title: Osteopathic educators' attitudes towards osteopathic principles and their application in clinical practice: A qualitative inquiry.
abstract: BACKGROUND
  The implicit use of overarching osteopathic principles (OP) in clinical practice is a regulatory requirement; agreed definition of what constitutes such principles remains elusive. The profession currently faces questions of identity and relevance in the face of evidence-informed healthcare.
  
  
  OBJECTIVE
  This study sought to investigate the opinions and experiences of practising osteopathic educators as to how OP are relevant to clinical practice in isolation and to the profession as a whole.
  
  
  METHODS
  A qualitative approach employing grounded theory to explore the views of current practitioners involved in osteopathic education.
  
  
  METHODS
  Nine practising osteopaths were selected for the study using initially purposive then theoretical sampling.
  
  
  METHODS
  Semi-structured interviews were used to gather data, audio-recorded, transcribed verbatim and anonymised. Data was analysed and interpreted using a thematic framework approach and conceptually modelled. Triangulation was completed; peer corroboration for high-level themes and participant confirmation for transcript authenticity was obtained.
  
  
  RESULTS
  Two polarised concepts emerged: (1) OP benefit the profession and (2) OP limit or jeopardize the profession. These emanated from different perceptions of the identity of osteopathy: (1) osteopathy as a philosophy or (2) osteopathy as a manual therapy with a philosophical background.
  
  
  CONCLUSIONS
  The osteopathic profession faces the danger of being divided on the basis of ideological differences from within. The increasing criticality applied to UK healthcare behoves the osteopathic profession to clarify its aims, guiding 'principles' and underlying values. This could be problematic in light of the divergence of views, leading to a situation of either settling these differences or irrevocably fracturing the profession.
authors.affiliation: The European School of Osteopathy, Boxley House, Boxley, Maidstone, Kent, ME14 3DZ, UK. Electronic address: hannahkasiri@gmail.com.
authors.forename: Hannah
authors.initials: H
authors.lastname: Kasiri-Martino
authors.affiliation: The European School of Osteopathy, Boxley House, Boxley, Maidstone, Kent, ME14 3DZ, UK. Electronic address: philbright@eso.co.uk.
authors.forename: Philip
authors.initials: P
authors.lastname: Bright
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D002983:Clinical Competence; D005178:Faculty / Q000523:psychology*; D005260:Female; D066296:Grounded Theory; D006801:Humans; D008297:Male; D008875:Middle Aged; D010021:Osteopathic Medicine / Q000193:education* / Q000592:standards*; D055360:Osteopathic Physicians / Q000523:psychology*; D010818:Practice Patterns, Physicians' / Q000592:standards*; D024382:Professional Role; D036301:Qualitative Research; D011795:Surveys and Questionnaires; D006113:United Kingdom
keywords: Osteopathic medicine; Osteopathic principles; Osteopathy; Teaching