval ◽  
Medical Care ◽  
Online Survey ◽  
Athletic Trainers ◽  
Management Strategies ◽  
Workers Compensation ◽  
Certified Athletic Trainers ◽  
Work Limitations ◽  
Work Related ◽  
Injury Reporting

Context:  Health care workers have high rates of musculoskeletal injuries, but many of these injuries go unreported to workers' compensation and national surveillance systems. Little is known regarding the work-related injuries of certified athletic trainers (ATs). Objective:  To determine the 12-month incidence and prevalence of work-related injuries and describe injury-reporting and -management strategies. Design:  Cross-sectional study. Setting:  Population-based online survey. Patients or Other Participants:  Of the 29 051 ATs currently certified by the Board of Certification, Inc, who “opted in” to research studies, we randomly selected 10 000. Of these, 1826 (18.3%) ATs currently working in the clinical setting were eligible and participated in the baseline survey. Main Outcome Measure(s):  An online survey was e-mailed in May of 2012. We assessed self-reported work-related injuries in the previous 12 months and management strategies including medical care, work limitations or modifications, and time off work. Statistics (frequencies and percentages) were calculated to describe injury rates per 200 000 work hours, injury prevalence, injury characteristics, and injury-reporting and -management strategies. Results:  A total of 247 ATs reported 419 work-related injuries during the previous 12 months, for an incidence rate of 21.6 per 200 000 hours (95% confidence interval = 19.6, 23.7) and injury prevalence of 13.5% (95% confidence interval = 12.0%, 15.1%). The low back (26%), hand/fingers (9%), and knee (9%) were frequently affected body sites. Injuries were most often caused by bodily motion/overexertion/repetition (52%), contact with objects/equipment/persons (24%), or slips/trips/falls (15%). More than half of injured ATs (55.5%) sought medical care, 25% missed work, and most (77%) did not file a workers' compensation claim for their injury. Half of injured ATs were limited at work (n = 125), and 89% modified or changed their athletic training work as a result of the injury. Conclusions:  More than half of AT work-related injuries required medical care or work limitations and were not reported for workers' compensation. Understanding how ATs care for and manage their work-related injuries is important given that few take time off work.

scholarly journals Exploring Athletic Trainers' Self-Confidence for Interpreting Results from Concussion Assessments

2019 ◽  
Vol 34 (5) ◽  
pp. 756-756
Author(s):  
N R D’Amico ◽  
T Covassin ◽  
N Murray ◽  
P Schatz ◽  
R J Elbin
Keyword(s):  
Online Survey ◽  
Management Practices ◽  
Athletic Trainers ◽  
Team Approach ◽  
Neurocognitive Testing ◽  
Cross Sectional ◽  
Certified Athletic Trainers ◽  
Concussion Management ◽  
Self Confidence ◽  
National Athletic Trainers Association

Abstract Purpose To explore athletic trainers' self-confidence for interpreting results from concussion assessments. Methods An online survey was administered via the National Athletic Trainers’ Association (NATA) membership listserv to a cross-sectional sample of 10,000 certified athletic trainers (ATCs) employed in high school and collegiate settings. The survey included: 1) ATC demographics (i.e., age, sex, years of experience); 2) ATC concussion management practices (i.e., previous concussion training, continuing education received on concussion, concussion assessments administered); and 3) a 4-point Likert scale (1=no confidence, 4=high confidence) assessing ATC self-confidence for interpreting results from concussion assessments. A total of 725 ATCs completed the survey yielding a response rate of 7.25%; 114 were excluded for missing data and 611 ATCs were included in final analyses. Sample demographics, ATC concussion management practices, and ATC self-confidence scores were examined with demographic statistics (i.e., means, standard deviations, frequencies, percentages) for 16 commonly used concussion assessments. Results The sample of ATCs (mean age 38.97±14.89 years) was predominately female (59.2%) and reported an average of 10.08±7.58 years of clinical experience. Clinical examinations (63.2%) and symptom scales (61.4%) were among the most frequent assessments with high ATC self-confidence for interpretation. Vestibular/oculomotor measures (27.2%) and computerized neurocognitive testing (26.2%) were among the most frequent assessments with low ATC self-confidence for interpretation. Conclusion Low ATC self-confidence scores for interpreting results from vestibular/oculomotor measures and computerized neurocognitive testing highlight the importance of incorporating a multi-disciplinary team approach and including sport neuropsychologists for the proper management of concussion.

