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Ramazan F, Graham Y, Hayes C. Communities of practice: An alternative approach to bridging the theory-practice gap in radiography? Radiography (Lond) 2024; 30:1167-1172. [PMID: 38870692 DOI: 10.1016/j.radi.2024.05.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2024] [Revised: 05/27/2024] [Accepted: 05/29/2024] [Indexed: 06/15/2024]
Abstract
OBJECTIVES There is an increasing need to engage with evidence-based practice (EBP) and continuing professional development (CPD) to effectively respond to the current healthcare demands and challenges. This review critically synthesises key knowledge diffusion and implementation theories, with particular emphasis on Communities of Practice (CoPs), a theory as yet unexplored in radiography practice. KEY FINDINGS Prominent theories including implementation science, translational science and knowledge diffusion theories have previously been proposed to bridge the theory-practice gap. However, the radiography profession is a fast-paced, complex and a highly regulated profession which makes the application of rigid theories more challenging. CoPs, which have their origins in Social Learning Theory, represents a potentially more viable approach to bridging the theory-practice gap. CONCLUSION Cultivating and maintaining CoPs is a more practical approach to improve knowledge dissemination, EBP and CPD, allowing radiographers in practice to share knowledge, best practices, and experiences out with an organisational hierarchy. The collective pool of knowledge, and history created may contribute to further establishing the radiography profession and the radiographer identity as the CoPs connect, expand, and advance over time. IMPLICATIONS FOR PRACTICE CoPs may be cultivated and further investigated in radiography practice to improve knowledge dissemination, EBP and CPD, with the ultimate aim of improving individual and organisational performance in radiography practices.
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Affiliation(s)
- F Ramazan
- Alliance Medical Ltd, University Hospital of North Tees, Stockton-on-Tees, TS19 8PE, United Kingdom; Helen McArdle Nursing and Care Research Institute, University of Sunderland, Faculty of Health Sciences and Wellbeing, Silksworth Row, Sunderland, SR1 3SD, United Kingdom.
| | - Y Graham
- Helen McArdle Nursing and Care Research Institute, University of Sunderland, Faculty of Health Sciences and Wellbeing, Silksworth Row, Sunderland, SR1 3SD, United Kingdom; Faculty of Psychology, University of Anahuac Mexico, Mexico City Mexico; Faculty of Biomedical Sciences, Austral University, Pilar, Buenos Aires, Argentina.
| | - C Hayes
- University of Sunderland, Faculty of Health Sciences and Wellbeing, The John Dawson Sciences Complex, City Campus, SR1 3SD, United Kingdom.
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Catania D, Giannotti N, Roletto A, Ryan ML. Opinions on advanced practice among diagnostic and therapeutic radiographers: Survey results of an European congress of radiology study. Radiography (Lond) 2024; 30:806-812. [PMID: 38513333 DOI: 10.1016/j.radi.2024.03.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2023] [Revised: 02/12/2024] [Accepted: 03/03/2024] [Indexed: 03/23/2024]
Abstract
INTRODUCTION The exploration of Advanced Practice (AP) in both diagnostic and therapeutic radiography has become a prominent topic of discussion within the radiographic community, prompting an investigation into radiographers' perceptions and the current global status of advanced roles. This study aimed collect data on radiography and radiation therapy AP career paths, and understand radiographers' perceptions of advanced practice at the European Congress of Radiology (ECR) 2020. METHODS A concise, 15-question web-based survey was distributed through the EFRS Research Hub during ECR 2020. Topics covered included respondents' demographics, educational background, current radiography skills, the landscape of AP in radiography, potential progression avenues in their countries, and key benefits linked to role advancement. RESULTS The survey garnered responses from 83 radiographers, with a predominant 79.5% (n = 66) representing Europe. Information on the total number of participants approached during the ECR and thus the resulting response rate is not available. Among the findings, a meaningful portion (30%, n = 25) of participants indicated the absence of AP opportunities in their respective country. Notably, an overwhelming majority (97.5%, n = 81) expressed a personal willingness to embrace AP roles. Areas of particular interest to the respondents included radiography reporting (38.6%, n = 32), performing ultrasound examination (13.2%, n = 11), conducting interventional procedures (13.2%, n = 11) and engaging in radiography research (10.8%, n = 9). CONCLUSION The study indicates a keen interest among surveyed radiographers in pursuing AP, emphasizing the necessity for role recognition. Education, research and job satisfaction emerged as pivotal for AP progression. Despite this, AP availability in Europe is limited. IMPLICATION FOR PRACTICE There is a need to recognize and address barriers, provide targeted education and training, and promote job satisfaction to facilitate the development of AP in radiography.
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Affiliation(s)
- D Catania
- Radiography and Diagnostic Imaging, School of Medicine, University College Dublin, Ireland.
| | - N Giannotti
- Medical Imaging Sciences, School of Health Sciences, The University of Sydney, Australia.
| | - A Roletto
- Department of Radiology, IRCCS Ospedale San Raffaele, Milan, Italy.
| | - M-L Ryan
- Radiography and Diagnostic Imaging, School of Medicine, University College Dublin, Ireland.
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Susiku E, Hewitt-Taylor J, Akudjedu TN. Graduate competencies, employability and the transnational Radiography workforce shortage: A systematic literature review of current pre-registration Radiography education and training models. Radiography (Lond) 2024; 30:457-467. [PMID: 38211453 DOI: 10.1016/j.radi.2024.01.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2023] [Revised: 11/01/2023] [Accepted: 01/02/2024] [Indexed: 01/13/2024]
Abstract
INTRODUCTION Transnational mobility of the Radiography workforce is challenged due to issues with standardisation of current education and training models which has added to the workforce shortage. To address the growing volume, scope and complexity of clinical Radiography service delivery, educational models need to be given a critical look for transnational relevance in modern times. This study aims to synthesise the characteristics of current pre-registration radiography educational programmes linked with effective knowledge, skill acquisition, and graduate employability to address the current workforce challenges through the development of newer training models. METHODS Using a mixed methods systematic review approach, secondary data was obtained from an EBSCOhost search involving key databases including MEDLINE, CINAHL, Academic Search Ultimate, ScienceDirect, and SCOPUS. Themes were developed following a result-based convergent data synthesis. RESULTS Forty articles met the predefined inclusion criteria following the study identification and screening phases. The included studies were conducted from across diverse settings including both low- and middle-income countries (LMIC) and high-income countries (HIC). Two broad themes were developed from the findings including: 1. Factors influencing graduate employability and 2) Radiography education and training programme characteristics. CONCLUSION The findings highlight and advocate for an innovative model for Radiography education and underscores the significance of graduates possessing multi-modality skills, varied competencies, and effective accreditation processes for training. Prioritising alignment with industry needs and holistic skill development is vital to closing the employability gap, ultimately improving graduate skills and competencies to address workforce shortage while improving patient care outcomes. IMPLICATIONS FOR PRACTICE Radiography training institutions should explore the development of new innovative models for multi-modality pre-registration education. This should offer adaptable routes that align seamlessly with the evolving regulatory, technological, and clinical trends.
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Affiliation(s)
- E Susiku
- Institute of Medical Imaging & Visualisation, Department of Medical Science & Public Health, Faculty of Health & Social Sciences, Bournemouth University, UK
| | - J Hewitt-Taylor
- Centre for Public Health, Faculty of Science and Technology, Bournemouth University, UK
| | - T N Akudjedu
- Institute of Medical Imaging & Visualisation, Department of Medical Science & Public Health, Faculty of Health & Social Sciences, Bournemouth University, UK.
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McDaid L, Eccles CL, Yorke J. An evaluation of radiographers' extended practice in the detection of brain metastases on magnetic resonance images. Radiography (Lond) 2024; 30:313-318. [PMID: 38118376 DOI: 10.1016/j.radi.2023.12.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2023] [Revised: 12/05/2023] [Accepted: 12/07/2023] [Indexed: 12/22/2023]
Abstract
INTRODUCTION Patients who undergo magnetic resonance (MR) imaging to confirm or rule out metastatic brain disease are required to wait for image review by a radiologist before leaving the department at the institute where this study was carried out. The aim was to evaluate whether radiographers can review images and reduce waiting times in those patients without metastases. METHODS Prospective observational study of MR radiographers (n = 11) was undertaken. Radiographers commented on images to confirm whether the images showed evidence of metastatic disease, pathology but no metastases, or no pathology. Responses were compared to the radiological report (reference standard). Online questionnaires determined the views and opinions of radiographers (n = 8) and consultant radiologists (n = 6) towards radiographers expanding their scope of practice to include the confirmation or exclusion of brain metastases. RESULTS Despite a lack of formal training for image reviewing, overall level of agreement between the radiographer reviews and reference standard was 77.9 % (κ = 0.45). Pooled sensitivity and specificity were 88.6 % & 71.3 % respectively. Kendall's τ = -0.03 (bootstrap 95 % CI -0.73 to 0.61, p = 0.925). Positive predictive value (PPV) was 65.5 % (CI 59.2%-71.4 %) and negative predictive value (NPV) 91.1 % (CI 84.9%-94.9 %). Radiographers and radiologists surveyed demonstrated a willingness to engage with role expansion. CONCLUSION Based on our small study and interdisciplinary survey, local radiographers and radiologists agree, following a program of radiographer training, screening for brain metastases by radiographers could be implemented. IMPLICATIONS FOR PRACTICE With appropriate governance and training support, the introduction of formal radiographer screening for patients referred to exclude brain metastases could provide more efficient working practice.
