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Sipos D, Kövesdi O, Raposa B, Ferkai L, Deutsch K, Pandur A, Kovács Á, Csima MP. Occupational Stress Levels among Radiologists and Radiographers in Hungary during the COVID-19 Era. Healthcare (Basel) 2024; 12:160. [PMID: 38255049 PMCID: PMC10815895 DOI: 10.3390/healthcare12020160] [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: 11/27/2023] [Revised: 01/05/2024] [Accepted: 01/08/2024] [Indexed: 01/24/2024] Open
Abstract
The COVID-19 pandemic has heightened stress levels, potentially affecting the occupational wellbeing of radiographers and radiologists. Our study aimed to assess occupational stress levels within the radiology department and identify contributing factors. A cross-sectional survey was conducted between September and November 2022, with participants comprising radiographers and radiologists affiliated with the Hungarian Society of Radiographers and the Hungarian Society of Radiologists. The online survey collected socio-demographic and COVID-19 data, and the participants completed an effort-reward imbalance questionnaire. The analysis of 406 responses revealed significantly higher effort-reward imbalance (ERI) levels among the radiologists compared to the radiographers (p < 0.05). The healthcare professionals with over 30 years of experience exhibited significantly lower ERI levels than those with 1-9 years, 10-19 years, or 20-29 years of experience (p < 0.05). Additionally, the individuals aged 31-40 demonstrated higher ERI levels compared to their counterparts aged 19-30, 41-50, and over 51 (p < 0.05). The respondents cohabiting with a spouse/partner reported significantly higher stress levels than their single colleagues (p < 0.05), while the dog owners exhibited significantly lower ERI levels (p < 0.05). Elevated occupational stress highlights specific groups requiring targeted interventions to reduce stress and mitigate burnout among radiologists and radiographers.
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Affiliation(s)
- David Sipos
- Department of Medical Imaging, Faculty of Health Sciences, University of Pécs, Vörösmarty Str. 4, 7621 Pẻcs, Hungary
- Dr. József Baka Diagnostic, Radiation Oncology, Research and Teaching Center, “Moritz Kaposi” Teaching Hospital, Guba Sándor Str. 40, 7400 Kaposvár, Hungary
| | - Orsolya Kövesdi
- Doctoral School of Health Sciences, Faculty of Health Science, University of Pẻcs, Vörösmarty Str. 4, 7621 Pẻcs, Hungary
| | - Bence Raposa
- Doctoral School of Health Sciences, Faculty of Health Science, University of Pẻcs, Vörösmarty Str. 4, 7621 Pẻcs, Hungary
- Institute of Pedagogy of Health and Nursing Sciences, Faculty of Health Sciences, University of Pécs, Vörösmarty Str. 4, 7621 Pécs, Hungary
| | - Luca Ferkai
- Doctoral School of Health Sciences, Faculty of Health Science, University of Pẻcs, Vörösmarty Str. 4, 7621 Pẻcs, Hungary
- Institute of Pedagogy of Health and Nursing Sciences, Faculty of Health Sciences, University of Pécs, Vörösmarty Str. 4, 7621 Pécs, Hungary
| | - Krisztina Deutsch
- Doctoral School of Health Sciences, Faculty of Health Science, University of Pẻcs, Vörösmarty Str. 4, 7621 Pẻcs, Hungary
- Institute of Pedagogy of Health and Nursing Sciences, Faculty of Health Sciences, University of Pécs, Vörösmarty Str. 4, 7621 Pécs, Hungary
| | - Attila Pandur
- Institute of Pedagogy of Health and Nursing Sciences, Faculty of Health Sciences, University of Pécs, Vörösmarty Str. 4, 7621 Pécs, Hungary
| | - Árpád Kovács
- Department of Medical Imaging, Faculty of Health Sciences, University of Pécs, Vörösmarty Str. 4, 7621 Pẻcs, Hungary
- Department of Oncoradiology, Faculty of Medicine, University of Debrecen, Nagyerdei 98, 4032 Debrecen, Hungary
| | - Melinda Petőné Csima
- Department of Medical Imaging, Faculty of Health Sciences, University of Pécs, Vörösmarty Str. 4, 7621 Pẻcs, Hungary
- Institute of Education, Hungarian University of Agriculture and Life Sciences, Guba Sándor Str. 40, 7400 Kaposvár, Hungary
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Konstantinidis K. The shortage of radiographers: A global crisis in healthcare. J Med Imaging Radiat Sci 2023:S1939-8654(23)01877-5. [PMID: 37865586 DOI: 10.1016/j.jmir.2023.10.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2023] [Revised: 08/16/2023] [Accepted: 10/04/2023] [Indexed: 10/23/2023]
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Grehan J, Rainford L, Ryan ML. The evolution of mandatory continuing professional development (CPD) for diagnostic radiographers in Ireland - A longitudinal study. Radiography (Lond) 2023; 29:1054-1062. [PMID: 37741143 DOI: 10.1016/j.radi.2023.09.002] [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: 04/24/2023] [Revised: 08/13/2023] [Accepted: 09/07/2023] [Indexed: 09/25/2023]
Abstract
