An investigation of coaches’ awareness of injury in elite adolescent rugby union in Northern Irish schools - A qualitative study

<p> Objectives:To examine the decision-making processes employed by schools' Rugby coaches in themanagement of injured players and to explore the factors that influenced those decisions. A secondaryobjective was to gauge interest in an education focused toolkit for schools' Rugby coaches.Design:A qualitative study using one-to-one online interviews.Setting:Schools who compete in the Ulster Schools' Cup Rugby competition.Participants:Eleven Rugby union coaches from four post primary schools.Outcome measures:A thematic analysis approach was used to examine the factors that influence schools'Rugby coaches' decision-making processes in the management of injured players.Results:Findings suggest coaches are influenced in their decision making by four primary factors: theirexperience and learning, their relationships with other stakeholders, their knowledge and understandingof the roles and responsibilities of medical staff, healthcare and healthfitness professionals, and re-sources available to them.Conclusions:Schools' Rugby coaches play a significant role in the supervision of injured adolescentRugby players, often drawing from their playing and coaching experiences. Schools retain, or recommendthe services, of healthcare professionals (HCPs) and health andfitness professionals (HFPs). The role ofthese healthcare and health andfitness professionals, along with their qualifications and experience isnot fully understood by coaches. Coaches acknowledge that there is a need for further training and wouldwelcome education initiatives aimed at increasing awareness of musculoskeletal injury in schoolboyRugby players. </p>