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Affiliation(s)
- L McDaid
- Department of Radiotherapy, The Christie NHS Foundation Trust, Manchester, UK.
| | - C L Eccles
- Department of Radiotherapy, The Christie NHS Foundation Trust, Manchester, UK; Division of Cancer Sciences, Faculty of Medicine, Biology and Health University of Manchester, UK
| | - J Yorke
- Department of Quality and Standards, The Christie NHS Foundation Trust, Manchester, UK
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Lockwood P, Burton C, Woznitza N, Shaw T. Assessing the barriers and enablers to the implementation of the diagnostic radiographer musculoskeletal X-ray reporting service within the NHS in England: a systematic literature review. BMC Health Serv Res 2023; 23:1270. [PMID: 37974199 PMCID: PMC10655396 DOI: 10.1186/s12913-023-10161-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2023] [Accepted: 10/16/2023] [Indexed: 11/19/2023] Open
Abstract
INTRODUCTION The United Kingdom (UK) government's healthcare policy in the early 1990s paved the way adoption of the skills mix development and implementation of diagnostic radiographers' X-ray reporting service. Current clinical practice within the public UK healthcare system reflects the same pressures of increased demand in patient imaging and limited capacity of the reporting workforce (radiographers and radiologists) as in the 1990s. This study aimed to identify, define and assess the longitudinal macro, meso, and micro barriers and enablers to the implementation of the diagnostic radiographer musculoskeletal X-ray reporting service in the National Healthcare System (NHS) in England. METHODS Multiple independent databases were searched, including PubMed, Ovid MEDLINE; Embase; CINAHL, and Google Scholar, as well as journal databases (Scopus, Wiley), healthcare databases (NHS Evidence Database; Cochrane Library) and grey literature databases (OpenGrey, GreyNet International, and the British Library EthOS depository) and recorded in a PRISMA flow chart. A combination of keywords, Boolean logic, truncation, parentheses and wildcards with inclusion/exclusion criteria and a time frame of 1995-2022 was applied. The literature was assessed against Joanna Briggs Institute's critical appraisal checklists. With meta-aggregation to synthesize each paper, and coded using NVivo, with context grouped into macro, meso, and micro-level sources and categorised into subgroups of enablers and barriers. RESULTS The wide and diverse range of data (n = 241 papers) identified barriers and enablers of implementation, which were categorised into measures of macro, meso, and micro levels, and thematic categories of context, culture, environment, and leadership. CONCLUSION The literature since 1995 has reframed the debates on implementation of the radiographer reporting role and has been instrumental in shaping clinical practice. There has been clear influence upon both meso (professional body) and macro-level (governmental/health service) policies and guidance, that have shaped change at micro-level NHS Trust organisations. There is evidence of a shift in culturally intrenched legacy perspectives within and between different meso-level professional bodies around skills mix acceptance and role boundaries. This has helped shape capacity building of the reporting workforce. All of which have contributed to conceptual understandings of the skills mix workforce within modern radiology services.
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Affiliation(s)
- P Lockwood
- Present address: School of Allied Health Professions, Faculty of Medicine, Health and Social Care, Canterbury Christ Church University, North Holmes Road, Canterbury, Kent, UK.
| | - C Burton
- Present address: School of Allied Health Professions, Faculty of Medicine, Health and Social Care, Canterbury Christ Church University, North Holmes Road, Canterbury, Kent, UK
| | - N Woznitza
- Present address: School of Allied Health Professions, Faculty of Medicine, Health and Social Care, Canterbury Christ Church University, North Holmes Road, Canterbury, Kent, UK
- Radiology Department, University College London Hospitals NHS Foundation Trust, 235 Euston Road, London, UK
| | - T Shaw
- Present address: School of Allied Health Professions, Faculty of Medicine, Health and Social Care, Canterbury Christ Church University, North Holmes Road, Canterbury, Kent, UK
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Parker P, Edwards H, Twiddy M, Whybrow P, Rigby A. Embedding new technology into clinical ultrasound practice: Is role extension for sonographers the key to improving patient pathways? ULTRASOUND (LEEDS, ENGLAND) 2023; 31:84-90. [PMID: 37144232 PMCID: PMC10152321 DOI: 10.1177/1742271x221139210] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/19/2022] [Accepted: 09/29/2022] [Indexed: 12/28/2022]
Abstract
Introduction MicroUS is a new imaging technique that may have potential to reliably monitor prostate disease and therefore release capacity in MRI departments. Firstly, however, it is essential to identify which healthcare staff may be suitable to learn to use this modality. Based on previous evidence, UK sonographers may be well placed to harness this resource. Topic Currently, there is sparse evidence on the performance of MicroUS for monitoring prostate disease but early findings are encouraging. Although its uptake is increasing, it is believed that only two sites in the UK have MicroUS systems and only one of those uses just sonographers to undertake and interpret this new imaging technique. Discussion UK sonographers have a history of role extension dating back several decades and have proven repeatedly that they are reliable and accurate when measured against a gold standard. We explore the background of UK sonographer role extension and postulate that sonographers are best placed to adopt and embed new imaging techniques and technology into routine clinical practice. This is of particular importance given the dearth of ultrasound focussed radiologists in the UK. To effectively introduce challenging new work streams, multi-professional collaboration in imaging, alongside sonographer role extension, will ensure precious resources are maximised thus ensuring optimum patient care. Conclusion UK sonographers have repeatedly demonstrated reliability in many areas of role extension in various clinical settings. Early data indicate that the adoption of MicroUS for use in prostate disease surveillance may be another role suited to sonographers.
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Affiliation(s)
- Pamela Parker
- University of Hull & Hull University
Teaching Hospitals NHS Trust, Hull, UK
| | - Hazel Edwards
- British Medical Ultrasound Society, Milton
Keynes, UK
| | - Maureen Twiddy
- Institute of Clinical and Applied Health
Research, Hull York Medical School, Hull, UK
| | - Paul Whybrow
- Institute of Clinical and Applied Health
Research, Hull York Medical School, Hull, UK
| | - Alan Rigby
- Institute of Clinical and Applied Health
Research, Hull York Medical School, Hull, UK
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Oliveira C, Barbosa B, Couto JG, Bravo I, Hughes C, McFadden S, Khine R, McNair HA. Advanced practice roles amongst therapeutic radiographers/radiation therapists: A European survey. Radiography (Lond) 2023; 29:261-273. [PMID: 36608396 DOI: 10.1016/j.radi.2022.12.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2022] [Revised: 11/24/2022] [Accepted: 12/04/2022] [Indexed: 01/06/2023]
Abstract
INTRODUCTION Advanced Practice (AP) roles in Radiotherapy (RT) over time are variable, often locally developed and not underpinned by professional standards which leads to conceptual and practical gaps. This study aimed to assess AP roles amongst Therapeutic Radiographers/Radiation Therapists (TR/RTTs) and identify educational gaps for this level across Europe. METHODS An anonymous online survey was designed, validated, and distributed across Europe. Convenience sampling was used to recruit advanced TR/RTTs practitioners or TR/RTTs working in AP roles. Descriptive analysis from closed questions and thematic analyses from open questions are reported. RESULTS A total of 272 responses were obtained, of which 189 eligible participations were from 21 European countries. 42% of respondents acknowledged additional education required to perform AP, and 25% reported a minimum of five years of RT practice to perform AP roles/tasks. There is a trend to work more on the clinical practice domain with a low percentage of working time allocated to research. Inconsistency was found in job titles, scopes of practice, and educational backgrounds across and even within countries. Education needs regarding knowledge about image-guided and adaptive RT, multimodal imaging and technologies, and advanced treatment planning were found. Training needs on leadership and management skills and clinical site-specific expertise were identified. CONCLUSION This study clearly shows a gap in education support, a need for standardisation in job titles and scopes of practice across Europe. IMPLICATIONS FOR PRACTICE As the first large-scale assessment of current AP roles and educational support amongst TR/RTTs across Europe, this study recommends the establishment of governance structure and role regulation. It also informs the curricula for master programmes to align the education with current and future practice.
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Affiliation(s)
- C Oliveira
- Radiotherapy Department, Instituto Português de Oncologia do Porto (IPO Porto), R. Dr. António Bernardino de Almeida 865, 4200-072 Porto, Portugal; Escola Internacional de Doutoramento, Universidad de Vigo, Circunvalación ao Campus Universitario, 36310 Vigo, Pontevedra, Spain.
| | - B Barbosa
- Radiotherapy Department, Instituto Português de Oncologia do Porto (IPO Porto), R. Dr. António Bernardino de Almeida 865, 4200-072 Porto, Portugal; Escola Internacional de Doutoramento, Universidad de Vigo, Circunvalación ao Campus Universitario, 36310 Vigo, Pontevedra, Spain; Medical Physics, Radiobiology Group and Radiation Protection Group, IPO Porto Research Centre (CI-IPOP), Instituto Português de Oncologia do Porto (IPO Porto), R. Dr. António Bernardino de Almeida 865, 4200-072 Porto, Portugal.
| | - J G Couto
- Radiography Department, Faculty of Health Sciences, University of Malta, Msida, MSD2080, Malta.
| | - I Bravo
- Medical Physics, Radiobiology Group and Radiation Protection Group, IPO Porto Research Centre (CI-IPOP), Instituto Português de Oncologia do Porto (IPO Porto), R. Dr. António Bernardino de Almeida 865, 4200-072 Porto, Portugal.
| | - C Hughes
- School of Health Sciences, Ulster University, Shore Road Newtownabbey Co, Antrim, BT37 0QB, United Kingdom.
| | - S McFadden
- School of Health Sciences, Ulster University, Shore Road Newtownabbey Co, Antrim, BT37 0QB, United Kingdom.
| | - R Khine
- European Federation of Radiographer Societies, Utrecht, Netherlands; School of Health Care and Social Work, Buckinghamshire New University, Buckinghamshire, United Kingdom.
| | - H A McNair
- European Federation of Radiographer Societies, Utrecht, Netherlands; The Royal Marsden NHS Foundation Trust, Radiotherapy and the Institute of Cancer Research, Surrey, SM2 5PT, United Kingdom.