INTRODUCTION This longitudinal research study reports on aspects of CPD immediately before and in the years following the simultaneous introduction of state registration and mandatory CPD for diagnostic radiographers in Ireland. METHODS Surveys captured information through closed and open questions distributed nationally across various hospital types in hard copy and online formats. Opinion was gathered over 8-years at three time points, prior to the introduction of mandated changes, post-introduction at the end of the first audit cycle, and as society was emerging from a period of pandemic. RESULTS Responses were received across age and grade ranges with response rates in keeping with previous surveys. The overall importance with which radiographers held CPD decreased over time, and while small changes were seen, the narrow focus of what radiographers considered CPD had stayed the same, with attendance-based activities remaining the most popular. Respondents indicated that their enthusiasm for undertaking CPD and willingness to undertake CPD outside of working hours had also decreased, with the perceived primary barrier to CPD shifting from funding to time. CONCLUSIONS An appetite to undertake CPD amongst the majority is evident; however, addressing issues such as decreasing importance levels and willingness to use personal time for CPD is crucial. While the perceived cost of CPD has lessened as a barrier, lack of time for CPD is now a principal concern. Further research is recommended to explore the broader impacts of time pressures and optimises CPD for radiographers. IMPLICATIONS FOR PRACTICE Findings highlight the need for collaborative engagement and support to optimise CPD opportunities for all radiographers in the future.
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Affiliation(s)
- J Grehan
- Radiography and Diagnostic Imaging, UCD School of Medicine, University College Dublin, Ireland.
| | - L Rainford
- Radiography and Diagnostic Imaging, UCD School of Medicine, University College Dublin, Ireland
| | - M-L Ryan
- Radiography and Diagnostic Imaging, UCD School of Medicine, University College Dublin, Ireland
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Khandaker MU, Abuzaid MM, Mohamed IA, Yousef M, Jastaniah S, Alshammari QT, Alghamdi SS, Osman H, Mohamed Ahmed A, Musa A, Ahmed Medani AM, Lam SE, Bradley DA. Investigation of the Radiographer's adherence and compliance with radiation protection and infection control practices during COVID-19 mobile radiography. Radiat Phys Chem Oxf Engl 1993 2023; 210:111023. [PMID: 37206369 PMCID: PMC10174468 DOI: 10.1016/j.radphyschem.2023.111023] [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: 03/16/2023] [Revised: 05/08/2023] [Accepted: 05/10/2023] [Indexed: 05/21/2023]
Abstract
Radiological staff, especially radiographers, work as front liners against the COVID-19 outbreak. This study aims to assess compliance with radiation protection and infection control practices during COVID-19 mobile radiography procedures. This cross-sectional study included 234 radiographers (females, 56%, n = 131; males, 44%, n = 103) who were asked to complete an online questionnaire consisting of demographic data, radiation protection and infection control practices during COVID-19 portable cases, and knowledge and awareness. After informed consent was completed, SPSS statistical software was used for the data analysis. The most common age group of participants ranged from 18 to 25 years old (30.3%, n = 71). Bachelor's degree holders were 74.4% (n = 174). Most radiographers (39.7%, n = 93) had a working experience of 1-5 years, followed by 27.8% (n = 65) with more than 16 years of experience. Most respondents (62.4%, n = 146) handled approximately 1-5 cases daily, the majority of them (56%, n = 131) stated affirmatively they had obtained special training to handle COVID-19, and when inquired if they had received any special allowances for handling COVID-19 suspected/confirmed cases most of them stated negative (73.9%, n = 173). Most participants stated that they always wear a TLD during portable cases (67.1%, n = 157) and a lead apron (51.7%, n = 121). Around 73% (n = 171) knew the latest information on COVID-19 and attended the COVID-19 awareness course. A significant association was found between the work experience of the radiographers and their responses to following the best practices (p = 0.018, α = 0.05). Radiographers who had COVID-19 training (μ = 48.78) tend to adhere more to best practices than those who have not (p = 0.04, α = 0.05). Further, respondents who handled more than 16/more COVID-19 suspected/confirmed cases followed the best practices more (μ = 50.38) than those who handled less (p = 0.04, α = 0.05). This study revealed detailed information on radiation protection and infection control practices during COVID-19 mobile radiography. It has been observed that the participants/radiographers have good knowledge and awareness of radiation protection and infection-control practices. The present results may be used to plan future requirements regarding resources and training to ensure patient safety.