Employer Perceptions of the Academic Preparation of Entry-Level Certified Athletic Trainers

2009 ◽  
Vol 4 (2) ◽  
pp. 70-74 ◽  
Author(s):  
J. Brett Massie ◽  
Adam J. Strang ◽  
Rose Marie Ward
Keyword(s):  
Online Survey ◽  
Athletic Trainers ◽  
Academic Preparation ◽  
Medical Community ◽  
Certified Athletic Trainers ◽  
Content Areas ◽  
Entry Level ◽  
Clinical Preparation ◽  
Perceived Satisfaction ◽  
Interpersonal Communications

Objective: To determine employers' (clinic based ATs) perceived satisfaction of the academic preparation of entry-level ATs, and to identify perceived inadequacies of the (ATEP) curriculum. Design and Setting: Athletic trainers employed in clinical setting completed an online survey instrument. Subjects: One-hundred-four ATs serving in the NATA defined clinical employment setting who had supervised an entry-level employee. Measurements: Participants completed an online survey evaluating their employee's didactic and clinical preparation for entry-level employment on a 4-point scale and 34 statements on a 5-point Likert scale to ascertain their satisfaction of the employee's academic preparation across the content areas comprising the BOC domains of knowledge and skills. Statistical analysis was conducted using a Cronbach's Alpha to evaluate internal consistency (.79–.88) of the scales. Results: Only 104/1716 (6%) of employers responded to the survey. These employers rated the didactic and clinical preparation of their entry-level employees as adequate (75%, N=77), and there were no apparent deficiencies in employee preparation when comparing across content areas. Employers did report that interpersonal skills, as opposed to technical skills, were an area that could be expanded upon. Conclusions: Employers perceived that ATEP's are adequately preparing students, both academically and clinically, for entry-level positions within the profession, although they should provide students more opportunities for interpersonal communications with coaches, parents, and the medical community.

Characteristics of Athletic Training Students That Preceptors Find Desirable

2016 ◽  
Vol 11 (1) ◽  
pp. 27-31 ◽  
Author(s):  
W. David Carr ◽  
Spencer Thomas ◽  
Jenica Paulsen ◽  
Jennifer Chiu
Keyword(s):  
Athletic Training ◽  
Communication Skills ◽  
Online Survey ◽  
Outcome Measure ◽  
Rank Order ◽  
Athletic Trainers ◽  
Descriptive Statistics ◽  
Athletic Training Students ◽  
Certified Athletic Trainers ◽  
Athletic Training Student

Context: Athletic training students acquire clinical hours under the direct supervision of athletic training preceptors. Objective: The purpose of this project was to explore what characteristics preceptors desire in their athletic training students. Design and Setting: Online survey instrument. Patients or Other Participants: A total of 286 certified athletic trainers (128 male, 158 female; average years experience 10.58 ± 8.48). Participants were required to be current preceptors and have 1 or more years of preceptor experience. Main Outcome Measure(s): An instrument of 21 questions, including 7 demographics, 13 Likert-scale (1 = not important; 10 = strongly important), and 1 rank order item was developed. Validity of the instrument was established by a review of experts. An analysis of internal consistency revealed an α of .834. Data was analyzed with SPSS (version 20.0; IBM Inc, Chicago, IL). Basic descriptive statistics were calculated, and an analysis of variance was conducted to determine differences. Results: Top 3 characteristics seen amongst all settings were initiative (mean = 9.091 ± 1.166), communication skills (mean = 8.769 ± 1.241), and intelligence (mean = 8.723 ± 1.247). Gender differences were observed in 4 of the 13 characteristics. Conclusions: Findings demonstrated initiative, communication skills, and intelligence to be perceived as the most important athletic training student characteristics. These findings differ with previous literature and the preliminary focus group findings, where emotional intelligence and communication skills were reported to be of greater importance.

scholarly journals The Self-Efficacy of Certified Athletic Trainers in Assessing and Managing Sport-Related Concussions