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Lobo MJCD, Tavares SCCNM, Pereira de Almeida RP. Point of care prehospital ultrasound in Basic Emergency Services in Portugal. Health Sci Rep 2022; 5:e847. [PMID: 36189415 PMCID: PMC9489087 DOI: 10.1002/hsr2.847] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2022] [Revised: 08/21/2022] [Accepted: 08/23/2022] [Indexed: 11/17/2022] Open
Abstract
Background and Aims The Point of Care Ultrasound and Point-of-Care Ultrasound in Resource-Limited Settings are differentiated diagnostic methods using ultrasound, essential in urgent patients screening, allowing better guidance in the diagnostic process and therapeutic approach. This study intends to observe the impact of these techniques in two Basic Emergency Services (SUB) in Portugal. Methods A longitudinal study was carried out in two remote locations in Portugal (SUB N and SUB S). Data were collected by trained radiographers in each location, and a total of 972 exams were considered. Imaging findings were documented by exam type, the exam normality and the resolution after exam. χ 2 and Cramer's V tests were performed to check significant correlations between the variables. Results Regarding the type of echographic findings, 289 (29.7%) were considered normal, 628 (64.6%) were classified as abnormal and 55 (5.7%) were considered inconclusive. As for the type of resolution, 58% had local resolution, 24% were referred to a hospital emergency service and 18% referred to ambulatory care. Regarding the Location versus Resolution after exam versus Findings variables, it was verified a stronger statistically significant association for the exams considered "Abnormal" (Cramer's V = 0.414; p < 0.001). In the variables Location versus Findings versus Resolution after exam, it was verified a stronger statistical significance for "Referral to Ambulatory" (Cramer V = 0.443; p < 0.001) although Referral for Hospital (Cramer V = 0.252; p = 0.003) or Local Resolution (Cramer V = 0.252; p < 0.001) also had a moderate association strength. Conclusion Ultrasonography is a useful diagnostic tool for patients screening, having an influence on patient management in remote settings. Given the limited literature in Portugal about this matter, further research and literature will be needed to support and complement the results of this study.
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Affiliation(s)
- Manuel José Cruz Duarte Lobo
- Local Health Unit of the Northeast (ULSNE), International Society of Clinical Ultrasound (SIEC), Medical Imaging and Radiotherapy Portuguese Association (APIMR), International Society of Radiographers and Radiological Technologists (ISRRT)BragançaPortugal
| | | | - Rui Pedro Pereira de Almeida
- Medical Imaging and Radiotherapy Department, Center for Studies and Development in Health (CES)University of Algarve, Portugal, CHCR ‐ Compreensive Health Research Center, Évora ‐ Portugal. APIMR (Medical Imaging and Radiotherapy Portuguese Assciation)FaroPortugal
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Salih S, Alkatheeri A, Almarri B, Shamsi NA, Jaafari O, Alshammari M. The Impact of COVID-19 Crisis on the Control and Management of Radiography Practice in the United Arab Emirates. Healthcare (Basel) 2022; 10:healthcare10081546. [PMID: 36011203 PMCID: PMC9408335 DOI: 10.3390/healthcare10081546] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2022] [Revised: 08/09/2022] [Accepted: 08/12/2022] [Indexed: 11/16/2022] Open
Abstract
The present study aimed to assess the impact of the COVID-19 crisis on radiology practices in Abu Dhabi, UAE. An electronic survey (Google form) was distributed among Abu Dhabi government and private hospitals. The survey included general X–ray services, which were only provided in the radiology departments. The diagnostic radiographers who reported changes in the number and type of radiology procedures (37%) reported that the changes reached 61–80% compared to the number of procedures being conducted prior to the outbreak of COVID-19. While infection control was challenging due to the shortage of personal protective equipment (PPE), 51.2% of the participants were affected. The healthcare workers in the radiology departments in Abu Dhabi are exposed to a high number of COVID-19–infection patients, which increases their chances of contracting the disease. A total of 90% of employees were infected with COVID-19 during the crisis. COVID-19 has resulted in changes in clinical working patterns, such as the type and number of procedures performed daily. Additionally, PPE shortages, staff infection during the pandemic, an increase in workplace–related difficulties, and staff well–being are common consequences of the pandemic. It is vital to enhance coping strategies in order to support staff well–being. However, the psychological effects caused as a result of the pandemic should not be ignored, and providing professional support to workers is recommended.
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Affiliation(s)
- Suliman Salih
- Department of Radiography and Medical Imaging, Fatima College of Health Sciences, Al Ain 33003, United Arab Emirates
- National Cancer Institute, University of Gezira, Wad Madani 2667, Sudan
| | - Ajnas Alkatheeri
- Department of Radiography and Medical Imaging, Fatima College of Health Sciences, Al Ain 33003, United Arab Emirates
- Correspondence: ; Tel.: +971-503738033
| | - Bashayer Almarri
- Department of Radiography and Medical Imaging, Fatima College of Health Sciences, Al Ain 33003, United Arab Emirates
| | - Nouf Al Shamsi
- Department of Radiography and Medical Imaging, Fatima College of Health Sciences, Al Ain 33003, United Arab Emirates
| | - Osama Jaafari
- Royal Commission Medical Center, Yanbu 46451, Saudi Arabia
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Chaka B, Adamson H, Foster B, Snaith B. Radiographers' self-perceived competencies after attending postgraduate courses in CT and MRI. Radiography (Lond) 2022; 28:817-822. [PMID: 35168894 DOI: 10.1016/j.radi.2022.01.008] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2021] [Revised: 01/27/2022] [Accepted: 01/28/2022] [Indexed: 11/26/2022]
Abstract
INTRODUCTION Postgraduate education in computed tomography (CT) and magnetic resonance imaging (MRI) varies globally. Multiple factors affect the development of associated core skills and competencies for these specialist roles. Previous research has highlighted that different teaching standards and methods may influence radiographers' confidence and competencies. Nonetheless, there is limited knowledge of skill development and capabilities in post-registration roles. Hence, the aim of this research was to explore radiographers' self-perceived competencies before, during and after successful completion of postgraduate study. METHODS Radiographers enrolled on the CT and MRI courses voluntarily completed questionnaires at three time points. As part of the last survey, questions were added to evaluate their perceptions of the courses' impact on their clinical and professional practice. Descriptive statistics, Wilcoxon matched pairs signed rank and Friedman tests, were performed to analyse results across the different time points. RESULTS 53 students completed the baseline survey, with initial perceived areas of weakness being lack of knowledge relating to CT or MR technology, cross-sectional anatomy and pathology. Follow up surveys, highlighted a significant increase in self-described competence in technical knowledge, literature appraisal and image viewing skills. As a result of completing the course, students described favourable changes to their departmental practices and their own continuing professional development (CPD). Challenges detailed included but not limited to lack of study time provided by employers, and the demands of balancing studies and work commitments. CONCLUSION Postgraduate education has value and positively impacts radiographers and their clinical departments. The courses enabled the radiographers, including those experienced in CT and or MRI to develop skills they could translate into clinical practice, thereby contributing towards service delivery. IMPLICATIONS FOR PRACTICE Post graduate education has the potential to enhance self-perceived competency in aspects of CT and MRI practice.
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Affiliation(s)
- B Chaka
- School of Allied Health Professions and Midwifery, University of Bradford, Richmond Road, Bradford, West Yorkshire BD7 1DP, United Kingdom; Faculty of Health Studies, University of Bradford, Richmond Road, Bradford, West Yorkshire BD7 1DP, United Kingdom.
| | - H Adamson
- School of Allied Health Professions and Midwifery, University of Bradford, Richmond Road, Bradford, West Yorkshire BD7 1DP, United Kingdom; Faculty of Health Studies, University of Bradford, Richmond Road, Bradford, West Yorkshire BD7 1DP, United Kingdom
| | - B Foster
- School of Allied Health Professions and Midwifery, University of Bradford, Richmond Road, Bradford, West Yorkshire BD7 1DP, United Kingdom; Faculty of Health Studies, University of Bradford, Richmond Road, Bradford, West Yorkshire BD7 1DP, United Kingdom
| | - B Snaith
- School of Allied Health Professions and Midwifery, University of Bradford, Richmond Road, Bradford, West Yorkshire BD7 1DP, United Kingdom; Faculty of Health Studies, University of Bradford, Richmond Road, Bradford, West Yorkshire BD7 1DP, United Kingdom; The Mid Yorkshire Hospitals NHS Trust, Aberford Road, Wakefield, WF1 4DG, United Kingdom
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Elshami W, Abuzaid MM, McConnell J, Baird M. Changing the model of radiography practice: Challenges of role advancement and future needs for radiographers working in the UAE. Radiography (Lond) 2022; 28:949-954. [PMID: 35841689 DOI: 10.1016/j.radi.2022.06.019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2022] [Revised: 06/04/2022] [Accepted: 06/24/2022] [Indexed: 11/17/2022]
Abstract
INTRODUCTION The radiographers' role in the United Arab Emirates (UAE) is focused on image acquisition with a willingness to accept advanced practice roles after appropriate education and training. Radiographers working in the UAE are highly motivated and ambitious to achieve those internationally identified levels of professional recognition and opportunities for role advancement. This study investigates the radiographers' perspectives, perceptions and hopes for role advancement in the UAE. METHODS A qualitative research study design using Focus Group Discussions (FGD) was used to elicit the perceptions of radiographers. Participants were radiographers working in the hospitals and clinics supervised by the Ministry of Health and Prevention. Participants were asked about the recognized tasks defined as advancement roles, needs for roles clinically, challenges and requirements to prepare radiographers to participate in extended/developed roles. The discussions were audio recorded and later transcribed by an independent research assistant. Thematic analysis was used for data analysis RESULTS: 29 radiographers participated in the FGDs, and 83% (n = 24) were interested in role advancement. FGD revealed that their current practice showed some informal extended role that may promote career progression. The most significant challenges identified by participants was their knowledge level as provided by the current curriculum and the need for education and licensing body support to accommodate change. CONCLUSION The study identified a need for education and licensing body support to enable change in roles by radiographers, through improving radiographer knowledge and experience for role advancement. IMPLICATIONS FOR PRACTICE To sustain role advancement, formal intense training and education are necessary, normally above bachelor's degree level. Furthermore, establishing standards, licensing organizations/professional bodies should be part of the transformation of the profession to enable internationally recognized models to be followed.