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Affiliation(s)
- Mayeen Uddin Khandaker
- Research Centre for Applied Physics and Radiation Technologies, School of Engineering and Technology, Sunway University, Bandar Sunway, 47500, Malaysia
- Department of General Educational Development, Faculty of Science and Information Technology, Daffodil International University, DIU Rd, Dhaka, 1341, Bangladesh
| | - Mohamed M Abuzaid
- University of Sharjah, College of Health Sciences, Department of Medical Diagnostic Imaging, Sharjah, United Arab Emirates
| | - Ikhlas A Mohamed
- Diagnostic Radiology Department, College of Medical Radiological Science, Sudan University of Science and Technology, Khartoum, Sudan
| | - Mohamed Yousef
- Radiologic Sciences Program, Batterjee Medical College, Jeddah, Saudi Arabia
| | - Saddig Jastaniah
- Radiologic Sciences Program, Batterjee Medical College, Jeddah, Saudi Arabia
| | - Qurain T Alshammari
- Diagnostic Radiology Department, College of Applied Medical Sciences, University of Hail, Hai'l, Saudi Arabia
| | - Salem Saeed Alghamdi
- Department of Applied Radiologic Technology, College of Applied Medical Sciences, University of Jeddah, Saudi Arabia
| | - Hamid Osman
- Department of Radiologic Sciences, College of Applied Medical Sciences, Taif University, Saudi Arabia
| | - Amna Mohamed Ahmed
- Department of Radiological Sciences, College of Applied Medical Sciences, King Khalid University, Abha, Saudi Arabia
| | - Alamin Musa
- Department of Radiological Sciences, College of Applied Medical Sciences, King Khalid University, Abha, Saudi Arabia
| | - Afaf Mohamed Ahmed Medani
- Department of Radiological Sciences, College of Applied Medical Sciences, King Khalid University, Abha, Saudi Arabia
| | - S E Lam
- Research Centre for Applied Physics and Radiation Technologies, School of Engineering and Technology, Sunway University, Bandar Sunway, 47500, Malaysia
| | - D A Bradley
- Research Centre for Applied Physics and Radiation Technologies, School of Engineering and Technology, Sunway University, Bandar Sunway, 47500, Malaysia
- Department of Physics, University of Surrey, Guidlford, GU2 7XH, United Kingdom
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Kandeepan K, Robinson J, Reed W. Pandemic preparedness of diagnostic radiographers during COVID-19: A scoping review. Radiography (Lond) 2023; 29:729-737. [PMID: 37207374 DOI: 10.1016/j.radi.2023.04.021] [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: 01/26/2023] [Revised: 04/20/2023] [Accepted: 04/29/2023] [Indexed: 05/21/2023]
Abstract
INTRODUCTION As chest imaging is a tool for detecting coronavirus disease 2019 (COVID-19), diagnostic radiographers are a key component of the frontline workforce. Due to its unforeseen nature, COVID-19 has challenged radiographers' preparedness in combating its effects. Despite its importance, literature specifically investigating radiographers' readiness is limited. However, the documented experiences are prognostic of pandemic preparedness. Hence, this study aimed to map this literature by addressing the question: 'what does the existing literature reveal about the pandemic preparedness of diagnostic radiographers during COVID-19?'. METHODS Using Arksey and O'Malley's framework, this scoping review searched for empirical studies in MEDLINE, Embase, Scopus, and CINAHL. Consequently, 970 studies were yielded and underwent processes of deduplication, title and abstract screening, full-text screening, and backward citation searching. Forty-four articles were deemed eligible for data extraction and analysis. RESULTS Four themes that reflected pandemic preparedness were extrapolated: infection control and prevention, knowledge and education, clinical workflow, and mental health. Notably, the findings highlighted pronounced trends in adaptation of infection protocols, adequate infection knowledge, and pandemic-related fears. However, inconsistencies in the provision of personal protective equipment, training, and psychological support were revealed. CONCLUSION Literature suggests that radiographers are equipped with infection knowledge, but the changing work arrangements and varied availability of training and protective equipment weakens their preparedness. The disparate access to resources facilitated uncertainty, affecting radiographers' mental health. IMPLICATIONS FOR PRACTICE By reiterating the current strengths and weaknesses in pandemic preparedness, the findings can guide clinical practice and future research to correct inadequacies in infrastructure, education, and mental health support for radiographers in the current and future disease outbreaks.