2018 ◽  
Vol 53 (10) ◽  
pp. 983-989 ◽  
Author(s):  
Jennifer L. Savage ◽  
Tracey Covassin
Keyword(s):  
High School ◽  
Self Efficacy ◽  
Online Survey ◽  
Athletic Trainers ◽  
School Setting ◽  
Cross Sectional Study ◽  
The Self ◽  
Return To Play ◽  
Cross Sectional ◽  
Certified Athletic Trainers

Context:  Diagnostic and return-to-play assessments of athletes with sport-related concussions (SRCs) have changed dramatically over the past decade. Currently, SRC assessment and management has taken a multifaceted approach, with new SRC measures being developed yearly. However, to date, no researchers have examined certified athletic trainers' (ATs') self-efficacy in assessing and managing a patient with an SRC. Objective:  To examine the self-efficacy of ATs in assessing and managing athletes with SRCs, with a secondary purpose of examining job setting (high school and college). Design:  Cross-sectional study. Setting:  Web-based questionnaire. Patients or Other Participants:  A total of 94 ATs (high school setting = 54.3%, n = 51; collegiate setting = 45.7%, n = 43) completed an online survey, for a response rate of 9.2%. Main Outcome Measure(s):  The survey contained 3 primary subsections: demographics, self-efficacy in assessing SRCs, and self-efficacy in managing SRCs. Possible self-efficacy ratings for SRC assessment and management in the survey ranged from 0 to 100. Multivariate analyses of variance were performed to identify differences in the self-efficacy of high school and collegiate ATs in assessing and managing athletes with SRCs. Results:  The self-efficacy of all 94 participants in their assessment of SRCs was 60.34 ± 14.5 and in their management of SRCs was 55.30 ± 14.1. Collegiate ATs reported higher self-efficacy in the assessment of SRCs using balance (P < .001) and the King-Devick test (P = .04), and their responses approached significance for vestibular-ocular motor screening (P = .05). Additionally, their self-efficacy in the management of SRCs was greater using balance (P < .001) and vestibular-ocular therapy (P = .01) compared with high school ATs. Conclusions:  Athletic trainers had moderate self-efficacy regarding their assessment and management of SRCs. Collegiate ATs had higher self-efficacy in newer SRC assessment and management tools than high school ATs.

Certified Athletic Trainers' Perspectives on Rehabilitation Adherence in Collegiate Athletic Training Settings

2014 ◽  
Vol 23 (2) ◽  
pp. 123-133 ◽  
Author(s):  
Megan D. Granquist ◽  
Leslie Podlog ◽  
Joanna R. Engel ◽  
Aubrey Newland
Keyword(s):  
Athletic Training ◽  
Outcome Measures ◽  
Online Survey ◽  
Injury Severity ◽  
Athletic Trainers ◽  
The United States ◽  
Return To Play ◽  
Certified Athletic Trainers ◽  
Rehabilitation Adherence ◽  
Content Analyses

Context:Adherence to sport-injury rehabilitation protocols may be pivotal in ensuring successful rehabilitation and return-to-play outcomes.Objectives:To investigate athletic trainers' perspectives related to the degree to which rehabilitation adherence is an issue in collegiate athletic training settings, gain insight from certified athletic trainers regarding the factors contributing to rehabilitation nonadherence (underadherence and overadherence), and ascertain views on the most effective means for promoting adherence.Design:Crosssectional, mixed methods.Setting:Collegiate athletic training in the United States.Participants:Certified athletic trainers (n = 479; 234 male, 245 female).Main Outcome Measures:Online survey consisting of 3 questions regarding rehabilitation adherence, each followed by an open-ended comments section. Descriptive statistics were calculated for quantitative items; hierarchical content analyses were conducted for qualitative items.Results:Most (98.3%) participants reported poor rehabilitation adherence to be a problem (1.7% = no problem, 29.2% = minor problem, 49.7% = problem, 19.4% = major problem), while most (98.96%) participants reported that they had athletes who exhibited poor rehabilitation adherence (1% = never, 71.4% = occasionally, 22.5% = often, 5% = always). In addition, the majority (97.91%) of participants reported that overadherence (eg, doing too much, failing to comply with activity restrictions, etc) was at least an occasional occurrence (2.1% = never, 69.3% = occasionally, 26.3% = often, 1.9% = always). Hierarchical content analyses regarding the constructs of poor adherence and overadherence revealed 4 major themes: the motivation to adhere, the development of good athletic trainer–athlete rapport and effective communication, athletic trainers' perception of the coaches' role in fostering adherence, and the influence of injury- or individual- (eg, injury severity, sport type, gender) specific characteristics on rehabilitation adherence.Conclusions:These results suggest that participants believe that underadherence (and to a lesser extent overadherence) is a frequent occurrence in collegiate athletic training settings. Strategies for enhancing rehabilitation adherence rates and preventing overadherence may therefore be important for optimizing rehabilitation outcomes.