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Affiliation(s)
- W Elshami
- Medical Diagnostic Imaging Department, College of Health Sciences, University of Sharjah, Sharjah, United Arab Emirates.
| | - M M Abuzaid
- Medical Diagnostic Imaging Department, College of Health Sciences, University of Sharjah, Sharjah, United Arab Emirates.
| | - J McConnell
- Yorkshire Imaging Collaborative, United Kingdom.
| | - M Baird
- Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Australia.
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12
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Rye M. Strengthening medical radiation technologist recognition through advanced practice in Canada: A narrative review. J Med Imaging Radiat Sci 2022; 53:498-504. [PMID: 35450808 DOI: 10.1016/j.jmir.2022.04.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2022] [Revised: 04/01/2022] [Accepted: 04/01/2022] [Indexed: 11/17/2022]
Abstract
BACKGROUND Lack of professional recognition from the public and other healthcare professionals has been a long-standing issue for medical radiation technologists (MRTs) in Canada. This situation was further highlighted by the pandemic when several provinces refused to recognize MRTs as essential workers. In addition to continued advocacy to develop interprofessional awareness of the MRT discipline, prioritizing the creation of advanced practice opportunities will increase the perceived value of MRTs to healthcare. METHODS Literature for this review was found by searching the electronic databases of PubMed, CINAHL, Google Scholar, and Athabasca University. Relevant reports from credible Canadian organizations, global MRT professional association websites, frameworks for advanced practice, and one dissertation were also reviewed. DISCUSSION The implementation of advanced practice radiography roles present a tremendous opportunity to increase the visibility and recognition of the MRT profession in both clinical and research domains. In Canada, role extension in radiography has underscored the significance and need for advanced practice. CONCLUSION To keep pace with growing demand for medical imaging, the use of human health resources must be re-evaluated to optimize care delivery and capitalize on the full skill set of MRTs.
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Ramazan F, Aarts S, Widdowfield M. Exploring the implementation of evidence-based optimisation strategies: A qualitative study of the experience of diagnostic radiographers. Radiography (Lond) 2022; 28:804-810. [PMID: 35221213 DOI: 10.1016/j.radi.2022.02.003] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2021] [Revised: 02/01/2022] [Accepted: 02/07/2022] [Indexed: 10/19/2022]
Abstract
INTRODUCTION Radiographers are responsible for ensuring safe and effective use of ionising radiation. Through evidence-based practice (EBP), valuable optimisation strategies can be implemented to fulfil these responsibilities. This study aimed to explore radiographers' attitudes, perceptions, and experience of using evidence-based optimisation strategies. METHODS A Grounded Theory approach using in-depth interviews. UK-based radiographers were recruited. Discussions focused on (1) the role of evidence-based optimisation strategies in daily practice, (2) assistance in implementing evidence-based optimisation strategies, and (3) the role of EBP and optimisation strategies in the future. Interviews were transcribed verbatim and analysed using open and axial coding. RESULTS Participants (n = 13) stated that EBP is not frequently used to implement optimisation strategies. Participants relied on the knowledge taught in education settings and their professional skills to optimise in daily practice, alongside departmental protocols. Barriers identified as affecting the implementation of optimisation strategies related to reluctance to change, a lack of support from superiors, and a lack of resources to engage with EBP. Some participants expected the use of optimisation strategies to become unnecessary due to technology advancements. CONCLUSION The results indicate that effective operationalisation of EBP is not part of daily practice among radiographers to implement valuable optimisation strategies in daily practice. IMPLICATIONS FOR PRACTICE The potential barriers to implementing evidence-based optimisation strategies highlighted in this study suggest that improving access to resources and empowerment of individual radiographers is required to enable radiographers to implement optimisation strategies.
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Affiliation(s)
- F Ramazan
- Alliance Medical, University Hospital of North Tees, Stockton-on-Tees, TS19 8PE, United Kingdom.
| | - S Aarts
- School for Public Health and Primary Care, Faculty of Health, Medicine and Life Sciences, Maastricht University, Duboisdomein 30, 6229 GT Maastricht, Netherlands; Living Lab in Ageing and Long-Term Care, Department of Health Services Research, Maastricht University, Duboisdomein 30, 6229 GT Maastricht, Netherlands.
| | - M Widdowfield
- Pasteur Building, Sciences Complex, University of Sunderland, Sunderland, SR2 7PT, United Kingdom.
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Accuracy of radiographers in Fiji in interpreting adult chest X-ray images. J Med Imaging Radiat Sci 2021; 53:93-101. [DOI: 10.1016/j.jmir.2021.12.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2021] [Revised: 11/19/2021] [Accepted: 12/01/2021] [Indexed: 11/23/2022]
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Watura C, Kendall C, Sookur P. Direct Access and Skill Mix Can Reduce Telephone Interruptions and Imaging Wait Times: Improving Radiology Service Effectiveness, Safety and Sustainability. Curr Probl Diagn Radiol 2021; 51:6-11. [PMID: 34284928 DOI: 10.1067/j.cpradiol.2021.06.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2021] [Revised: 05/23/2021] [Accepted: 06/11/2021] [Indexed: 11/22/2022]
Abstract
Unnecessary telephone calls to reporting radiologists impede organizations' workflow and may be associated with a higher chance of errors in reports. We conducted a prospective study in two cycles, which identified vetting plain CT heads as the most common reason for these calls and vetting CT urinary tracts (KUB) was also frequent. Clear vetting and protocolling guidelines exist for both of these scans, which do not routinely require discussion with a radiologist. Therefore, our approach was to create new flow diagrams to allow radiographers to directly accept routine requests for plain CT head and CT KUB scans in- and out-of-hours. After this intervention, incoming calls to radiology for vetting CT heads decreased by 30% and for vetting CT KUBs by 100%. The average wait time between CT head request and scan completion was reduced by 40%. The number of CT head and CT KUB scans performed remained stable. In future, maximizing the benefit of direct access in-patient imaging pathways will rely on effective and sustained communication of the protocols to the junior clinical staff rotating through the organization, as they were responsible for requesting the vast majority of tests.
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Affiliation(s)
- Christopher Watura
- Chelsea and Westminster Hospital NHS Foundation Trust, Imaging Department, Chelsea and Westminster Hospital, Chelsea, London.
| | - Charlotte Kendall
- Chelsea and Westminster Hospital NHS Foundation Trust, Imaging Department, Chelsea and Westminster Hospital, Chelsea, London
| | - Paul Sookur
- Chelsea and Westminster Hospital NHS Foundation Trust, Imaging Department, Chelsea and Westminster Hospital, Chelsea, London
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Heales CJ, Mills K, Ladd E. Radiographer advanced and consultant practice and community diagnostic hubs - a vision for the future. Radiography (Lond) 2021; 27 Suppl 1:S28-S33. [PMID: 34119400 DOI: 10.1016/j.radi.2021.05.004] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2021] [Revised: 05/11/2021] [Accepted: 05/17/2021] [Indexed: 10/21/2022]
Abstract
OBJECTIVES This article combines a brief narrative review of the Richards Report with an overview of current radiographer advanced and consultant clinical practice (ACCP) to provide suggestions for future ACCP within radiography. KEY FINDINGS The 'Diagnostics: Recovery and Renewal' report by Professor Sir Mike Richards, published in 2020, has identified a need for improvements to be made to diagnostic services. His recommendations include the introduction of Community Diagnostic Hubs (CDHs) that would provide quicker and easier access to diagnostic tests for patients(1) A narrative review around the concept of Advanced and Consultant Clinical Practice (ACCP) for radiographers demonstrates the capability of the radiographers to expand their role. The article concludes with a vision of how CDHs could potentially provide multiple career pathways for radiographers working at this level of practice. CONCLUSION AND IMPLICATIONS FOR PRACTICE It is acknowledged that some of these concepts are a combination of visionary and aspirational in outlook rather than being entirely based on current practice. The intention of this article, and the implications for practice, are to support on-going discussions to enable radiography, as a profession, to seek ways and opportunities to do things differently whilst ensuring that the patient remains at the centre of the services delivered.
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Affiliation(s)
- C J Heales
- University of Exeter, St Luke's Campus, Heavitree Road, Exeter, EX1 2LU, United Kingdom.
| | - K Mills
- University of the West of England, Glenside Campus, Bristol, BS16 1DD, United Kingdom.
| | - E Ladd
- Somerset NHS Foundation Trust, Musgrove Park Hospital, Taunton, Somerset, TA1 5DA, United Kingdom.