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Affiliation(s)
- K Kandeepan
- Medical Imaging Sciences, University of Sydney, Camperdown, NSW 2050, Australia.
| | - J Robinson
- Medical Imaging Sciences, University of Sydney, Camperdown, NSW 2050, Australia
| | - W Reed
- Medical Imaging Sciences, University of Sydney, Camperdown, NSW 2050, Australia
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Sireci F, Bellei E, Torre G, Ferrari F, Minardi V, Ghirotto L, Valzania F. Being a technician during COVID-19: a qualitative cross-sectional survey on the experiences of clinical neurophysiology technicians. Neurol Sci 2023; 44:429-436. [PMID: 36510090 PMCID: PMC9744665 DOI: 10.1007/s10072-022-06551-5] [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: 10/21/2022] [Accepted: 12/06/2022] [Indexed: 12/14/2022]
Abstract
BACKGROUND During the Sars-CoV-2 virus pandemic, Italy faced an unrivaled health emergency. Its impact has been significant on the hospital system and personnel. Clinical neurophysiology technicians played a central role (but less visibly so compared to other healthcare workers) in managing the COVID-19 pandemic. This research aims to explore the experiences of clinical neurophysiology technicians during the pandemic and contribute to the debate on the well-being of healthcare workers on the front line. METHODS We implemented a cross-sectional survey across Italy. It contained questions that were open-ended for participants to develop their answers and acquire a fuller perspective. The responses were analyzed according to the framework method. RESULTS One hundred and thirty-one responses were valid, and the following themes were generated: technicians' experiences in their relationship with patients, technicians' relationship with their workgroup and directors, and technicians' relationship with the context outside of their work. The first theme included sub-themes: fear of infection, empathy, difficulty, a sense of obligation and responsibility, anger, and sadness. The second theme contained selfishness/solidarity in the workgroup, lack of protection/collaboration from superiors, stress, and distrust. The last theme included fear, stress/tiredness, serenity, sadness, and anger. CONCLUSION This study contributes to building a humanized perspective for personnel management, bringing attention to the technical work of healthcare professionals in an emergency and the emotional and relational dimensions. These are the starting points to define proper, contextually adequate support.
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Affiliation(s)
- Francesca Sireci
- Neurology Unit, Neuromotor & Rehabilitation Department, Azienda USL - IRCCS Di Reggio Emilia, Reggio Emilia, Italy
| | - Elena Bellei
- Interactionist Cognitive Psychotherapy School, Padua, Italy
| | - Gabriella Torre
- Neurology Unit, Neuromotor & Rehabilitation Department, Azienda USL - IRCCS Di Reggio Emilia, Reggio Emilia, Italy
| | - Francesca Ferrari
- Neurology Unit, Neuromotor & Rehabilitation Department, Azienda USL - IRCCS Di Reggio Emilia, Reggio Emilia, Italy
| | - Valentina Minardi
- Neurology Unit, Neuromotor & Rehabilitation Department, Azienda USL - IRCCS Di Reggio Emilia, Reggio Emilia, Italy
| | - Luca Ghirotto
- Qualitative Research Unit, Azienda USL - IRCCS Di Reggio Emilia, Reggio Emilia, Italy.
| | - Franco Valzania
- Neurology Unit, Neuromotor & Rehabilitation Department, Azienda USL - IRCCS Di Reggio Emilia, Reggio Emilia, Italy
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Jimenez YA, Hill S, Lewis SJ. Infection prevention and control in medical imaging surveys: The need to map to guidelines to address systemic issues? Infect Dis Health 2023; 28:102-114. [PMID: 36707351 DOI: 10.1016/j.idh.2023.01.001] [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: 10/25/2022] [Revised: 01/07/2023] [Accepted: 01/08/2023] [Indexed: 01/26/2023]
Abstract
BACKGROUND Infection prevention and control (IPC) in the medical imaging (MI) setting is recognised as an important factor in providing high-quality patient care and safe working conditions. Surveys are commonly used and have advantages for IPC research. The aim of this study was to identify the core concepts in surveys published in the literature that examined IPC in MI environments. METHODS A literature review was conducted to identify studies that employed a survey relating to IPC in the MI setting. For each included study, descriptive study information and survey information were extracted. For IPC-specific survey items, directed content analysis was undertaken, using eleven pre-determined codes based on the 'Australian Guidelines for the Prevention and Control of Infection in Healthcare'. Content that related to 'Knowledge', 'Attitudes' and 'Practice' were also identified. RESULTS A total of 23 studies and 21 unique surveys were included in this review. IPC-specific survey items assessed diverse dimensions of IPC, most commonly relating to 'transmission-based precautions' and 'applying standard and transmission-based precautions during procedures'. 'Practice' and 'Knowledge' related survey items were most frequent, compared to 'Attitudes'. CONCLUSION MI research using survey methods have focused on the 'entry' points of IPC, rather than systemic IPC matters around policy, education, and stewardship. The concepts of 'Knowledge', 'Attitudes' and 'Practice' are integrated in IPC surveys in the MI context, with a greater focus evident on staff knowledge and practice. Existing topics within IPC surveys in MI are tailored to individual studies and locales, with lack of consistency to national frameworks.
