Quest for clarity: investigating concussion-related responsibilities across the New Zealand Rugby Community System
There is a growing concern around concussions in rugby union, at all levels of the game. These concerns highlight the need to better manage and care for players. However, consistency around concussion-related responsibilities of stakeholders across the community rugby system remains challenging. Tak...
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Published in | BMJ Open Sport & Exercise Medicine Vol. 9; no. 4; p. e001722 |
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Main Authors | , , , , , , , , , , , |
Format | Journal Article |
Language | English |
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London
BMJ Publishing Group Ltd
16.10.2023
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Abstract | There is a growing concern around concussions in rugby union, at all levels of the game. These concerns highlight the need to better manage and care for players. However, consistency around concussion-related responsibilities of stakeholders across the community rugby system remains challenging. Taking a systems thinking approach, this pragmatic, qualitative descriptive study explored key stakeholder groups within New Zealand’s community rugby system’s perceptions of their own and others’ concussion-related responsibilities. Participants included players from schools and clubs, coaches, parents, team leads and representatives from four provincial unions. A total of 155 participants (67 females and 88 males) were included in the study. Focus groups and individual interviews were conducted. Thematic content analysis was used to analyse data. Thirty concussion-related responsibilities were identified. These responsibilities were contained within four themes: (1) policies and support (responsibilities which influence policy, infrastructure, human or financial resources); (2) rugby culture and general management (responsibilities impacting players’ welfare and safety, attitudes and behaviour, including education, injury reporting and communication); (3) individual capabilities (responsibilities demonstrating knowledge and confidence managing concussion, leadership or role/task shifting) and (4) intervention following a suspected concussion (immediate responsibilities as a consequence of a suspected concussion). The need for role clarity was a prominent finding across themes. Additionally, injury management initiatives should prioritise communication between stakeholders and consider task-shifting opportunities for stakeholders with multiple responsibilities. How concussions will realistically be managed in a real-world sports setting and by whom needs to be clearly defined and accepted by each stakeholder group. A ‘framework of responsibilities’ may act as a starting point for discussion within different individual community rugby contexts on how these responsibilities translate to their context and how these responsibilities can be approached and assigned among available stakeholders. |
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AbstractList | There is a growing concern around concussions in rugby union, at all levels of the game. These concerns highlight the need to better manage and care for players. However, consistency around concussion-related responsibilities of stakeholders across the community rugby system remains challenging. Taking a systems thinking approach, this pragmatic, qualitative descriptive study explored key stakeholder groups within New Zealand’s community rugby system’s perceptions of their own and others’ concussion-related responsibilities. Participants included players from schools and clubs, coaches, parents, team leads and representatives from four provincial unions. A total of 155 participants (67 females and 88 males) were included in the study. Focus groups and individual interviews were conducted. Thematic content analysis was used to analyse data. Thirty concussion-related responsibilities were identified. These responsibilities were contained within four themes: (1) policies and support (responsibilities which influence policy, infrastructure, human or financial resources); (2) rugby culture and general management (responsibilities impacting players’ welfare and safety, attitudes and behaviour, including education, injury reporting and communication); (3) individual capabilities (responsibilities demonstrating knowledge and confidence managing concussion, leadership or role/task shifting) and (4) intervention following a suspected concussion (immediate responsibilities as a consequence of a suspected concussion). The need for role clarity was a prominent finding across themes. Additionally, injury management initiatives should prioritise communication between stakeholders and consider task-shifting opportunities for stakeholders with multiple responsibilities. How concussions will realistically be managed in a real-world sports setting and by whom needs to be clearly defined and accepted by each stakeholder group. A ‘framework of responsibilities’ may act as a starting point for discussion within different individual community rugby contexts on how these responsibilities translate to their context and how these responsibilities can be approached and assigned among available stakeholders. |