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Akudjedu TN, Botwe BO, Wuni AR, Mishio NA. Impact of the COVID-19 pandemic on clinical radiography practice in low resource settings: The Ghanaian radiographers' perspective. Radiography (Lond) 2021; 27:443-452. [PMID: 33168371 PMCID: PMC7590818 DOI: 10.1016/j.radi.2020.10.013] [Citation(s) in RCA: 25] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2020] [Revised: 10/09/2020] [Accepted: 10/19/2020] [Indexed: 12/14/2022]
Abstract
INTRODUCTION The COVID-19 pandemic has altered the professional practice of all healthcare workers, including radiographers. In the pandemic, clinical practice of radiographers was centred mostly on chest imaging of COVID-19 patients and radiotherapy treatment care delivery to those with cancer. This study aimed to assess the radiographers' perspective on the impact of the pandemic on their wellbeing and imaging service delivery in Ghana. METHODS A cross-sectional survey of practising radiographers in Ghana was conducted online from March 26th to May 6th, 2020. A previously validated questionnaire that sought information regarding demographics, general perspectives on personal and professional impact of the pandemic was used as the research instrument. Data obtained was analysed using Microsoft Excel® 2016. RESULTS A response rate of 57.3% (134/234) was obtained. Of the respondents, 75.4% (n = 101) reported to have started experiencing high levels of workplace-related stress after the outbreak. Three-quarters (n = 98, 73.1%) of respondents reported limited access to any form of psychosocial support systems at work during the study period. Half (n = 67, 50%) of the respondents reported a decline in general workload during the study period while only a minority (n = 18, 13.4%) reported an increase in workload due to COVID-19 cases. CONCLUSION This national survey indicated that majority of the workforce started experiencing coronavirus-specific workplace-related stress after the outbreak. Albeit speculative, low patient confidence and fear of contracting the COVID-19 infection on hospital attendance contributed to the decline in general workload during the study period. IMPLICATIONS FOR PRACTICE In order to mitigate the burden of workplace-related stress on frontline workers, including radiographers, and in keeping to standard practices for staff mental wellbeing and patient safety, institutional support structures are necessary in similar future pandemics.
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Affiliation(s)
- T N Akudjedu
- Institute of Medical Imaging & Visualisation, Department of Medical Science & Public Health, Faculty of Health & Social Sciences, Bournemouth University, UK.
| | - B O Botwe
- Department of Radiography, School of Biomedical and Allied Health Sciences, College of Health Sciences, University of Ghana, Box KB143, Korle Bu, Accra, Ghana
| | - A-R Wuni
- School of Healthcare Sciences, Cardiff University, UK
| | - N A Mishio
- Department of Psychology, University of Ghana, Legon, Accra, Ghana
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Khine R, Stewart-Lord A. An examination of Advanced Clinical Practice: Qualitative insights from therapeutic radiography advanced and consultant practitioners based in England. Tech Innov Patient Support Radiat Oncol 2021; 17:97-101. [PMID: 34007914 PMCID: PMC8110936 DOI: 10.1016/j.tipsro.2020.12.003] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2020] [Revised: 12/16/2020] [Accepted: 12/17/2020] [Indexed: 11/30/2022] Open
Abstract
INTRODUCTION Therapeutic radiographers play a vital and changing role in the delivery of radiotherapy services treating patients with cancer. Advanced Practitioners (AP) and Consultant Practitioners (CP) in radiotherapy have developed advanced clinical skills and specialisms, enhancing the ability of the profession to offer a greater depth of cancer services and ease pressure elsewhere in the system.The aim of this study was to define the opportunity and potential for Advanced Clinical Practice (ACP) roles in oncology services. Specific objectives were to explore local profiles, role development and opportunities for standardisation of ACPs in therapeutic radiography and to determine resource requirements to roll out and ensure continuation of the existing and new roles. MATERIAL AND METHODS The research was addressed through a qualitative study design using focus groups. Convenience sampling was used to recruit therapeutic radiography advanced and consultant practitioners (N = 36) from the respective radiotherapy departments in England to participate in regional focus groups. Four regional areas were identified for inclusion. Data generated was analysed thematically. RESULTS The findings are presented in four themes: ownership of professional identity, desire for standardisation and guidance, drivers of role development and self-directed educational routes. CONCLUSION Key findings from the focus groups indicated the need for standardisation in job descriptions, roles and responsibilities and a key understanding of career progression. The professional identity of the AP is acknowledged by independent, autonomous working; however, this can only be facilitated if the correct training is undertaken and the necessary support structures are in place to enable career progression. Challenges associated with role development are 1) lack of career and pathway guidance, 2) lack of clear educational routes, 3) lack of standardised roles.
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Affiliation(s)
- R.N.M. Khine
- School of Health Sciences, City, University of London, UK
| | - A. Stewart-Lord
- School of Health and Social Care, London South Bank University, UK
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Caulfield L. A literature review exploring the perceived impact, challenges and barriers of advanced and consultant practice in therapeutic radiography. Radiography (Lond) 2021; 27:950-955. [PMID: 33536150 DOI: 10.1016/j.radi.2021.01.002] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2020] [Revised: 12/07/2020] [Accepted: 01/10/2021] [Indexed: 11/24/2022]
Abstract
OBJECTIVES This review seeks to explore the perceived impact, challenges and barriers of advanced and consultant radiographer roles on staff, patients and healthcare. A systematic approach was used to search for and identify suitable literature for review. All appropriate literature was critically appraised and analysed qualitatively by thematic analysis. The results were integrated to give an overall evaluation of the impact of advanced and consultant practice within Therapeutic Radiography. KEY FINDINGS The literature found eleven studies that met the inclusion criteria and after critical appraisal, all were included in the analysis. Five key themes emerged from the analysis which is in keeping with the literature: education, quality of working life, patient care, benefit to healthcare and implementation obstacles. CONCLUSION Most advanced and consultant radiographers felt unprepared for these roles and the education requirements were varied and misunderstood. It was well documented that the advanced and consultant radiographer found great satisfaction from these roles and felt that it benefitted the patients as well as themselves and their career. Advanced and consultant roles benefitted patients by streamlining pathways and increasing satisfaction and there was a clear benefit to healthcare due to time and cost savings. The implementation obstacles focused around a lack of understanding and support from colleagues. There is a positive impact from advanced and consultant roles in therapeutic radiography to patients, staff and the healthcare system. IMPLICATIONS FOR PRACTICE There are challenges with respect to educational requirements, implementation obstacles and understanding of these roles which need to be addressed. There needs to be more education about the benefits of these roles so that they are encouraged and the staff are supported.
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Affiliation(s)
- L Caulfield
- Oxford University Hospitals NHS Foundation Trust, Radiotherapy Department, Level 0, Churchill Hospital, Oxford Cancer Centre, Old Road, Headington, Oxford, OX3 7LE, UK.
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Mercy NC, Bwanga O. Experiences of consultant breast radiographers regarding breast imaging services in the United Kingdom. Int J Health Sci (Qassim) 2021; 15:9-16. [PMID: 33456437 PMCID: PMC7786445] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
OBJECTIVE The objective of the study was to explore the experiences of consultant breast radiographers regarding breast imaging services in the United Kingdom (UK). METHODS The study used a qualitative research design. Data were collected using semi-structured interviews from eight purposively selected consultant breast radiographers across the UK. Interviews were recorded, transcribed, and analyzed by themes. RESULTS Four themes emerged: Reasons for the introduction of breast consultancy role in radiography, education and training, domain of practice, and autonomy and support. This study found that participants were carrying out roles similar to those performed by consultant breast radiologists and that they had been performing such roles even before they were appointed. The study further revealed that the creation of consultancy posts came because of an increase in demand for breast imaging services and the shortage of radiologists. Four domains of practice were clinical expert, professional leadership, research and evaluation, and education and training. Participants worked independently with adequate support from fellow consultants and non-radiology staff. CONCLUSION Consultant breast radiographers are performing most of the consultancy roles stated in their scope of practice, except for research and evaluation, which they are mainly unable to do due to clinical workload. Therefore, there is a need to provide protected time for research and evaluation activities so that consultant breast radiographers can utilize their full potential. The findings have provided baseline information for countries planning to extend the scope of practice of radiographers in breast imaging.
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Affiliation(s)
| | - Osward Bwanga
- Department of Radiology, Midland Regional Hospital, Tullamore, Co. Offaly, Ireland
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Eden JK, Borgen R. Exploring the perceptions of advanced practitioner radiographers at a single breast screening unit in extending their role from delivering benign to malignant biopsy results; a preliminary study. Br J Radiol 2021; 94:20200423. [PMID: 32976025 PMCID: PMC7774685 DOI: 10.1259/bjr.20200423] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2020] [Revised: 09/17/2020] [Accepted: 09/22/2020] [Indexed: 12/01/2022] Open
Abstract
OBJECTIVE The study aims to explore the perceptions of advanced practice radiographers (APRs) currently giving benign biopsy results to extend their role to deliver NHS Breast Screening Programme (NHSBSP) malignant outcomes. In the UK, APRs are appropriately trained to deliver results, yet traditionally have been cultured not to. Increasing pressures on NHSBSP units are a key driver for APR evolvement. A significant lack of published research provides the rationale for the study, combined with an identified service need. METHODS Following ethical approval, a grounded theory design was applied to interview six APRs individually in a single breast screening unit. Extracted themes were considered during a subsequent focus group. RESULTS Five core themes identified; (i) role of the APR, (ii) patient experience, (iii) efficiency, (iv) role boundaries, and (v) delivering results.The findings indicate the ambiguity of radiographers delivering results within their profession, outlining the potential impact on themselves and patients. Mammography APRs are skilled to deliver results, and whilst enforced barriers may restrict extension a supportive environment can overcome these. Additional training is necessary to implement the role in the screening service. CONCLUSION Identified within their scope of practice; APRs have the ability with appropriate training and peer support to effectively deliver results with a patient-centred approach. ADVANCES IN KNOWLEDGE This study has identified important enabling factors and challenges concerning role extension in the delivery of breast biopsy results. The apparent suitability of APRs to communicate results may address breast service pressures, with benefit to patients and the radiology profession.