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Affiliation(s)
- Yobelli A Jimenez
- Susan Wakil Health Building (D18), Western Avenue, University of Sydney, NSW 2006 Australia.
| | - Suzanne Hill
- Susan Wakil Health Building (D18), Western Avenue, University of Sydney, NSW 2006 Australia
| | - Sarah J Lewis
- Susan Wakil Health Building (D18), Western Avenue, University of Sydney, NSW 2006 Australia
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Abuzaid MM, Elshami W, Tekin HO. Infection control and radiation safety practices in the radiology department during the COVID-19 outbreak. PLoS One 2022; 17:e0279607. [PMID: 36574426 PMCID: PMC9794035 DOI: 10.1371/journal.pone.0279607] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2022] [Accepted: 12/10/2022] [Indexed: 12/29/2022] Open
Abstract
RATIONALE AND OBJECTIVES Radiology personnel must have good knowledge, experience and adherence to radiation protection and infection control practices to ensure patient safety and prevent the further spread of the COVID-19 virus. This study analysed compliance and adherence to radiation protection and infection control during COVID-19 mobile radiography. METHODS A cross-sectional using online survey was conducted from September to December 2021. Data on demographic characteristics, adherence to radiation protection and infection control practice were collected during mobile radiography for COVID-19 patients in the study. A random sample of the radiographers working in COVID-19 centres in the United Arab Emirates. RESULTS Responses were received from 140 participants, with a response rate of 87.5%. Females were the predominant participants (n = 81; 58%). Participants aged ages between 18-25 years (n = 46; 33%) and 26-35 years (n = 42; 30%), (n = 57; 41%) had less than five years of experience, followed by participants who had more than 15 years (n = 38; 27%). Most participants (n = 81; 57.9%) stated that they performed approximately 1-5 suspected or confirmed COVID-19 cases daily. The participants had moderate to high adherence to radiation protection, with a mean and standard deviation of 42.3 ± 6.28. Additionally, infection control adherence was high, with 82% of the participants showing high adherence. CONCLUSION Continuous guidance, training and follow-up are recommended to increase adherence and compliance to radiation protection and infection control compliance. Educational institutions and professional organisations must collaborate to provide structured training programmes for radiology practitioners to overcome the practice and knowledge gap.
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Affiliation(s)
- Mohamed M Abuzaid
- Medical Diagnostic Imaging Department, College of Health Sciences, University of Sharjah, Sharjah, UAE
| | - Wiam Elshami
- Medical Diagnostic Imaging Department, College of Health Sciences, University of Sharjah, Sharjah, UAE
| | - H O Tekin
- Medical Diagnostic Imaging Department, College of Health Sciences, University of Sharjah, Sharjah, UAE
- Istinye University, Faculty of Engineering and Natural Sciences, Computer Engineering Department, Istanbul, Turkey
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TWO YEARS ON AND FOUR WAVES LATER- JOHANNESBURG DIAGNOSTIC RADIOGRAPHERS’ EXPERIENCES OF COVID-19. J Med Imaging Radiat Sci 2022; 54:S77-S84. [PMCID: PMC9721282 DOI: 10.1016/j.jmir.2022.11.012] [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: 08/25/2022] [Revised: 11/17/2022] [Accepted: 11/25/2022] [Indexed: 12/12/2022]
Abstract
Introduction At the onset of COVID-19 diagnostic radiographers from Gauteng, South Africa, shared their experiences of the new workflow and operations, their well-being and their resilience during this time. They experienced emotional, physical and financial fatigue. It is now over two years later, and South Africa has experienced four waves of COVID-19. Therefore, this study explored diagnostic radiographers' experience of COVID-19 after two years and four waves. Methods A qualitative explorative, descriptive and contextual study was conducted collecting data through nine virtual individual in-depth interviews. Responses from the diagnostic radiographers in Johannesburg, Gauteng South Africa, underwent thematic analysis. Results Thematic analysis revealed two themes and related categories. Theme one: participants shared synchronistic experiences with the four COVID-19 waves, the heterogeneous vaccination ideologies and their support and coping skills. Theme two: lessons learnt and the way forward. Conclusion Participants shared feeling overwhelmed at the onset of COVID-19 and feared infecting their family, friends and colleagues. However, their anxiety and fear decreased with time. They experienced the Delta variant as the worst and felt supported by their colleagues more than by management. They recounted observations of vaccine hesitancy but acknowledged that vaccination had alleviated some of the fear and anxiety. Participants' coping skills varied, and reflecting on their experience, they shared the lessons learnt and the way forward.
