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Collegiate Athletic Trainers' Experiences With External Pressures Faced During Decision Making.

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Athletic trainers in NCAA Division I Football Bowl Subdivision face expected pressure regarding athlete return-to-play decisions. Implementing communication and relationship strategies can improve patient-centered care.

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Area of Science:

  • Sports Medicine
  • Athletic Training
  • Sports Psychology

Background:

  • Prevalent conflict exists between sports medicine professionals and coaching staff over return-to-play decisions for injured athletes in NCAA Division I.
  • Firsthand experiences of athletic trainers (ATs) concerning this conflict remain under-investigated.

Purpose of the Study:

  • To investigate the external pressures faced by athletic trainers (ATs) in the NCAA Division I Football Bowl Subdivision (FBS) when making medical decisions for injured athletes.
  • To understand the impact of these pressures on patient care and return-to-play protocols.

Main Methods:

  • Qualitative study utilizing semistructured, one-on-one telephone interviews with nine ATs in the NCAA Division I FBS setting.
  • Thematic analysis was employed for data interpretation, ensuring trustworthiness through researcher triangulation, peer review, and member checks.

Main Results:

  • Two primary themes emerged: pressure is an inherent aspect of the NCAA Division I FBS AT role, and strategies exist to mitigate its negative effects.
  • Key mitigation strategies include frequent communication with stakeholders, providing clear rationales for medical decisions, and cultivating positive relationships with coaches and administration.

Conclusions:

  • External pressure in medical decision-making is an anticipated and natural component of the NCAA Division I FBS athletic training environment.
  • ATs can proactively manage workplace dynamics and promote patient-centered care by implementing effective communication and relationship-building strategies.