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Affiliation(s)
- Joleen Kirsty Eden
- Department of Breast Imaging, East Lancashire Hospitals NHS Trust, England, United Kingdom
| | - Rita Borgen
- Department of Breast Imaging, East Lancashire Hospitals NHS Trust, England, United Kingdom
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Al Shiyadi K, Wilkinson JM. Radiographer role extension in Oman - Current practice and future opportunities. Radiography (Lond) 2020; 26:e201-e206. [PMID: 32143984 DOI: 10.1016/j.radi.2020.02.003] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2019] [Revised: 02/04/2020] [Accepted: 02/13/2020] [Indexed: 11/28/2022]
Abstract
INTRODUCTION Radiographers in Oman are believed to be engaged with varying levels of role extension however the nature and extent of this currently unknown. The aim of this study was to investigate role extension for radiographers in Oman, and to evaluate radiographers and the radiologists' opinions and attitudes toward role extension. METHODS A cross sectional study of radiographers and radiologists at 13 major hospitals in Oman was used. A total of 189 radiographers and 77 radiologists were invited to complete a questionnaire seeking information on current and possible future role extension activities. RESULTS The overall response rate was 80.4% for radiographers and 63.6% for radiologists. Approximately half (53.3%) of the radiographer respondents reported they carry out examinations traditionally performed by radiologists (i.e. role extension); this was primarily in gastrointestinal and barium enema studies. Fewer (21%) reported being involved in image interpretation, most commonly in accident and emergency examinations. Forty percent of radiographers reported involvement in intravenous injections, most commonly for CT and intravenous urography procedures. Both radiographers and radiologists supported the involvement of radiographers in a range of examination types however responses vary within and between hospitals. CONCLUSION This study concluded that radiography role extension activities are widely implemented at hospitals in Oman and that radiographers have sufficient skills and education for participating in these activities. IMPLICATIONS FOR PRACTICE The involvement of radiographers in role extension activities is believed to be cost and time effective, improve teamwork and has potential for significant service delivery benefits.
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Affiliation(s)
- K Al Shiyadi
- School of Dentistry and Health Sciences, Charles Sturt University, Locked Bag 588, Wagga Wagga, NSW, 2678, Australia; Department of Medical Imaging, Al Nahdha Hospital, P.O Box: 1418, code: 133, Muscat, Oman
| | - J M Wilkinson
- Faculty of Science, Charles Sturt University, Locked Bag 588, Wagga Wagga, NSW, 2678, Australia.
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Wuni AR, Courtier N, Kelly D. Developing a policy framework to support role extension in diagnostic radiography in Ghana. J Med Imaging Radiat Sci 2020; 52:112-120. [PMID: 33082122 DOI: 10.1016/j.jmir.2020.09.013] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2020] [Revised: 09/23/2020] [Accepted: 09/28/2020] [Indexed: 10/23/2022]
Abstract
INTRODUCTION A global shortage of radiologists is affecting the timely provision of imaging reports and thus healthcare delivery. This situation has been the main driving factor behind successful role extension by radiographers into areas that traditionally were within the scope of radiologists, including image interpretation and reporting. The shortage of radiologists is even worse in developing countries like Ghana. There is a need for policy to guide the introduction and implementation of role extension in Ghana. METHODS A qualitative, single case study with multiple sites across the country was used. A sample of 16 participants, including 8 radiographers, 3 radiologists, 3 medical officers, a senior official each from the Ministry of Health and the Allied Health Professions Council, were interviewed about role extension. RESULTS The findings indicate the need for a guiding policy of role extension to be spear headed by the Ministry of Health to gain the needed credibility. The findings suggest the policy should be made to meet the local needs of the country. It also established the policy should regulate education and training and the scope of practice. CONCLUSION The study established the need for policy to guide the introduction and practice of role extension in diagnostic radiography in Ghana. The study also established the need for a broad consultation of all key stakeholders based on an internationally accepted consensus building model.
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Affiliation(s)
| | | | - Daniel Kelly
- School of Healthcare Sciences, Cardiff University, UK
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Does a radiographer-led palliative radiotherapy pathway provide an efficient service for patients with symptoms of advanced cancer? The Northampton experience. JOURNAL OF RADIOTHERAPY IN PRACTICE 2020. [DOI: 10.1017/s146039692000028x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
AbstractAim:To investigate whether a radiographer-led radiotherapy pathway can provide an efficient service for patients requiring treatment for symptomatic skeletal metastases.Materials and Methods:A retrospective review of 425 courses of palliative radiotherapy was conducted. Data was analysed assessing diagnosis, dose/fractionation, time from referral to treatment, gender, age, inpatient/outpatient status and referring clinic location for radiographer- and clinical oncologist-led cohorts.Results:Patients aged ≥70 years were more likely to be planned by radiographers (n = 162/57, p < 0·001). Patients were more likely to be treated with 8 Gy in single fraction than with 20 Gy in five fractions (n = 279/136, p = 0·012). The median referral to treatment time in 8-Gy single-fraction prescriptions was 3 days for radiographer-led versus 7 days for clinical oncologist-led cohorts. In all patients and in 20 Gy in five-fraction prescriptions, it was 4 versus 8 days. A comparison of all prescriptions (p < 0·001), 8 Gy in single-fraction (p < 0·001) and 20 Gy in five-fraction prescriptions (p = 0·001) showed radiographer-led procedures as enabling faster access to treatment in each category.Findings:A radiographer-led service can facilitate faster access to treatment than a clinical oncologist-led pathway for an appropriately selected patient caseload.
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Wuni AR, Courtier N, Kelly D. Opportunities for radiographer reporting in Ghana and the potential for improved patient care. Radiography (Lond) 2020; 26:e120-e125. [DOI: 10.1016/j.radi.2019.09.011] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2019] [Revised: 09/27/2019] [Accepted: 09/30/2019] [Indexed: 11/17/2022]
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Abuzaid MM, Elshami W, Noorajan Z, Khayal S, Sulieman A. Assessment of the professional practice knowledge of computed tomography preceptors. Eur J Radiol Open 2020; 7:100216. [PMID: 32025535 PMCID: PMC6997560 DOI: 10.1016/j.ejro.2020.01.005] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2019] [Revised: 01/11/2020] [Accepted: 01/17/2020] [Indexed: 01/31/2023] Open
Abstract
OBJECTIVES This study aimed to assess the knowledge and practice of computed tomography (CT) clinical practice preceptors in terms of CT parameters affecting patient dose and image quality. MATERIAL AND METHODS A self-administered questionnaire that surveyed the participants' demographic information and knowledge about CT parameters and radiation doses was distributed to 60 CT preceptors. RESULTS The response rate of the invited technologists was 92 %. 38 (69 %) males and 17 (31 %) females aged between 24 and 59 years, with a mean age of 37.8. The participants' experience ranged between 2 and 24 years, with a mean of 15.5 years. The average knowledge score was 72.2 %, with a range of correct answers of 9-18 and a mean (±SD) of 13.1 ± 2.1. The participants showed a low awareness of diagnostic reference levels (DRLs). However, they demonstrated good overall knowledge, with a potential for improvement and confidence in practice. CONCLUSIONS Continuous medical education and professional development are a priority for improvement to ensure reliable delivery of health care and best practice. The findings of this study can be used by education institutes and health organizations when designing educational programs to ensure the highest training and performance of their technologists.
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Affiliation(s)
- Mohamed M. Abuzaid
- Medical Diagnostic Imaging Department, College of Health Sciences, University of Sharjah, Sharjah, United Arab Emirates
| | - Wiam Elshami
- Medical Diagnostic Imaging Department, College of Health Sciences, University of Sharjah, Sharjah, United Arab Emirates
| | - Zarmeena Noorajan
- Medical Diagnostic Imaging Department, College of Health Sciences, University of Sharjah, Sharjah, United Arab Emirates
| | | | - Abdelmoneim Sulieman
- Prince Sattam Bin Abdulaziz University, College of Applied Medical Sciences, Radiology and Medical Imaging Department, Saudi Arabia
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Rawashdeh M, Abdelrahman M, Zaitoun M, Saade C, Alewaidat H, McEntee MF. Diagnostic reference levels for paediatric CT in Jordan. JOURNAL OF RADIOLOGICAL PROTECTION : OFFICIAL JOURNAL OF THE SOCIETY FOR RADIOLOGICAL PROTECTION 2019; 39:1060-1073. [PMID: 31469115 DOI: 10.1088/1361-6498/ab3ee2] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
This study aimed to investigate the current status of Diagnostic Reference Levels (DRLs) in paediatric CT across Jordan. The dose data for four main CT examinations (brain, chest, abdominopelvic, and chest, abdomen and pelvis (CAP)) in hospitals and imaging centres (n = 4) were measured. The volume CT dose index (CTDIvol) and Dose Length Product (DLP) values were compared within the different hospitals and age groups (<1 year, 1-4 years, 5-10 years and 11-18 years). DRLs in Jordan were compared to international DRLs. The paediatric population consisted of 1818 children; 61.4% of them were male. There were significant variations between the DRLs for each CT scanner with an up to four-fold difference in dose between hospitals. There were apparent significant differences between Jordan and other countries with the DLPs in Jordan being relatively high. However, for CTDIvol, the values in Jordan were close to those of other countries. This study confirmed variations in the CTDIvol and DLP values of paediatric CT scans in Jordan. These variations were attributed to the different protocols and equipment used. There is a need to optimise paediatric CT examinations doses in Jordan.