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Booth S, Verrier W, Naylor S, Strudwick R, Harvey-Lloyd J. Interprofessional practice in the Intensive Treatment Unit during the Covid-19 pandemic; the reflections of an Advanced Practitioner Radiographer. JOURNAL OF INTERPROFESSIONAL EDUCATION & PRACTICE 2022; 29:100561. [PMID: 36247715 PMCID: PMC9547690 DOI: 10.1016/j.xjep.2022.100561] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/03/2022] [Revised: 07/27/2022] [Accepted: 10/06/2022] [Indexed: 11/12/2022]
Abstract
Background The onset of the Covid-19 pandemic in March 2020 posed significant challenges to the National Health Service (NHS) in the United Kingdom (UK). Existing workforce shortages were further exacerbated with staff absence, and the need to redeploy staff into frontline clinical areas became a necessity. Purpose The exploration of the experiences of an Advanced Practitioner Radiographer volunteering in the Intensive Treatment Unit (ITU) during the Covid-19 pandemic. Method Interview using Microsoft Teams© involving one participant facilitated by two researchers using a semi-structured interview schedule. Discussion Redeployment to ITU has allowed individuals to work outside of their normal scope of practice. The non-hierarchical structure within teams, focussed minds and demonstrated interprofessional collaboration at its best, ensuring the best patient care was delivered to those critically affected by the virus. Conclusion The interprofessional practice demonstrated in ITU during the pandemic should be applied to future learning and training opportunities, to develop individuals and prepare for future pandemics.
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Affiliation(s)
- Sarah Booth
- University of Salford, Allerton Building, Frederick Road, Manchester, M6 6PU, United Kingdom,Corresponding author
| | - William Verrier
- Colchester General Hospital, East Suffolk and North Essex Foundation Trust, Turner Road, Colchester, CO4 5JL, United Kingdom
| | - Sarah Naylor
- Nottingham University Hospitals NHS Trust, Hucknall Road, Nottingham, BG5 1PB, United Kingdom
| | - Ruth Strudwick
- University of Suffolk, 19 Neptune Quay, Ipswich, IP4 1QJ, United Kingdom
| | - Jane Harvey-Lloyd
- University of Suffolk, 19 Neptune Quay, Ipswich, IP4 1QJ, United Kingdom
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It takes one to tango: Hybrid leader. J Med Imaging Radiat Sci 2022; 53:S65-S67. [DOI: 10.1016/j.jmir.2022.08.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2022] [Revised: 08/11/2022] [Accepted: 08/23/2022] [Indexed: 11/23/2022]
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O'Reilly P, Reed W, Lewis S. COVID-19 and its enduring influence on medical imaging. J Med Radiat Sci 2022; 69:279-281. [PMID: 35856322 PMCID: PMC9349600 DOI: 10.1002/jmrs.608] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2022] [Accepted: 07/08/2022] [Indexed: 11/26/2022] Open
Affiliation(s)
- Peter O'Reilly
- Discipline of Medical Imaging Science, Sydney School of Health Sciences, Faculty of Medicine and Health, University of Sydney, Camperdown, New South Wales, Australia
| | - Warren Reed
- Discipline of Medical Imaging Science, Sydney School of Health Sciences, Faculty of Medicine and Health, University of Sydney, Camperdown, New South Wales, Australia
| | - Sarah Lewis
- Discipline of Medical Imaging Science, Sydney School of Health Sciences, Faculty of Medicine and Health, University of Sydney, Camperdown, New South Wales, Australia
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Knapp K, Venner S, McNulty J, Rainford L. The challenges, coping mechanisms, and recovery from the initial waves of the COVID-19 pandemic among academic radiographers. Radiography (Lond) 2022; 28 Suppl 1:S35-S40. [PMID: 35927184 PMCID: PMC9283605 DOI: 10.1016/j.radi.2022.07.003] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2022] [Revised: 06/30/2022] [Accepted: 07/03/2022] [Indexed: 11/15/2022]
Abstract