Author | Keung, Sierra Whatman, Chris Chua, Jason Badenhorst, Marelise Kerr, Zachary Yukio Salmon, Danielle M Register-Mihalik, Johna Sullivan, S John Brown, James C Walters, Simon Sole, Gisela Clacy, Amanda |
AuthorAffiliation | 1 Safety and Welfare , New Zealand Rugby , Wellington , New Zealand 3 Department of Psychology and Neuroscience , Auckland University of Technology , Auckland , New Zealand 8 School of Physiotherapy , University of Otago - Dunedin Campus , Dunedin , New Zealand 7 Department of Exercise and Sport Science , University of North Carolina , Chapel Hill , North Carolina , USA 4 Carnegie Applied Rugby Research (CARR) Centre, Carnegie School of Sport , Leeds Beckett University , Leeds , UK 2 Sports Performance Research Institute New Zealand , Auckland University of Technology , Auckland , New Zealand 5 Institute of Sport and Exercise Medicine, Department of Exercise, Sport and Lifestyle Medicine , Faculty of Medicine and Health Sciences, Stellenbosch University , Cape Town , South Africa 6 School of Law & Society , University of the Sunshine Coast , Maroochydore , Queensland , Australia |
AuthorAffiliation_xml | – name: 2 Sports Performance Research Institute New Zealand , Auckland University of Technology , Auckland , New Zealand – name: 6 School of Law & Society , University of the Sunshine Coast , Maroochydore , Queensland , Australia – name: 7 Department of Exercise and Sport Science , University of North Carolina , Chapel Hill , North Carolina , USA – name: 3 Department of Psychology and Neuroscience , Auckland University of Technology , Auckland , New Zealand – name: 8 School of Physiotherapy , University of Otago - Dunedin Campus , Dunedin , New Zealand – name: 4 Carnegie Applied Rugby Research (CARR) Centre, Carnegie School of Sport , Leeds Beckett University , Leeds , UK – name: 5 Institute of Sport and Exercise Medicine, Department of Exercise, Sport and Lifestyle Medicine , Faculty of Medicine and Health Sciences, Stellenbosch University , Cape Town , South Africa – name: 1 Safety and Welfare , New Zealand Rugby , Wellington , New Zealand |
Author_xml | – sequence: 1 givenname: Danielle M surname: Salmon fullname: Salmon, Danielle M organization: Sports Performance Research Institute New Zealand, Auckland University of Technology, Auckland, New Zealand – sequence: 2 givenname: Jason surname: Chua fullname: Chua, Jason organization: Department of Psychology and Neuroscience, Auckland University of Technology, Auckland, New Zealand – sequence: 3 givenname: James C orcidid: 0000-0002-7778-7783 surname: Brown fullname: Brown, James C organization: Institute of Sport and Exercise Medicine, Department of Exercise, Sport and Lifestyle Medicine, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa – sequence: 4 givenname: Amanda surname: Clacy fullname: Clacy, Amanda organization: School of Law & Society, University of the Sunshine Coast, Maroochydore, Queensland, Australia – sequence: 5 givenname: Zachary Yukio surname: Kerr fullname: Kerr, Zachary Yukio organization: Department of Exercise and Sport Science, University of North Carolina, Chapel Hill, North Carolina, USA – sequence: 6 givenname: Simon orcidid: 0000-0002-6467-4982 surname: Walters fullname: Walters, Simon organization: Sports Performance Research Institute New Zealand, Auckland University of Technology, Auckland, New Zealand – sequence: 7 givenname: Sierra surname: Keung fullname: Keung, Sierra organization: Sports Performance Research Institute New Zealand, Auckland University of Technology, Auckland, New Zealand – sequence: 8 givenname: S John surname: Sullivan fullname: Sullivan, S John organization: Safety and Welfare, New Zealand Rugby, Wellington, New Zealand – sequence: 9 givenname: Johna surname: Register-Mihalik fullname: Register-Mihalik, Johna organization: Department of Exercise and Sport Science, University of North Carolina, Chapel Hill, North Carolina, USA – sequence: 10 givenname: Chris surname: Whatman fullname: Whatman, Chris organization: Sports Performance Research Institute New Zealand, Auckland University of Technology, Auckland, New Zealand – sequence: 11 givenname: Gisela surname: Sole fullname: Sole, Gisela organization: School of Physiotherapy, University of Otago - Dunedin Campus, Dunedin, New Zealand – sequence: 12 givenname: Marelise orcidid: 0000-0001-8443-9173 surname: Badenhorst fullname: Badenhorst, Marelise email: marelise.badenhorst@aut.ac.nz organization: Sports Performance Research Institute New Zealand, Auckland University of Technology, Auckland, New Zealand |
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Snippet | There is a growing concern around concussions in rugby union, at all levels of the game. These concerns highlight the need to better manage and care for... |
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SubjectTerms | Athletic recruitment Behaviour Clubs Community Concussion Content analysis Data collection Focus groups Injury prevention Qualitative Research Responsibilities Rugby Schools Sports injuries Stakeholders |
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Title | Quest for clarity: investigating concussion-related responsibilities across the New Zealand Rugby Community System |
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