scholarly journals National Athletic Trainers' Association Position Statement: Environmental Cold Injuries

2008 ◽  
Vol 43 (6) ◽  
pp. 640-658 ◽  
Author(s):  
Thomas A. Cappaert ◽  
Jennifer A. Stone ◽  
John W. Castellani ◽  
Bentley Andrew Krause ◽  
Daniel Smith ◽  
...  
Keyword(s):  
Health Care ◽  
At Risk ◽  
Health Care Providers ◽  
Athletic Trainers ◽  
Position Statement ◽  
Care Providers ◽  
Certified Athletic Trainers ◽  
Problem Solving Skills ◽  
Work Related ◽  
National Athletic Trainers Association

Abstract Objective: To present recommendations for the prevention, recognition, and treatment of environmental cold injuries. Background: Individuals engaged in sport-related or work-related physical activity in cold, wet, or windy conditions are at risk for environmental cold injuries. An understanding of the physiology and pathophysiology, risk management, recognition, and immediate care of environmental cold injuries is an essential skill for certified athletic trainers and other health care providers working with individuals at risk. Recommendations: These recommendations are intended to provide certified athletic trainers and others participating in athletic health care with the specific knowledge and problem-solving skills needed to address environmental cold injuries. Each recommendation has been graded (A, B, or C) according to the Strength of Recommendation Taxonomy criterion scale.

scholarly journals Work-related illness and injury claims among nationally certified athletic trainers reported to Washington and California from 2001 to 2011

2016 ◽  
Vol 59 (12) ◽  
pp. 1156-1168 ◽  
Author(s):  
Kristen L. Kucera ◽  
Karen G. Roos ◽  
Jennifer M. Hootman ◽  
Hester J. Lipscomb ◽  
John M. Dement ◽  
...  
Keyword(s):  
Athletic Trainers ◽  
Certified Athletic Trainers ◽  
Work Related

Impairment Tutorial: Rating Facial Disfigurement After an Injury

1998 ◽  
Vol 3 (4) ◽  
pp. 6-6
Author(s):  
Marc T. Taylor
Keyword(s):  
Current Work ◽  
Workers Compensation ◽  
Loss Of Function ◽  
Facial Disfigurement ◽  
Work Related ◽  
Work Related Injury ◽  
Compensation Claim ◽  
Impairment Ratings

Abstract This article discusses two important cases that involve the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides). First, in Vargas v Industrial Com’n of Arizona, a claimant had a pre-existing non–work-related injury to his right knee as well as a work-related injury, and the issue was apportionment of the pre-existing injury. The court held that, under Arizona's statute, the impairment from the pre-existing injury should be subtracted from the current work-related impairment. In the second case, Colorado courts addressed the issue of apportionment in a workers’ compensation claim in which the pre-existing injury was asymptomatic at the time of the work-related injury (Askey v Industrial Claim Appeals Office). In this case, the court held that the worker's benefits should not be reduced to account for an asymptomatic pre-existing condition that could not be rated accurately using the AMA Guides. The AMA Guides bases impairment ratings on anatomic or physiologic loss of function, and if an examinee presents with two or more sequential injuries and calculable impairments, the AMA Guides can be used to apportion between pre-existing and subsequent impairments. Courts often use the AMA Guides to decide statutorily determined benefits and are subject to interpretation by courts and administrative bodies whose interpretations may vary from state to state.

Patient Satisfaction in Workers' Compensation Medical Care

2007 ◽  
Vol 19 (3) ◽  
pp. 204 ◽  
Author(s):  
Hwa Pyung Lee ◽  
Hyoung June Im ◽  
Young Su Ju ◽  
Young Jun Kwon ◽  
Hee Tae Kang ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Medical Care ◽  
Workers Compensation
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