Introduction The COVID-19 pandemic arrived in Europe in March 2020 and created major challenges across healthcare provision and for healthcare education programmes as well as having a major impact on society. Within the profession of Radiography changes in medical imaging, radiotherapy, and teaching practices have been reported along with the negative impact on radiographers and students. The aim of this study was to investigate key challenges relating to academic practice during the COIVD-19 pandemic; how radiography academics have coped and to identify recommendations for further support required to facilitate recovery of the academic faculty as the pandemic ebbs. Methods A survey was circulated using SurveyMonkey™ via personal, national and international networks, including the European Federation of Radiographer Societies (EFRS), to reach as many academic radiographers as possible. Open questions relating to the challenges of providing radiography education during the COVID-19 pandemic and the and coping strategies used were included. Thematic analysis was conducted using NVivo (QSR International, MA). Results 533 academic radiographers responded to the whole survey from 43 different countries, with 340 responses relating to challenges and 327 for coping strategies. The main themes for the challenges were clinical practice, communication with colleagues, lack of face to face, managing change, students (support), and staff support. The coping strategy themes were communication with colleagues, physical exercise, self-care and wellbeing. Conclusion These data demonstrate a multitude of challenges for academic radiographers and the pressure they worked under during the first year of the COVID-19 pandemic was clear. However, the majority employed healthy coping strategies to help them deal with the pressure, uncertainty and trauma of the situation. Implications for practice COVID-19 had a significant impact on academic radiographers and while many reported good strategies for coping, the level of pressure is unsustainable. This study highlights the need to support academic radiographers to ensure a sustainable workforce.
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Knapp KM, Venner S, McNulty JP, Rainford LA. The risk of burnout in academic radiographers during the COVID-19 pandemic. Radiography (Lond) 2022; 28:1010-1015. [PMID: 35926446 PMCID: PMC9247227 DOI: 10.1016/j.radi.2022.06.016] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2022] [Revised: 06/13/2022] [Accepted: 06/23/2022] [Indexed: 11/29/2022]
Abstract
Introduction The COVID-19 pandemic created major challenges across society, healthcare provision and also for those delivering healthcare education programmes. Clinical placements were disrupted and, in many incidences cancelled. Higher education institutions were required to move completely to online delivery methods with little notice. This created significant additional workload, stress and the need to learn new skills at a time of great uncertainty. This study explored the risks of burnout in academic radiographers during the first 12 months of the pandemic. Methods A survey was circulated using SurveyMonkey™ via personal, national and international networks, including the European Federation of Radiographer Societies (EFRS), to reach as many academic radiographers as possible. Disengagement and exhaustion were measured using the Oldenburg burnout inventory. Descriptive statistics and a one-way ANOVA were used to analyse the quantitative data using STATA V16 (Statacorp, TA). Results 533 academic radiographers responded to the survey from 43 different countries. Mean disengagement was in the medium range and exhaustion was high for the total dataset. In a subset of countries with 10 or more responses, there was significant variation between countries, with the UK having highest mean exhaustion score and the UK, Ireland and France sharing the highest mean disengagement score. In the total dataset, 86% agreed workload had increased during the pandemic and 35% had considered leaving academia in the last year. Conclusion These data demonstrate the stark reality of the impact of the COVID-19 pandemic on academic radiographers’ workload, wellbeing, and intention to leave their roles. Implications for practice COVID-19 has had a significant impact on academic radiographers and this study highlights the urgent need for remedial measures to better support academic radiographers in order to ensure a sufficient, and sustainable workforce.
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Affiliation(s)
- K M Knapp
- College of Medicine and Health, University of Exeter, UK.
| | - S Venner
- College of Medicine and Health, University of Exeter, UK.
| | - J P McNulty
- Radiography and Diagnostic Imaging, School of Medicine, University College Dublin, Ireland.
| | - L A Rainford
- Radiography and Diagnostic Imaging, School of Medicine, University College Dublin, Ireland.