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Affiliation(s)
- Mohammad Rawashdeh
- Faculty of Applied Medical Sciences, Jordan University of Science and Technology, Irbid, 222110, Jordan
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Brown L, Swan A, Whalley GA. The 21st Century Echocardiography Laboratory in Australia and New Zealand: Rapid Evolution of Training and Workforce, Practice and Technology. Heart Lung Circ 2019; 28:1421-1426. [PMID: 31010637 DOI: 10.1016/j.hlc.2019.03.010] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2018] [Revised: 02/08/2019] [Accepted: 03/21/2019] [Indexed: 01/09/2023]
Abstract
Echocardiography is a common and increasingly used noninvasive imaging tool in medicine. In this paper, we imagine the echocardiography laboratory of the future and consider the challenges we face currently, and may face in the future, and how these might be overcome; challenges such as training enough sonographers to meet the increasing demands of the ageing population living with chronic cardiovascular disease and the need for surveillance in other clinical scenarios. We consider the changing qualification framework and the requirements for accreditation and registration in Australia and New Zealand and the potential for migrant sonographers to meet some of the increasing demand. Advanced scopes of practice are likely to be a feature of the future workforce and we consider some of the ways these may evolve. Lastly, we consider how the evolving clinical landscape and technology may change the way echocardiography is delivered.
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Affiliation(s)
- Lynn Brown
- Cardiology Department, Flinders Medical Centre, Adelaide, SA, Australia
| | - Amy Swan
- Cardiology Department, Flinders Medical Centre, Adelaide, SA, Australia
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Job M, Holt T, Bernard A. An evaluation of an advanced practice role in palliative radiation therapy. J Med Radiat Sci 2019; 66:96-102. [PMID: 30809974 PMCID: PMC6545471 DOI: 10.1002/jmrs.318] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2018] [Revised: 12/06/2018] [Accepted: 12/08/2018] [Indexed: 11/23/2022] Open
Abstract
Introduction The purpose of the study was to evaluate the palliative advanced practice radiation therapy (APRT) role with respect to the impact on waiting times for patients from referral to radiation treatment delivery, the ability of the APRT to define palliative radiation therapy fields and patient satisfaction. The evaluation of the impact of the APRT role and referral pathway on patient waiting times has been previously published. Methods Patients were allocated to two different pathways; APRT and standard. Patients in the APRT pathway had their radiotherapy treatment managed by the APRT including defining their palliative fields blinded to the radiation oncologist (RO). Results Of the 150 palliative patients, 94 had their radiation therapy managed by the APRT and 56 were managed through the standard pathway. 82/92 APRT defined fields were accepted by the RO. Conclusions Inter‐observer variability between the APRT and the RO in defining palliative radiation therapy fields is similar to that reported in the literature between clinicians. With previously published reduced wait times from referral to treatment for palliative patients, the establishment of the APRT role is justified.
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Affiliation(s)
- Mary Job
- Radiation Oncology Mater Centre, Princess Alexandra Hospital, Raymond Terrace, South Brisbane, Brisbane, Australia
| | - Tanya Holt
- Radiation Oncology Mater Centre, Princess Alexandra Hospital, Raymond Terrace, South Brisbane, Brisbane, Australia.,University of Queensland, Brisbane, Australia
| | - Anne Bernard
- QFAB Bioinformatics, Institute for Molecular Bioscience, University of Queensland, Brisbane, Australia
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Warren-Forward HM. Barriers and incentives for choosing to specialise in mammography- A survey of Australian undergraduate diagnostic radiography students. Radiography (Lond) 2018; 24:360-365. [PMID: 30292506 DOI: 10.1016/j.radi.2018.05.004] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2018] [Revised: 05/08/2018] [Accepted: 05/13/2018] [Indexed: 11/30/2022]
Abstract
INTRODUCTION There is a projected shortage of radiographers working in breast screening in Australia. This study aimed to examine the perceived barriers and potential incentives among current undergraduate diagnostic radiography students to train, specialise and work in mammography. METHODS A survey was undertaken to assess students' experience of six modalities during both University study and clinical practice. Students were asked to rank their priority of which they would want to specialise and if training and working in mammography was an option. RESULTS From 248 students invited to participate, 101 students replied to the survey. Students indicated that they had been taught all modalities, however not all students had experienced them on clinical placement. Most students had observed or performed ultrasound (US) (90%, 90%), Computed Tomography (CT) (97%, 75%) and fluoroscopy (80%, 52%), though very few had experience of mammography (55%, 8%). US, CT, and MRI were the modalities that most students would like to specialise in. Male students reported being discriminated against working in mammography as this is "female only" work. CONCLUSION Students have more clinical access to the major modalities of US, CT and MRI, and this appears to be a major factor into why student wish to specialise in these modalities. Role extension and higher wages were given as possible incentives that would make specialising in Mammography more appealing. The gender divide may have to be bridged to enable crucial recruitment as male students feel discriminated against.
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Affiliation(s)
- H M Warren-Forward
- School of Health Sciences, Faculty of Health and Medicine, University of Newcastle, Australia.
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Rawashdeh M, Zaitoun M, McEntee MF, Abdelrahman M, Gharaibeh M, Ghoul S, Saade C. Knowledge, attitude and practice regarding clinical and self breast examination among radiology professionals. BREAST CANCER MANAGEMENT 2018. [DOI: 10.2217/bmt-2018-0014] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Aim: This study aims to assess the knowledge, attitudes and practices of radiology professionals in Jordan in regard to breast cancer (BC) screening. Methods: An IRB approved, online-based study was carried out in Jordan. The participants were radiologists (n = 8) and radiographers (n = 64). Results: The results showed that although 61.8% of participants were knowledgeable about BC prevention, only 65.7% (n = 48) of respondents performed breast self-examinations (BSE) on themselves, 28.7% (n = 21) underwent clinical breast examination (CBE) and 15.1% (n = 5) underwent either diagnostic or screening mammography. Conclusion: Radiology professionals are generally aware of the benefits of BC screening and its ability to facilitate early diagnosis of BC. Although some practitioners advise their relatives to perform BSEs and attend CBE, low percentages of respondents performed BSEs themselves or undergo CBE.
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Affiliation(s)
- Mohammad Rawashdeh
- Faculty of Applied Medical Sciences, Jordan University of Science & Technology, Irbid 22110, Jordan
| | - Maha Zaitoun
- Faculty of Applied Medical Sciences, Jordan University of Science & Technology, Irbid 22110, Jordan
| | - Mark F McEntee
- Medical Image Optimisation & Perception Group (MIOPeG), & the Brain & Mind Centre, Faculty of Health Sciences, The University of Sydney, Sydney, New South Wales, Australia
| | - Mostafa Abdelrahman
- Faculty of Applied Medical Sciences, Jordan University of Science & Technology, Irbid 22110, Jordan
| | - Maha Gharaibeh
- Faculty of Medicine, Jordan University of Science & Technology, Irbid 22110, Jordan
| | - Suha Ghoul
- Diagnostic Radiology department, King Hussein Cancer Center, Amman 11941, Jordan
| | - Charbel Saade
- Department of Diagnostic Radiology, American University of Beirut Medical Center, Beirut, Lebanon
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Thom S. Does advanced practice in radiography benefit the healthcare system? A literature review. Radiography (Lond) 2018; 24:84-89. [DOI: 10.1016/j.radi.2017.08.002] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2017] [Revised: 08/05/2017] [Accepted: 08/07/2017] [Indexed: 10/18/2022]
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Björkman B, Fridell K, Tavakol Olofsson P. Plausible scenarios for the radiography profession in Sweden in 2025. Radiography (Lond) 2017; 23:314-320. [PMID: 28965895 DOI: 10.1016/j.radi.2017.07.002] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2017] [Revised: 07/06/2017] [Accepted: 07/07/2017] [Indexed: 10/19/2022]
Abstract
INTRODUCTION Radiography is a healthcare speciality with many technical challenges. Advances in engineering and information technology applications may continue to drive and be driven by radiographers. The world of diagnostic imaging is changing rapidly and radiographers must be proactive in order to survive. To ensure sustainable development, organisations have to identify future opportunities and threats in a timely manner and incorporate them into their strategic planning. Hence, the aim of this study was to analyse and describe plausible scenarios for the radiography profession in 2025. METHOD The study has a qualitative design with an inductive approach based on focus group interviews. The interviews were inspired by the Scenario-Planning method. RESULTS Of the seven trends identified in a previous study, the radiographers considered two as the most uncertain scenarios that would have the greatest impact on the profession should they occur. These trends, labelled "Access to career advancement" and "A sufficient number of radiographers", were inserted into the scenario cross. The resulting four plausible future scenarios were: The happy radiographer, the specialist radiographer, the dying profession and the assembly line. CONCLUSION It is suggested that "The dying profession" scenario could probably be turned in the opposite direction by facilitating career development opportunities for radiographers within the profession. Changing the direction would probably lead to a profession composed of "happy radiographers" who are specialists, proud of their profession and competent to carry out advanced tasks, in contrast to being solely occupied by "the assembly line".