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Dann C, Sun Z. The impact of COVID-19 on Western Australian medical imaging clinical practice and workplace. J Med Radiat Sci 2022; 69:299-308. [PMID: 35555866 PMCID: PMC9348032 DOI: 10.1002/jmrs.594] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2021] [Accepted: 04/21/2022] [Indexed: 01/13/2023] Open
Abstract
Introduction Medical imaging plays a key role in the management of patients with coronavirus disease‐2019 (COVID‐19). This field is at risk from the impacts of the pandemic on the practice and workplace of medical imaging professionals (MIPs). Recent research has explored this impact internationally and in various states of Australia; however, the impact of the pandemic on Western Australian (WA) MIPs is yet to be examined. Methods This cross‐sectional study aimed to address this issue by surveying clinically practicing WA MIPs on their experience of the impact of COVID‐19. The survey was conducted online between the 1st and the 31st of May 2021 and encompassed 101 clinical sites. Results Fifty‐one valid (17.1%) responses were recorded, and a majority (66.7%) of the participants were employed in public hospitals. The results showed that most participants (94.1%) perceived an impact on their clinical practice, with expressions of insufficient access to personal protective equipment (PPE). The use of all the appropriate PPE items were dependent on whether the participants were employed in a public hospital, private hospital, or a private practice (P = 0.001). Perceived imaging volume decrease across modalities did not differ significantly among the workplaces, except for interventional radiology (P = 0.006). The participants also expressed concerns about inadequate psychological support. Conclusions COVID‐19 has enhanced infection control procedures and modified the routine imaging patterns. Specifically, WA medical imaging centres have altered their PPE and cleaning procedures based on updated health advice. Efforts should be taken to strengthen the support provided to the staff members and to ensure adequate access to PPE supplies.
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Affiliation(s)
- Chloe Dann
- Discipline of Medical Radiation Science, Curtin Medical School, Curtin University, Perth, Western Australia, Australia
| | - Zhonghua Sun
- Discipline of Medical Radiation Science, Curtin Medical School, Curtin University, Perth, Western Australia, Australia
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Moore MN, Leamy MB, England DA, O'Connor DOJ, McEntee MF. An Evaluation of the impact of the Coronavirus (COVID 19) pandemic on Interventional Radiographers well-being. J Med Imaging Radiat Sci 2022; 53:384-395. [PMID: 35660274 PMCID: PMC9114273 DOI: 10.1016/j.jmir.2022.05.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2022] [Revised: 05/05/2022] [Accepted: 05/11/2022] [Indexed: 10/25/2022]
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Impact of COVID-19 on service delivery in radiology and radiotherapy. Radiography (Lond) 2022; 28 Suppl 1:S16-S26. [PMID: 35422396 PMCID: PMC8960154 DOI: 10.1016/j.radi.2022.03.009] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2021] [Revised: 03/18/2022] [Accepted: 03/21/2022] [Indexed: 11/24/2022]
Abstract
Introduction The COVID-19 pandemic has had a profound impact on radiography services globally. The reshaping of service delivery continues to impact patient management and the experience of the radiography workforce should be evaluated to determine how effective service delivery can be maintained in the ongoing and post-pandemic world. Methods A mixed methods approach was adopted. Questionnaires, designed using Qualtrics (Qualtrics, Provo, UT) online survey software, were used to survey radiographers throughout Northern Ireland (NI). Semi-structured interviews were conducted with radiography service managers in the NHS and private sector in NI. All interviews were digitally recorded, transcribed and coded independently by 2 researchers. Results A total of 106 Radiographers completed the online survey i.e. 82 Diagnostic and 24 Therapeutic. Variations were reported regarding staff concern for contracting COVID-19 and passing it on. Clinical workload was reported to fluctuate during the early period of the pandemic, however, both diagnostic and therapeutic radiographers reported workloads which were higher than normal at the time of the data collection. Nine service managers participated in the interviews plus two band 8 superintendent radiographers. Staff faced many challenges whilst delivering services due to COVID-19. The two most frequently cited challenges included issues related to (i) Implementation of PPE and (ii) Changes to work practices. Conclusion A pre-prepared pandemic plan should be established and stress tested for the future. The plan should be devised in consultation with both the public and private sector to determine the very best use of resources. Implications for practice The radiography workforce has worked continuously throughout the pandemic and needs to be supported to deal with the potential increase in demand for services in the post-pandemic world.
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Letter to the editor regarding the article by Naylor et al. in the February 2022 issue of Radiography. Radiography (Lond) 2022; 28:869-870. [DOI: 10.1016/j.radi.2022.02.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2022] [Accepted: 02/28/2022] [Indexed: 11/22/2022]
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