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Affiliation(s)
- B Björkman
- Jönköping University, School of Health and Welfare, Department of Natural Science and Biomedicine, P.O. Box 1026, 551 11 Jönköping, Sweden.
| | - K Fridell
- Karolinska Institutet, Clinical Science, Intervention and Technology 171 77 Stockholm, Sweden.
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Aarts S, Cornelis F, Zevenboom Y, Brokken P, van de Griend N, Spoorenberg M, Ten Bokum W, Wouters E. The opinions of radiographers, nuclear medicine technologists and radiation therapists regarding technology in health care: a qualitative study. J Med Radiat Sci 2017; 64:3-9. [PMID: 28303693 PMCID: PMC5355371 DOI: 10.1002/jmrs.207] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2016] [Revised: 11/22/2016] [Accepted: 11/25/2016] [Indexed: 11/30/2022] Open
Abstract
INTRODUCTION New technology is continuously introduced in health care. The aim of this study was (1) to collect the opinions and experiences of radiographers, nuclear medicine technologists and radiation therapists regarding the technology they use in their profession and (2) to acquire their views regarding the role of technology in their future practice. METHODS Participants were recruited from five departments in five hospitals in The Netherlands. All radiographers, nuclear medicine therapists and radiation therapists who were working in these departments were invited to participate (n = 252). The following topics were discussed: technology in daily work, training in using technology and the role of technology in future practice. The recorded interviews were transcribed verbatim and analysed using open and axial coding. RESULTS A total of 52 participants (57.7% radiographer) were included, 19 men and 33 women (age range: 20-63). Four major themes emerged: (1) technology as an indispensable factor, (2) engagement, support and training in using technology, (3) transitions in work and (4) the radiographer of the future. All participants not only value technological developments to perform their occupations, but also aspects such as documentation and physical support. When asked about the future of their profession, contradictory answers were provided; while some expect less autonomy, others belief they will get more autonomy in their work. CONCLUSION Technology plays a major role in all three occupations. All participants believe that technology should be in the best interests of patients. Being involved in the implementation of new technology is of utmost importance; courses and training, facilitated by the managers of the departments, should play a major role. Only when a constant dialogue exists between health care professionals and their managers, in which they discuss their experiences, needs and expectations, technology can be implemented in a safe and effective manner. This, in turn, might positively influence quality of care.
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Affiliation(s)
- Sil Aarts
- Fontys University of Applied Sciences, School of Allied Health Professions, Chair of Health, Innovations & Technology (HIT), Eindhoven, The Netherlands
| | - Forra Cornelis
- Fontys University of Applied Sciences, School of Allied Health Professions, Chair of Health, Innovations & Technology (HIT), Eindhoven, The Netherlands
| | - Yke Zevenboom
- Fontys University of Applied Sciences, School of Allied Health Professions, Chair of Health, Innovations & Technology (HIT), Eindhoven, The Netherlands
| | - Patrick Brokken
- Fontys University of Applied Sciences, School of Allied Health Professions, Chair of Health, Innovations & Technology (HIT), Eindhoven, The Netherlands
| | - Nicole van de Griend
- Fontys University of Applied Sciences, School of Allied Health Professions, Chair of Health, Innovations & Technology (HIT), Eindhoven, The Netherlands
| | - Miriam Spoorenberg
- Fontys University of Applied Sciences, School of Allied Health Professions, Chair of Health, Innovations & Technology (HIT), Eindhoven, The Netherlands
| | - Wendy Ten Bokum
- Fontys University of Applied Sciences, School of Allied Health Professions, Chair of Health, Innovations & Technology (HIT), Eindhoven, The Netherlands
| | - Eveline Wouters
- Fontys University of Applied Sciences, School of Allied Health Professions, Chair of Health, Innovations & Technology (HIT), Eindhoven, The Netherlands
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Reid K, Rout J, Brown V, Forton R, Crawford M, Bennie M, Curtin J. Radiographer advanced practice in computed tomography coronary angiography: Making it happen. Radiography (Lond) 2016. [DOI: 10.1016/j.radi.2016.03.006] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Snaith B, Milner R, Harris M. Beyond image interpretation: Capturing the impact of radiographer advanced practice through activity diaries. Radiography (Lond) 2016. [DOI: 10.1016/j.radi.2016.07.005] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
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Matilainen K, Ahonen SM, Kankkunen P, Kangasniemi M. Radiographers' perceptions of their professional rights in diagnostic radiography: a qualitative interview study. Scand J Caring Sci 2016; 31:139-145. [PMID: 27164407 DOI: 10.1111/scs.12335] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2015] [Accepted: 01/04/2016] [Indexed: 11/30/2022]
Abstract
BACKGROUND Considering the ethics of each profession is important as inter-professional collaboration increases. Professional ethics creates a basis for radiographers' work, as it includes values and principles, together with rights and duties that guide and support professionals. However, little is known about radiographers' rights when it comes to professional ethics. THE AIM The aim of this study was to describe radiographers' perceptions and experiences of their professional rights. The ultimate aim was to increase the understanding of professional ethics in this context and support radiographers' ethical pondering in diagnostic radiography. METHODOLOGY A qualitative method was used. Semistructured group interviews with 15 radiographers were conducted in spring 2013 at two publicly provided diagnostic imaging departments in Finland. Data were analysed by inductive content analysis. All the participants were women, and they had worked as radiographers for an average of 18 years. FINDINGS Based on our analysis, radiographers' professional rights consisted of rights related to their expertise in radiography and the rights related to working conditions that ensured their wellbeing. Expertise-based rights included rights to plan, conduct and assess radiological care with patient advocacy. Radiographers have the right to contribute to a culture of safe radiation in their organisation and to use their professional knowledge to achieve their main target, which is the safe imaging of patients. Radiographers also have right to work in conditions that support their well-being, including the legal rights stated in their employment contract, as well as their rights concerning resources at work. CONCLUSIONS Radiographers' professional rights are an elementary and multidimensional part of their clinical practice. In future, more theoretical and empirical research is needed to deepen the understanding of their rights in the clinical practice and support radiographers on issues related to this aspect of their work.
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Affiliation(s)
- Kati Matilainen
- Department of Nursing Science, Faculty of Health Sciences, University of Eastern Finland, Kuopio, Finland
| | - Sanna-Mari Ahonen
- Faculty of Medicine, Institute of Health Sciences, University of Oulu, Oulu, Finland
| | - Päivi Kankkunen
- Department of Nursing Science, Faculty of Health Sciences, University of Eastern Finland, Kuopio, Finland
| | - Mari Kangasniemi
- Department of Nursing Science, Faculty of Health Sciences, University of Eastern Finland, Kuopio, Finland
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Ekpo EU, Hogg P, McEntee MF. A Review of Individual and Institutional Publication Productivity in Medical Radiation Science. J Med Imaging Radiat Sci 2016; 47:13-20. [DOI: 10.1016/j.jmir.2015.11.002] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2015] [Revised: 11/13/2015] [Accepted: 11/17/2015] [Indexed: 01/07/2023]
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Smith S, Comins C. Radiographer-led breast boost localisation – A service evaluation study. Radiography (Lond) 2015. [DOI: 10.1016/j.radi.2014.08.002] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Hayes J. Establishing advanced practice for medical imaging in New Zealand. J Med Radiat Sci 2014; 61:277. [PMID: 25798287 PMCID: PMC4360144 DOI: 10.1002/jmrs.80] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
Letter to discuss the scientific content of a previously published article Establishing advanced practice for medical imaging in New Zealand . Hopefully this will encourage much needed debate on this topic.
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Affiliation(s)
- James Hayes
- CPIT, Christchurch New Zealand New Zealand Institute of Medical Radiation Technology (NZIMRT) Director
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41
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Coleman K, Jasperse M, Herst P, Yielder J. Establishing radiation therapy advanced practice in New Zealand. J Med Radiat Sci 2014; 61:38-44. [PMID: 26229634 PMCID: PMC4175832 DOI: 10.1002/jmrs.33] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2013] [Revised: 09/18/2013] [Accepted: 10/18/2013] [Indexed: 11/24/2022] Open
Abstract
INTRODUCTION Advanced practice (AP) is of increasing interest to many radiation therapists (RTs) both nationally and internationally. In New Zealand, initial research (2005-2008) showed strong support for the development of an AP role for medical radiation technologists (MRTs). Here, we report on a nationwide survey in which RTs validated and prioritised nine AP profiles for future development. METHODS All registered RTs in New Zealand (n = 260) were invited to take part in a survey in December 2011; 73 of whom returned a complete response. RESULTS RTs supported the implementation of AP roles in New Zealand and the requirement of a Master's degree qualification to underpin clinical knowledge. Most RTs endorsed the criteria attributed to each of the nine proposed AP profiles. The study identified that activities may qualify as either advanced practice or standard practice depending on the department. All participants agreed that an advanced practitioner should be a leader in the field, able to initiate and facilitate future developments within as well as outside this specific role. Acceptance of the AP roles by RTs and other health professionals as well as the availability of resources for successful implementation, were concerns expressed by some RTs. CONCLUSION The authors recommend (1) the development of one scope of practice titled 'advanced practitioner' with generic and specialist criteria for each profile as the future career pathway, (2) promotion and support for the AP pathway by the New Zealand Institute of Medical Radiation Technology and the New Zealand Medical Radiation Technologists Board.
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Affiliation(s)
- Karen Coleman
- Department of Radiation Therapy, University of OtagoWellington, New Zealand
| | - Marieke Jasperse
- Department of Radiation Therapy, University of OtagoWellington, New Zealand
| | - Patries Herst
- Department of Radiation Therapy, University of OtagoWellington, New Zealand
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